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fhir-swagger-generator.4.8.3.source-code.profiles-resources.json Maven / Gradle / Ivy

{
  "resourceType" : "Bundle",
  "id" : "resources",
  "meta" : {
    "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
  },
  "type" : "collection",
  "entry" : [{
    "fullUrl" : "http://hl7.org/fhir/CapabilityStatement/base",
    "resource" : {
      "resourceType" : "CapabilityStatement",
      "id" : "base",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
Base FHIR Capability Statement (Full)
This is the base Capability Statement for FHIR. It represents a server that provides the full set of functionality defined by FHIR. It is provided to use as a template for system designers to build their own Capability Statements from
\n
Mode
SERVER
Description
All the functionality defined in FHIR
Transaction
y
System History
y
System Search
y
Resource Type
Profile
Read
V-Read
Search
Update
Updates
Create
Delete
History
Account
http://hl7.org/fhir/StructureDefinition/Account
y
y
y
y
y
y
y
y
ActivityDefinition
http://hl7.org/fhir/StructureDefinition/ActivityDefinition
y
y
y
y
y
y
y
y
AdverseEvent
http://hl7.org/fhir/StructureDefinition/AdverseEvent
y
y
y
y
y
y
y
y
AllergyIntolerance
http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
y
y
y
y
y
y
y
y
Appointment
http://hl7.org/fhir/StructureDefinition/Appointment
y
y
y
y
y
y
y
y
AppointmentResponse
http://hl7.org/fhir/StructureDefinition/AppointmentResponse
y
y
y
y
y
y
y
y
AuditEvent
http://hl7.org/fhir/StructureDefinition/AuditEvent
y
y
y
y
y
y
y
y
Basic
http://hl7.org/fhir/StructureDefinition/Basic
y
y
y
y
y
y
y
y
Binary
http://hl7.org/fhir/StructureDefinition/Binary
y
y
y
y
y
y
y
y
BiologicallyDerivedProduct
http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct
y
y
y
y
y
y
y
y
BodyStructure
http://hl7.org/fhir/StructureDefinition/BodyStructure
y
y
y
y
y
y
y
y
Bundle
http://hl7.org/fhir/StructureDefinition/Bundle
y
y
y
y
y
y
y
y
CapabilityStatement
http://hl7.org/fhir/StructureDefinition/CapabilityStatement
y
y
y
y
y
y
y
y
CarePlan
http://hl7.org/fhir/StructureDefinition/CarePlan
y
y
y
y
y
y
y
y
CareTeam
http://hl7.org/fhir/StructureDefinition/CareTeam
y
y
y
y
y
y
y
y
CatalogEntry
http://hl7.org/fhir/StructureDefinition/CatalogEntry
y
y
y
y
y
y
y
y
ChargeItem
http://hl7.org/fhir/StructureDefinition/ChargeItem
y
y
y
y
y
y
y
y
ChargeItemDefinition
http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition
y
y
y
y
y
y
y
y
Claim
http://hl7.org/fhir/StructureDefinition/Claim
y
y
y
y
y
y
y
y
ClaimResponse
http://hl7.org/fhir/StructureDefinition/ClaimResponse
y
y
y
y
y
y
y
y
ClinicalImpression
http://hl7.org/fhir/StructureDefinition/ClinicalImpression
y
y
y
y
y
y
y
y
CodeSystem
http://hl7.org/fhir/StructureDefinition/CodeSystem
y
y
y
y
y
y
y
y
Communication
http://hl7.org/fhir/StructureDefinition/Communication
y
y
y
y
y
y
y
y
CommunicationRequest
http://hl7.org/fhir/StructureDefinition/CommunicationRequest
y
y
y
y
y
y
y
y
CompartmentDefinition
http://hl7.org/fhir/StructureDefinition/CompartmentDefinition
y
y
y
y
y
y
y
y
Composition
http://hl7.org/fhir/StructureDefinition/Composition
y
y
y
y
y
y
y
y
ConceptMap
http://hl7.org/fhir/StructureDefinition/ConceptMap
y
y
y
y
y
y
y
y
Condition
http://hl7.org/fhir/StructureDefinition/Condition
y
y
y
y
y
y
y
y
Consent
http://hl7.org/fhir/StructureDefinition/Consent
y
y
y
y
y
y
y
y
Contract
http://hl7.org/fhir/StructureDefinition/Contract
y
y
y
y
y
y
y
y
Coverage
http://hl7.org/fhir/StructureDefinition/Coverage
y
y
y
y
y
y
y
y
CoverageEligibilityRequest
http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest
y
y
y
y
y
y
y
y
CoverageEligibilityResponse
http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse
y
y
y
y
y
y
y
y
DetectedIssue
http://hl7.org/fhir/StructureDefinition/DetectedIssue
y
y
y
y
y
y
y
y
Device
http://hl7.org/fhir/StructureDefinition/Device
y
y
y
y
y
y
y
y
DeviceDefinition
http://hl7.org/fhir/StructureDefinition/DeviceDefinition
y
y
y
y
y
y
y
y
DeviceMetric
http://hl7.org/fhir/StructureDefinition/DeviceMetric
y
y
y
y
y
y
y
y
DeviceRequest
http://hl7.org/fhir/StructureDefinition/DeviceRequest
y
y
y
y
y
y
y
y
DeviceUseStatement
http://hl7.org/fhir/StructureDefinition/DeviceUseStatement
y
y
y
y
y
y
y
y
DiagnosticReport
http://hl7.org/fhir/StructureDefinition/DiagnosticReport
y
y
y
y
y
y
y
y
DocumentManifest
http://hl7.org/fhir/StructureDefinition/DocumentManifest
y
y
y
y
y
y
y
y
DocumentReference
http://hl7.org/fhir/StructureDefinition/DocumentReference
y
y
y
y
y
y
y
y
EffectEvidenceSynthesis
http://hl7.org/fhir/StructureDefinition/EffectEvidenceSynthesis
y
y
y
y
y
y
y
y
Encounter
http://hl7.org/fhir/StructureDefinition/Encounter
y
y
y
y
y
y
y
y
Endpoint
http://hl7.org/fhir/StructureDefinition/Endpoint
y
y
y
y
y
y
y
y
EnrollmentRequest
http://hl7.org/fhir/StructureDefinition/EnrollmentRequest
y
y
y
y
y
y
y
y
EnrollmentResponse
http://hl7.org/fhir/StructureDefinition/EnrollmentResponse
y
y
y
y
y
y
y
y
EpisodeOfCare
http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
y
y
y
y
y
y
y
y
EventDefinition
http://hl7.org/fhir/StructureDefinition/EventDefinition
y
y
y
y
y
y
y
y
Evidence
http://hl7.org/fhir/StructureDefinition/Evidence
y
y
y
y
y
y
y
y
EvidenceVariable
http://hl7.org/fhir/StructureDefinition/EvidenceVariable
y
y
y
y
y
y
y
y
ExampleScenario
http://hl7.org/fhir/StructureDefinition/ExampleScenario
y
y
y
y
y
y
y
y
ExplanationOfBenefit
http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit
y
y
y
y
y
y
y
y
FamilyMemberHistory
http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory
y
y
y
y
y
y
y
y
Flag
http://hl7.org/fhir/StructureDefinition/Flag
y
y
y
y
y
y
y
y
Goal
http://hl7.org/fhir/StructureDefinition/Goal
y
y
y
y
y
y
y
y
GraphDefinition
http://hl7.org/fhir/StructureDefinition/GraphDefinition
y
y
y
y
y
y
y
y
Group
http://hl7.org/fhir/StructureDefinition/Group
y
y
y
y
y
y
y
y
GuidanceResponse
http://hl7.org/fhir/StructureDefinition/GuidanceResponse
y
y
y
y
y
y
y
y
HealthcareService
http://hl7.org/fhir/StructureDefinition/HealthcareService
y
y
y
y
y
y
y
y
ImagingStudy
http://hl7.org/fhir/StructureDefinition/ImagingStudy
y
y
y
y
y
y
y
y
Immunization
http://hl7.org/fhir/StructureDefinition/Immunization
y
y
y
y
y
y
y
y
ImmunizationEvaluation
http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation
y
y
y
y
y
y
y
y
ImmunizationRecommendation
http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation
y
y
y
y
y
y
y
y
ImplementationGuide
http://hl7.org/fhir/StructureDefinition/ImplementationGuide
y
y
y
y
y
y
y
y
InsurancePlan
http://hl7.org/fhir/StructureDefinition/InsurancePlan
y
y
y
y
y
y
y
y
Invoice
http://hl7.org/fhir/StructureDefinition/Invoice
y
y
y
y
y
y
y
y
Library
http://hl7.org/fhir/StructureDefinition/Library
y
y
y
y
y
y
y
y
Linkage
http://hl7.org/fhir/StructureDefinition/Linkage
y
y
y
y
y
y
y
y
List
http://hl7.org/fhir/StructureDefinition/List
y
y
y
y
y
y
y
y
Location
http://hl7.org/fhir/StructureDefinition/Location
y
y
y
y
y
y
y
y
Measure
http://hl7.org/fhir/StructureDefinition/Measure
y
y
y
y
y
y
y
y
MeasureReport
http://hl7.org/fhir/StructureDefinition/MeasureReport
y
y
y
y
y
y
y
y
Media
http://hl7.org/fhir/StructureDefinition/Media
y
y
y
y
y
y
y
y
Medication
http://hl7.org/fhir/StructureDefinition/Medication
y
y
y
y
y
y
y
y
MedicationAdministration
http://hl7.org/fhir/StructureDefinition/MedicationAdministration
y
y
y
y
y
y
y
y
MedicationDispense
http://hl7.org/fhir/StructureDefinition/MedicationDispense
y
y
y
y
y
y
y
y
MedicationKnowledge
http://hl7.org/fhir/StructureDefinition/MedicationKnowledge
y
y
y
y
y
y
y
y
MedicationRequest
http://hl7.org/fhir/StructureDefinition/MedicationRequest
y
y
y
y
y
y
y
y
MedicationStatement
http://hl7.org/fhir/StructureDefinition/MedicationStatement
y
y
y
y
y
y
y
y
MedicinalProduct
http://hl7.org/fhir/StructureDefinition/MedicinalProduct
y
y
y
y
y
y
y
y
MedicinalProductAuthorization
http://hl7.org/fhir/StructureDefinition/MedicinalProductAuthorization
y
y
y
y
y
y
y
y
MedicinalProductContraindication
http://hl7.org/fhir/StructureDefinition/MedicinalProductContraindication
y
y
y
y
y
y
y
y
MedicinalProductIndication
http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication
y
y
y
y
y
y
y
y
MedicinalProductIngredient
http://hl7.org/fhir/StructureDefinition/MedicinalProductIngredient
y
y
y
y
y
y
y
y
MedicinalProductInteraction
http://hl7.org/fhir/StructureDefinition/MedicinalProductInteraction
y
y
y
y
y
y
y
y
MedicinalProductManufactured
http://hl7.org/fhir/StructureDefinition/MedicinalProductManufactured
y
y
y
y
y
y
y
y
MedicinalProductPackaged
http://hl7.org/fhir/StructureDefinition/MedicinalProductPackaged
y
y
y
y
y
y
y
y
MedicinalProductPharmaceutical
http://hl7.org/fhir/StructureDefinition/MedicinalProductPharmaceutical
y
y
y
y
y
y
y
y
MedicinalProductUndesirableEffect
http://hl7.org/fhir/StructureDefinition/MedicinalProductUndesirableEffect
y
y
y
y
y
y
y
y
MessageDefinition
http://hl7.org/fhir/StructureDefinition/MessageDefinition
y
y
y
y
y
y
y
y
MessageHeader
http://hl7.org/fhir/StructureDefinition/MessageHeader
y
y
y
y
y
y
y
y
MolecularSequence
http://hl7.org/fhir/StructureDefinition/MolecularSequence
y
y
y
y
y
y
y
y
NamingSystem
http://hl7.org/fhir/StructureDefinition/NamingSystem
y
y
y
y
y
y
y
y
NutritionOrder
http://hl7.org/fhir/StructureDefinition/NutritionOrder
y
y
y
y
y
y
y
y
Observation
http://hl7.org/fhir/StructureDefinition/Observation
y
y
y
y
y
y
y
y
ObservationDefinition
http://hl7.org/fhir/StructureDefinition/ObservationDefinition
y
y
y
y
y
y
y
y
OperationDefinition
http://hl7.org/fhir/StructureDefinition/OperationDefinition
y
y
y
y
y
y
y
y
OperationOutcome
http://hl7.org/fhir/StructureDefinition/OperationOutcome
y
y
y
y
y
y
y
y
Organization
http://hl7.org/fhir/StructureDefinition/Organization
y
y
y
y
y
y
y
y
OrganizationAffiliation
http://hl7.org/fhir/StructureDefinition/OrganizationAffiliation
y
y
y
y
y
y
y
y
Patient
http://hl7.org/fhir/StructureDefinition/Patient
y
y
y
y
y
y
y
y
PaymentNotice
http://hl7.org/fhir/StructureDefinition/PaymentNotice
y
y
y
y
y
y
y
y
PaymentReconciliation
http://hl7.org/fhir/StructureDefinition/PaymentReconciliation
y
y
y
y
y
y
y
y
Person
http://hl7.org/fhir/StructureDefinition/Person
y
y
y
y
y
y
y
y
PlanDefinition
http://hl7.org/fhir/StructureDefinition/PlanDefinition
y
y
y
y
y
y
y
y
Practitioner
http://hl7.org/fhir/StructureDefinition/Practitioner
y
y
y
y
y
y
y
y
PractitionerRole
http://hl7.org/fhir/StructureDefinition/PractitionerRole
y
y
y
y
y
y
y
y
Procedure
http://hl7.org/fhir/StructureDefinition/Procedure
y
y
y
y
y
y
y
y
Provenance
http://hl7.org/fhir/StructureDefinition/Provenance
y
y
y
y
y
y
y
y
Questionnaire
http://hl7.org/fhir/StructureDefinition/Questionnaire
y
y
y
y
y
y
y
y
QuestionnaireResponse
http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse
y
y
y
y
y
y
y
y
RelatedPerson
http://hl7.org/fhir/StructureDefinition/RelatedPerson
y
y
y
y
y
y
y
y
RequestGroup
http://hl7.org/fhir/StructureDefinition/RequestGroup
y
y
y
y
y
y
y
y
ResearchDefinition
http://hl7.org/fhir/StructureDefinition/ResearchDefinition
y
y
y
y
y
y
y
y
ResearchElementDefinition
http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition
y
y
y
y
y
y
y
y
ResearchStudy
http://hl7.org/fhir/StructureDefinition/ResearchStudy
y
y
y
y
y
y
y
y
ResearchSubject
http://hl7.org/fhir/StructureDefinition/ResearchSubject
y
y
y
y
y
y
y
y
RiskAssessment
http://hl7.org/fhir/StructureDefinition/RiskAssessment
y
y
y
y
y
y
y
y
RiskEvidenceSynthesis
http://hl7.org/fhir/StructureDefinition/RiskEvidenceSynthesis
y
y
y
y
y
y
y
y
Schedule
http://hl7.org/fhir/StructureDefinition/Schedule
y
y
y
y
y
y
y
y
SearchParameter
http://hl7.org/fhir/StructureDefinition/SearchParameter
y
y
y
y
y
y
y
y
ServiceRequest
http://hl7.org/fhir/StructureDefinition/ServiceRequest
y
y
y
y
y
y
y
y
Slot
http://hl7.org/fhir/StructureDefinition/Slot
y
y
y
y
y
y
y
y
Specimen
http://hl7.org/fhir/StructureDefinition/Specimen
y
y
y
y
y
y
y
y
SpecimenDefinition
http://hl7.org/fhir/StructureDefinition/SpecimenDefinition
y
y
y
y
y
y
y
y
StructureDefinition
http://hl7.org/fhir/StructureDefinition/StructureDefinition
y
y
y
y
y
y
y
y
StructureMap
http://hl7.org/fhir/StructureDefinition/StructureMap
y
y
y
y
y
y
y
y
Subscription
http://hl7.org/fhir/StructureDefinition/Subscription
y
y
y
y
y
y
y
y
Substance
http://hl7.org/fhir/StructureDefinition/Substance
y
y
y
y
y
y
y
y
SubstanceNucleicAcid
http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid
y
y
y
y
y
y
y
y
SubstancePolymer
http://hl7.org/fhir/StructureDefinition/SubstancePolymer
y
y
y
y
y
y
y
y
SubstanceProtein
http://hl7.org/fhir/StructureDefinition/SubstanceProtein
y
y
y
y
y
y
y
y
SubstanceReferenceInformation
http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation
y
y
y
y
y
y
y
y
SubstanceSourceMaterial
http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial
y
y
y
y
y
y
y
y
SubstanceSpecification
http://hl7.org/fhir/StructureDefinition/SubstanceSpecification
y
y
y
y
y
y
y
y
SupplyDelivery
http://hl7.org/fhir/StructureDefinition/SupplyDelivery
y
y
y
y
y
y
y
y
SupplyRequest
http://hl7.org/fhir/StructureDefinition/SupplyRequest
y
y
y
y
y
y
y
y
Task
http://hl7.org/fhir/StructureDefinition/Task
y
y
y
y
y
y
y
y
TerminologyCapabilities
http://hl7.org/fhir/StructureDefinition/TerminologyCapabilities
y
y
y
y
y
y
y
y
TestReport
http://hl7.org/fhir/StructureDefinition/TestReport
y
y
y
y
y
y
y
y
TestScript
http://hl7.org/fhir/StructureDefinition/TestScript
y
y
y
y
y
y
y
y
ValueSet
http://hl7.org/fhir/StructureDefinition/ValueSet
y
y
y
y
y
y
y
y
VerificationResult
http://hl7.org/fhir/StructureDefinition/VerificationResult
y
y
y
y
y
y
y
y
VisionPrescription
http://hl7.org/fhir/StructureDefinition/VisionPrescription
y
y
y
y
y
y
y
y
Base FHIR Capability Statement (Full)
This is the base Capability Statement for FHIR. It represents a server that provides the full set of functionality defined by FHIR. It is provided to use as a template for system designers to build their own Capability Statements from
\n
Mode
SERVER
Description
All the functionality defined in FHIR
Transaction
y
System History
y
System Search
y
Resource Type
Profile
Read
V-Read
Search
Update
Updates
Create
Delete
History
Account
http://hl7.org/fhir/StructureDefinition/Account
y
y
y
y
y
y
y
y
ActivityDefinition
http://hl7.org/fhir/StructureDefinition/ActivityDefinition
y
y
y
y
y
y
y
y
AdverseEvent
http://hl7.org/fhir/StructureDefinition/AdverseEvent
y
y
y
y
y
y
y
y
AllergyIntolerance
http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
y
y
y
y
y
y
y
y
Appointment
http://hl7.org/fhir/StructureDefinition/Appointment
y
y
y
y
y
y
y
y
AppointmentResponse
http://hl7.org/fhir/StructureDefinition/AppointmentResponse
y
y
y
y
y
y
y
y
AuditEvent
http://hl7.org/fhir/StructureDefinition/AuditEvent
y
y
y
y
y
y
y
y
Basic
http://hl7.org/fhir/StructureDefinition/Basic
y
y
y
y
y
y
y
y
Binary
http://hl7.org/fhir/StructureDefinition/Binary
y
y
y
y
y
y
y
y
BiologicallyDerivedProduct
http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct
y
y
y
y
y
y
y
y
BodyStructure
http://hl7.org/fhir/StructureDefinition/BodyStructure
y
y
y
y
y
y
y
y
Bundle
http://hl7.org/fhir/StructureDefinition/Bundle
y
y
y
y
y
y
y
y
CapabilityStatement
http://hl7.org/fhir/StructureDefinition/CapabilityStatement
y
y
y
y
y
y
y
y
CarePlan
http://hl7.org/fhir/StructureDefinition/CarePlan
y
y
y
y
y
y
y
y
CareTeam
http://hl7.org/fhir/StructureDefinition/CareTeam
y
y
y
y
y
y
y
y
CatalogEntry
http://hl7.org/fhir/StructureDefinition/CatalogEntry
y
y
y
y
y
y
y
y
ChargeItem
http://hl7.org/fhir/StructureDefinition/ChargeItem
y
y
y
y
y
y
y
y
ChargeItemDefinition
http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition
y
y
y
y
y
y
y
y
Claim
http://hl7.org/fhir/StructureDefinition/Claim
y
y
y
y
y
y
y
y
ClaimResponse
http://hl7.org/fhir/StructureDefinition/ClaimResponse
y
y
y
y
y
y
y
y
ClinicalImpression
http://hl7.org/fhir/StructureDefinition/ClinicalImpression
y
y
y
y
y
y
y
y
CodeSystem
http://hl7.org/fhir/StructureDefinition/CodeSystem
y
y
y
y
y
y
y
y
Communication
http://hl7.org/fhir/StructureDefinition/Communication
y
y
y
y
y
y
y
y
CommunicationRequest
http://hl7.org/fhir/StructureDefinition/CommunicationRequest
y
y
y
y
y
y
y
y
CompartmentDefinition
http://hl7.org/fhir/StructureDefinition/CompartmentDefinition
y
y
y
y
y
y
y
y
Composition
http://hl7.org/fhir/StructureDefinition/Composition
y
y
y
y
y
y
y
y
ConceptMap
http://hl7.org/fhir/StructureDefinition/ConceptMap
y
y
y
y
y
y
y
y
Condition
http://hl7.org/fhir/StructureDefinition/Condition
y
y
y
y
y
y
y
y
Consent
http://hl7.org/fhir/StructureDefinition/Consent
y
y
y
y
y
y
y
y
Contract
http://hl7.org/fhir/StructureDefinition/Contract
y
y
y
y
y
y
y
y
Coverage
http://hl7.org/fhir/StructureDefinition/Coverage
y
y
y
y
y
y
y
y
CoverageEligibilityRequest
http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest
y
y
y
y
y
y
y
y
CoverageEligibilityResponse
http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse
y
y
y
y
y
y
y
y
DetectedIssue
http://hl7.org/fhir/StructureDefinition/DetectedIssue
y
y
y
y
y
y
y
y
Device
http://hl7.org/fhir/StructureDefinition/Device
y
y
y
y
y
y
y
y
DeviceDefinition
http://hl7.org/fhir/StructureDefinition/DeviceDefinition
y
y
y
y
y
y
y
y
DeviceMetric
http://hl7.org/fhir/StructureDefinition/DeviceMetric
y
y
y
y
y
y
y
y
DeviceRequest
http://hl7.org/fhir/StructureDefinition/DeviceRequest
y
y
y
y
y
y
y
y
DeviceUseStatement
http://hl7.org/fhir/StructureDefinition/DeviceUseStatement
y
y
y
y
y
y
y
y
DiagnosticReport
http://hl7.org/fhir/StructureDefinition/DiagnosticReport
y
y
y
y
y
y
y
y
DocumentManifest
http://hl7.org/fhir/StructureDefinition/DocumentManifest
y
y
y
y
y
y
y
y
DocumentReference
http://hl7.org/fhir/StructureDefinition/DocumentReference
y
y
y
y
y
y
y
y
EffectEvidenceSynthesis
http://hl7.org/fhir/StructureDefinition/EffectEvidenceSynthesis
y
y
y
y
y
y
y
y
Encounter
http://hl7.org/fhir/StructureDefinition/Encounter
y
y
y
y
y
y
y
y
Endpoint
http://hl7.org/fhir/StructureDefinition/Endpoint
y
y
y
y
y
y
y
y
EnrollmentRequest
http://hl7.org/fhir/StructureDefinition/EnrollmentRequest
y
y
y
y
y
y
y
y
EnrollmentResponse
http://hl7.org/fhir/StructureDefinition/EnrollmentResponse
y
y
y
y
y
y
y
y
EpisodeOfCare
http://hl7.org/fhir/StructureDefinition/EpisodeOfCare
y
y
y
y
y
y
y
y
EventDefinition
http://hl7.org/fhir/StructureDefinition/EventDefinition
y
y
y
y
y
y
y
y
Evidence
http://hl7.org/fhir/StructureDefinition/Evidence
y
y
y
y
y
y
y
y
EvidenceVariable
http://hl7.org/fhir/StructureDefinition/EvidenceVariable
y
y
y
y
y
y
y
y
ExampleScenario
http://hl7.org/fhir/StructureDefinition/ExampleScenario
y
y
y
y
y
y
y
y
ExplanationOfBenefit
http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit
y
y
y
y
y
y
y
y
FamilyMemberHistory
http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory
y
y
y
y
y
y
y
y
Flag
http://hl7.org/fhir/StructureDefinition/Flag
y
y
y
y
y
y
y
y
Goal
http://hl7.org/fhir/StructureDefinition/Goal
y
y
y
y
y
y
y
y
GraphDefinition
http://hl7.org/fhir/StructureDefinition/GraphDefinition
y
y
y
y
y
y
y
y
Group
http://hl7.org/fhir/StructureDefinition/Group
y
y
y
y
y
y
y
y
GuidanceResponse
http://hl7.org/fhir/StructureDefinition/GuidanceResponse
y
y
y
y
y
y
y
y
HealthcareService
http://hl7.org/fhir/StructureDefinition/HealthcareService
y
y
y
y
y
y
y
y
ImagingStudy
http://hl7.org/fhir/StructureDefinition/ImagingStudy
y
y
y
y
y
y
y
y
Immunization
http://hl7.org/fhir/StructureDefinition/Immunization
y
y
y
y
y
y
y
y
ImmunizationEvaluation
http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation
y
y
y
y
y
y
y
y
ImmunizationRecommendation
http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation
y
y
y
y
y
y
y
y
ImplementationGuide
http://hl7.org/fhir/StructureDefinition/ImplementationGuide
y
y
y
y
y
y
y
y
InsurancePlan
http://hl7.org/fhir/StructureDefinition/InsurancePlan
y
y
y
y
y
y
y
y
Invoice
http://hl7.org/fhir/StructureDefinition/Invoice
y
y
y
y
y
y
y
y
Library
http://hl7.org/fhir/StructureDefinition/Library
y
y
y
y
y
y
y
y
Linkage
http://hl7.org/fhir/StructureDefinition/Linkage
y
y
y
y
y
y
y
y
List
http://hl7.org/fhir/StructureDefinition/List
y
y
y
y
y
y
y
y
Location
http://hl7.org/fhir/StructureDefinition/Location
y
y
y
y
y
y
y
y
Measure
http://hl7.org/fhir/StructureDefinition/Measure
y
y
y
y
y
y
y
y
MeasureReport
http://hl7.org/fhir/StructureDefinition/MeasureReport
y
y
y
y
y
y
y
y
Media
http://hl7.org/fhir/StructureDefinition/Media
y
y
y
y
y
y
y
y
Medication
http://hl7.org/fhir/StructureDefinition/Medication
y
y
y
y
y
y
y
y
MedicationAdministration
http://hl7.org/fhir/StructureDefinition/MedicationAdministration
y
y
y
y
y
y
y
y
MedicationDispense
http://hl7.org/fhir/StructureDefinition/MedicationDispense
y
y
y
y
y
y
y
y
MedicationKnowledge
http://hl7.org/fhir/StructureDefinition/MedicationKnowledge
y
y
y
y
y
y
y
y
MedicationRequest
http://hl7.org/fhir/StructureDefinition/MedicationRequest
y
y
y
y
y
y
y
y
MedicationStatement
http://hl7.org/fhir/StructureDefinition/MedicationStatement
y
y
y
y
y
y
y
y
MedicinalProduct
http://hl7.org/fhir/StructureDefinition/MedicinalProduct
y
y
y
y
y
y
y
y
MedicinalProductAuthorization
http://hl7.org/fhir/StructureDefinition/MedicinalProductAuthorization
y
y
y
y
y
y
y
y
MedicinalProductContraindication
http://hl7.org/fhir/StructureDefinition/MedicinalProductContraindication
y
y
y
y
y
y
y
y
MedicinalProductIndication
http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication
y
y
y
y
y
y
y
y
MedicinalProductIngredient
http://hl7.org/fhir/StructureDefinition/MedicinalProductIngredient
y
y
y
y
y
y
y
y
MedicinalProductInteraction
http://hl7.org/fhir/StructureDefinition/MedicinalProductInteraction
y
y
y
y
y
y
y
y
MedicinalProductManufactured
http://hl7.org/fhir/StructureDefinition/MedicinalProductManufactured
y
y
y
y
y
y
y
y
MedicinalProductPackaged
http://hl7.org/fhir/StructureDefinition/MedicinalProductPackaged
y
y
y
y
y
y
y
y
MedicinalProductPharmaceutical
http://hl7.org/fhir/StructureDefinition/MedicinalProductPharmaceutical
y
y
y
y
y
y
y
y
MedicinalProductUndesirableEffect
http://hl7.org/fhir/StructureDefinition/MedicinalProductUndesirableEffect
y
y
y
y
y
y
y
y
MessageDefinition
http://hl7.org/fhir/StructureDefinition/MessageDefinition
y
y
y
y
y
y
y
y
MessageHeader
http://hl7.org/fhir/StructureDefinition/MessageHeader
y
y
y
y
y
y
y
y
MolecularSequence
http://hl7.org/fhir/StructureDefinition/MolecularSequence
y
y
y
y
y
y
y
y
NamingSystem
http://hl7.org/fhir/StructureDefinition/NamingSystem
y
y
y
y
y
y
y
y
NutritionOrder
http://hl7.org/fhir/StructureDefinition/NutritionOrder
y
y
y
y
y
y
y
y
Observation
http://hl7.org/fhir/StructureDefinition/Observation
y
y
y
y
y
y
y
y
ObservationDefinition
http://hl7.org/fhir/StructureDefinition/ObservationDefinition
y
y
y
y
y
y
y
y
OperationDefinition
http://hl7.org/fhir/StructureDefinition/OperationDefinition
y
y
y
y
y
y
y
y
OperationOutcome
http://hl7.org/fhir/StructureDefinition/OperationOutcome
y
y
y
y
y
y
y
y
Organization
http://hl7.org/fhir/StructureDefinition/Organization
y
y
y
y
y
y
y
y
OrganizationAffiliation
http://hl7.org/fhir/StructureDefinition/OrganizationAffiliation
y
y
y
y
y
y
y
y
Patient
http://hl7.org/fhir/StructureDefinition/Patient
y
y
y
y
y
y
y
y
PaymentNotice
http://hl7.org/fhir/StructureDefinition/PaymentNotice
y
y
y
y
y
y
y
y
PaymentReconciliation
http://hl7.org/fhir/StructureDefinition/PaymentReconciliation
y
y
y
y
y
y
y
y
Person
http://hl7.org/fhir/StructureDefinition/Person
y
y
y
y
y
y
y
y
PlanDefinition
http://hl7.org/fhir/StructureDefinition/PlanDefinition
y
y
y
y
y
y
y
y
Practitioner
http://hl7.org/fhir/StructureDefinition/Practitioner
y
y
y
y
y
y
y
y
PractitionerRole
http://hl7.org/fhir/StructureDefinition/PractitionerRole
y
y
y
y
y
y
y
y
Procedure
http://hl7.org/fhir/StructureDefinition/Procedure
y
y
y
y
y
y
y
y
Provenance
http://hl7.org/fhir/StructureDefinition/Provenance
y
y
y
y
y
y
y
y
Questionnaire
http://hl7.org/fhir/StructureDefinition/Questionnaire
y
y
y
y
y
y
y
y
QuestionnaireResponse
http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse
y
y
y
y
y
y
y
y
RelatedPerson
http://hl7.org/fhir/StructureDefinition/RelatedPerson
y
y
y
y
y
y
y
y
RequestGroup
http://hl7.org/fhir/StructureDefinition/RequestGroup
y
y
y
y
y
y
y
y
ResearchDefinition
http://hl7.org/fhir/StructureDefinition/ResearchDefinition
y
y
y
y
y
y
y
y
ResearchElementDefinition
http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition
y
y
y
y
y
y
y
y
ResearchStudy
http://hl7.org/fhir/StructureDefinition/ResearchStudy
y
y
y
y
y
y
y
y
ResearchSubject
http://hl7.org/fhir/StructureDefinition/ResearchSubject
y
y
y
y
y
y
y
y
RiskAssessment
http://hl7.org/fhir/StructureDefinition/RiskAssessment
y
y
y
y
y
y
y
y
RiskEvidenceSynthesis
http://hl7.org/fhir/StructureDefinition/RiskEvidenceSynthesis
y
y
y
y
y
y
y
y
Schedule
http://hl7.org/fhir/StructureDefinition/Schedule
y
y
y
y
y
y
y
y
SearchParameter
http://hl7.org/fhir/StructureDefinition/SearchParameter
y
y
y
y
y
y
y
y
ServiceRequest
http://hl7.org/fhir/StructureDefinition/ServiceRequest
y
y
y
y
y
y
y
y
Slot
http://hl7.org/fhir/StructureDefinition/Slot
y
y
y
y
y
y
y
y
Specimen
http://hl7.org/fhir/StructureDefinition/Specimen
y
y
y
y
y
y
y
y
SpecimenDefinition
http://hl7.org/fhir/StructureDefinition/SpecimenDefinition
y
y
y
y
y
y
y
y
StructureDefinition
http://hl7.org/fhir/StructureDefinition/StructureDefinition
y
y
y
y
y
y
y
y
StructureMap
http://hl7.org/fhir/StructureDefinition/StructureMap
y
y
y
y
y
y
y
y
Subscription
http://hl7.org/fhir/StructureDefinition/Subscription
y
y
y
y
y
y
y
y
Substance
http://hl7.org/fhir/StructureDefinition/Substance
y
y
y
y
y
y
y
y
SubstanceNucleicAcid
http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid
y
y
y
y
y
y
y
y
SubstancePolymer
http://hl7.org/fhir/StructureDefinition/SubstancePolymer
y
y
y
y
y
y
y
y
SubstanceProtein
http://hl7.org/fhir/StructureDefinition/SubstanceProtein
y
y
y
y
y
y
y
y
SubstanceReferenceInformation
http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation
y
y
y
y
y
y
y
y
SubstanceSourceMaterial
http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial
y
y
y
y
y
y
y
y
SubstanceSpecification
http://hl7.org/fhir/StructureDefinition/SubstanceSpecification
y
y
y
y
y
y
y
y
SupplyDelivery
http://hl7.org/fhir/StructureDefinition/SupplyDelivery
y
y
y
y
y
y
y
y
SupplyRequest
http://hl7.org/fhir/StructureDefinition/SupplyRequest
y
y
y
y
y
y
y
y
Task
http://hl7.org/fhir/StructureDefinition/Task
y
y
y
y
y
y
y
y
TerminologyCapabilities
http://hl7.org/fhir/StructureDefinition/TerminologyCapabilities
y
y
y
y
y
y
y
y
TestReport
http://hl7.org/fhir/StructureDefinition/TestReport
y
y
y
y
y
y
y
y
TestScript
http://hl7.org/fhir/StructureDefinition/TestScript
y
y
y
y
y
y
y
y
ValueSet
http://hl7.org/fhir/StructureDefinition/ValueSet
y
y
y
y
y
y
y
y
VerificationResult
http://hl7.org/fhir/StructureDefinition/VerificationResult
y
y
y
y
y
y
y
y
VisionPrescription
http://hl7.org/fhir/StructureDefinition/VisionPrescription
y
y
y
y
y
y
y
y
"
      },
      "url" : "http://hl7.org/fhir/CapabilityStatement/base",
      "version" : "4.0.0",
      "name" : "Base FHIR Capability Statement (Full)",
      "status" : "draft",
      "experimental" : true,
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "FHIR Project Team",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      }],
      "description" : "This is the base Capability Statement for FHIR. It represents a server that provides the full set of functionality defined by FHIR. It is provided to use as a template for system designers to build their own Capability Statements from",
      "kind" : "capability",
      "software" : {
        "name" : "Insert your software name here..."
      },
      "fhirVersion" : "4.0.0",
      "format" : ["xml",
      "json"],
      "rest" : [{
        "mode" : "server",
        "documentation" : "All the functionality defined in FHIR",
        "security" : {
          "cors" : true,
          "service" : [{
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/restful-security-service",
              "code" : "SMART-on-FHIR",
              "display" : "SMART-on-FHIR"
            }],
            "text" : "See http://docs.smarthealthit.org/"
          }],
          "description" : "This is the Capability Statement to declare that the server supports SMART-on-FHIR. See the SMART-on-FHIR docs for the extension that would go with such a server"
        },
        "resource" : [{
          "type" : "Account",
          "profile" : "http://hl7.org/fhir/StructureDefinition/Account",
          "interaction" : [{
            "code" : "read",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "vread",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "update",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "delete",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "history-instance",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "history-type",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "create",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "search-type",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          }],
          "conditionalCreate" : true,
          "conditionalUpdate" : true,
          "conditionalDelete" : "multiple",
          "referencePolicy" : ["literal",
          "logical"],
          "searchInclude" : ["Account.owner",
          "Account.subject",
          "Account.patient"],
          "searchRevInclude" : ["ChargeItem.account",
          "Encounter.account",
          "Invoice.account"],
          "searchParam" : [{
            "name" : "owner",
            "definition" : "http://hl7.org/fhir/SearchParameter/Account-owner",
            "type" : "reference",
            "documentation" : "Entity managing the Account"
          },
          {
            "name" : "identifier",
            "definition" : "http://hl7.org/fhir/SearchParameter/Account-identifier",
            "type" : "token",
            "documentation" : "Account number"
          },
          {
            "name" : "period",
            "definition" : "http://hl7.org/fhir/SearchParameter/Account-period",
            "type" : "date",
            "documentation" : "Transaction window"
          },
          {
            "name" : "subject",
            "definition" : "http://hl7.org/fhir/SearchParameter/Account-subject",
            "type" : "reference",
            "documentation" : "The entity that caused the expenses"
          },
          {
            "name" : "patient",
            "definition" : "http://hl7.org/fhir/SearchParameter/Account-patient",
            "type" : "reference",
            "documentation" : "The entity that caused the expenses"
          },
          {
            "name" : "name",
            "definition" : "http://hl7.org/fhir/SearchParameter/Account-name",
            "type" : "string",
            "documentation" : "Human-readable label"
          },
          {
            "name" : "type",
            "definition" : "http://hl7.org/fhir/SearchParameter/Account-type",
            "type" : "token",
            "documentation" : "E.g. patient, expense, depreciation"
          },
          {
            "name" : "status",
            "definition" : "http://hl7.org/fhir/SearchParameter/Account-status",
            "type" : "token",
            "documentation" : "active | inactive | entered-in-error | on-hold | unknown"
          }]
        },
        {
          "type" : "ActivityDefinition",
          "profile" : "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
          "interaction" : [{
            "code" : "read",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "vread",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "update",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "delete",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "history-instance",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "history-type",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "create",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          },
          {
            "code" : "search-type",
            "documentation" : "Implemented per the specification (or Insert other doco here)"
          }],
          "conditionalCreate" : true,
          "conditionalUpdate" : true,
          "conditionalDelete" : "multiple",
          "referencePolicy" : ["literal",
          "logical"],
          "searchInclude" : ["ActivityDefinition.successor",
          "ActivityDefinition.derived-from",
          "ActivityDefinition.predecessor",
          "ActivityDefinition.composed-of",
          "ActivityDefinition.depends-on"],
          "searchRevInclude" : ["CarePlan.instantiates-canonical",
          "Communication.instantiates-canonical",
          "DeviceRequest.instantiates-canonical",
          "FamilyMemberHistory.instantiates-canonical",
          "MessageDefinition.parent",
          "NutritionOrder.instantiates-canonical",
          "PlanDefinition.definition",
          "Procedure.instantiates-canonical",
          "ServiceRequest.instantiates-canonical"],
          "searchParam" : [{
            "name" : "date",
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          "name" : "translate",
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          "name" : "care-gaps",
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          "name" : "everything",
          "definition" : "http://hl7.org/fhir/OperationDefinition/medicinalproduct-everything"
        },
        {
          "name" : "process-message",
          "definition" : "http://hl7.org/fhir/OperationDefinition/messageheader-process-message"
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        {
          "name" : "preferred-id",
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          "name" : "stats",
          "definition" : "http://hl7.org/fhir/OperationDefinition/observation-stats"
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        {
          "name" : "lastn",
          "definition" : "http://hl7.org/fhir/OperationDefinition/observation-lastn"
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        {
          "name" : "match",
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          "name" : "everything",
          "definition" : "http://hl7.org/fhir/OperationDefinition/patient-everything"
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          "name" : "apply",
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Base FHIR Capability Statement (Empty)
This is the base Capability Statement for FHIR. It represents a server that provides the none of the functionality defined by FHIR. It is provided to use as a template for system designers to build their own Capability Statements from. A capability statement has to contain something, so this contains a read of a Capability Statement
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Mode
SERVER
Description
An empty Capability Statement
Transaction
System History
System Search
Resource Type
Profile
Read
V-Read
Search
Update
Updates
Create
Delete
History
CapabilityStatement
y
Base FHIR Capability Statement (Empty)
This is the base Capability Statement for FHIR. It represents a server that provides the none of the functionality defined by FHIR. It is provided to use as a template for system designers to build their own Capability Statements from. A capability statement has to contain something, so this contains a read of a Capability Statement
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System History
System Search
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Profile
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V-Read
Search
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Create
Delete
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\r\nThe following resources may be in this compartment:\r\n
\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
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ServiceRequest
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SupplyRequest
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\r\nA resource is in this compartment if the nominated search parameter (or chain) refers to the patient resource that defines the compartment.\r\n
\r\n
\r\n\r\n
\r\n
\r\nThe following resources are never in this compartment:\r\n
\r\n
\r\n 
ActivityDefinition
\r\n 
AdverseEvent
\r\n 
AllergyIntolerance
\r\n 
Basic
\r\n 
Binary
\r\n 
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BodyStructure
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Bundle
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CapabilityStatement
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CareTeam
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ClaimResponse
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ClinicalImpression
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CompartmentDefinition
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Condition
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Consent
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Contract
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Coverage
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CoverageEligibilityRequest
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Encounter
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Endpoint
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EnrollmentRequest
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EnrollmentResponse
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EpisodeOfCare
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EventDefinition
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Evidence
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EvidenceVariable
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ExampleScenario
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FamilyMemberHistory
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Goal
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GraphDefinition
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GuidanceResponse
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HealthcareService
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ImagingStudy
\r\n 
Immunization
\r\n 
ImmunizationEvaluation
\r\n 
ImmunizationRecommendation
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ImplementationGuide
\r\n 
InsurancePlan
\r\n 
Library
\r\n 
Linkage
\r\n 
Location
\r\n 
Measure
\r\n 
MeasureReport
\r\n 
Medication
\r\n 
MedicationDispense
\r\n 
MedicationKnowledge
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MedicationRequest
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MedicationStatement
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MedicinalProduct
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MedicinalProductAuthorization
\r\n 
MedicinalProductContraindication
\r\n 
MedicinalProductIndication
\r\n 
MedicinalProductIngredient
\r\n 
MedicinalProductInteraction
\r\n 
MedicinalProductManufactured
\r\n 
MedicinalProductPackaged
\r\n 
MedicinalProductPharmaceutical
\r\n 
MedicinalProductUndesirableEffect
\r\n 
MessageDefinition
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MolecularSequence
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NamingSystem
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NutritionOrder
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ObservationDefinition
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OperationDefinition
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OperationOutcome
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Organization
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OrganizationAffiliation
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Patient
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PaymentNotice
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PaymentReconciliation
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Person
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Procedure
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ResearchDefinition
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ResearchElementDefinition
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ResearchStudy
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ResearchSubject
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Slot
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SpecimenDefinition
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StructureDefinition
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StructureMap
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Substance
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SubstanceNucleicAcid
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SubstancePolymer
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SubstanceProtein
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SubstanceSourceMaterial
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SubstanceSpecification
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SupplyDelivery
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Task
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TerminologyCapabilities
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TestReport
\r\n 
TestScript
\r\n 
ValueSet
\r\n 
VerificationResult
\r\n 
VisionPrescription
\r\n
"
      },
      "url" : "http://hl7.org/fhir/CompartmentDefinition/device",
      "version" : "4.0.0",
      "name" : "Base FHIR compartment definition for Device",
      "status" : "draft",
      "experimental" : true,
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "FHIR Project Team",
      "contact" : [{
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          "system" : "url",
          "value" : "http://hl7.org/fhir"
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      }],
      "description" : "There is an instance of the device compartment for each Device resource, and the identity of the compartment is the same as the Device. The set of resources associated with a particular device",
      "code" : "Device",
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      {
        "code" : "Basic"
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      {
        "code" : "Binary"
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      {
        "code" : "BiologicallyDerivedProduct"
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      {
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      {
        "code" : "ClaimResponse"
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        "code" : "Communication",
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        "recipient"]
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      {
        "code" : "CommunicationRequest",
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      },
      {
        "code" : "Composition",
        "param" : ["author"]
      },
      {
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      {
        "code" : "Condition"
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      {
        "code" : "Consent"
      },
      {
        "code" : "Contract"
      },
      {
        "code" : "Coverage"
      },
      {
        "code" : "CoverageEligibilityRequest"
      },
      {
        "code" : "CoverageEligibilityResponse"
      },
      {
        "code" : "DetectedIssue",
        "param" : ["author"]
      },
      {
        "code" : "Device"
      },
      {
        "code" : "DeviceDefinition"
      },
      {
        "code" : "DeviceMetric"
      },
      {
        "code" : "DeviceRequest",
        "param" : ["device",
        "subject",
        "requester",
        "performer"]
      },
      {
        "code" : "DeviceUseStatement",
        "param" : ["device"]
      },
      {
        "code" : "DiagnosticReport",
        "param" : ["subject"]
      },
      {
        "code" : "DocumentManifest",
        "param" : ["subject",
        "author"]
      },
      {
        "code" : "DocumentReference",
        "param" : ["subject",
        "author"]
      },
      {
        "code" : "EffectEvidenceSynthesis"
      },
      {
        "code" : "Encounter"
      },
      {
        "code" : "Endpoint"
      },
      {
        "code" : "EnrollmentRequest"
      },
      {
        "code" : "EnrollmentResponse"
      },
      {
        "code" : "EpisodeOfCare"
      },
      {
        "code" : "EventDefinition"
      },
      {
        "code" : "Evidence"
      },
      {
        "code" : "EvidenceVariable"
      },
      {
        "code" : "ExampleScenario"
      },
      {
        "code" : "ExplanationOfBenefit",
        "param" : ["procedure-udi",
        "item-udi",
        "detail-udi",
        "subdetail-udi"]
      },
      {
        "code" : "FamilyMemberHistory"
      },
      {
        "code" : "Flag",
        "param" : ["author"]
      },
      {
        "code" : "Goal"
      },
      {
        "code" : "GraphDefinition"
      },
      {
        "code" : "Group",
        "param" : ["member"]
      },
      {
        "code" : "GuidanceResponse"
      },
      {
        "code" : "HealthcareService"
      },
      {
        "code" : "ImagingStudy"
      },
      {
        "code" : "Immunization"
      },
      {
        "code" : "ImmunizationEvaluation"
      },
      {
        "code" : "ImmunizationRecommendation"
      },
      {
        "code" : "ImplementationGuide"
      },
      {
        "code" : "InsurancePlan"
      },
      {
        "code" : "Invoice",
        "param" : ["participant"]
      },
      {
        "code" : "Library"
      },
      {
        "code" : "Linkage"
      },
      {
        "code" : "List",
        "param" : ["subject",
        "source"]
      },
      {
        "code" : "Location"
      },
      {
        "code" : "Measure"
      },
      {
        "code" : "MeasureReport"
      },
      {
        "code" : "Media",
        "param" : ["subject"]
      },
      {
        "code" : "Medication"
      },
      {
        "code" : "MedicationAdministration",
        "param" : ["device"]
      },
      {
        "code" : "MedicationDispense"
      },
      {
        "code" : "MedicationKnowledge"
      },
      {
        "code" : "MedicationRequest"
      },
      {
        "code" : "MedicationStatement"
      },
      {
        "code" : "MedicinalProduct"
      },
      {
        "code" : "MedicinalProductAuthorization"
      },
      {
        "code" : "MedicinalProductContraindication"
      },
      {
        "code" : "MedicinalProductIndication"
      },
      {
        "code" : "MedicinalProductIngredient"
      },
      {
        "code" : "MedicinalProductInteraction"
      },
      {
        "code" : "MedicinalProductManufactured"
      },
      {
        "code" : "MedicinalProductPackaged"
      },
      {
        "code" : "MedicinalProductPharmaceutical"
      },
      {
        "code" : "MedicinalProductUndesirableEffect"
      },
      {
        "code" : "MessageDefinition"
      },
      {
        "code" : "MessageHeader",
        "param" : ["target"]
      },
      {
        "code" : "MolecularSequence"
      },
      {
        "code" : "NamingSystem"
      },
      {
        "code" : "NutritionOrder"
      },
      {
        "code" : "Observation",
        "param" : ["subject",
        "device"]
      },
      {
        "code" : "ObservationDefinition"
      },
      {
        "code" : "OperationDefinition"
      },
      {
        "code" : "OperationOutcome"
      },
      {
        "code" : "Organization"
      },
      {
        "code" : "OrganizationAffiliation"
      },
      {
        "code" : "Patient"
      },
      {
        "code" : "PaymentNotice"
      },
      {
        "code" : "PaymentReconciliation"
      },
      {
        "code" : "Person"
      },
      {
        "code" : "PlanDefinition"
      },
      {
        "code" : "Practitioner"
      },
      {
        "code" : "PractitionerRole"
      },
      {
        "code" : "Procedure"
      },
      {
        "code" : "Provenance",
        "param" : ["agent"]
      },
      {
        "code" : "Questionnaire"
      },
      {
        "code" : "QuestionnaireResponse",
        "param" : ["author"]
      },
      {
        "code" : "RelatedPerson"
      },
      {
        "code" : "RequestGroup",
        "param" : ["author"]
      },
      {
        "code" : "ResearchDefinition"
      },
      {
        "code" : "ResearchElementDefinition"
      },
      {
        "code" : "ResearchStudy"
      },
      {
        "code" : "ResearchSubject"
      },
      {
        "code" : "RiskAssessment",
        "param" : ["performer"]
      },
      {
        "code" : "RiskEvidenceSynthesis"
      },
      {
        "code" : "Schedule",
        "param" : ["actor"]
      },
      {
        "code" : "SearchParameter"
      },
      {
        "code" : "ServiceRequest",
        "param" : ["performer",
        "requester"]
      },
      {
        "code" : "Slot"
      },
      {
        "code" : "Specimen",
        "param" : ["subject"]
      },
      {
        "code" : "SpecimenDefinition"
      },
      {
        "code" : "StructureDefinition"
      },
      {
        "code" : "StructureMap"
      },
      {
        "code" : "Subscription"
      },
      {
        "code" : "Substance"
      },
      {
        "code" : "SubstanceNucleicAcid"
      },
      {
        "code" : "SubstancePolymer"
      },
      {
        "code" : "SubstanceProtein"
      },
      {
        "code" : "SubstanceReferenceInformation"
      },
      {
        "code" : "SubstanceSourceMaterial"
      },
      {
        "code" : "SubstanceSpecification"
      },
      {
        "code" : "SupplyDelivery"
      },
      {
        "code" : "SupplyRequest",
        "param" : ["requester"]
      },
      {
        "code" : "Task"
      },
      {
        "code" : "TerminologyCapabilities"
      },
      {
        "code" : "TestReport"
      },
      {
        "code" : "TestScript"
      },
      {
        "code" : "ValueSet"
      },
      {
        "code" : "VerificationResult"
      },
      {
        "code" : "VisionPrescription"
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/CompartmentDefinition/encounter",
    "resource" : {
      "resourceType" : "CompartmentDefinition",
      "id" : "encounter",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\nThe following resources may be in this compartment:\r\n
\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Resource
Inclusion Criteria
CarePlan
encounter
CareTeam
encounter
ChargeItem
context
Claim
encounter
ClinicalImpression
encounter
Communication
encounter
CommunicationRequest
encounter
Composition
encounter
Condition
encounter
DeviceRequest
encounter
DiagnosticReport
encounter
DocumentManifest
related-ref
DocumentReference
encounter
Encounter
{def}
ExplanationOfBenefit
encounter
Media
encounter
MedicationAdministration
context
MedicationRequest
encounter
NutritionOrder
encounter
Observation
encounter
Procedure
encounter
QuestionnaireResponse
encounter
RequestGroup
encounter
ServiceRequest
encounter
VisionPrescription
encounter
\r\n
\r\nA resource is in this compartment if the nominated search parameter (or chain) refers to the patient resource that defines the compartment.\r\n
\r\n
\r\n\r\n
\r\n
\r\nThe following resources are never in this compartment:\r\n
\r\n
\r\n 
Account
\r\n 
ActivityDefinition
\r\n 
AdverseEvent
\r\n 
AllergyIntolerance
\r\n 
Appointment
\r\n 
AppointmentResponse
\r\n 
AuditEvent
\r\n 
Basic
\r\n 
Binary
\r\n 
BiologicallyDerivedProduct
\r\n 
BodyStructure
\r\n 
Bundle
\r\n 
CapabilityStatement
\r\n 
CatalogEntry
\r\n 
ChargeItemDefinition
\r\n 
ClaimResponse
\r\n 
CodeSystem
\r\n 
CompartmentDefinition
\r\n 
ConceptMap
\r\n 
Consent
\r\n 
Contract
\r\n 
Coverage
\r\n 
CoverageEligibilityRequest
\r\n 
CoverageEligibilityResponse
\r\n 
DetectedIssue
\r\n 
Device
\r\n 
DeviceDefinition
\r\n 
DeviceMetric
\r\n 
DeviceUseStatement
\r\n 
EffectEvidenceSynthesis
\r\n 
Endpoint
\r\n 
EnrollmentRequest
\r\n 
EnrollmentResponse
\r\n 
EpisodeOfCare
\r\n 
EventDefinition
\r\n 
Evidence
\r\n 
EvidenceVariable
\r\n 
ExampleScenario
\r\n 
FamilyMemberHistory
\r\n 
Flag
\r\n 
Goal
\r\n 
GraphDefinition
\r\n 
Group
\r\n 
GuidanceResponse
\r\n 
HealthcareService
\r\n 
ImagingStudy
\r\n 
Immunization
\r\n 
ImmunizationEvaluation
\r\n 
ImmunizationRecommendation
\r\n 
ImplementationGuide
\r\n 
InsurancePlan
\r\n 
Invoice
\r\n 
Library
\r\n 
Linkage
\r\n 
List
\r\n 
Location
\r\n 
Measure
\r\n 
MeasureReport
\r\n 
Medication
\r\n 
MedicationDispense
\r\n 
MedicationKnowledge
\r\n 
MedicationStatement
\r\n 
MedicinalProduct
\r\n 
MedicinalProductAuthorization
\r\n 
MedicinalProductContraindication
\r\n 
MedicinalProductIndication
\r\n 
MedicinalProductIngredient
\r\n 
MedicinalProductInteraction
\r\n 
MedicinalProductManufactured
\r\n 
MedicinalProductPackaged
\r\n 
MedicinalProductPharmaceutical
\r\n 
MedicinalProductUndesirableEffect
\r\n 
MessageDefinition
\r\n 
MessageHeader
\r\n 
MolecularSequence
\r\n 
NamingSystem
\r\n 
ObservationDefinition
\r\n 
OperationDefinition
\r\n 
OperationOutcome
\r\n 
Organization
\r\n 
OrganizationAffiliation
\r\n 
Patient
\r\n 
PaymentNotice
\r\n 
PaymentReconciliation
\r\n 
Person
\r\n 
PlanDefinition
\r\n 
Practitioner
\r\n 
PractitionerRole
\r\n 
Provenance
\r\n 
Questionnaire
\r\n 
RelatedPerson
\r\n 
ResearchDefinition
\r\n 
ResearchElementDefinition
\r\n 
ResearchStudy
\r\n 
ResearchSubject
\r\n 
RiskAssessment
\r\n 
RiskEvidenceSynthesis
\r\n 
Schedule
\r\n 
SearchParameter
\r\n 
Slot
\r\n 
Specimen
\r\n 
SpecimenDefinition
\r\n 
StructureDefinition
\r\n 
StructureMap
\r\n 
Subscription
\r\n 
Substance
\r\n 
SubstanceNucleicAcid
\r\n 
SubstancePolymer
\r\n 
SubstanceProtein
\r\n 
SubstanceReferenceInformation
\r\n 
SubstanceSourceMaterial
\r\n 
SubstanceSpecification
\r\n 
SupplyDelivery
\r\n 
SupplyRequest
\r\n 
Task
\r\n 
TerminologyCapabilities
\r\n 
TestReport
\r\n 
TestScript
\r\n 
ValueSet
\r\n 
VerificationResult
\r\n
"
      },
      "url" : "http://hl7.org/fhir/CompartmentDefinition/encounter",
      "version" : "4.0.0",
      "name" : "Base FHIR compartment definition for Encounter",
      "status" : "draft",
      "experimental" : true,
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "FHIR Project Team",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      }],
      "description" : "There is an instance of the encounter compartment for each encounter resource, and the identity of the compartment is the same as the encounter. The set of resources associated with a particular encounter",
      "code" : "Encounter",
      "search" : true,
      "resource" : [{
        "code" : "Account"
      },
      {
        "code" : "ActivityDefinition"
      },
      {
        "code" : "AdverseEvent"
      },
      {
        "code" : "AllergyIntolerance"
      },
      {
        "code" : "Appointment"
      },
      {
        "code" : "AppointmentResponse"
      },
      {
        "code" : "AuditEvent"
      },
      {
        "code" : "Basic"
      },
      {
        "code" : "Binary"
      },
      {
        "code" : "BiologicallyDerivedProduct"
      },
      {
        "code" : "BodyStructure"
      },
      {
        "code" : "Bundle"
      },
      {
        "code" : "CapabilityStatement"
      },
      {
        "code" : "CarePlan",
        "param" : ["encounter"]
      },
      {
        "code" : "CareTeam",
        "param" : ["encounter"]
      },
      {
        "code" : "CatalogEntry"
      },
      {
        "code" : "ChargeItem",
        "param" : ["context"]
      },
      {
        "code" : "ChargeItemDefinition"
      },
      {
        "code" : "Claim",
        "param" : ["encounter"]
      },
      {
        "code" : "ClaimResponse"
      },
      {
        "code" : "ClinicalImpression",
        "param" : ["encounter"]
      },
      {
        "code" : "CodeSystem"
      },
      {
        "code" : "Communication",
        "param" : ["encounter"]
      },
      {
        "code" : "CommunicationRequest",
        "param" : ["encounter"]
      },
      {
        "code" : "CompartmentDefinition"
      },
      {
        "code" : "Composition",
        "param" : ["encounter"]
      },
      {
        "code" : "ConceptMap"
      },
      {
        "code" : "Condition",
        "param" : ["encounter"]
      },
      {
        "code" : "Consent"
      },
      {
        "code" : "Contract"
      },
      {
        "code" : "Coverage"
      },
      {
        "code" : "CoverageEligibilityRequest"
      },
      {
        "code" : "CoverageEligibilityResponse"
      },
      {
        "code" : "DetectedIssue"
      },
      {
        "code" : "Device"
      },
      {
        "code" : "DeviceDefinition"
      },
      {
        "code" : "DeviceMetric"
      },
      {
        "code" : "DeviceRequest",
        "param" : ["encounter"]
      },
      {
        "code" : "DeviceUseStatement"
      },
      {
        "code" : "DiagnosticReport",
        "param" : ["encounter"]
      },
      {
        "code" : "DocumentManifest",
        "param" : ["related-ref"]
      },
      {
        "code" : "DocumentReference",
        "param" : ["encounter"]
      },
      {
        "code" : "EffectEvidenceSynthesis"
      },
      {
        "code" : "Encounter",
        "param" : ["{def}"]
      },
      {
        "code" : "Endpoint"
      },
      {
        "code" : "EnrollmentRequest"
      },
      {
        "code" : "EnrollmentResponse"
      },
      {
        "code" : "EpisodeOfCare"
      },
      {
        "code" : "EventDefinition"
      },
      {
        "code" : "Evidence"
      },
      {
        "code" : "EvidenceVariable"
      },
      {
        "code" : "ExampleScenario"
      },
      {
        "code" : "ExplanationOfBenefit",
        "param" : ["encounter"]
      },
      {
        "code" : "FamilyMemberHistory"
      },
      {
        "code" : "Flag"
      },
      {
        "code" : "Goal"
      },
      {
        "code" : "GraphDefinition"
      },
      {
        "code" : "Group"
      },
      {
        "code" : "GuidanceResponse"
      },
      {
        "code" : "HealthcareService"
      },
      {
        "code" : "ImagingStudy"
      },
      {
        "code" : "Immunization"
      },
      {
        "code" : "ImmunizationEvaluation"
      },
      {
        "code" : "ImmunizationRecommendation"
      },
      {
        "code" : "ImplementationGuide"
      },
      {
        "code" : "InsurancePlan"
      },
      {
        "code" : "Invoice"
      },
      {
        "code" : "Library"
      },
      {
        "code" : "Linkage"
      },
      {
        "code" : "List"
      },
      {
        "code" : "Location"
      },
      {
        "code" : "Measure"
      },
      {
        "code" : "MeasureReport"
      },
      {
        "code" : "Media",
        "param" : ["encounter"]
      },
      {
        "code" : "Medication"
      },
      {
        "code" : "MedicationAdministration",
        "param" : ["context"]
      },
      {
        "code" : "MedicationDispense"
      },
      {
        "code" : "MedicationKnowledge"
      },
      {
        "code" : "MedicationRequest",
        "param" : ["encounter"]
      },
      {
        "code" : "MedicationStatement"
      },
      {
        "code" : "MedicinalProduct"
      },
      {
        "code" : "MedicinalProductAuthorization"
      },
      {
        "code" : "MedicinalProductContraindication"
      },
      {
        "code" : "MedicinalProductIndication"
      },
      {
        "code" : "MedicinalProductIngredient"
      },
      {
        "code" : "MedicinalProductInteraction"
      },
      {
        "code" : "MedicinalProductManufactured"
      },
      {
        "code" : "MedicinalProductPackaged"
      },
      {
        "code" : "MedicinalProductPharmaceutical"
      },
      {
        "code" : "MedicinalProductUndesirableEffect"
      },
      {
        "code" : "MessageDefinition"
      },
      {
        "code" : "MessageHeader"
      },
      {
        "code" : "MolecularSequence"
      },
      {
        "code" : "NamingSystem"
      },
      {
        "code" : "NutritionOrder",
        "param" : ["encounter"]
      },
      {
        "code" : "Observation",
        "param" : ["encounter"]
      },
      {
        "code" : "ObservationDefinition"
      },
      {
        "code" : "OperationDefinition"
      },
      {
        "code" : "OperationOutcome"
      },
      {
        "code" : "Organization"
      },
      {
        "code" : "OrganizationAffiliation"
      },
      {
        "code" : "Patient"
      },
      {
        "code" : "PaymentNotice"
      },
      {
        "code" : "PaymentReconciliation"
      },
      {
        "code" : "Person"
      },
      {
        "code" : "PlanDefinition"
      },
      {
        "code" : "Practitioner"
      },
      {
        "code" : "PractitionerRole"
      },
      {
        "code" : "Procedure",
        "param" : ["encounter"]
      },
      {
        "code" : "Provenance"
      },
      {
        "code" : "Questionnaire"
      },
      {
        "code" : "QuestionnaireResponse",
        "param" : ["encounter"]
      },
      {
        "code" : "RelatedPerson"
      },
      {
        "code" : "RequestGroup",
        "param" : ["encounter"]
      },
      {
        "code" : "ResearchDefinition"
      },
      {
        "code" : "ResearchElementDefinition"
      },
      {
        "code" : "ResearchStudy"
      },
      {
        "code" : "ResearchSubject"
      },
      {
        "code" : "RiskAssessment"
      },
      {
        "code" : "RiskEvidenceSynthesis"
      },
      {
        "code" : "Schedule"
      },
      {
        "code" : "SearchParameter"
      },
      {
        "code" : "ServiceRequest",
        "param" : ["encounter"]
      },
      {
        "code" : "Slot"
      },
      {
        "code" : "Specimen"
      },
      {
        "code" : "SpecimenDefinition"
      },
      {
        "code" : "StructureDefinition"
      },
      {
        "code" : "StructureMap"
      },
      {
        "code" : "Subscription"
      },
      {
        "code" : "Substance"
      },
      {
        "code" : "SubstanceNucleicAcid"
      },
      {
        "code" : "SubstancePolymer"
      },
      {
        "code" : "SubstanceProtein"
      },
      {
        "code" : "SubstanceReferenceInformation"
      },
      {
        "code" : "SubstanceSourceMaterial"
      },
      {
        "code" : "SubstanceSpecification"
      },
      {
        "code" : "SupplyDelivery"
      },
      {
        "code" : "SupplyRequest"
      },
      {
        "code" : "Task"
      },
      {
        "code" : "TerminologyCapabilities"
      },
      {
        "code" : "TestReport"
      },
      {
        "code" : "TestScript"
      },
      {
        "code" : "ValueSet"
      },
      {
        "code" : "VerificationResult"
      },
      {
        "code" : "VisionPrescription",
        "param" : ["encounter"]
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/CompartmentDefinition/patient",
    "resource" : {
      "resourceType" : "CompartmentDefinition",
      "id" : "patient",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\nThe following resources may be in this compartment:\r\n
\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Resource
Inclusion Criteria
Account
subject
AdverseEvent
subject
AllergyIntolerance
patient, recorder, asserter
Appointment
actor
AppointmentResponse
actor
AuditEvent
patient
Basic
patient, author
BodyStructure
patient
CarePlan
patient, performer
CareTeam
patient, participant
ChargeItem
subject
Claim
patient, payee
ClaimResponse
patient
ClinicalImpression
subject
Communication
subject, sender, recipient
CommunicationRequest
subject, sender, recipient, requester
Composition
subject, author, attester
Condition
patient, asserter
Consent
patient
Coverage
policy-holder, subscriber, beneficiary, payor
CoverageEligibilityRequest
patient
CoverageEligibilityResponse
patient
DetectedIssue
patient
DeviceRequest
subject, performer
DeviceUseStatement
subject
DiagnosticReport
subject
DocumentManifest
subject, author, recipient
DocumentReference
subject, author
Encounter
patient
EnrollmentRequest
subject
EpisodeOfCare
patient
ExplanationOfBenefit
patient, payee
FamilyMemberHistory
patient
Flag
patient
Goal
patient
Group
member
ImagingStudy
patient
Immunization
patient
ImmunizationEvaluation
patient
ImmunizationRecommendation
patient
Invoice
subject, patient, recipient
List
subject, source
MeasureReport
patient
Media
subject
MedicationAdministration
patient, performer, subject
MedicationDispense
subject, patient, receiver
MedicationRequest
subject
MedicationStatement
subject
MolecularSequence
patient
NutritionOrder
patient
Observation
subject, performer
Patient
link
Person
patient
Procedure
patient, performer
Provenance
patient
QuestionnaireResponse
subject, author
RelatedPerson
patient
RequestGroup
subject, participant
ResearchSubject
individual
RiskAssessment
subject
Schedule
actor
ServiceRequest
subject, performer
Specimen
subject
SupplyDelivery
patient
SupplyRequest
subject
VisionPrescription
patient
\r\n
\r\nA resource is in this compartment if the nominated search parameter (or chain) refers to the patient resource that defines the compartment.\r\n
\r\n
\r\n\r\n
\r\n
\r\nThe following resources are never in this compartment:\r\n
\r\n
\r\n 
ActivityDefinition
\r\n 
Binary
\r\n 
BiologicallyDerivedProduct
\r\n 
Bundle
\r\n 
CapabilityStatement
\r\n 
CatalogEntry
\r\n 
ChargeItemDefinition
\r\n 
CodeSystem
\r\n 
CompartmentDefinition
\r\n 
ConceptMap
\r\n 
Contract
\r\n 
Device
\r\n 
DeviceDefinition
\r\n 
DeviceMetric
\r\n 
EffectEvidenceSynthesis
\r\n 
Endpoint
\r\n 
EnrollmentResponse
\r\n 
EventDefinition
\r\n 
Evidence
\r\n 
EvidenceVariable
\r\n 
ExampleScenario
\r\n 
GraphDefinition
\r\n 
GuidanceResponse
\r\n 
HealthcareService
\r\n 
ImplementationGuide
\r\n 
InsurancePlan
\r\n 
Library
\r\n 
Linkage
\r\n 
Location
\r\n 
Measure
\r\n 
Medication
\r\n 
MedicationKnowledge
\r\n 
MedicinalProduct
\r\n 
MedicinalProductAuthorization
\r\n 
MedicinalProductContraindication
\r\n 
MedicinalProductIndication
\r\n 
MedicinalProductIngredient
\r\n 
MedicinalProductInteraction
\r\n 
MedicinalProductManufactured
\r\n 
MedicinalProductPackaged
\r\n 
MedicinalProductPharmaceutical
\r\n 
MedicinalProductUndesirableEffect
\r\n 
MessageDefinition
\r\n 
MessageHeader
\r\n 
NamingSystem
\r\n 
ObservationDefinition
\r\n 
OperationDefinition
\r\n 
OperationOutcome
\r\n 
Organization
\r\n 
OrganizationAffiliation
\r\n 
PaymentNotice
\r\n 
PaymentReconciliation
\r\n 
PlanDefinition
\r\n 
Practitioner
\r\n 
PractitionerRole
\r\n 
Questionnaire
\r\n 
ResearchDefinition
\r\n 
ResearchElementDefinition
\r\n 
ResearchStudy
\r\n 
RiskEvidenceSynthesis
\r\n 
SearchParameter
\r\n 
Slot
\r\n 
SpecimenDefinition
\r\n 
StructureDefinition
\r\n 
StructureMap
\r\n 
Subscription
\r\n 
Substance
\r\n 
SubstanceNucleicAcid
\r\n 
SubstancePolymer
\r\n 
SubstanceProtein
\r\n 
SubstanceReferenceInformation
\r\n 
SubstanceSourceMaterial
\r\n 
SubstanceSpecification
\r\n 
Task
\r\n 
TerminologyCapabilities
\r\n 
TestReport
\r\n 
TestScript
\r\n 
ValueSet
\r\n 
VerificationResult
\r\n
"
      },
      "url" : "http://hl7.org/fhir/CompartmentDefinition/patient",
      "version" : "4.0.0",
      "name" : "Base FHIR compartment definition for Patient",
      "status" : "draft",
      "experimental" : true,
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "FHIR Project Team",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      }],
      "description" : "There is an instance of the patient compartment for each patient resource, and the identity of the compartment is the same as the patient. When a patient is linked to another patient, all the records associated with the linked patient are in the compartment associated with the target of the link.. The set of resources associated with a particular patient",
      "code" : "Patient",
      "search" : true,
      "resource" : [{
        "code" : "Account",
        "param" : ["subject"]
      },
      {
        "code" : "ActivityDefinition"
      },
      {
        "code" : "AdverseEvent",
        "param" : ["subject"]
      },
      {
        "code" : "AllergyIntolerance",
        "param" : ["patient",
        "recorder",
        "asserter"]
      },
      {
        "code" : "Appointment",
        "param" : ["actor"]
      },
      {
        "code" : "AppointmentResponse",
        "param" : ["actor"]
      },
      {
        "code" : "AuditEvent",
        "param" : ["patient"]
      },
      {
        "code" : "Basic",
        "param" : ["patient",
        "author"]
      },
      {
        "code" : "Binary"
      },
      {
        "code" : "BiologicallyDerivedProduct"
      },
      {
        "code" : "BodyStructure",
        "param" : ["patient"]
      },
      {
        "code" : "Bundle"
      },
      {
        "code" : "CapabilityStatement"
      },
      {
        "code" : "CarePlan",
        "param" : ["patient",
        "performer"]
      },
      {
        "code" : "CareTeam",
        "param" : ["patient",
        "participant"]
      },
      {
        "code" : "CatalogEntry"
      },
      {
        "code" : "ChargeItem",
        "param" : ["subject"]
      },
      {
        "code" : "ChargeItemDefinition"
      },
      {
        "code" : "Claim",
        "param" : ["patient",
        "payee"]
      },
      {
        "code" : "ClaimResponse",
        "param" : ["patient"]
      },
      {
        "code" : "ClinicalImpression",
        "param" : ["subject"]
      },
      {
        "code" : "CodeSystem"
      },
      {
        "code" : "Communication",
        "param" : ["subject",
        "sender",
        "recipient"]
      },
      {
        "code" : "CommunicationRequest",
        "param" : ["subject",
        "sender",
        "recipient",
        "requester"]
      },
      {
        "code" : "CompartmentDefinition"
      },
      {
        "code" : "Composition",
        "param" : ["subject",
        "author",
        "attester"]
      },
      {
        "code" : "ConceptMap"
      },
      {
        "code" : "Condition",
        "param" : ["patient",
        "asserter"]
      },
      {
        "code" : "Consent",
        "param" : ["patient"]
      },
      {
        "code" : "Contract"
      },
      {
        "code" : "Coverage",
        "param" : ["policy-holder",
        "subscriber",
        "beneficiary",
        "payor"]
      },
      {
        "code" : "CoverageEligibilityRequest",
        "param" : ["patient"]
      },
      {
        "code" : "CoverageEligibilityResponse",
        "param" : ["patient"]
      },
      {
        "code" : "DetectedIssue",
        "param" : ["patient"]
      },
      {
        "code" : "Device"
      },
      {
        "code" : "DeviceDefinition"
      },
      {
        "code" : "DeviceMetric"
      },
      {
        "code" : "DeviceRequest",
        "param" : ["subject",
        "performer"]
      },
      {
        "code" : "DeviceUseStatement",
        "param" : ["subject"]
      },
      {
        "code" : "DiagnosticReport",
        "param" : ["subject"]
      },
      {
        "code" : "DocumentManifest",
        "param" : ["subject",
        "author",
        "recipient"]
      },
      {
        "code" : "DocumentReference",
        "param" : ["subject",
        "author"]
      },
      {
        "code" : "EffectEvidenceSynthesis"
      },
      {
        "code" : "Encounter",
        "param" : ["patient"]
      },
      {
        "code" : "Endpoint"
      },
      {
        "code" : "EnrollmentRequest",
        "param" : ["subject"]
      },
      {
        "code" : "EnrollmentResponse"
      },
      {
        "code" : "EpisodeOfCare",
        "param" : ["patient"]
      },
      {
        "code" : "EventDefinition"
      },
      {
        "code" : "Evidence"
      },
      {
        "code" : "EvidenceVariable"
      },
      {
        "code" : "ExampleScenario"
      },
      {
        "code" : "ExplanationOfBenefit",
        "param" : ["patient",
        "payee"]
      },
      {
        "code" : "FamilyMemberHistory",
        "param" : ["patient"]
      },
      {
        "code" : "Flag",
        "param" : ["patient"]
      },
      {
        "code" : "Goal",
        "param" : ["patient"]
      },
      {
        "code" : "GraphDefinition"
      },
      {
        "code" : "Group",
        "param" : ["member"]
      },
      {
        "code" : "GuidanceResponse"
      },
      {
        "code" : "HealthcareService"
      },
      {
        "code" : "ImagingStudy",
        "param" : ["patient"]
      },
      {
        "code" : "Immunization",
        "param" : ["patient"]
      },
      {
        "code" : "ImmunizationEvaluation",
        "param" : ["patient"]
      },
      {
        "code" : "ImmunizationRecommendation",
        "param" : ["patient"]
      },
      {
        "code" : "ImplementationGuide"
      },
      {
        "code" : "InsurancePlan"
      },
      {
        "code" : "Invoice",
        "param" : ["subject",
        "patient",
        "recipient"]
      },
      {
        "code" : "Library"
      },
      {
        "code" : "Linkage"
      },
      {
        "code" : "List",
        "param" : ["subject",
        "source"]
      },
      {
        "code" : "Location"
      },
      {
        "code" : "Measure"
      },
      {
        "code" : "MeasureReport",
        "param" : ["patient"]
      },
      {
        "code" : "Media",
        "param" : ["subject"]
      },
      {
        "code" : "Medication"
      },
      {
        "code" : "MedicationAdministration",
        "param" : ["patient",
        "performer",
        "subject"]
      },
      {
        "code" : "MedicationDispense",
        "param" : ["subject",
        "patient",
        "receiver"]
      },
      {
        "code" : "MedicationKnowledge"
      },
      {
        "code" : "MedicationRequest",
        "param" : ["subject"]
      },
      {
        "code" : "MedicationStatement",
        "param" : ["subject"]
      },
      {
        "code" : "MedicinalProduct"
      },
      {
        "code" : "MedicinalProductAuthorization"
      },
      {
        "code" : "MedicinalProductContraindication"
      },
      {
        "code" : "MedicinalProductIndication"
      },
      {
        "code" : "MedicinalProductIngredient"
      },
      {
        "code" : "MedicinalProductInteraction"
      },
      {
        "code" : "MedicinalProductManufactured"
      },
      {
        "code" : "MedicinalProductPackaged"
      },
      {
        "code" : "MedicinalProductPharmaceutical"
      },
      {
        "code" : "MedicinalProductUndesirableEffect"
      },
      {
        "code" : "MessageDefinition"
      },
      {
        "code" : "MessageHeader"
      },
      {
        "code" : "MolecularSequence",
        "param" : ["patient"]
      },
      {
        "code" : "NamingSystem"
      },
      {
        "code" : "NutritionOrder",
        "param" : ["patient"]
      },
      {
        "code" : "Observation",
        "param" : ["subject",
        "performer"]
      },
      {
        "code" : "ObservationDefinition"
      },
      {
        "code" : "OperationDefinition"
      },
      {
        "code" : "OperationOutcome"
      },
      {
        "code" : "Organization"
      },
      {
        "code" : "OrganizationAffiliation"
      },
      {
        "code" : "Patient",
        "param" : ["link"]
      },
      {
        "code" : "PaymentNotice"
      },
      {
        "code" : "PaymentReconciliation"
      },
      {
        "code" : "Person",
        "param" : ["patient"]
      },
      {
        "code" : "PlanDefinition"
      },
      {
        "code" : "Practitioner"
      },
      {
        "code" : "PractitionerRole"
      },
      {
        "code" : "Procedure",
        "param" : ["patient",
        "performer"]
      },
      {
        "code" : "Provenance",
        "param" : ["patient"]
      },
      {
        "code" : "Questionnaire"
      },
      {
        "code" : "QuestionnaireResponse",
        "param" : ["subject",
        "author"]
      },
      {
        "code" : "RelatedPerson",
        "param" : ["patient"]
      },
      {
        "code" : "RequestGroup",
        "param" : ["subject",
        "participant"]
      },
      {
        "code" : "ResearchDefinition"
      },
      {
        "code" : "ResearchElementDefinition"
      },
      {
        "code" : "ResearchStudy"
      },
      {
        "code" : "ResearchSubject",
        "param" : ["individual"]
      },
      {
        "code" : "RiskAssessment",
        "param" : ["subject"]
      },
      {
        "code" : "RiskEvidenceSynthesis"
      },
      {
        "code" : "Schedule",
        "param" : ["actor"]
      },
      {
        "code" : "SearchParameter"
      },
      {
        "code" : "ServiceRequest",
        "param" : ["subject",
        "performer"]
      },
      {
        "code" : "Slot"
      },
      {
        "code" : "Specimen",
        "param" : ["subject"]
      },
      {
        "code" : "SpecimenDefinition"
      },
      {
        "code" : "StructureDefinition"
      },
      {
        "code" : "StructureMap"
      },
      {
        "code" : "Subscription"
      },
      {
        "code" : "Substance"
      },
      {
        "code" : "SubstanceNucleicAcid"
      },
      {
        "code" : "SubstancePolymer"
      },
      {
        "code" : "SubstanceProtein"
      },
      {
        "code" : "SubstanceReferenceInformation"
      },
      {
        "code" : "SubstanceSourceMaterial"
      },
      {
        "code" : "SubstanceSpecification"
      },
      {
        "code" : "SupplyDelivery",
        "param" : ["patient"]
      },
      {
        "code" : "SupplyRequest",
        "param" : ["subject"]
      },
      {
        "code" : "Task"
      },
      {
        "code" : "TerminologyCapabilities"
      },
      {
        "code" : "TestReport"
      },
      {
        "code" : "TestScript"
      },
      {
        "code" : "ValueSet"
      },
      {
        "code" : "VerificationResult"
      },
      {
        "code" : "VisionPrescription",
        "param" : ["patient"]
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/CompartmentDefinition/practitioner",
    "resource" : {
      "resourceType" : "CompartmentDefinition",
      "id" : "practitioner",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\nThe following resources may be in this compartment:\r\n
\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Resource
Inclusion Criteria
Account
subject
AdverseEvent
recorder
AllergyIntolerance
recorder, asserter
Appointment
actor
AppointmentResponse
actor
AuditEvent
agent
Basic
author
CarePlan
performer
CareTeam
participant
ChargeItem
enterer, performer-actor
Claim
enterer, provider, payee, care-team
ClaimResponse
requestor
ClinicalImpression
assessor
Communication
sender, recipient
CommunicationRequest
sender, recipient, requester
Composition
subject, author, attester
Condition
asserter
CoverageEligibilityRequest
enterer, provider
CoverageEligibilityResponse
requestor
DetectedIssue
author
DeviceRequest
requester, performer
DiagnosticReport
performer
DocumentManifest
subject, author, recipient
DocumentReference
subject, author, authenticator
Encounter
practitioner, participant
EpisodeOfCare
care-manager
ExplanationOfBenefit
enterer, provider, payee, care-team
Flag
author
Group
member
Immunization
performer
Invoice
participant
Linkage
author
List
source
Media
subject, operator
MedicationAdministration
performer
MedicationDispense
performer, receiver
MedicationRequest
requester
MedicationStatement
source
MessageHeader
receiver, author, responsible, enterer
NutritionOrder
provider
Observation
performer
Patient
general-practitioner
PaymentNotice
provider
PaymentReconciliation
requestor
Person
practitioner
Practitioner
{def}
PractitionerRole
practitioner
Procedure
performer
Provenance
agent
QuestionnaireResponse
author, source
RequestGroup
participant, author
ResearchStudy
principalinvestigator
RiskAssessment
performer
Schedule
actor
ServiceRequest
performer, requester
Specimen
collector
SupplyDelivery
supplier, receiver
SupplyRequest
requester
VisionPrescription
prescriber
\r\n
\r\nA resource is in this compartment if the nominated search parameter (or chain) refers to the patient resource that defines the compartment.\r\n
\r\n
\r\n\r\n
\r\n
\r\nThe following resources are never in this compartment:\r\n
\r\n
\r\n 
ActivityDefinition
\r\n 
Binary
\r\n 
BiologicallyDerivedProduct
\r\n 
BodyStructure
\r\n 
Bundle
\r\n 
CapabilityStatement
\r\n 
CatalogEntry
\r\n 
ChargeItemDefinition
\r\n 
CodeSystem
\r\n 
CompartmentDefinition
\r\n 
ConceptMap
\r\n 
Consent
\r\n 
Contract
\r\n 
Coverage
\r\n 
Device
\r\n 
DeviceDefinition
\r\n 
DeviceMetric
\r\n 
DeviceUseStatement
\r\n 
EffectEvidenceSynthesis
\r\n 
Endpoint
\r\n 
EnrollmentRequest
\r\n 
EnrollmentResponse
\r\n 
EventDefinition
\r\n 
Evidence
\r\n 
EvidenceVariable
\r\n 
ExampleScenario
\r\n 
FamilyMemberHistory
\r\n 
Goal
\r\n 
GraphDefinition
\r\n 
GuidanceResponse
\r\n 
HealthcareService
\r\n 
ImagingStudy
\r\n 
ImmunizationEvaluation
\r\n 
ImmunizationRecommendation
\r\n 
ImplementationGuide
\r\n 
InsurancePlan
\r\n 
Library
\r\n 
Location
\r\n 
Measure
\r\n 
MeasureReport
\r\n 
Medication
\r\n 
MedicationKnowledge
\r\n 
MedicinalProduct
\r\n 
MedicinalProductAuthorization
\r\n 
MedicinalProductContraindication
\r\n 
MedicinalProductIndication
\r\n 
MedicinalProductIngredient
\r\n 
MedicinalProductInteraction
\r\n 
MedicinalProductManufactured
\r\n 
MedicinalProductPackaged
\r\n 
MedicinalProductPharmaceutical
\r\n 
MedicinalProductUndesirableEffect
\r\n 
MessageDefinition
\r\n 
MolecularSequence
\r\n 
NamingSystem
\r\n 
ObservationDefinition
\r\n 
OperationDefinition
\r\n 
OperationOutcome
\r\n 
Organization
\r\n 
OrganizationAffiliation
\r\n 
PlanDefinition
\r\n 
Questionnaire
\r\n 
RelatedPerson
\r\n 
ResearchDefinition
\r\n 
ResearchElementDefinition
\r\n 
ResearchSubject
\r\n 
RiskEvidenceSynthesis
\r\n 
SearchParameter
\r\n 
Slot
\r\n 
SpecimenDefinition
\r\n 
StructureDefinition
\r\n 
StructureMap
\r\n 
Subscription
\r\n 
Substance
\r\n 
SubstanceNucleicAcid
\r\n 
SubstancePolymer
\r\n 
SubstanceProtein
\r\n 
SubstanceReferenceInformation
\r\n 
SubstanceSourceMaterial
\r\n 
SubstanceSpecification
\r\n 
Task
\r\n 
TerminologyCapabilities
\r\n 
TestReport
\r\n 
TestScript
\r\n 
ValueSet
\r\n 
VerificationResult
\r\n
"
      },
      "url" : "http://hl7.org/fhir/CompartmentDefinition/practitioner",
      "version" : "4.0.0",
      "name" : "Base FHIR compartment definition for Practitioner",
      "status" : "draft",
      "experimental" : true,
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "FHIR Project Team",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      }],
      "description" : "There is an instance of the practitioner compartment for each Practitioner resource, and the identity of the compartment is the same as the Practitioner. The set of resources associated with a particular practitioner",
      "code" : "Practitioner",
      "search" : true,
      "resource" : [{
        "code" : "Account",
        "param" : ["subject"]
      },
      {
        "code" : "ActivityDefinition"
      },
      {
        "code" : "AdverseEvent",
        "param" : ["recorder"]
      },
      {
        "code" : "AllergyIntolerance",
        "param" : ["recorder",
        "asserter"]
      },
      {
        "code" : "Appointment",
        "param" : ["actor"]
      },
      {
        "code" : "AppointmentResponse",
        "param" : ["actor"]
      },
      {
        "code" : "AuditEvent",
        "param" : ["agent"]
      },
      {
        "code" : "Basic",
        "param" : ["author"]
      },
      {
        "code" : "Binary"
      },
      {
        "code" : "BiologicallyDerivedProduct"
      },
      {
        "code" : "BodyStructure"
      },
      {
        "code" : "Bundle"
      },
      {
        "code" : "CapabilityStatement"
      },
      {
        "code" : "CarePlan",
        "param" : ["performer"]
      },
      {
        "code" : "CareTeam",
        "param" : ["participant"]
      },
      {
        "code" : "CatalogEntry"
      },
      {
        "code" : "ChargeItem",
        "param" : ["enterer",
        "performer-actor"]
      },
      {
        "code" : "ChargeItemDefinition"
      },
      {
        "code" : "Claim",
        "param" : ["enterer",
        "provider",
        "payee",
        "care-team"]
      },
      {
        "code" : "ClaimResponse",
        "param" : ["requestor"]
      },
      {
        "code" : "ClinicalImpression",
        "param" : ["assessor"]
      },
      {
        "code" : "CodeSystem"
      },
      {
        "code" : "Communication",
        "param" : ["sender",
        "recipient"]
      },
      {
        "code" : "CommunicationRequest",
        "param" : ["sender",
        "recipient",
        "requester"]
      },
      {
        "code" : "CompartmentDefinition"
      },
      {
        "code" : "Composition",
        "param" : ["subject",
        "author",
        "attester"]
      },
      {
        "code" : "ConceptMap"
      },
      {
        "code" : "Condition",
        "param" : ["asserter"]
      },
      {
        "code" : "Consent"
      },
      {
        "code" : "Contract"
      },
      {
        "code" : "Coverage"
      },
      {
        "code" : "CoverageEligibilityRequest",
        "param" : ["enterer",
        "provider"]
      },
      {
        "code" : "CoverageEligibilityResponse",
        "param" : ["requestor"]
      },
      {
        "code" : "DetectedIssue",
        "param" : ["author"]
      },
      {
        "code" : "Device"
      },
      {
        "code" : "DeviceDefinition"
      },
      {
        "code" : "DeviceMetric"
      },
      {
        "code" : "DeviceRequest",
        "param" : ["requester",
        "performer"]
      },
      {
        "code" : "DeviceUseStatement"
      },
      {
        "code" : "DiagnosticReport",
        "param" : ["performer"]
      },
      {
        "code" : "DocumentManifest",
        "param" : ["subject",
        "author",
        "recipient"]
      },
      {
        "code" : "DocumentReference",
        "param" : ["subject",
        "author",
        "authenticator"]
      },
      {
        "code" : "EffectEvidenceSynthesis"
      },
      {
        "code" : "Encounter",
        "param" : ["practitioner",
        "participant"]
      },
      {
        "code" : "Endpoint"
      },
      {
        "code" : "EnrollmentRequest"
      },
      {
        "code" : "EnrollmentResponse"
      },
      {
        "code" : "EpisodeOfCare",
        "param" : ["care-manager"]
      },
      {
        "code" : "EventDefinition"
      },
      {
        "code" : "Evidence"
      },
      {
        "code" : "EvidenceVariable"
      },
      {
        "code" : "ExampleScenario"
      },
      {
        "code" : "ExplanationOfBenefit",
        "param" : ["enterer",
        "provider",
        "payee",
        "care-team"]
      },
      {
        "code" : "FamilyMemberHistory"
      },
      {
        "code" : "Flag",
        "param" : ["author"]
      },
      {
        "code" : "Goal"
      },
      {
        "code" : "GraphDefinition"
      },
      {
        "code" : "Group",
        "param" : ["member"]
      },
      {
        "code" : "GuidanceResponse"
      },
      {
        "code" : "HealthcareService"
      },
      {
        "code" : "ImagingStudy"
      },
      {
        "code" : "Immunization",
        "param" : ["performer"]
      },
      {
        "code" : "ImmunizationEvaluation"
      },
      {
        "code" : "ImmunizationRecommendation"
      },
      {
        "code" : "ImplementationGuide"
      },
      {
        "code" : "InsurancePlan"
      },
      {
        "code" : "Invoice",
        "param" : ["participant"]
      },
      {
        "code" : "Library"
      },
      {
        "code" : "Linkage",
        "param" : ["author"]
      },
      {
        "code" : "List",
        "param" : ["source"]
      },
      {
        "code" : "Location"
      },
      {
        "code" : "Measure"
      },
      {
        "code" : "MeasureReport"
      },
      {
        "code" : "Media",
        "param" : ["subject",
        "operator"]
      },
      {
        "code" : "Medication"
      },
      {
        "code" : "MedicationAdministration",
        "param" : ["performer"]
      },
      {
        "code" : "MedicationDispense",
        "param" : ["performer",
        "receiver"]
      },
      {
        "code" : "MedicationKnowledge"
      },
      {
        "code" : "MedicationRequest",
        "param" : ["requester"]
      },
      {
        "code" : "MedicationStatement",
        "param" : ["source"]
      },
      {
        "code" : "MedicinalProduct"
      },
      {
        "code" : "MedicinalProductAuthorization"
      },
      {
        "code" : "MedicinalProductContraindication"
      },
      {
        "code" : "MedicinalProductIndication"
      },
      {
        "code" : "MedicinalProductIngredient"
      },
      {
        "code" : "MedicinalProductInteraction"
      },
      {
        "code" : "MedicinalProductManufactured"
      },
      {
        "code" : "MedicinalProductPackaged"
      },
      {
        "code" : "MedicinalProductPharmaceutical"
      },
      {
        "code" : "MedicinalProductUndesirableEffect"
      },
      {
        "code" : "MessageDefinition"
      },
      {
        "code" : "MessageHeader",
        "param" : ["receiver",
        "author",
        "responsible",
        "enterer"]
      },
      {
        "code" : "MolecularSequence"
      },
      {
        "code" : "NamingSystem"
      },
      {
        "code" : "NutritionOrder",
        "param" : ["provider"]
      },
      {
        "code" : "Observation",
        "param" : ["performer"]
      },
      {
        "code" : "ObservationDefinition"
      },
      {
        "code" : "OperationDefinition"
      },
      {
        "code" : "OperationOutcome"
      },
      {
        "code" : "Organization"
      },
      {
        "code" : "OrganizationAffiliation"
      },
      {
        "code" : "Patient",
        "param" : ["general-practitioner"]
      },
      {
        "code" : "PaymentNotice",
        "param" : ["provider"]
      },
      {
        "code" : "PaymentReconciliation",
        "param" : ["requestor"]
      },
      {
        "code" : "Person",
        "param" : ["practitioner"]
      },
      {
        "code" : "PlanDefinition"
      },
      {
        "code" : "Practitioner",
        "param" : ["{def}"]
      },
      {
        "code" : "PractitionerRole",
        "param" : ["practitioner"]
      },
      {
        "code" : "Procedure",
        "param" : ["performer"]
      },
      {
        "code" : "Provenance",
        "param" : ["agent"]
      },
      {
        "code" : "Questionnaire"
      },
      {
        "code" : "QuestionnaireResponse",
        "param" : ["author",
        "source"]
      },
      {
        "code" : "RelatedPerson"
      },
      {
        "code" : "RequestGroup",
        "param" : ["participant",
        "author"]
      },
      {
        "code" : "ResearchDefinition"
      },
      {
        "code" : "ResearchElementDefinition"
      },
      {
        "code" : "ResearchStudy",
        "param" : ["principalinvestigator"]
      },
      {
        "code" : "ResearchSubject"
      },
      {
        "code" : "RiskAssessment",
        "param" : ["performer"]
      },
      {
        "code" : "RiskEvidenceSynthesis"
      },
      {
        "code" : "Schedule",
        "param" : ["actor"]
      },
      {
        "code" : "SearchParameter"
      },
      {
        "code" : "ServiceRequest",
        "param" : ["performer",
        "requester"]
      },
      {
        "code" : "Slot"
      },
      {
        "code" : "Specimen",
        "param" : ["collector"]
      },
      {
        "code" : "SpecimenDefinition"
      },
      {
        "code" : "StructureDefinition"
      },
      {
        "code" : "StructureMap"
      },
      {
        "code" : "Subscription"
      },
      {
        "code" : "Substance"
      },
      {
        "code" : "SubstanceNucleicAcid"
      },
      {
        "code" : "SubstancePolymer"
      },
      {
        "code" : "SubstanceProtein"
      },
      {
        "code" : "SubstanceReferenceInformation"
      },
      {
        "code" : "SubstanceSourceMaterial"
      },
      {
        "code" : "SubstanceSpecification"
      },
      {
        "code" : "SupplyDelivery",
        "param" : ["supplier",
        "receiver"]
      },
      {
        "code" : "SupplyRequest",
        "param" : ["requester"]
      },
      {
        "code" : "Task"
      },
      {
        "code" : "TerminologyCapabilities"
      },
      {
        "code" : "TestReport"
      },
      {
        "code" : "TestScript"
      },
      {
        "code" : "ValueSet"
      },
      {
        "code" : "VerificationResult"
      },
      {
        "code" : "VisionPrescription",
        "param" : ["prescriber"]
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/CompartmentDefinition/relatedPerson",
    "resource" : {
      "resourceType" : "CompartmentDefinition",
      "id" : "relatedPerson",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\nThe following resources may be in this compartment:\r\n
\r\n\r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n \r\n
Resource
Inclusion Criteria
AdverseEvent
recorder
AllergyIntolerance
asserter
Appointment
actor
AppointmentResponse
actor
Basic
author
CarePlan
performer
CareTeam
participant
ChargeItem
enterer, performer-actor
Claim
payee
Communication
sender, recipient
CommunicationRequest
sender, recipient, requester
Composition
author
Condition
asserter
Coverage
policy-holder, subscriber, payor
DocumentManifest
author, recipient
DocumentReference
author
Encounter
participant
ExplanationOfBenefit
payee
Invoice
recipient
MedicationAdministration
performer
MedicationStatement
source
Observation
performer
Patient
link
Person
link
Procedure
performer
Provenance
agent
QuestionnaireResponse
author, source
RelatedPerson
{def}
RequestGroup
participant
Schedule
actor
ServiceRequest
performer
SupplyRequest
requester
\r\n
\r\nA resource is in this compartment if the nominated search parameter (or chain) refers to the patient resource that defines the compartment.\r\n
\r\n
\r\n\r\n
\r\n
\r\nThe following resources are never in this compartment:\r\n
\r\n
\r\n 
Account
\r\n 
ActivityDefinition
\r\n 
AuditEvent
\r\n 
Binary
\r\n 
BiologicallyDerivedProduct
\r\n 
BodyStructure
\r\n 
Bundle
\r\n 
CapabilityStatement
\r\n 
CatalogEntry
\r\n 
ChargeItemDefinition
\r\n 
ClaimResponse
\r\n 
ClinicalImpression
\r\n 
CodeSystem
\r\n 
CompartmentDefinition
\r\n 
ConceptMap
\r\n 
Consent
\r\n 
Contract
\r\n 
CoverageEligibilityRequest
\r\n 
CoverageEligibilityResponse
\r\n 
DetectedIssue
\r\n 
Device
\r\n 
DeviceDefinition
\r\n 
DeviceMetric
\r\n 
DeviceRequest
\r\n 
DeviceUseStatement
\r\n 
DiagnosticReport
\r\n 
EffectEvidenceSynthesis
\r\n 
Endpoint
\r\n 
EnrollmentRequest
\r\n 
EnrollmentResponse
\r\n 
EpisodeOfCare
\r\n 
EventDefinition
\r\n 
Evidence
\r\n 
EvidenceVariable
\r\n 
ExampleScenario
\r\n 
FamilyMemberHistory
\r\n 
Flag
\r\n 
Goal
\r\n 
GraphDefinition
\r\n 
Group
\r\n 
GuidanceResponse
\r\n 
HealthcareService
\r\n 
ImagingStudy
\r\n 
Immunization
\r\n 
ImmunizationEvaluation
\r\n 
ImmunizationRecommendation
\r\n 
ImplementationGuide
\r\n 
InsurancePlan
\r\n 
Library
\r\n 
Linkage
\r\n 
List
\r\n 
Location
\r\n 
Measure
\r\n 
MeasureReport
\r\n 
Media
\r\n 
Medication
\r\n 
MedicationDispense
\r\n 
MedicationKnowledge
\r\n 
MedicationRequest
\r\n 
MedicinalProduct
\r\n 
MedicinalProductAuthorization
\r\n 
MedicinalProductContraindication
\r\n 
MedicinalProductIndication
\r\n 
MedicinalProductIngredient
\r\n 
MedicinalProductInteraction
\r\n 
MedicinalProductManufactured
\r\n 
MedicinalProductPackaged
\r\n 
MedicinalProductPharmaceutical
\r\n 
MedicinalProductUndesirableEffect
\r\n 
MessageDefinition
\r\n 
MessageHeader
\r\n 
MolecularSequence
\r\n 
NamingSystem
\r\n 
NutritionOrder
\r\n 
ObservationDefinition
\r\n 
OperationDefinition
\r\n 
OperationOutcome
\r\n 
Organization
\r\n 
OrganizationAffiliation
\r\n 
PaymentNotice
\r\n 
PaymentReconciliation
\r\n 
PlanDefinition
\r\n 
Practitioner
\r\n 
PractitionerRole
\r\n 
Questionnaire
\r\n 
ResearchDefinition
\r\n 
ResearchElementDefinition
\r\n 
ResearchStudy
\r\n 
ResearchSubject
\r\n 
RiskAssessment
\r\n 
RiskEvidenceSynthesis
\r\n 
SearchParameter
\r\n 
Slot
\r\n 
Specimen
\r\n 
SpecimenDefinition
\r\n 
StructureDefinition
\r\n 
StructureMap
\r\n 
Subscription
\r\n 
Substance
\r\n 
SubstanceNucleicAcid
\r\n 
SubstancePolymer
\r\n 
SubstanceProtein
\r\n 
SubstanceReferenceInformation
\r\n 
SubstanceSourceMaterial
\r\n 
SubstanceSpecification
\r\n 
SupplyDelivery
\r\n 
Task
\r\n 
TerminologyCapabilities
\r\n 
TestReport
\r\n 
TestScript
\r\n 
ValueSet
\r\n 
VerificationResult
\r\n 
VisionPrescription
\r\n
"
      },
      "url" : "http://hl7.org/fhir/CompartmentDefinition/relatedPerson",
      "version" : "4.0.0",
      "name" : "Base FHIR compartment definition for RelatedPerson",
      "status" : "draft",
      "experimental" : true,
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "FHIR Project Team",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      }],
      "description" : "There is an instance of the relatedPerson compartment for each relatedPerson resource, and the identity of the compartment is the same as the relatedPerson. The set of resources associated with a particular 'related person'",
      "code" : "RelatedPerson",
      "search" : true,
      "resource" : [{
        "code" : "Account"
      },
      {
        "code" : "ActivityDefinition"
      },
      {
        "code" : "AdverseEvent",
        "param" : ["recorder"]
      },
      {
        "code" : "AllergyIntolerance",
        "param" : ["asserter"]
      },
      {
        "code" : "Appointment",
        "param" : ["actor"]
      },
      {
        "code" : "AppointmentResponse",
        "param" : ["actor"]
      },
      {
        "code" : "AuditEvent"
      },
      {
        "code" : "Basic",
        "param" : ["author"]
      },
      {
        "code" : "Binary"
      },
      {
        "code" : "BiologicallyDerivedProduct"
      },
      {
        "code" : "BodyStructure"
      },
      {
        "code" : "Bundle"
      },
      {
        "code" : "CapabilityStatement"
      },
      {
        "code" : "CarePlan",
        "param" : ["performer"]
      },
      {
        "code" : "CareTeam",
        "param" : ["participant"]
      },
      {
        "code" : "CatalogEntry"
      },
      {
        "code" : "ChargeItem",
        "param" : ["enterer",
        "performer-actor"]
      },
      {
        "code" : "ChargeItemDefinition"
      },
      {
        "code" : "Claim",
        "param" : ["payee"]
      },
      {
        "code" : "ClaimResponse"
      },
      {
        "code" : "ClinicalImpression"
      },
      {
        "code" : "CodeSystem"
      },
      {
        "code" : "Communication",
        "param" : ["sender",
        "recipient"]
      },
      {
        "code" : "CommunicationRequest",
        "param" : ["sender",
        "recipient",
        "requester"]
      },
      {
        "code" : "CompartmentDefinition"
      },
      {
        "code" : "Composition",
        "param" : ["author"]
      },
      {
        "code" : "ConceptMap"
      },
      {
        "code" : "Condition",
        "param" : ["asserter"]
      },
      {
        "code" : "Consent"
      },
      {
        "code" : "Contract"
      },
      {
        "code" : "Coverage",
        "param" : ["policy-holder",
        "subscriber",
        "payor"]
      },
      {
        "code" : "CoverageEligibilityRequest"
      },
      {
        "code" : "CoverageEligibilityResponse"
      },
      {
        "code" : "DetectedIssue"
      },
      {
        "code" : "Device"
      },
      {
        "code" : "DeviceDefinition"
      },
      {
        "code" : "DeviceMetric"
      },
      {
        "code" : "DeviceRequest"
      },
      {
        "code" : "DeviceUseStatement"
      },
      {
        "code" : "DiagnosticReport"
      },
      {
        "code" : "DocumentManifest",
        "param" : ["author",
        "recipient"]
      },
      {
        "code" : "DocumentReference",
        "param" : ["author"]
      },
      {
        "code" : "EffectEvidenceSynthesis"
      },
      {
        "code" : "Encounter",
        "param" : ["participant"]
      },
      {
        "code" : "Endpoint"
      },
      {
        "code" : "EnrollmentRequest"
      },
      {
        "code" : "EnrollmentResponse"
      },
      {
        "code" : "EpisodeOfCare"
      },
      {
        "code" : "EventDefinition"
      },
      {
        "code" : "Evidence"
      },
      {
        "code" : "EvidenceVariable"
      },
      {
        "code" : "ExampleScenario"
      },
      {
        "code" : "ExplanationOfBenefit",
        "param" : ["payee"]
      },
      {
        "code" : "FamilyMemberHistory"
      },
      {
        "code" : "Flag"
      },
      {
        "code" : "Goal"
      },
      {
        "code" : "GraphDefinition"
      },
      {
        "code" : "Group"
      },
      {
        "code" : "GuidanceResponse"
      },
      {
        "code" : "HealthcareService"
      },
      {
        "code" : "ImagingStudy"
      },
      {
        "code" : "Immunization"
      },
      {
        "code" : "ImmunizationEvaluation"
      },
      {
        "code" : "ImmunizationRecommendation"
      },
      {
        "code" : "ImplementationGuide"
      },
      {
        "code" : "InsurancePlan"
      },
      {
        "code" : "Invoice",
        "param" : ["recipient"]
      },
      {
        "code" : "Library"
      },
      {
        "code" : "Linkage"
      },
      {
        "code" : "List"
      },
      {
        "code" : "Location"
      },
      {
        "code" : "Measure"
      },
      {
        "code" : "MeasureReport"
      },
      {
        "code" : "Media"
      },
      {
        "code" : "Medication"
      },
      {
        "code" : "MedicationAdministration",
        "param" : ["performer"]
      },
      {
        "code" : "MedicationDispense"
      },
      {
        "code" : "MedicationKnowledge"
      },
      {
        "code" : "MedicationRequest"
      },
      {
        "code" : "MedicationStatement",
        "param" : ["source"]
      },
      {
        "code" : "MedicinalProduct"
      },
      {
        "code" : "MedicinalProductAuthorization"
      },
      {
        "code" : "MedicinalProductContraindication"
      },
      {
        "code" : "MedicinalProductIndication"
      },
      {
        "code" : "MedicinalProductIngredient"
      },
      {
        "code" : "MedicinalProductInteraction"
      },
      {
        "code" : "MedicinalProductManufactured"
      },
      {
        "code" : "MedicinalProductPackaged"
      },
      {
        "code" : "MedicinalProductPharmaceutical"
      },
      {
        "code" : "MedicinalProductUndesirableEffect"
      },
      {
        "code" : "MessageDefinition"
      },
      {
        "code" : "MessageHeader"
      },
      {
        "code" : "MolecularSequence"
      },
      {
        "code" : "NamingSystem"
      },
      {
        "code" : "NutritionOrder"
      },
      {
        "code" : "Observation",
        "param" : ["performer"]
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Fetch Encounter Record
OPERATION: Fetch Encounter Record
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Fetch a group of Patient Records
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URL: [base]/Group/[id]/$everything
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The return bundle from this operation is usually rather a lot of data; servers typically choose to require that such requests are made asynchronously, and associated with bulk data formats. Alternatively, clients may choose to page through the result set (or servers may require this). Paging through the results is done the same as for Searching, using the _count parameter, and Bundle links. Implementers should note that paging will be slower than simply returning all the results at once (more network traffic, multiple latency delays) but may be required in order not to exhaust available memory reading or writing the whole response in a single package. Unlike searching, there is no inherent user-display order for the $everything operation. Servers might consider sorting the returned resources in descending order of last record update, but are not required to do so.
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Data Requirements
OPERATION: Data Requirements
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/Library-data-requirements
The data-requirements operation aggregates and returns the parameters and data requirements for a resource and all its dependencies as a single module definition
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URL: [base]/$data-requirements
URL: [base]/Library/[id]/$data-requirements
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The effect of invoking this operation is to determine the aggregate set of data requirements and dependencies for a given target resource. The result is a Library resource with a type of module-definition that contains all the parameter definitions and data requirements of the target resource and any libraries referenced by it. Implementations SHOULD aggregate data requirements intelligently (i.e. by collapsing overlapping data requirements)
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A MeasureReport of type data-collection detailing the results of the operation
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resource
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Data Requirements
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return
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Evaluate Measure
OPERATION: Evaluate Measure
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OUT
return
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        "documentation" : "The type of measure report: subject, subject-list, or population. If not specified, a default value of subject will be used if the subject parameter is supplied, otherwise, population will be used",
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        "name" : "subject",
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        "max" : "1",
        "documentation" : "Subject for which the measure will be calculated. If not specified, the measure will be calculated for all subjects that meet the requirements of the measure. If specified, the measure will only be calculated for the referenced subject(s)",
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        "name" : "practitioner",
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        "documentation" : "Practitioner for which the measure will be calculated. If specified, the measure will be calculated only for subjects that have a primary relationship to the identified practitioner",
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        "type" : "dateTime"
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        "min" : 1,
        "max" : "1",
        "documentation" : "The results of the measure calculation. See the MeasureReport resource for a complete description of the output of this operation. Note that implementations may choose to return a MeasureReport with a status of pending to indicate that the report is still being generated. In this case, the client can use a polling method to continually request the MeasureReport until the status is updated to complete",
        "type" : "MeasureReport"
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    "fullUrl" : "http://hl7.org/fhir/OperationDefinition/Measure-submit-data",
    "resource" : {
      "resourceType" : "OperationDefinition",
      "id" : "Measure-submit-data",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
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Submit Data
OPERATION: Submit Data
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/Measure-submit-data
The submit-data operation is used to submit data-of-interest for a measure. There is no expectation that the submitted data represents all the data-of-interest, only that all the data submitted is relevant to the calculation of the measure for a particular subject or population
\n
URL: [base]/Measure/$submit-data
URL: [base]/Measure/[id]/$submit-data
Parameters
Use
Name
Cardinality
Type
Binding
Documentation
IN
measureReport
1..1
MeasureReport
The measure report being submitted
\n
IN
resource
0..*
Resource
The individual resources that make up the data-of-interest being submitted
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The effect of invoking this operation is that the submitted data is posted to the receiving system and can be used for subsequent calculation of the relevant quality measure. The data-of-interest for a measure can be determined by examining the measure definition, or by invoking the $data-requirements operation
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"
      },
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      },
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        "valueCode" : "trial-use"
      }],
      "url" : "http://hl7.org/fhir/OperationDefinition/Measure-submit-data",
      "version" : "4.0.0",
      "name" : "Submit Data",
      "status" : "draft",
      "kind" : "operation",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "HL7 (FHIR Project)",
      "contact" : [{
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          "value" : "[email protected]"
        }]
      }],
      "description" : "The submit-data operation is used to submit data-of-interest for a measure. There is no expectation that the submitted data represents all the data-of-interest, only that all the data submitted is relevant to the calculation of the measure for a particular subject or population",
      "code" : "submit-data",
      "comment" : "The effect of invoking this operation is that the submitted data is posted to the receiving system and can be used for subsequent calculation of the relevant quality measure. The data-of-interest for a measure can be determined by examining the measure definition, or by invoking the $data-requirements operation",
      "resource" : ["Measure"],
      "system" : false,
      "type" : true,
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      "parameter" : [{
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        "max" : "1",
        "documentation" : "The measure report being submitted",
        "type" : "MeasureReport"
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        "name" : "resource",
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        "min" : 0,
        "max" : "*",
        "documentation" : "The individual resources that make up the data-of-interest being submitted",
        "type" : "Resource"
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    "fullUrl" : "http://hl7.org/fhir/OperationDefinition/MedicinalProduct-everything",
    "resource" : {
      "resourceType" : "OperationDefinition",
      "id" : "MedicinalProduct-everything",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
Fetch Product Record
OPERATION: Fetch Product Record
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/MedicinalProduct-everything
This operation is used to return all the information related to one or more products described in the resource or context on which this operation is invoked. The response is a bundle of type "searchset". At a minimum, the product resource(s) itself is returned, along with any other resources that the server has that are related to the products(s), and that are available for the given user. This is typically the marketing authorisations, ingredients, packages, therapeutic indications and so on. The server also returns whatever resources are needed to support the records - e.g. linked organizations, document references etc.
\n
URL: [base]/MedicinalProduct/$everything
URL: [base]/MedicinalProduct/[id]/$everything
Parameters
Use
Name
Cardinality
Type
Binding
Documentation
IN
_since
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instant
Resources updated after this period will be included in the response. The intent of this parameter is to allow a client to request only records that have changed since the last request, based on either the return header time, or or (for asynchronous use), the transaction time
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IN
_count
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integer
See discussion below on the utility of paging through the results of the $everything operation
\n
OUT
return
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Bundle
The bundle type is "searchset"
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The key differences between this operation and simply performing a search and using _include and _revinclude are:
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\n
unless the client requests otherwise, the server returns the entire result set in a single bundle (rather than using paging)
\n
the server is responsible for determining what resources to return as included resources (rather than the client specifying which ones).
\n
\n
This frees the client from needing to determine what it could or should ask for, particularly with regard to included resources. It also makes for a much shorter and easier to construct query string. Servers should consider returning appropriate Provenance and AuditTrail on the returned resources, even though these are not directly part of the product data.
\n
When this operation is used to access multiple product records at once, the return bundle could be rather a lot of data; servers may choose to require that such requests are made asynchronously, and associated with bulk data formats. Alternatively, clients may choose to page through the result set (or servers may require this). Paging through the results is done the same as for Searching, using the _count parameter, and Bundle links. Implementers should note that paging will be slower than simply returning all the results at once (more network traffic, multiple latency delays) but may be required in order not to exhaust available memory reading or writing the whole response in a single package. Unlike searching, there is no inherent user-display order for the $everything operation. Servers might consider sorting the returned resources in descending order of last record update, but are not required to do so.
\n
The _since parameter is provided to support periodic queries to get additional information that has changed about the product since the last query. This means that the _since parameter is based on record time. The value of the _since parameter should be set to the time from the server. If using direct response, this is the timestamp in the response header. If using the async interface, this is the transaction timestamp in the json response. Servers should ensure that the timestamps a managed such that the client does not miss any changes. Clients should be able to handle getting the same response more than once in the case that the transaction falls on a time boundary. Clients should ensure that the other query parameters are constant to ensure a coherent set of records when doing periodic queries.
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"
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        "valueCode" : "trial-use"
      }],
      "url" : "http://hl7.org/fhir/OperationDefinition/MedicinalProduct-everything",
      "version" : "4.0.0",
      "name" : "Fetch Product Record",
      "status" : "draft",
      "kind" : "operation",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "HL7 (FHIR Project)",
      "contact" : [{
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          "value" : "[email protected]"
        }]
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      "description" : "This operation is used to return all the information related to one or more products described in the resource or context on which this operation is invoked. The response is a bundle of type \"searchset\". At a minimum, the product resource(s) itself is returned, along with any other resources that the server has that are related to the products(s), and that are available for the given user. This is typically the marketing authorisations, ingredients, packages, therapeutic indications and so on. The server also returns whatever resources are needed to support the records - e.g. linked organizations, document references etc.",
      "code" : "everything",
      "comment" : "The key differences between this operation and simply performing a search and using _include and _revinclude are:    \n\n* unless the client requests otherwise, the server returns the entire result set in a single bundle (rather than using paging)  \n* the server is responsible for determining what resources to return as included resources (rather than the client specifying which ones). \n\nThis frees the client from needing to determine what it could or should ask for, particularly with regard to included resources. It also makes for a much shorter and easier to construct query string. Servers should consider returning appropriate Provenance and AuditTrail on the returned resources, even though these are not directly part of the product data. \n\nWhen this operation is used to access multiple product records at once, the return bundle could be rather a lot of data; servers may choose to require that such requests are made [asynchronously](async.html), and associated with [bulk data formats](formats.html#bulk). Alternatively, clients may choose to page through the result set (or servers may require this). Paging through the results is done the same as for [Searching](http.html#paging), using the [_count](search.html#count) parameter, and Bundle links. Implementers should note that paging will be slower than simply returning all the results at once (more network traffic, multiple latency delays) but may be required in order not to exhaust available memory reading or writing the whole response in a single package. Unlike searching, there is no inherent user-display order for the $everything operation. Servers might consider sorting the returned resources in descending order of last record update, but are not required to do so.\n\nThe _since parameter is provided to support periodic queries to get additional information that has changed about the product since the last query. This means that the _since parameter is based on record time. The value of the _since parameter should be set to the time from the server. If using direct response, this is the timestamp in the response header. If using the async interface, this is the transaction timestamp in the json response. Servers should ensure that the timestamps a managed such that the client does not miss any changes. Clients should be able to handle getting the same response more than once in the case that the transaction falls on a time boundary. Clients should ensure that the other query parameters are constant to ensure a coherent set of records when doing periodic queries.",
      "resource" : ["MedicinalProduct"],
      "system" : false,
      "type" : true,
      "instance" : true,
      "parameter" : [{
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        "use" : "in",
        "min" : 0,
        "max" : "1",
        "documentation" : "Resources updated after this period will be included in the response. The intent of this parameter is to allow a client to request only records that have changed since the last request, based on either the return header time, or or (for asynchronous use), the transaction time",
        "type" : "instant"
      },
      {
        "name" : "_count",
        "use" : "in",
        "min" : 0,
        "max" : "1",
        "documentation" : "See discussion below on the utility of paging through the results of the $everything operation",
        "type" : "integer"
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        "min" : 1,
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        "documentation" : "The bundle type is \"searchset\"",
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  {
    "fullUrl" : "http://hl7.org/fhir/OperationDefinition/MessageHeader-process-message",
    "resource" : {
      "resourceType" : "OperationDefinition",
      "id" : "MessageHeader-process-message",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
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        "div" : "
Process Message
OPERATION: Process Message
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/MessageHeader-process-message
This operation accepts a message, processes it according to the definition of the event in the message header, and returns one or more response messages.
\n
In addition to processing the message event, a server may choose to retain all or some the resources and make them available on a RESTful interface, but is not required to do so.
\n
URL: [base]/$process-message
Parameters
Use
Name
Cardinality
Type
Binding
Documentation
IN
content
1..1
Bundle
The message to process (or, if using asynchronous messaging, it may be a response message to accept)
\n
IN
async
0..1
boolean
If 'true' the message is processed using the asynchronous messaging pattern
\n
IN
response-url
0..1
url
A URL to submit response messages to, if asynchronous messaging is being used, and if the MessageHeader.source.endpoint is not the appropriate place to submit responses
\n
OUT
return
0..1
Bundle
A response message, if synchronous messaging is being used (mandatory in this case). For asynchronous messaging, there is no return value
\n
This operation does not use the parameters resource; the parameters "async" and "response-url" always go in the URL, if they are used, and the "content" parameter is always the body of the HTTP message.
\n
When processing messages, a server may return one of several status codes:
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\n
200 OK: Indicates that the message has been fully processed.  If an application-level response is expected for the submitted message, that response SHALL be returned as the body of the 200 response.
\n
202 Accepted: Indicates that the receiving system has accepted custody of the message
\n
204 No Content: Indicates that the message has been fully processed and would normally have had an application-level response, but because of instructions from the sender (e.g. the messageheader-response-request extension), no response is being provided
\n
300+: Indicates that the message was not successfully processed.  The server MAY return an OperationOutcome with additional information, and SHOULD do so if the response code is 400 or greater.<br/>\nThe client SHALL interpret a 4xx response to indicate that there is no point resubmitting the unaltered message, and a 5xx response to indicate an unexpected error occurred on the part of the server, with the implication that it may be appropriate to resubmit the original message. Doing so SHOULD NOT result in a duplicate message response. Repeated failures indicate either a fatal problem with the submission or a problem with the receiving application.
\n
\n
The following rules apply when using $process-message:
\n
\n
The operation only accepts POST transactions - any other HTTP method will result in an HTTP error
\n
The request content type submitted is always Bundle with type "message" containing a Message Header resource as the first resource
\n
The response content type returned is always Bundle with type "message" containing a Message Header resource as the first resource, or an HTTP error
\n
If the response is an error, the body SHOULD be an Errors &mp; Warning resource with full details
\n
The mailbox may be authenticated using standard HTTP authentication methods, including OAuth
\n
\n
The $process-message operation can be used by any HTTP end-point that accepts FHIR messages, not just FHIR RESTful servers.
\n
In order to ensure consistency of processing, the logical rules regarding processing of Bundle.id and message id SHALL be followed when messages are processed using this operation.
\n
The $process-message operation may be used synchronously, or asynchronously.
\n
The following rules apply when using the $process-message operation synchronously:
\n
\n
The URL (http://server/base/$process-message) has no parameters
\n
It is an error if the sender POSTs a message that requires multiple response messages
\n
Servers SHALL accept multiple concurrent message submissions and process them correctly (they are allowed to process them sequentially internally, but multiple concurrent submissions is not an error in its own right)
\n
\n
The following rules apply when using the $process-message operation asynchronously:
\n
\n
The URL has at least one parameter: http://server/base/$process-message?async=true
\n
The server acknowledges the message with a 200 OK with no body, or returns an HTTP error if the message cannot be processed
\n
Accepting the message means that the server has understood the message enough to know where to respond
\n
An OperationOutcome SHOULD be returned in either case
\n
By default, the server responds by invoking the $process-message using the sender's stated end-point in the message: POST [MessageHeader.source.endpoint]/$process-messages]
\n
Since the source end-point may be manipulated by message transfer engines, an alternative response address may be specified using the parameter "response-url": http://server/base/$process-message?async=true&amp;response-url=http://server2.com/base/anything.  The endpoint at the specified URL SHALL implement the signature of the $process-message operation (parameter async=true, accept a Bundle, return a 200 OK or an error)
\n
The server submits response messages to the appropriate end-point with the parameter async=true. There is no response message for the response messages
\n
\n
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 4
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      }],
      "url" : "http://hl7.org/fhir/OperationDefinition/MessageHeader-process-message",
      "version" : "4.0.0",
      "name" : "Process Message",
      "status" : "draft",
      "kind" : "operation",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "HL7 (FHIR Project)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        },
        {
          "system" : "email",
          "value" : "[email protected]"
        }]
      }],
      "description" : "This operation accepts a message, processes it according to the definition of the event in the message header, and returns one or more response messages.  \n\nIn addition to processing the message event, a server may choose to retain all or some the resources and make them available on a RESTful interface, but is not required to do so.",
      "code" : "process-message",
      "comment" : "This operation does not use the parameters resource; the parameters \"async\" and \"response-url\" always go in the URL, if they are used, and the \"content\" parameter is always the body of the HTTP message.\n\nWhen processing messages, a server may return one of several status codes:\n* **200 OK**: Indicates that the message has been fully processed.  If an application-level response is expected for the submitted message, that response SHALL be returned as the body of the 200 response.\n* **202 Accepted**: Indicates that the receiving system has accepted custody of the message\n* **204 No Content**: Indicates that the message has been fully processed and would normally have had an application-level response, but because of instructions from the sender (e.g. the [messageheader-response-request](extension-messageheader-response-request.html) extension), no response is being provided\n* **300+**: Indicates that the message was not successfully processed.  The server MAY return an [OperationOutcome](operationoutcome.html) with additional information, and SHOULD do so if the response code is 400 or greater.
\n    The client SHALL interpret a 4xx response to indicate that there is no point resubmitting the unaltered message, and a 5xx response to indicate an unexpected error occurred on the part of the server, with the implication that it may be appropriate to resubmit the original message. Doing so SHOULD NOT result in a duplicate message response. Repeated failures indicate either a fatal problem with the submission or a problem with the receiving application.\n\nThe following rules apply when using $process-message:\n\n* The operation only accepts POST transactions - any other HTTP method will result in an HTTP error\n* The request content type submitted is always [Bundle](bundle.html) with type \"message\" containing a [Message Header](messageheader.html) resource as the first resource\n* The response content type returned is always [Bundle](bundle.html) with type \"message\" containing a [Message Header](messageheader.html) resource as the first resource, or an HTTP error\n* If the response is an error, the body SHOULD be an [Errors ∓ Warning](operationoutcome.html) resource with full details\n* The mailbox may be authenticated using standard HTTP authentication methods, including OAuth\n\nThe $process-message operation can be used by any HTTP end-point that accepts FHIR messages, not just FHIR RESTful servers.\n\nIn order to ensure consistency of processing, the [logical rules regarding processing of Bundle.id and message id](messaging.html#reliable) SHALL be followed when messages are processed using this operation.\n\nThe $process-message operation may be used synchronously, or asynchronously.\n\nThe following rules apply when using the $process-message operation synchronously:\n\n* The URL (http://server/base/$process-message) has no parameters\n* It is an error if the sender POSTs a message that requires multiple response messages\n* Servers SHALL accept multiple concurrent message submissions and process them correctly (they are allowed to process them sequentially internally, but multiple concurrent submissions is not an error in its own right)\n\nThe following rules apply when using the $process-message operation asynchronously:\n\n* The URL has at least one parameter: http://server/base/$process-message?async=true\n* The server acknowledges the message with a 200 OK with no body, or returns an HTTP error if the message cannot be processed\n* Accepting the message means that the server has understood the message enough to know where to respond\n* An [OperationOutcome](operationoutcome.html) SHOULD be returned in either case\n* By default, the server responds by invoking the $process-message using the sender's stated end-point in the message: POST [MessageHeader.source.endpoint]/$process-messages]\n* Since the source end-point may be manipulated by message transfer engines, an alternative response address may be specified using the parameter \"response-url\": http://server/base/$process-message?async=true&response-url=http://server2.com/base/anything.  The endpoint at the specified URL SHALL implement the signature of the $process-message operation (parameter async=true, accept a Bundle, return a 200 OK or an error)\n* The server submits response messages to the appropriate end-point with the parameter async=true. There is no response message for the response messages",
      "resource" : ["MessageHeader"],
      "system" : true,
      "type" : false,
      "instance" : false,
      "parameter" : [{
        "name" : "content",
        "use" : "in",
        "min" : 1,
        "max" : "1",
        "documentation" : "The message to process (or, if using asynchronous messaging, it may be a response message to accept)",
        "type" : "Bundle"
      },
      {
        "name" : "async",
        "use" : "in",
        "min" : 0,
        "max" : "1",
        "documentation" : "If 'true' the message is processed using the asynchronous messaging pattern",
        "type" : "boolean"
      },
      {
        "name" : "response-url",
        "use" : "in",
        "min" : 0,
        "max" : "1",
        "documentation" : "A URL to submit response messages to, if asynchronous messaging is being used, and if the MessageHeader.source.endpoint is not the appropriate place to submit responses",
        "type" : "url"
      },
      {
        "name" : "return",
        "use" : "out",
        "min" : 0,
        "max" : "1",
        "documentation" : "A response message, if synchronous messaging is being used (mandatory in this case). For asynchronous messaging, there is no return value",
        "type" : "Bundle"
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/OperationDefinition/NamingSystem-preferred-id",
    "resource" : {
      "resourceType" : "OperationDefinition",
      "id" : "NamingSystem-preferred-id",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
Fetch Preferred it
OPERATION: Fetch Preferred it
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/NamingSystem-preferred-id
This operation returns the preferred identifiers for identifiers, and terminologies. The operation takes 2 parameters:
\n
\n
a system identifier - either a URI, an OID, or a v2 table 0396 (other) code
\n
a code for what kind of identifier is desired (URI, OID, v2 table 0396 identifier)
\n
\n
and returns either the requested identifier, or an HTTP errors response with an OperationOutcome because either the provided identifier was not recognized, or the requested identiifer type is not known.
\n
The principle use of this operation is when converting between v2, CDA and FHIR Identifier/CX/II and CodeableConcepts/C(N/W)E/CD but the operation may also find use when converting metadata such as profiles.
\n
URL: [base]/NamingSystem/$preferred-id
Parameters
Use
Name
Cardinality
Type
Binding
Documentation
IN
id
1..1
string
The server parses the provided id to see what type it is (mary a URI, an OID as a URI, a plain OID, or a v2 table 0396 code). If the server can't tell what type of identifier it is, it can try it as multiple types. It is an error if more than one system matches the provided identifier
\n
IN
type
1..1
code
http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.0 (Required)
OUT
result
1..1
string
OIDs are return as plain OIDs (not the URI form).
\n
Servers handle this request by finding the provided identifier in their known naming systems, and returning the requested identifier type (NamingSystem.uniqueId.type). If there are multiple possible identifiers of the specified type (e.g. multiple OIDs) the server returns an error.
\n
If the server wishes, it can also look through all code systems and value sets it knows about when attempting to find the requested identifier
\n
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      }],
      "url" : "http://hl7.org/fhir/OperationDefinition/NamingSystem-preferred-id",
      "version" : "4.0.0",
      "name" : "Fetch Preferred it",
      "status" : "draft",
      "kind" : "operation",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "HL7 (FHIR Project)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        },
        {
          "system" : "email",
          "value" : "[email protected]"
        }]
      }],
      "description" : "This operation returns the preferred identifiers for identifiers, and terminologies. The operation takes 2 parameters:     \n\n* a system identifier - either a URI, an OID, or a v2 table 0396 (other) code  \n* a code for what kind of identifier is desired (URI, OID, v2 table 0396 identifier)    \n\nand returns either the requested identifier, or an HTTP errors response with an OperationOutcome because either the provided identifier was not recognized, or the requested identiifer type is not known.    \n\nThe principle use of this operation is when converting between v2, CDA and FHIR Identifier/CX/II and CodeableConcepts/C(N/W)E/CD but the operation may also find use when converting metadata such as profiles.",
      "code" : "preferred-id",
      "comment" : "Servers handle this request by finding the provided identifier in their known naming systems, and returning the requested identifier type ([NamingSystem.uniqueId.type](namingsystem-definitions.html#NamingSystem.uniqueId.type)). If there are multiple possible identifiers of the specified type (e.g. multiple OIDs) the server returns an error.    \n\nIf the server wishes, it can also look through all code systems and value sets it knows about when attempting to find the requested identifier",
      "resource" : ["NamingSystem"],
      "system" : false,
      "type" : true,
      "instance" : false,
      "parameter" : [{
        "name" : "id",
        "use" : "in",
        "min" : 1,
        "max" : "1",
        "documentation" : "The server parses the provided id to see what type it is (mary a URI, an OID as a URI, a plain OID, or a v2 table 0396 code). If the server can't tell what type of identifier it is, it can try it as multiple types. It is an error if more than one system matches the provided identifier",
        "type" : "string"
      },
      {
        "name" : "type",
        "use" : "in",
        "min" : 1,
        "max" : "1",
        "type" : "code",
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.0"
        }
      },
      {
        "name" : "result",
        "use" : "out",
        "min" : 1,
        "max" : "1",
        "documentation" : "OIDs are return as plain OIDs (not the URI form).",
        "type" : "string"
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/OperationDefinition/Observation-lastn",
    "resource" : {
      "resourceType" : "OperationDefinition",
      "id" : "Observation-lastn",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
Last N Observations Query
OPERATION: Last N Observations Query
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/Observation-lastn
The lastn query meets the common need for searching for the most recent or last n=number of observations for a subject. For example, retrieving the last 5 temperatures for a patient to view trends or fetching the most recent laboratory results or vitals signs. To ask a server to return the last n=number of observations, the lastn query uses the normal search parameters defined for the Observation resource.  However, rather than their normal use, they are interpreted as inputs - i.e.. instead of requiring that the resources literally contain the search parameters, they are passed to a server algorithm of some kind that uses them to determine the most appropriate matches.
\n
The request for a lastn query SHALL include:
\n
\n
A $lastn operation parameter
\n
A subject using either the patient or subject  search parameter
\n
A category parameter and/or a search parameter that contains a code element in its FHIRpath expression.  ( e.g., code or code-value-concept)
\n
\n
The request for a lastn query MAY include:
\n
\n
Other Observation search parameters and modifiers
\n
\n
The response from a lastn query is a set of observations:
\n
\n
Filtered by additional parameters\n
\n
If not explicitly filtered by status then will include statuses of 'entered-in-error'
\n
\n
\n
'GROUP BY' Observation.code\n
\n
Codes SHALL be considered equivalent if the coding.value and coding.system are the same.
\n
Text only codes SHALL be treated and grouped based on the text.
\n
For codes with translations (multiple codings), the code translations are assumed to be equal and the grouping by code SHALL follow the transitive property of equality.
\n
\n
\n
\n
for example:
\n\n\n\n\n\n\n\n\n\n\n
Observation.code for observation a
Observation.code for observation b
Observation.code for observation c
number of groups [codes/text in each group]
a
b
c
3 [a],[b],[c]
a
b
a,c
2 [a.c],[b]
a
b
a,b
1 [a,b]
'textM'
'Text'
't e x t'
3 ['text'],['Text'],['t e x t']
\n
\n
Sorted from most recent to the oldest
\n
Limited to the number of requested responses per group specified by the optional max query parameter\n
\n
In case of a tie - when the effective times for >1 Observations are equal - both will be returned.  Therefore, more Observations may be returned than is specified in max.  For example, 4 Observations instead of 3 if the 3rd and 4th most recent observation had the same effective time.
\n
\n
\n
If no maximum number is given then only the most recent Observation in each group is returned.
\n
\n
The set of returned observations should represent distinct real world observations and not the same observation with changes in status or versions. If there are no matches, the lastn query SHALL return an empty search set with no error, but may include an operation outcome with further advice.
\n
URL: [base]/Observation/$lastn
Parameters
Use
Name
Cardinality
Type
Binding
Documentation
IN
max
0..1
positiveInt
max is  an optional input parameter to the lastn query operation.  It is used to specify the maximum number of Observations to return from each group. For example for the query "Fetch the last 3 results for all vitals for a patient" max = 3.
\n
OUT
return
1..1
Bundle
The set of most recent N Observations that match the lastn query search criteria.
\n
The key differences between this query operation and simply searching Observation using the combination of _count and _sort parameters are:
\n
\n
The lastn query returns only the last N resource grouped by code.  Using the _count query method doesn't restrict the total matches so you may need to page through several "A" Observations  before getting to Observation "B".
\n
The server is responsible for grouping the observations by codes.  This frees the client from needing to determine which codes she should ask for.
\n
\n
This operation cannot be performed on observations that the user is not authorized to see.  It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification.
\n
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      }],
      "url" : "http://hl7.org/fhir/OperationDefinition/Observation-lastn",
      "version" : "4.0.0",
      "name" : "Last N Observations Query",
      "status" : "draft",
      "kind" : "operation",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "HL7 (FHIR Project)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        },
        {
          "system" : "email",
          "value" : "[email protected]"
        }]
      }],
      "description" : "The *lastn query* meets the common need for searching for the most recent or last n=number of observations for a subject. For example, retrieving the last 5 temperatures for a patient to view trends or fetching the most recent laboratory results or vitals signs. To ask a server to return the last n=number of observations, the *lastn* query uses the [normal search parameters](observation.html#search) defined for the Observation resource.  However, rather than their normal use, they are interpreted as inputs - i.e.. instead of requiring that the resources literally contain the search parameters, they are passed to a server algorithm of some kind that uses them to determine the most appropriate matches.\n\nThe request for a lastn query SHALL include:\n\n* A `$lastn` operation parameter\n*  A subject using either the `patient` or `subject`  search parameter\n*  A `category` parameter and/or a search parameter that contains a code element in its FHIRpath expression.  ( e.g., `code` or `code-value-concept`)\n\nThe request for a lastn query MAY include:\n\n* Other Observation search parameters and modifiers\n\nThe response from a lastn query is a set of observations:\n\n*  Filtered by additional parameters\n   * If not explicitly filtered by status then will include statuses of 'entered-in-error'\n* 'GROUP BY' `Observation.code`\n   * Codes SHALL be considered equivalent if the `coding.value` *and* `coding.system` are the same.\n   * Text only codes SHALL be treated and grouped based on the text.\n   * For codes with translations (multiple codings), the code translations are assumed to be equal and the grouping by code SHALL follow the transitive property of equality.\n\nfor example:\n\n|Observation.code for observation a|Observation.code for observation b|Observation.code for observation c|number of groups [codes/text in each group]|    \n|---|---|---|---|     \n|a|b|c | 3 [a],[b],[c]|    \n|a|b|a,c | 2 [a.c],[b]|     \n|a|b|a,b | 1 [a,b]|    \n|'textM'|'Text'|'t e x t'|3 ['text'],['Text'],['t e x t']|\n\n* Sorted from most recent to the oldest\n* Limited to the number of requested responses per group specified by the optional *max* query parameter\n  * In case of a tie - when the effective times for >1 Observations are equal - both will be returned.  Therefore, more Observations may be returned than is specified in *max*.  For example, 4 Observations instead of 3 if the 3rd and 4th most recent observation had the same effective time.\n* If no maximum number is given then only the most recent Observation in each group is returned.\n\nThe set of returned observations should represent distinct real world observations and not the same observation with changes in status or versions. If there are no matches, the *lastn* query SHALL return an empty search set with no error, but may include an operation outcome with further advice.",
      "code" : "lastn",
      "comment" : "The key differences between this query operation and simply searching Observation using the combination of `_count` and `_sort` parameters are:\r\r* The *lastn* query returns **only** the last N resource grouped by code.  Using the _count query method doesn't restrict the total matches so you may need to page through several \"A\" Observations  before getting to Observation \"B\".\r* The server is responsible for grouping the observations by codes.  This frees the client from needing to determine which codes she should ask for.\r\rThis operation cannot be performed on observations that the user is not authorized to see.  It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification.",
      "resource" : ["Observation"],
      "system" : false,
      "type" : true,
      "instance" : false,
      "parameter" : [{
        "name" : "max",
        "use" : "in",
        "min" : 0,
        "max" : "1",
        "documentation" : "`max` is  an optional input parameter to the *lastn* query operation.  It is used to specify the maximum number of Observations to return from each group. For example for the query \"Fetch the last 3 results for all vitals for a patient\" `max` = 3.",
        "type" : "positiveInt"
      },
      {
        "name" : "return",
        "use" : "out",
        "min" : 1,
        "max" : "1",
        "documentation" : "The set of most recent N Observations that match the *lastn* query search criteria.",
        "type" : "Bundle"
      }]
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/OperationDefinition/Observation-stats",
    "resource" : {
      "resourceType" : "OperationDefinition",
      "id" : "Observation-stats",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
Observation Statistics
OPERATION: Observation Statistics
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/Observation-stats
The Statistics operation performs a set of statistical calculations on a set of clinical measurements such as a blood pressure as stored on the server.  This operation evaluates Observation resources having valueQuantity elements that have UCUM unit codes. Observations with a status of 'entered-in-error' will be excluded from the calculations.
\n
The set of Observations is defined by 4 parameters:
\n
\n
the subject of the observations for which the statistics are being generated (subject)
\n
which observations to generate statistics for (code and system, or coding)
\n
the time period over which to generate statistics 'durationorperiod`)
\n
the set of statistical analyses to return (statistic)
\n
\n
Possible statistical analyses (see StatisticsCode):
\n
\n
average ("Average"): The mean of N measurements over the stated period.
\n
maximum ("Maximum"): The maximum value of N measurements over the stated period.
\n
minimum ("Minimum"): The minimum value of N measurements over the stated period.
\n
count ("Count"): The [number] of valid measurements over the stated period that contributed to the other statistical outputs.
\n
total-count ("Total Count"): The total [number] of valid measurements over the stated period, including observations that were ignored because they did not contain valid result values.
\n
median ("Median"): The median of N measurements over the stated period.
\n
std-dev ("Standard Deviation"): The standard deviation of N measurements over the stated period.
\n
sum ("Sum"): The sum of N measurements over the stated period.
\n
variance ("Variance"): The variance of N measurements over the stated period.
\n
20-percent ("20th Percentile"): The 20th Percentile of N measurements over the stated period.
\n
80-percent ("80th Percentile"): The 80th Percentile of N measurements over the stated period.
\n
4-lower ("Lower Quartile"): The lower Quartile Boundary of N measurements over the stated period.
\n
4-upper ("Upper Quartile"): The upper Quartile Boundary of N measurements over the stated period.
\n
4-dev ("Quartile Deviation"): The difference between the upper and lower Quartiles is called the Interquartile range. (IQR = Q3-Q1) Quartile deviation or Semi-interquartile range is one-half the difference between the first and the third quartiles.
\n
5-1 ("1st Quintile"): The lowest of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population.
\n
5-2 ("2nd Quintile"): The second of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population.
\n
5-3 ("3rd Quintile"): The third of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population.
\n
5-4 ("4th Quintile"): The fourth of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population.
\n
skew ("Skew"): Skewness is a measure of the asymmetry of the probability distribution of a real-valued random variable about its mean. The skewness value can be positive or negative, or even undefined.  Source: Wikipedia.
\n
kurtosis ("Kurtosis"): Kurtosis  is a measure of the "tailedness" of the probability distribution of a real-valued random variable.   Source: Wikipedia.
\n
regression ("Regression"): Linear regression is an approach for modeling two-dimensional sample points with one independent variable and one dependent variable (conventionally, the x and y coordinates in a Cartesian coordinate system) and finds a linear function (a non-vertical straight line) that, as accurately as possible, predicts the dependent variable values as a function of the independent variables. Source: Wikipedia  This Statistic code will return both a gradient and an intercept value.
\n
\n
If successful, the operation returns an Observation resource for each code with the results of the statistical calculations as component value pairs where the component code = the statistical code. The Observation also contains the input parameters patient,code and duration parameters. If unsuccessful, an OperationOutcome with an error message will be returned.
\n
The client can request that all the observations on which the statistics are based be returned as well, using the include parameter. If an include parameter is specified, a limit may also be specified; the sources observations are subsetted at the server's discretion if count > limit. This functionality is included with the intent of supporting graphical presentation
\n
URL: [base]/Observation/$stats
Parameters
Use
Name
Cardinality
Type
Binding
Documentation
IN
subject
1..1
uri
The subject of the relevant Observations, which has the value of the Observation.subject.reference. E.g. 'Patient/123'. Reference can be to an absolute URL, but servers only perform stats on their own observations
\n
IN
code
0..*
string
The test code(s) upon which the statistics are being performed. Provide along with a system, or as a coding. For example, the LOINC code  =\n2339-0 (Glucose [Mass/​volume] in Blood) will evaluate all relevant Observations with this code in Observation.code and Observation.component.code. For LOINC codes that are panels, e.g., 85354-9(Blood pressure panel with all children optional), the stats operation returns statistics for each of the individual panel measurements.  That means it will include and evaluate all values grouped by code for all the individual observations that are: 1) referenced in   .related for .related.type = 'has-member'  and 2) component observations in Observation.component.
\n
IN
system
0..1
uri
The system for the code(s). Or provide a coding instead
\n
IN
coding
0..*
Coding
The test code upon which the statistics are being performed, as a Coding
\n
IN
duration
0..1
decimal
The time period of interest given as hours.  For example, the duration = "1" represents the last hour - the time period from on hour ago to now
\n
IN
period
0..1
Period
The time period over which the calculations to be performed, if a duration is not provided
\n
IN
statistic
1..*
code
average|max|min|count  The statistical operations to be performed on the relevant operations. Multiple statistics operations can be specified. These codes are defined here
\n
IN
include
0..1
boolean
Whether to return the observations on which the statistics are based
\n
IN
limit
0..1
positiveInt
If an include parameter is specified, a limit may also be specified to limit the number of source Observations returned.  If the include paramter is absent or equal to "false" the limit parameter SHALL be ignored by the server
\n
OUT
statistics
1..*
Observation
A set of observations, one observation for each code, each containing one component for each statistic. The Observation.component.code contains the statistic, and is relative to the Observation.code and cannot be interpreted independently.  The Observation will also contain a subject, effectivePeriod, and code reflecting the input parameters.  The status is fixed to final.
\n
OUT
source
0..*
Observation
Source observations on which the statistics are based
\n
If modifier extensions are present in the Observation, they must be accounted for by implementers.  A modifier extension may affect the observation.value in a way that it should be excluded from the from the calculations.
\n
This operation cannot be performed on observations that the user is not authorized to see.  It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification.
\n
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      }],
      "url" : "http://hl7.org/fhir/OperationDefinition/Observation-stats",
      "version" : "4.0.0",
      "name" : "Observation Statistics",
      "status" : "draft",
      "kind" : "operation",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "HL7 (FHIR Project)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        },
        {
          "system" : "email",
          "value" : "[email protected]"
        }]
      }],
      "description" : "The Statistics operation performs a set of statistical calculations on a set of clinical measurements such as a blood pressure as stored on the server.  This operation evaluates [Observation](observation.html) resources having valueQuantity elements that have UCUM unit codes. Observations with a status of 'entered-in-error' will be excluded from the calculations.  \r\rThe set of Observations is defined by 4 parameters:\r\r*  the subject of the observations for which the statistics are being generated (`subject`)\r* which observations to generate statistics for (`code` and `system`, or `coding`)\r* the time period over which to generate statistics 'duration` or `period`)\r* the set of statistical analyses to return (`statistic`)\r\rPossible statistical analyses (see [StatisticsCode](valueset-observation-statistics.html)):\r\r - **average** (\"Average\"): The [mean](https://en.wikipedia.org/wiki/Arithmetic_mean) of N measurements over the stated period.\r\n - **maximum** (\"Maximum\"): The [maximum](https://en.wikipedia.org/wiki/Maximal_element) value of N measurements over the stated period.\r\n - **minimum** (\"Minimum\"): The [minimum](https://en.wikipedia.org/wiki/Minimal_element) value of N measurements over the stated period.\r\n - **count** (\"Count\"): The [number] of valid measurements over the stated period that contributed to the other statistical outputs.\r\n - **total-count** (\"Total Count\"): The total [number] of valid measurements over the stated period, including observations that were ignored because they did not contain valid result values.\r\n - **median** (\"Median\"): The [median](https://en.wikipedia.org/wiki/Median) of N measurements over the stated period.\r\n - **std-dev** (\"Standard Deviation\"): The [standard deviation](https://en.wikipedia.org/wiki/Standard_deviation) of N measurements over the stated period.\r\n - **sum** (\"Sum\"): The [sum](https://en.wikipedia.org/wiki/Summation) of N measurements over the stated period.\r\n - **variance** (\"Variance\"): The [variance](https://en.wikipedia.org/wiki/Variance) of N measurements over the stated period.\r\n - **20-percent** (\"20th Percentile\"): The 20th [Percentile](https://en.wikipedia.org/wiki/Percentile) of N measurements over the stated period.\r\n - **80-percent** (\"80th Percentile\"): The 80th [Percentile](https://en.wikipedia.org/wiki/Percentile) of N measurements over the stated period.\r\n - **4-lower** (\"Lower Quartile\"): The lower [Quartile](https://en.wikipedia.org/wiki/Quartile) Boundary of N measurements over the stated period.\r\n - **4-upper** (\"Upper Quartile\"): The upper [Quartile](https://en.wikipedia.org/wiki/Quartile) Boundary of N measurements over the stated period.\r\n - **4-dev** (\"Quartile Deviation\"): The difference between the upper and lower [Quartiles](https://en.wikipedia.org/wiki/Quartile) is called the Interquartile range. (IQR = Q3-Q1) Quartile deviation or Semi-interquartile range is one-half the difference between the first and the third quartiles.\r\n - **5-1** (\"1st Quintile\"): The lowest of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population.\r\n - **5-2** (\"2nd Quintile\"): The second of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population.\r\n - **5-3** (\"3rd Quintile\"): The third of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population.\r\n - **5-4** (\"4th Quintile\"): The fourth of four values that divide the N measurements into a frequency distribution of five classes with each containing one fifth of the total population.\r\n - **skew** (\"Skew\"): Skewness is a measure of the asymmetry of the probability distribution of a real-valued random variable about its mean. The skewness value can be positive or negative, or even undefined.  Source: [Wikipedia](https://en.wikipedia.org/wiki/Skewness).\r\n - **kurtosis** (\"Kurtosis\"): Kurtosis  is a measure of the \"tailedness\" of the probability distribution of a real-valued random variable.   Source: [Wikipedia](https://en.wikipedia.org/wiki/Kurtosis).\r\n - **regression** (\"Regression\"): Linear regression is an approach for modeling two-dimensional sample points with one independent variable and one dependent variable (conventionally, the x and y coordinates in a Cartesian coordinate system) and finds a linear function (a non-vertical straight line) that, as accurately as possible, predicts the dependent variable values as a function of the independent variables. Source: [Wikipedia](https://en.wikipedia.org/wiki/Simple_linear_regression)  This Statistic code will return both a gradient and an intercept value.\r\n\r\rIf successful, the operation returns an Observation resource for each code with the results of the statistical calculations as component value pairs where the component code = the statistical code. The Observation also contains the input parameters `patient`,`code` and `duration` parameters. If unsuccessful, an [OperationOutcome](operationoutcome.html) with an error message will be returned.\r\rThe client can request that all the observations on which the statistics are based be returned as well, using the include parameter. If an include parameter is specified, a limit may also be specified; the sources observations are subsetted at the server's discretion if count > limit. This functionality is included with the intent of supporting graphical presentation",
      "code" : "stats",
      "comment" : "If [modifier extensions](extensibility.html#modifierExtension) are present in the Observation, they must be accounted for by implementers.  A modifier extension may affect the observation.value in a way that it should be excluded from the from the calculations.\r\rThis operation cannot be performed on observations that the user is not authorized to see.  It is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one. If there is no nominated patient (e.g. the operation is invoked at the system level) and the context is not associated with a single patient record, then the server should return an error. Specifying the relationship between the context, a user and patient records is outside the scope of this specification.",
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Fetch Patient Record
OPERATION: Fetch Patient Record
The official URL for this operation definition is: 
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\n
The intended use for this operation is to provide a patient with access to their entire record (e.g. "Blue Button"), or for provider or other user to perform a bulk data download.  The server SHOULD return at least all resources that it has that are in the patient compartment for the identified patient(s), and any resource referenced from those, including binaries and attachments. In the US Realm, at a minimum, the resources returned SHALL include all the data covered by the meaningful use common data elements as defined in the US Core Implementation Guide. Other applicable implementation guides may make additional rules about how much information that is returned.
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URL: [base]/Patient/$everything
URL: [base]/Patient/[id]/$everything
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OUT
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\n
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\n
When this operation is used to access multiple patient records at once, the return bundle could be rather a lot of data; servers may choose to require that such requests are made asynchronously, and associated with bulk data formats. Alternatively, clients may choose to page through the result set (or servers may require this). Paging through the results is done the same as for Searching, using the _count parameter, and Bundle links. Implementers should note that paging will be slower than simply returning all the results at once (more network traffic, multiple latency delays) but may be required in order not to exhaust available memory reading or writing the whole response in a single package. Unlike searching, there is no inherent user-display order for the $everything operation. Servers might consider sorting the returned resources in descending order of last record update, but are not required to do so.
\n
The _since parameter is provided to support periodic queries to get additional information that has changed about the patient since the last query. This means that the _since parameter is based on record time. The value of the _since parameter should be set to the time from the server. If using direct response, this is the timestamp in the response header. If using the async interface, this is the transaction timestamp in the json response. Servers should ensure that the timestamps a managed such that the client does not miss any changes. Clients should be able to handle getting the same response more than once in the case that the transaction falls on a time boundary. Clients should ensure that the other query parameters are constant to ensure a coherent set of records when doing periodic queries.
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"
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      "url" : "http://hl7.org/fhir/OperationDefinition/Patient-everything",
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      "code" : "everything",
      "comment" : "The key differences between this operation and simply searching the patient compartment are:    \n\n* unless the client requests otherwise, the server returns the entire result set in a single bundle (rather than using paging)  \n* the server is responsible for determining what resources to return as included resources (rather than the client specifying which ones). \n\nThis frees the client from needing to determine what it could or should ask for, particularly with regard to included resources. Servers should consider returning appropriate Provenance and AuditTrail on the returned resources, even though these are not directly part of the patient compartment. \n\nIt is assumed that the server has identified and secured the context appropriately, and can either associate the authorization context with a single patient, or determine whether the context has the rights to the nominated patient, if there is one, or can determine an appropriate list of patients to provide data for from the context of the request.   If there is no nominated patient (GET /Patient/$everything) and the context is not associated with a single patient record, the actual list of patients is all patients that the user associated with the request has access to. This may be all patients in the family that the patient has access to, or it may be all patients that a care provider has access to, or all patients on the entire record system. In such cases, the server may choose to return an error rather than all the records.  Specifying the relationship between the context, a user and patient records is outside the scope of this specification (though see [The Smart App Launch Implementation Guide](http://hl7.org/fhir/smart-app-launch). \n\nWhen this operation is used to access multiple patient records at once, the return bundle could be rather a lot of data; servers may choose to require that such requests are made [asynchronously](async.html), and associated with [bulk data formats](formats.html#bulk). Alternatively, clients may choose to page through the result set (or servers may require this). Paging through the results is done the same as for [Searching](http.html#paging), using the [_count](search.html#count) parameter, and Bundle links. Implementers should note that paging will be slower than simply returning all the results at once (more network traffic, multiple latency delays) but may be required in order not to exhaust available memory reading or writing the whole response in a single package. Unlike searching, there is no inherent user-display order for the $everything operation. Servers might consider sorting the returned resources in descending order of last record update, but are not required to do so.\n\nThe _since parameter is provided to support periodic queries to get additional information that has changed about the patient since the last query. This means that the _since parameter is based on record time. The value of the _since parameter should be set to the time from the server. If using direct response, this is the timestamp in the response header. If using the async interface, this is the transaction timestamp in the json response. Servers should ensure that the timestamps a managed such that the client does not miss any changes. Clients should be able to handle getting the same response more than once in the case that the transaction falls on a time boundary. Clients should ensure that the other query parameters are constant to ensure a coherent set of records when doing periodic queries.",
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Find patient matches using MPI based logic
OPERATION: Find patient matches using MPI based logic
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/Patient-match
A Master Patient Index (MPI ) is a service used to manage patient identification in a context where multiple patient databases exist. Healthcare applications and middleware use the MPI to match patients between the databases, and to store new patient details as they are encountered. MPIs are highly specialized applications, often tailored extensively to the institution's particular mix of patients. MPIs can also be run on a regional and national basis.
\n
To ask an MPI to match a patient, clients use the "$match" operation, which accepts a patient resource which may be only partially complete. The data provided is interpreted as an MPI input and processed by an algorithm of some kind that uses the data to determine the most appropriate matches in the patient set.  Note that different MPI matching algorithms have different required inputs. The generic $match operation does not specify any particular algorithm, nor a minimum set of information that must be provided when asking for an MPI match operation to be performed, but many implementations will have a set of minimum information, which may be declared in their definition of the $match operation by specifying a profile on the resource parameter, indicating which properties are required in the search.  The patient resource submitted to the operation does not have to be complete, nor does it need to pass validation (i.e. mandatory fields don't need to be populated), but it does have to be a valid instance, as it is used as the reference data to match against.
\n
URL: [base]/Patient/$match
Parameters
Use
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Use this to provide an entire set of patient details for the MPI to match against (e.g. POST a patient record to Patient/$match).
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IN
onlyCertainMatches
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If there are multiple potential matches, then the match should not return the results with this flag set to true.  When false, the server may return multiple results with each result graded accordingly.
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IN
count
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The maximum number of records to return. If no value is provided, the server decides how many matches to return. Note that clients should be careful when using this, as it may prevent probable - and valid - matches from being returned
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OUT
return
1..1
Bundle
A bundle contain a set of Patient records that represent possible matches, optionally it may also contain an OperationOutcome with further information about the search results (such as warnings or information messages, such as a count of records that were close but eliminated)  If the operation was unsuccessful, then an OperationOutcome may be returned along with a BadRequest status Code (e.g. security issue, or insufficient properties in patient fragment - check against profile)
\n
The response from an "mpi" query is a bundle containing patient records, ordered from most likely to least likely. If there are no patient matches, the MPI SHALL return an empty search set with no error, but may include an operation outcome with further advice regarding patient selection. All patient records SHALL have a search score from 0 to 1, where 1 is the most certain match, along with an extension "match-grade" that indicates the MPI's position on the match quality.
\n
"
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        "valueCode" : "trial-use"
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      "url" : "http://hl7.org/fhir/OperationDefinition/Patient-match",
      "version" : "4.0.0",
      "name" : "Find patient matches using MPI based logic",
      "status" : "draft",
      "kind" : "operation",
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      "publisher" : "HL7 (FHIR Project)",
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          "value" : "http://hl7.org/fhir"
        },
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          "value" : "[email protected]"
        }]
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      "description" : "A Master Patient Index ([MPI](http://en.wikipedia.org/wiki/Enterprise_master_patient_index) ) is a service used to manage patient identification in a context where multiple patient databases exist. Healthcare applications and middleware use the MPI to match patients between the databases, and to store new patient details as they are encountered. MPIs are highly specialized applications, often tailored extensively to the institution's particular mix of patients. MPIs can also be run on a regional and national basis.  \n\nTo ask an MPI to match a patient, clients use the \"$match\" operation, which accepts a patient resource which may be only partially complete. The data provided is interpreted as an MPI input and processed by an algorithm of some kind that uses the data to determine the most appropriate matches in the patient set.  Note that different MPI matching algorithms have different required inputs. The generic $match operation does not specify any particular algorithm, nor a minimum set of information that must be provided when asking for an MPI match operation to be performed, but many implementations will have a set of minimum information, which may be declared in their definition of the $match operation by specifying a profile on the resource parameter, indicating which properties are required in the search.  The patient resource submitted to the operation does not have to be complete, nor does it need to pass validation (i.e. mandatory fields don't need to be populated), but it does have to be a valid instance, as it is used as the reference data to match against.",
      "code" : "match",
      "comment" : "The response from an \"mpi\" query is a bundle containing patient records, ordered from most likely to least likely. If there are no patient matches, the MPI SHALL return an empty search set with no error, but may include an operation outcome with further advice regarding patient selection. All patient records SHALL have a search score from 0 to 1, where 1 is the most certain match, along with an extension \"[match-grade](extension-match-grade.html)\" that indicates the MPI's position on the match quality.",
      "resource" : ["Patient"],
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    "resource" : {
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      "id" : "PlanDefinition-apply",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
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Apply
OPERATION: Apply
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/PlanDefinition-apply
The apply operation applies a PlanDefinition to a given context
\n
URL: [base]/PlanDefinition/$apply
URL: [base]/PlanDefinition/[id]/$apply
Parameters
Use
Name
Cardinality
Type
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IN
planDefinition
0..1
PlanDefinition
The plan definition to be applied. If the operation is invoked at the instance level, this parameter is not allowed; if the operation is invoked at the type level, this parameter is required
\n
IN
subject
1..*
string
(reference)
The subject(s) that is/are the target of the plan to be applied. The subject may be a Patient, Practitioner, Organization, Location, Device, or Group. Subjects provided in this parameter will be resolved as the subject of the PlanDefinition based on the type of the subject. If multiple subjects of the same type are provided, the behavior is implementation-defined
\n
IN
encounter
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string
(reference)
The encounter in context, if any
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practitioner
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string
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The practitioner applying the plan definition
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organization
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string
(reference)
The organization applying the plan definition
\n
IN
userType
0..1
CodeableConcept
The type of user initiating the request, e.g. patient, healthcare provider, or specific type of healthcare provider (physician, nurse, etc.)
\n
IN
userLanguage
0..1
CodeableConcept
Preferred language of the person using the system
\n
IN
userTaskContext
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The task the system user is performing, e.g. laboratory results review, medication list review, etc. This information can be used to tailor decision support outputs, such as recommended information resources
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setting
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CodeableConcept
The current setting of the request (inpatient, outpatient, etc.)
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IN
settingContext
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CodeableConcept
Additional detail about the setting of the request, if any
\n
OUT
return
1..1
CarePlan
The CarePlan that is the result of applying the plan definition
\n
The result of this operation is a CarePlan resource with a single activity represented by a RequestGroup. The RequestGroup will have actions for each of the applicable actions in the plan based on evaluating the applicability condition in context. For each applicable action, the definition is applied as described in the $apply operation of the ActivityDefinition resource, and the resulting resource is added as an activity to the CarePlan. If the ActivityDefinition includes library references, those libraries will be available to the evaluated expressions. If those libraries have parameters, those parameters will be bound by name to the parameters given to the operation. In addition, parameters to the $apply operation are available within dynamicValue expressions as context variables, accessible by the name of the parameter, prefixed with a percent (%) symbol. For a more detailed description, refer to the PlanDefinition and ActivityDefinition resource documentation
\n
"
      },
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        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      }],
      "url" : "http://hl7.org/fhir/OperationDefinition/PlanDefinition-apply",
      "version" : "4.0.0",
      "name" : "Apply",
      "status" : "draft",
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URL: [base]/Resource/[id]/$meta-delete
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Generate Snapshot
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The official URL for this operation definition is: 
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If the operation is not called at the instance level, either definition or url 'in' parameters must be provided. If more than one is specified, servers may raise an error or may resolve with the parameter of their choice. If called at the instance level, these parameters will be ignored.
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URL: [base]/StructureDefinition/$snapshot
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Model Instance Transformation
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URL: [base]/StructureMap/$transform
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Value Set Expansion
OPERATION: Value Set Expansion
The official URL for this operation definition is: 
http://hl7.org/fhir/OperationDefinition/ValueSet-expand
The definition of a value set is used to create a simple collection of codes suitable for use for data entry or validation.
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If the operation is not called at the instance level, one of the in parameters url, context or valueSet must be provided.  An expanded value set will be returned, or an OperationOutcome with an error message.
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URL: [base]/ValueSet/$expand
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url
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context
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          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Account.meta",
          "path" : "Account.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Account.implicitRules",
          "path" : "Account.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Account.language",
          "path" : "Account.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Account.text",
          "path" : "Account.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Account.contained",
          "path" : "Account.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Account.extension",
          "path" : "Account.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Account.modifierExtension",
          "path" : "Account.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Account.identifier",
          "path" : "Account.identifier",
          "short" : "Account number",
          "definition" : "Unique identifier used to reference the account.  Might or might not be intended for human use (e.g. credit card number).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Account.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Account.status",
          "path" : "Account.status",
          "short" : "active | inactive | entered-in-error | on-hold | unknown",
          "definition" : "Indicates whether the account is presently used/usable or not.",
          "comment" : "This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the Account as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Account.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AccountStatus"
            }],
            "strength" : "required",
            "description" : "Indicates whether the account is available to be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/account-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Account.type",
          "path" : "Account.type",
          "short" : "E.g. patient, expense, depreciation",
          "definition" : "Categorizes the account for reporting and searching purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AccountType"
            }],
            "strength" : "example",
            "description" : "The usage type of this account, permits categorization of accounts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/account-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Account.name",
          "path" : "Account.name",
          "short" : "Human-readable label",
          "definition" : "Name used for the account when displaying it to humans in reports, etc.",
          "alias" : ["Title"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "Account.subject",
          "path" : "Account.subject",
          "short" : "The entity that caused the expenses",
          "definition" : "Identifies the entity which incurs the expenses. While the immediate recipients of services or goods might be entities related to the subject, the expenses were ultimately incurred by the subject of the Account.",
          "comment" : "Accounts can be applied to non-patients for tracking other non-patient related activities, such as group services (patients not tracked, and costs charged to another body), or might not be allocated.",
          "alias" : ["target"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Account.subject",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Account.servicePeriod",
          "path" : "Account.servicePeriod",
          "short" : "Transaction window",
          "definition" : "The date range of services associated with this account.",
          "comment" : "It is possible for transactions to be posted outside the service period, as long as the service was provided within the defined service period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.servicePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".coverage.insurancePolicy.effectiveTime"
          }]
        },
        {
          "id" : "Account.coverage",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Coverage"
          }],
          "path" : "Account.coverage",
          "short" : "The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account",
          "definition" : "The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account.",
          "comment" : "Typically. this may be some form of insurance, internal charges, or self-pay.\n\nLocal or jurisdictional business rules may determine which coverage covers which types of billable items charged to the account, and in which order.\nWhere the order is important, a local/jurisdictional extension may be defined to specify the order for the type of charge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Account.coverage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".coverage"
          }]
        },
        {
          "id" : "Account.coverage.id",
          "path" : "Account.coverage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Account.coverage.extension",
          "path" : "Account.coverage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Account.coverage.modifierExtension",
          "path" : "Account.coverage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Account.coverage.coverage",
          "path" : "Account.coverage.coverage",
          "short" : "The party(s), such as insurances, that may contribute to the payment of this account",
          "definition" : "The party(s) that contribute to payment (or part of) of the charges applied to this account (including self-pay).\n\nA coverage may only be responsible for specific types of charges, and the sequence of the coverages in the account could be important when processing billing.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Account.coverage.coverage",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".coverage.insurancePolicy.author"
          }]
        },
        {
          "id" : "Account.coverage.priority",
          "path" : "Account.coverage.priority",
          "short" : "The priority of the coverage in the context of this account",
          "definition" : "The priority of the coverage in the context of this account.",
          "comment" : "It is common in some jurisdictions for there to be multiple coverages allocated to an account, and a sequence is required to order the settling of the account (often with insurance claiming).",
          "alias" : ["coordination of benefit priority"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.coverage.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".coverage.sequenceNumber"
          }]
        },
        {
          "id" : "Account.owner",
          "path" : "Account.owner",
          "short" : "Entity managing the Account",
          "definition" : "Indicates the service area, hospital, department, etc. with responsibility for managing the Account.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.owner",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder"
          }]
        },
        {
          "id" : "Account.description",
          "path" : "Account.description",
          "short" : "Explanation of purpose/use",
          "definition" : "Provides additional information about what the account tracks and how it is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".subjectOf.observationEvent[code=\"annotation\"].value"
          }]
        },
        {
          "id" : "Account.guarantor",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Guarantor"
          }],
          "path" : "Account.guarantor",
          "short" : "The parties ultimately responsible for balancing the Account",
          "definition" : "The parties responsible for balancing the account if other payment options fall short.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Account.guarantor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder.guarantorRole"
          }]
        },
        {
          "id" : "Account.guarantor.id",
          "path" : "Account.guarantor.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Account.guarantor.extension",
          "path" : "Account.guarantor.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Account.guarantor.modifierExtension",
          "path" : "Account.guarantor.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Account.guarantor.party",
          "path" : "Account.guarantor.party",
          "short" : "Responsible entity",
          "definition" : "The entity who is responsible.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Account.guarantor.party",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder.guarantorRole[guarantorPerson|guarantorOrganization]"
          }]
        },
        {
          "id" : "Account.guarantor.onHold",
          "path" : "Account.guarantor.onHold",
          "short" : "Credit or other hold applied",
          "definition" : "A guarantor may be placed on credit hold or otherwise have their role temporarily suspended.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.guarantor.onHold",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder.guarantorRole.statusCode"
          }]
        },
        {
          "id" : "Account.guarantor.period",
          "path" : "Account.guarantor.period",
          "short" : "Guarantee account during",
          "definition" : "The timeframe during which the guarantor accepts responsibility for the account.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.guarantor.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder.guarantorRole.effectiveTime"
          }]
        },
        {
          "id" : "Account.partOf",
          "path" : "Account.partOf",
          "short" : "Reference to a parent Account",
          "definition" : "Reference to a parent Account.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Account.partOf",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Account",
          "path" : "Account",
          "short" : "Tracks balance, charges, for patient or cost center",
          "definition" : "A financial tool for tracking value accrued for a particular purpose.  In the healthcare field, used to track charges for a patient, cost centers, etc.",
          "alias" : ["Cost center",
          "Record"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Account"
          }]
        },
        {
          "id" : "Account.identifier",
          "path" : "Account.identifier",
          "short" : "Account number",
          "definition" : "Unique identifier used to reference the account.  Might or might not be intended for human use (e.g. credit card number).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Account.status",
          "path" : "Account.status",
          "short" : "active | inactive | entered-in-error | on-hold | unknown",
          "definition" : "Indicates whether the account is presently used/usable or not.",
          "comment" : "This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the Account as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AccountStatus"
            }],
            "strength" : "required",
            "description" : "Indicates whether the account is available to be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/account-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Account.type",
          "path" : "Account.type",
          "short" : "E.g. patient, expense, depreciation",
          "definition" : "Categorizes the account for reporting and searching purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AccountType"
            }],
            "strength" : "example",
            "description" : "The usage type of this account, permits categorization of accounts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/account-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Account.name",
          "path" : "Account.name",
          "short" : "Human-readable label",
          "definition" : "Name used for the account when displaying it to humans in reports, etc.",
          "alias" : ["Title"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "Account.subject",
          "path" : "Account.subject",
          "short" : "The entity that caused the expenses",
          "definition" : "Identifies the entity which incurs the expenses. While the immediate recipients of services or goods might be entities related to the subject, the expenses were ultimately incurred by the subject of the Account.",
          "comment" : "Accounts can be applied to non-patients for tracking other non-patient related activities, such as group services (patients not tracked, and costs charged to another body), or might not be allocated.",
          "alias" : ["target"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Account.servicePeriod",
          "path" : "Account.servicePeriod",
          "short" : "Transaction window",
          "definition" : "The date range of services associated with this account.",
          "comment" : "It is possible for transactions to be posted outside the service period, as long as the service was provided within the defined service period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".coverage.insurancePolicy.effectiveTime"
          }]
        },
        {
          "id" : "Account.coverage",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Coverage"
          }],
          "path" : "Account.coverage",
          "short" : "The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account",
          "definition" : "The party(s) that are responsible for covering the payment of this account, and what order should they be applied to the account.",
          "comment" : "Typically. this may be some form of insurance, internal charges, or self-pay.\n\nLocal or jurisdictional business rules may determine which coverage covers which types of billable items charged to the account, and in which order.\nWhere the order is important, a local/jurisdictional extension may be defined to specify the order for the type of charge.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".coverage"
          }]
        },
        {
          "id" : "Account.coverage.coverage",
          "path" : "Account.coverage.coverage",
          "short" : "The party(s), such as insurances, that may contribute to the payment of this account",
          "definition" : "The party(s) that contribute to payment (or part of) of the charges applied to this account (including self-pay).\n\nA coverage may only be responsible for specific types of charges, and the sequence of the coverages in the account could be important when processing billing.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".coverage.insurancePolicy.author"
          }]
        },
        {
          "id" : "Account.coverage.priority",
          "path" : "Account.coverage.priority",
          "short" : "The priority of the coverage in the context of this account",
          "definition" : "The priority of the coverage in the context of this account.",
          "comment" : "It is common in some jurisdictions for there to be multiple coverages allocated to an account, and a sequence is required to order the settling of the account (often with insurance claiming).",
          "alias" : ["coordination of benefit priority"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".coverage.sequenceNumber"
          }]
        },
        {
          "id" : "Account.owner",
          "path" : "Account.owner",
          "short" : "Entity managing the Account",
          "definition" : "Indicates the service area, hospital, department, etc. with responsibility for managing the Account.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder"
          }]
        },
        {
          "id" : "Account.description",
          "path" : "Account.description",
          "short" : "Explanation of purpose/use",
          "definition" : "Provides additional information about what the account tracks and how it is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".subjectOf.observationEvent[code=\"annotation\"].value"
          }]
        },
        {
          "id" : "Account.guarantor",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Guarantor"
          }],
          "path" : "Account.guarantor",
          "short" : "The parties ultimately responsible for balancing the Account",
          "definition" : "The parties responsible for balancing the account if other payment options fall short.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder.guarantorRole"
          }]
        },
        {
          "id" : "Account.guarantor.party",
          "path" : "Account.guarantor.party",
          "short" : "Responsible entity",
          "definition" : "The entity who is responsible.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder.guarantorRole[guarantorPerson|guarantorOrganization]"
          }]
        },
        {
          "id" : "Account.guarantor.onHold",
          "path" : "Account.guarantor.onHold",
          "short" : "Credit or other hold applied",
          "definition" : "A guarantor may be placed on credit hold or otherwise have their role temporarily suspended.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder.guarantorRole.statusCode"
          }]
        },
        {
          "id" : "Account.guarantor.period",
          "path" : "Account.guarantor.period",
          "short" : "Guarantee account during",
          "definition" : "The timeframe during which the guarantor accepts responsibility for the account.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".holder.guarantorRole.effectiveTime"
          }]
        },
        {
          "id" : "Account.partOf",
          "path" : "Account.partOf",
          "short" : "Reference to a parent Account",
          "definition" : "Reference to a parent Account.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ActivityDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ActivityDefinition 
ITU
DomainResource
The definition of a specific activity to be taken, independent of any particular patient or context
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this activity definition, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the activity definition
 version 
Σ
0..1
string
Business version of the activity definition
 name 
ΣI
0..1
string
Name for this activity definition (computer friendly)
 title 
Σ
0..1
string
Name for this activity definition (human friendly)
 subtitle 
0..1
string
Subordinate title of the activity definition
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 subject[x] 
0..1
Type of individual the activity definition is intended for
Subject type (Extensible)
 subjectCodeableConcept
CodeableConcept
 subjectReference
Reference(Group)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the activity definition
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for activity definition (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this activity definition is defined
 usage 
0..1
string
Describes the clinical usage of the activity definition
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the activity definition was approved by publisher
 lastReviewDate 
0..1
date
When the activity definition was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the activity definition is expected to be used
 topic 
0..*
CodeableConcept
E.g. Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 library 
0..*
canonical(Library)
Logic used by the activity definition
 kind 
Σ
0..1
code
Kind of resource
RequestResourceType (Required)
 profile 
0..1
canonical(StructureDefinition)
What profile the resource needs to conform to
 code 
Σ
0..1
CodeableConcept
Detail type of activity
Procedure Codes (SNOMED CT) (Example)
 intent 
0..1
code
proposal | plan | order
RequestIntent (Required)
 priority 
0..1
code
routine | urgent | asap | stat
Request priority (Required)
 doNotPerform 
?!Σ
0..1
boolean
True if the activity should not be performed
 timing[x] 
0..1
When activity is to occur
 timingTiming
Timing
 timingDateTime
dateTime
 timingAge
Age
 timingPeriod
Period
 timingRange
Range
 timingDuration
Duration
 location 
0..1
Reference(Location)
Where it should happen
 participant 
0..*
BackboneElement
Who should participate in the action
 type 
1..1
code
patient | practitioner | related-person | device
ActionParticipantType (Required)
 role 
0..1
CodeableConcept
E.g. Nurse, Surgeon, Parent, etc.
Action participant role (Example)
 product[x] 
0..1
What's administered/supplied
SNOMED CT Medication Codes (Example)
 productReference
Reference(Medication | Substance)
 productCodeableConcept
CodeableConcept
 quantity 
0..1
SimpleQuantity
How much is administered/consumed/supplied
 dosage 
0..*
Dosage
Detailed dosage instructions
 bodySite 
0..*
CodeableConcept
What part of body to perform on
SNOMED CT Body Structures (Example)
 specimenRequirement 
0..*
Reference(SpecimenDefinition)
What specimens are required to perform this action
 observationRequirement 
0..*
Reference(ObservationDefinition)
What observations are required to perform this action
 observationResultRequirement 
0..*
Reference(ObservationDefinition)
What observations must be produced by this action
 transform 
0..1
canonical(StructureMap)
Transform to apply the template
 dynamicValue 
0..*
BackboneElement
Dynamic aspects of the definition
 path 
1..1
string
The path to the element to be set dynamically
 expression 
1..1
Expression
An expression that provides the dynamic value for the customization

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Definitional Artifacts"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
      "version" : "4.0.0",
      "name" : "ActivityDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ActivityDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ActivityDefinition",
          "path" : "ActivityDefinition",
          "short" : "The definition of a specific activity to be taken, independent of any particular patient or context",
          "definition" : "This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "adf-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=ACT; moodCode=DEFN]"
          }]
        },
        {
          "id" : "ActivityDefinition.id",
          "path" : "ActivityDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ActivityDefinition.meta",
          "path" : "ActivityDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ActivityDefinition.implicitRules",
          "path" : "ActivityDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ActivityDefinition.language",
          "path" : "ActivityDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ActivityDefinition.text",
          "path" : "ActivityDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ActivityDefinition.contained",
          "path" : "ActivityDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.extension",
          "path" : "ActivityDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.modifierExtension",
          "path" : "ActivityDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.url",
          "path" : "ActivityDefinition.url",
          "short" : "Canonical identifier for this activity definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this activity definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this activity definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the activity definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the activity definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier[scope=BUSN;reliability=ISS]"
          }]
        },
        {
          "id" : "ActivityDefinition.identifier",
          "path" : "ActivityDefinition.identifier",
          "short" : "Additional identifier for the activity definition",
          "definition" : "A formal identifier that is used to identify this activity definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.version",
          "path" : "ActivityDefinition.version",
          "short" : "Business version of the activity definition",
          "definition" : "The identifier that is used to identify this version of the activity definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the activity definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets.",
          "comment" : "There may be different activity definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.name",
          "path" : "ActivityDefinition.name",
          "short" : "Name for this activity definition (computer friendly)",
          "definition" : "A natural language name identifying the activity definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.title",
          "path" : "ActivityDefinition.title",
          "short" : "Name for this activity definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the activity definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "ActivityDefinition.subtitle",
          "path" : "ActivityDefinition.subtitle",
          "short" : "Subordinate title of the activity definition",
          "definition" : "An explanatory or alternate title for the activity definition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ActivityDefinition.status",
          "path" : "ActivityDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this activity definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of activity definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status {different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ActivityDefinition.experimental",
          "path" : "ActivityDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this activity definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of activity definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level activity definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.subject[x]",
          "path" : "ActivityDefinition.subject[x]",
          "short" : "Type of individual the activity definition is intended for",
          "definition" : "A code or group definition that describes the intended subject of the activity being defined.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.subject[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "ActivityDefinition.date",
          "path" : "ActivityDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the activity definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the activity definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "ActivityDefinition.publisher",
          "path" : "ActivityDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the activity definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the activity definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher {as string instead of CodeableConcept}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "ActivityDefinition.contact",
          "path" : "ActivityDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CALLBCK].role"
          }]
        },
        {
          "id" : "ActivityDefinition.description",
          "path" : "ActivityDefinition.description",
          "short" : "Natural language description of the activity definition",
          "definition" : "A free text natural language description of the activity definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the activity definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "ActivityDefinition.useContext",
          "path" : "ActivityDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate activity definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.jurisdiction",
          "path" : "ActivityDefinition.jurisdiction",
          "short" : "Intended jurisdiction for activity definition (if applicable)",
          "definition" : "A legal or geographic region in which the activity definition is intended to be used.",
          "comment" : "It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.purpose",
          "path" : "ActivityDefinition.purpose",
          "short" : "Why this activity definition is defined",
          "definition" : "Explanation of why this activity definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the activity definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this activity definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode.text"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.usage",
          "path" : "ActivityDefinition.usage",
          "short" : "Describes the clinical usage of the activity definition",
          "definition" : "A detailed description of how the activity definition is used from a clinical perspective.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.usage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.copyright",
          "path" : "ActivityDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the activity definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the activity definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the activity definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.approvalDate",
          "path" : "ActivityDefinition.approvalDate",
          "short" : "When the activity definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].act[classCode=CACT;moodCode=EVN;code=\"approval\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.lastReviewDate",
          "path" : "ActivityDefinition.lastReviewDate",
          "short" : "When the activity definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"; subsetCode=\"RECENT\"].act[classCode=CACT;moodCode=EVN;code=\"review\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.effectivePeriod",
          "path" : "ActivityDefinition.effectivePeriod",
          "short" : "When the activity definition is expected to be used",
          "definition" : "The period during which the activity definition content was or is planned to be in active use.",
          "comment" : "The effective period for a activity definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the activity definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.topic",
          "path" : "ActivityDefinition.topic",
          "short" : "E.g. Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the activity. Topics provide a high-level categorization of the activity that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the activity definition so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.author",
          "path" : "ActivityDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "ActivityDefinition.editor",
          "path" : "ActivityDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ActivityDefinition.reviewer",
          "path" : "ActivityDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ActivityDefinition.endorser",
          "path" : "ActivityDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ActivityDefinition.relatedArtifact",
          "path" : "ActivityDefinition.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Activity definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV w/ inversionInd=true; No support for citation}"
          }]
        },
        {
          "id" : "ActivityDefinition.library",
          "path" : "ActivityDefinition.library",
          "short" : "Logic used by the activity definition",
          "definition" : "A reference to a Library resource containing any formal logic used by the activity definition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.library",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=USE].target[classCode=GROUPER,moodCode=EVN]"
          }]
        },
        {
          "id" : "ActivityDefinition.kind",
          "path" : "ActivityDefinition.kind",
          "short" : "Kind of resource",
          "definition" : "A description of the kind of resource the activity definition is representing. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Typically, but not always, this is a Request resource.",
          "comment" : "May determine what types of extensions are permitted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.kind",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityDefinitionKind"
            }],
            "strength" : "required",
            "description" : "The kind of activity the definition is describing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-resource-types|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".classCode"
          }]
        },
        {
          "id" : "ActivityDefinition.profile",
          "path" : "ActivityDefinition.profile",
          "short" : "What profile the resource needs to conform to",
          "definition" : "A profile to which the target of the activity definition is expected to conform.",
          "requirements" : "Allows profiles to be used to describe the types of activities that can be performed within a workflow, protocol, or order set.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.profile",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ActivityDefinition.code",
          "path" : "ActivityDefinition.code",
          "short" : "Detail type of activity",
          "definition" : "Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.",
          "comment" : "Tends to be less relevant for activities involving particular products.",
          "requirements" : "Allows matching performed to planned as well as validation against protocols.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityDefinitionType"
            }],
            "strength" : "example",
            "description" : "Detailed type of the activity; e.g. CBC.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "ActivityDefinition.intent",
          "path" : "ActivityDefinition.intent",
          "short" : "proposal | plan | order",
          "definition" : "Indicates the level of authority/intentionality associated with the activity and where the request should fit into the workflow chain.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.intent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestIntent"
            }],
            "strength" : "required",
            "description" : "Codes indicating the degree of authority/intentionality associated with a request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          }
        },
        {
          "id" : "ActivityDefinition.priority",
          "path" : "ActivityDefinition.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the activity  should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          }
        },
        {
          "id" : "ActivityDefinition.doNotPerform",
          "path" : "ActivityDefinition.doNotPerform",
          "short" : "True if the activity should not be performed",
          "definition" : "Set this to true if the definition is to indicate that a particular activity should NOT be performed. If true, this element should be interpreted to reinforce a negative coding. For example NPO as a code with a doNotPerform of true would still indicate to NOT perform the action.",
          "comment" : "This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the \"remove\" type of a PlanDefinition or RequestGroup.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.doNotPerform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For Example,  instead of a request for a procedure, it is a request for the procedure to not occur.",
          "isSummary" : true
        },
        {
          "id" : "ActivityDefinition.timing[x]",
          "path" : "ActivityDefinition.timing[x]",
          "short" : "When activity is to occur",
          "definition" : "The period, timing or frequency upon which the described activity is to occur.",
          "requirements" : "Allows prompting for activities and detection of missed planned activities.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.timing[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Timing"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "ActivityDefinition.location",
          "path" : "ActivityDefinition.location",
          "short" : "Where it should happen",
          "definition" : "Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.",
          "comment" : "May reference a specific clinical location or may just identify a type of location.",
          "requirements" : "Helps in planning of activity.",
          "alias" : ["facility"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          }]
        },
        {
          "id" : "ActivityDefinition.participant",
          "path" : "ActivityDefinition.participant",
          "short" : "Who should participate in the action",
          "definition" : "Indicates who should participate in performing the action described.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.participant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM]"
          }]
        },
        {
          "id" : "ActivityDefinition.participant.id",
          "path" : "ActivityDefinition.participant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ActivityDefinition.participant.extension",
          "path" : "ActivityDefinition.participant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ActivityDefinition.participant.modifierExtension",
          "path" : "ActivityDefinition.participant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.participant.type",
          "path" : "ActivityDefinition.participant.type",
          "short" : "patient | practitioner | related-person | device",
          "definition" : "The type of participant in the action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.participant.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityParticipantType"
            }],
            "strength" : "required",
            "description" : "The type of participant in the activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".role.classCode"
          }]
        },
        {
          "id" : "ActivityDefinition.participant.role",
          "path" : "ActivityDefinition.participant.role",
          "short" : "E.g. Nurse, Surgeon, Parent, etc.",
          "definition" : "The role the participant should play in performing the described action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.participant.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityParticipantRole"
            }],
            "strength" : "example",
            "description" : "Defines roles played by participants for the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-participant-role"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".role.code"
          }]
        },
        {
          "id" : "ActivityDefinition.product[x]",
          "path" : "ActivityDefinition.product[x]",
          "short" : "What's administered/supplied",
          "definition" : "Identifies the food, drug or other product being consumed or supplied in the activity.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.product[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityProduct"
            }],
            "strength" : "example",
            "description" : "Code describing the type of substance or medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role"
          }]
        },
        {
          "id" : "ActivityDefinition.quantity",
          "path" : "ActivityDefinition.quantity",
          "short" : "How much is administered/consumed/supplied",
          "definition" : "Identifies the quantity expected to be consumed at once (per dose, per meal, etc.).",
          "alias" : ["dose"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity {for classCode=SPLY}"
          }]
        },
        {
          "id" : "ActivityDefinition.dosage",
          "path" : "ActivityDefinition.dosage",
          "short" : "Detailed dosage instructions",
          "definition" : "Provides detailed dosage instructions in the same way that they are described for MedicationRequest resources.",
          "comment" : "If a dosage instruction is used, the definition should not specify timing or quantity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.dosage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Dosage"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM; moodCode=DEFN]"
          }]
        },
        {
          "id" : "ActivityDefinition.bodySite",
          "path" : "ActivityDefinition.bodySite",
          "short" : "What part of body to perform on",
          "definition" : "Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites).",
          "comment" : "Only used if not implicit in the code found in ServiceRequest.type.",
          "requirements" : "Knowing where the procedure is made is important for tracking if multiple sites are possible.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.bodySite",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "A code that identifies the anatomical location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".targetSiteCode {for classCode=PROC, SBADM}"
          }]
        },
        {
          "id" : "ActivityDefinition.specimenRequirement",
          "path" : "ActivityDefinition.specimenRequirement",
          "short" : "What specimens are required to perform this action",
          "definition" : "Defines specimen requirements for the action to be performed, such as required specimens for a lab test.",
          "requirements" : "Needed to represent lab order definitions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.specimenRequirement",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SpecimenDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ActivityDefinition.observationRequirement",
          "path" : "ActivityDefinition.observationRequirement",
          "short" : "What observations are required to perform this action",
          "definition" : "Defines observation requirements for the action to be performed, such as body weight or surface area.",
          "requirements" : "Needed to represent observation definitions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.observationRequirement",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ActivityDefinition.observationResultRequirement",
          "path" : "ActivityDefinition.observationResultRequirement",
          "short" : "What observations must be produced by this action",
          "definition" : "Defines the observations that are expected to be produced by the action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.observationResultRequirement",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ActivityDefinition.transform",
          "path" : "ActivityDefinition.transform",
          "short" : "Transform to apply the template",
          "definition" : "A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.",
          "comment" : "Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.transform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureMap"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue",
          "path" : "ActivityDefinition.dynamicValue",
          "short" : "Dynamic aspects of the definition",
          "definition" : "Dynamic values that will be evaluated to produce values for elements of the resulting resource. For example, if the dosage of a medication must be computed based on the patient's weight, a dynamic value would be used to specify an expression that calculated the weight, and the path on the request resource that would contain the result.",
          "comment" : "Dynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ActivityDefinition.dynamicValue",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue.id",
          "path" : "ActivityDefinition.dynamicValue.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue.extension",
          "path" : "ActivityDefinition.dynamicValue.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue.modifierExtension",
          "path" : "ActivityDefinition.dynamicValue.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue.path",
          "path" : "ActivityDefinition.dynamicValue.path",
          "short" : "The path to the element to be set dynamically",
          "definition" : "The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details).",
          "comment" : "The path attribute contains a [Simple FHIRPath Subset](fhirpath.html#simple) that allows path traversal, but not calculation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.dynamicValue.path",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue.expression",
          "path" : "ActivityDefinition.dynamicValue.expression",
          "short" : "An expression that provides the dynamic value for the customization",
          "definition" : "An expression specifying the value of the customized element.",
          "comment" : "The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ActivityDefinition.dynamicValue.expression",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Expression"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ActivityDefinition",
          "path" : "ActivityDefinition",
          "short" : "The definition of a specific activity to be taken, independent of any particular patient or context",
          "definition" : "This resource allows for the definition of some activity to be performed, independent of a particular patient, practitioner, or other performance context.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "adf-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=ACT; moodCode=DEFN]"
          }]
        },
        {
          "id" : "ActivityDefinition.url",
          "path" : "ActivityDefinition.url",
          "short" : "Canonical identifier for this activity definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this activity definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this activity definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the activity definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the activity definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier[scope=BUSN;reliability=ISS]"
          }]
        },
        {
          "id" : "ActivityDefinition.identifier",
          "path" : "ActivityDefinition.identifier",
          "short" : "Additional identifier for the activity definition",
          "definition" : "A formal identifier that is used to identify this activity definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this activity definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.version",
          "path" : "ActivityDefinition.version",
          "short" : "Business version of the activity definition",
          "definition" : "The identifier that is used to identify this version of the activity definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the activity definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets.",
          "comment" : "There may be different activity definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the activity definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.name",
          "path" : "ActivityDefinition.name",
          "short" : "Name for this activity definition (computer friendly)",
          "definition" : "A natural language name identifying the activity definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.title",
          "path" : "ActivityDefinition.title",
          "short" : "Name for this activity definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the activity definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "ActivityDefinition.subtitle",
          "path" : "ActivityDefinition.subtitle",
          "short" : "Subordinate title of the activity definition",
          "definition" : "An explanatory or alternate title for the activity definition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ActivityDefinition.status",
          "path" : "ActivityDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this activity definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of activity definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status {different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ActivityDefinition.experimental",
          "path" : "ActivityDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this activity definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of activity definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level activity definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.subject[x]",
          "path" : "ActivityDefinition.subject[x]",
          "short" : "Type of individual the activity definition is intended for",
          "definition" : "A code or group definition that describes the intended subject of the activity being defined.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for an activity (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "ActivityDefinition.date",
          "path" : "ActivityDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the activity definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the activity definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the activity definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "ActivityDefinition.publisher",
          "path" : "ActivityDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the activity definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the activity definition is the organization or individual primarily responsible for the maintenance and upkeep of the activity definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the activity definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the activity definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher {as string instead of CodeableConcept}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "ActivityDefinition.contact",
          "path" : "ActivityDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CALLBCK].role"
          }]
        },
        {
          "id" : "ActivityDefinition.description",
          "path" : "ActivityDefinition.description",
          "short" : "Natural language description of the activity definition",
          "definition" : "A free text natural language description of the activity definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the activity definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the activity definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the activity definition is presumed to be the predominant language in the place the activity definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "ActivityDefinition.useContext",
          "path" : "ActivityDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate activity definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.jurisdiction",
          "path" : "ActivityDefinition.jurisdiction",
          "short" : "Intended jurisdiction for activity definition (if applicable)",
          "definition" : "A legal or geographic region in which the activity definition is intended to be used.",
          "comment" : "It may be possible for the activity definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.purpose",
          "path" : "ActivityDefinition.purpose",
          "short" : "Why this activity definition is defined",
          "definition" : "Explanation of why this activity definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the activity definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this activity definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode.text"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.usage",
          "path" : "ActivityDefinition.usage",
          "short" : "Describes the clinical usage of the activity definition",
          "definition" : "A detailed description of how the activity definition is used from a clinical perspective.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.copyright",
          "path" : "ActivityDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the activity definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the activity definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the activity definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.approvalDate",
          "path" : "ActivityDefinition.approvalDate",
          "short" : "When the activity definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].act[classCode=CACT;moodCode=EVN;code=\"approval\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.lastReviewDate",
          "path" : "ActivityDefinition.lastReviewDate",
          "short" : "When the activity definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"; subsetCode=\"RECENT\"].act[classCode=CACT;moodCode=EVN;code=\"review\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.effectivePeriod",
          "path" : "ActivityDefinition.effectivePeriod",
          "short" : "When the activity definition is expected to be used",
          "definition" : "The period during which the activity definition content was or is planned to be in active use.",
          "comment" : "The effective period for a activity definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the activity definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ActivityDefinition.topic",
          "path" : "ActivityDefinition.topic",
          "short" : "E.g. Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the activity. Topics provide a high-level categorization of the activity that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the activity definition so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "ActivityDefinition.author",
          "path" : "ActivityDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "ActivityDefinition.editor",
          "path" : "ActivityDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "ActivityDefinition.reviewer",
          "path" : "ActivityDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ActivityDefinition.endorser",
          "path" : "ActivityDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ActivityDefinition.relatedArtifact",
          "path" : "ActivityDefinition.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Activity definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV w/ inversionInd=true; No support for citation}"
          }]
        },
        {
          "id" : "ActivityDefinition.library",
          "path" : "ActivityDefinition.library",
          "short" : "Logic used by the activity definition",
          "definition" : "A reference to a Library resource containing any formal logic used by the activity definition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=USE].target[classCode=GROUPER,moodCode=EVN]"
          }]
        },
        {
          "id" : "ActivityDefinition.kind",
          "path" : "ActivityDefinition.kind",
          "short" : "Kind of resource",
          "definition" : "A description of the kind of resource the activity definition is representing. For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest. Typically, but not always, this is a Request resource.",
          "comment" : "May determine what types of extensions are permitted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityDefinitionKind"
            }],
            "strength" : "required",
            "description" : "The kind of activity the definition is describing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-resource-types|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".classCode"
          }]
        },
        {
          "id" : "ActivityDefinition.profile",
          "path" : "ActivityDefinition.profile",
          "short" : "What profile the resource needs to conform to",
          "definition" : "A profile to which the target of the activity definition is expected to conform.",
          "requirements" : "Allows profiles to be used to describe the types of activities that can be performed within a workflow, protocol, or order set.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "ActivityDefinition.code",
          "path" : "ActivityDefinition.code",
          "short" : "Detail type of activity",
          "definition" : "Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.",
          "comment" : "Tends to be less relevant for activities involving particular products.",
          "requirements" : "Allows matching performed to planned as well as validation against protocols.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityDefinitionType"
            }],
            "strength" : "example",
            "description" : "Detailed type of the activity; e.g. CBC.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "ActivityDefinition.intent",
          "path" : "ActivityDefinition.intent",
          "short" : "proposal | plan | order",
          "definition" : "Indicates the level of authority/intentionality associated with the activity and where the request should fit into the workflow chain.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestIntent"
            }],
            "strength" : "required",
            "description" : "Codes indicating the degree of authority/intentionality associated with a request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          }
        },
        {
          "id" : "ActivityDefinition.priority",
          "path" : "ActivityDefinition.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the activity  should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          }
        },
        {
          "id" : "ActivityDefinition.doNotPerform",
          "path" : "ActivityDefinition.doNotPerform",
          "short" : "True if the activity should not be performed",
          "definition" : "Set this to true if the definition is to indicate that a particular activity should NOT be performed. If true, this element should be interpreted to reinforce a negative coding. For example NPO as a code with a doNotPerform of true would still indicate to NOT perform the action.",
          "comment" : "This element is not intended to be used to communicate a decision support response to cancel an order in progress. That should be done with the \"remove\" type of a PlanDefinition or RequestGroup.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For Example,  instead of a request for a procedure, it is a request for the procedure to not occur.",
          "isSummary" : true
        },
        {
          "id" : "ActivityDefinition.timing[x]",
          "path" : "ActivityDefinition.timing[x]",
          "short" : "When activity is to occur",
          "definition" : "The period, timing or frequency upon which the described activity is to occur.",
          "requirements" : "Allows prompting for activities and detection of missed planned activities.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Timing"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Duration"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "ActivityDefinition.location",
          "path" : "ActivityDefinition.location",
          "short" : "Where it should happen",
          "definition" : "Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.",
          "comment" : "May reference a specific clinical location or may just identify a type of location.",
          "requirements" : "Helps in planning of activity.",
          "alias" : ["facility"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          }]
        },
        {
          "id" : "ActivityDefinition.participant",
          "path" : "ActivityDefinition.participant",
          "short" : "Who should participate in the action",
          "definition" : "Indicates who should participate in performing the action described.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM]"
          }]
        },
        {
          "id" : "ActivityDefinition.participant.type",
          "path" : "ActivityDefinition.participant.type",
          "short" : "patient | practitioner | related-person | device",
          "definition" : "The type of participant in the action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityParticipantType"
            }],
            "strength" : "required",
            "description" : "The type of participant in the activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".role.classCode"
          }]
        },
        {
          "id" : "ActivityDefinition.participant.role",
          "path" : "ActivityDefinition.participant.role",
          "short" : "E.g. Nurse, Surgeon, Parent, etc.",
          "definition" : "The role the participant should play in performing the described action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityParticipantRole"
            }],
            "strength" : "example",
            "description" : "Defines roles played by participants for the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-participant-role"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".role.code"
          }]
        },
        {
          "id" : "ActivityDefinition.product[x]",
          "path" : "ActivityDefinition.product[x]",
          "short" : "What's administered/supplied",
          "definition" : "Identifies the food, drug or other product being consumed or supplied in the activity.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActivityProduct"
            }],
            "strength" : "example",
            "description" : "Code describing the type of substance or medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role"
          }]
        },
        {
          "id" : "ActivityDefinition.quantity",
          "path" : "ActivityDefinition.quantity",
          "short" : "How much is administered/consumed/supplied",
          "definition" : "Identifies the quantity expected to be consumed at once (per dose, per meal, etc.).",
          "alias" : ["dose"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity {for classCode=SPLY}"
          }]
        },
        {
          "id" : "ActivityDefinition.dosage",
          "path" : "ActivityDefinition.dosage",
          "short" : "Detailed dosage instructions",
          "definition" : "Provides detailed dosage instructions in the same way that they are described for MedicationRequest resources.",
          "comment" : "If a dosage instruction is used, the definition should not specify timing or quantity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Dosage"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM; moodCode=DEFN]"
          }]
        },
        {
          "id" : "ActivityDefinition.bodySite",
          "path" : "ActivityDefinition.bodySite",
          "short" : "What part of body to perform on",
          "definition" : "Indicates the sites on the subject's body where the procedure should be performed (I.e. the target sites).",
          "comment" : "Only used if not implicit in the code found in ServiceRequest.type.",
          "requirements" : "Knowing where the procedure is made is important for tracking if multiple sites are possible.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "A code that identifies the anatomical location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".targetSiteCode {for classCode=PROC, SBADM}"
          }]
        },
        {
          "id" : "ActivityDefinition.specimenRequirement",
          "path" : "ActivityDefinition.specimenRequirement",
          "short" : "What specimens are required to perform this action",
          "definition" : "Defines specimen requirements for the action to be performed, such as required specimens for a lab test.",
          "requirements" : "Needed to represent lab order definitions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SpecimenDefinition"]
          }]
        },
        {
          "id" : "ActivityDefinition.observationRequirement",
          "path" : "ActivityDefinition.observationRequirement",
          "short" : "What observations are required to perform this action",
          "definition" : "Defines observation requirements for the action to be performed, such as body weight or surface area.",
          "requirements" : "Needed to represent observation definitions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
          }]
        },
        {
          "id" : "ActivityDefinition.observationResultRequirement",
          "path" : "ActivityDefinition.observationResultRequirement",
          "short" : "What observations must be produced by this action",
          "definition" : "Defines the observations that are expected to be produced by the action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
          }]
        },
        {
          "id" : "ActivityDefinition.transform",
          "path" : "ActivityDefinition.transform",
          "short" : "Transform to apply the template",
          "definition" : "A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.",
          "comment" : "Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureMap"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue",
          "path" : "ActivityDefinition.dynamicValue",
          "short" : "Dynamic aspects of the definition",
          "definition" : "Dynamic values that will be evaluated to produce values for elements of the resulting resource. For example, if the dosage of a medication must be computed based on the patient's weight, a dynamic value would be used to specify an expression that calculated the weight, and the path on the request resource that would contain the result.",
          "comment" : "Dynamic values are applied in the order in which they are defined in the ActivityDefinition. Note that if both a transform and dynamic values are specified, the dynamic values will be applied to the result of the transform.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue.path",
          "path" : "ActivityDefinition.dynamicValue.path",
          "short" : "The path to the element to be set dynamically",
          "definition" : "The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details).",
          "comment" : "The path attribute contains a [Simple FHIRPath Subset](fhirpath.html#simple) that allows path traversal, but not calculation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ActivityDefinition.dynamicValue.expression",
          "path" : "ActivityDefinition.dynamicValue.expression",
          "short" : "An expression that provides the dynamic value for the customization",
          "definition" : "An expression specifying the value of the customized element.",
          "comment" : "The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Expression"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/AdverseEvent",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "AdverseEvent",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 AdverseEvent 
ΣTU
DomainResource
Medical care, research study or other healthcare event causing physical injury
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..1
Identifier
Business identifier for the event
 actuality 
?!Σ
1..1
code
actual | potential
AdverseEventActuality (Required)
 category 
Σ
0..*
CodeableConcept
product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment
AdverseEventCategory (Extensible)
 event 
Σ
0..1
CodeableConcept
Type of the event itself in relation to the subject
SNOMED CT Clinical Findings (Example)
 subject 
Σ
1..1
Reference(Patient | Group | Practitioner | RelatedPerson)
Subject impacted by event
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 date 
Σ
0..1
dateTime
When the event occurred
 detected 
Σ
0..1
dateTime
When the event was detected
 recordedDate 
Σ
0..1
dateTime
When the event was recorded
 resultingCondition 
Σ
0..*
Reference(Condition)
Effect on the subject due to this event
 location 
Σ
0..1
Reference(Location)
Location where adverse event occurred
 seriousness 
Σ
0..1
CodeableConcept
Seriousness of the event
AdverseEventSeriousness (Example)
 severity 
Σ
0..1
CodeableConcept
mild | moderate | severe
AdverseEventSeverity (Required)
 outcome 
Σ
0..1
CodeableConcept
resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown
AdverseEventOutcome (Required)
 recorder 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
Who recorded the adverse event
 contributor 
Σ
0..*
Reference(Practitioner | PractitionerRole | Device)
Who  was involved in the adverse event or the potential adverse event
 suspectEntity 
Σ
0..*
BackboneElement
The suspected agent causing the adverse event
 instance 
Σ
1..1
Reference(Immunization | Procedure | Substance | Medication | MedicationAdministration | MedicationStatement | Device)
Refers to the specific entity that caused the adverse event
 causality 
Σ
0..*
BackboneElement
Information on the possible cause of the event
 assessment 
Σ
0..1
CodeableConcept
Assessment of if the entity caused the event
AdverseEventCausalityAssessment (Example)
 productRelatedness 
Σ
0..1
string
AdverseEvent.suspectEntity.causalityProductRelatedness
 author 
Σ
0..1
Reference(Practitioner | PractitionerRole)
AdverseEvent.suspectEntity.causalityAuthor
 method 
Σ
0..1
CodeableConcept
ProbabilityScale | Bayesian | Checklist
AdverseEventCausalityMethod (Example)
 subjectMedicalHistory 
Σ
0..*
Reference(Condition | Observation | AllergyIntolerance | FamilyMemberHistory | Immunization | Procedure | Media | DocumentReference)
AdverseEvent.subjectMedicalHistory
 referenceDocument 
Σ
0..*
Reference(DocumentReference)
AdverseEvent.referenceDocument
 study 
Σ
0..*
Reference(ResearchStudy)
AdverseEvent.study

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Summary"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/AdverseEvent",
      "version" : "4.0.0",
      "name" : "AdverseEvent",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "Actual or  potential/avoided event causing unintended physical injury resulting from or contributed to by medical care, a research study or other healthcare setting factors that requires additional monitoring, treatment, or hospitalization, or that results in death.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "AdverseEvent",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "AdverseEvent",
          "path" : "AdverseEvent",
          "short" : "Medical care, research study or other healthcare event causing physical injury",
          "definition" : "Actual or  potential/avoided event causing unintended physical injury resulting from or contributed to by medical care, a research study or other healthcare setting factors that requires additional monitoring, treatment, or hospitalization, or that results in death.",
          "alias" : ["AE"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "AdverseEvent.id",
          "path" : "AdverseEvent.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.meta",
          "path" : "AdverseEvent.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.implicitRules",
          "path" : "AdverseEvent.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.language",
          "path" : "AdverseEvent.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "AdverseEvent.text",
          "path" : "AdverseEvent.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "AdverseEvent.contained",
          "path" : "AdverseEvent.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AdverseEvent.extension",
          "path" : "AdverseEvent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AdverseEvent.modifierExtension",
          "path" : "AdverseEvent.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AdverseEvent.identifier",
          "path" : "AdverseEvent.identifier",
          "short" : "Business identifier for the event",
          "definition" : "Business identifiers assigned to this adverse event by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the adverse event as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.actuality",
          "path" : "AdverseEvent.actuality",
          "short" : "actual | potential",
          "definition" : "Whether the event actually happened, or just had the potential to. Note that this is independent of whether anyone was affected or harmed or how severely.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.actuality",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it has a potential code that indicates the adverse event did not actually happen.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventActuality"
            }],
            "strength" : "required",
            "description" : "Overall nature of the adverse event, e.g. real or potential.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "AdverseEvent.category",
          "path" : "AdverseEvent.category",
          "short" : "product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment",
          "definition" : "The overall type of event, intended for search and filtering purposes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventCategory"
            }],
            "strength" : "extensible",
            "description" : "Overall categorization of the event, e.g. product-related or situational.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "AdverseEvent.event",
          "path" : "AdverseEvent.event",
          "short" : "Type of the event itself in relation to the subject",
          "definition" : "This element defines the specific type of event that occurred or that was prevented from occurring.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.event",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventType"
            }],
            "strength" : "example",
            "description" : "Detailed type of event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "AdverseEvent.subject",
          "path" : "AdverseEvent.subject",
          "short" : "Subject impacted by event",
          "definition" : "This subject or group impacted by the event.",
          "comment" : "If AdverseEvent.resultingCondition differs among members of the group, then use Patient as the subject.",
          "requirements" : "Allows for exposure of biohazard (such as legionella) to a group of individuals in a hospital.",
          "alias" : ["patient"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          }]
        },
        {
          "id" : "AdverseEvent.encounter",
          "path" : "AdverseEvent.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which AdverseEvent was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.  For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the context.  If the patient reports the AdverseEvent during a second encounter, that second encounter is not the context.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "AdverseEvent.date",
          "path" : "AdverseEvent.date",
          "short" : "When the event occurred",
          "definition" : "The date (and perhaps time) when the adverse event occurred.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "AdverseEvent.detected",
          "path" : "AdverseEvent.detected",
          "short" : "When the event was detected",
          "definition" : "Estimated or actual date the AdverseEvent began, in the opinion of the reporter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.detected",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.recordedDate",
          "path" : "AdverseEvent.recordedDate",
          "short" : "When the event was recorded",
          "definition" : "The date on which the existence of the AdverseEvent was first recorded.",
          "comment" : "The recordedDate represents the date when this particular AdverseEvent record was created in the system, not the date of the most recent update.  The date of the last record modification can be retrieved from the resource metadata.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.recordedDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "AdverseEvent.resultingCondition",
          "path" : "AdverseEvent.resultingCondition",
          "short" : "Effect on the subject due to this event",
          "definition" : "Includes information about the reaction that occurred as a result of exposure to a substance (for example, a drug or a chemical).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent.resultingCondition",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.location",
          "path" : "AdverseEvent.location",
          "short" : "Location where adverse event occurred",
          "definition" : "The information about where the adverse event occurred.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.seriousness",
          "path" : "AdverseEvent.seriousness",
          "short" : "Seriousness of the event",
          "definition" : "Assessment whether this event was of real importance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.seriousness",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventSeriousness"
            }],
            "strength" : "example",
            "description" : "Overall seriousness of this event for the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-seriousness"
          }
        },
        {
          "id" : "AdverseEvent.severity",
          "path" : "AdverseEvent.severity",
          "short" : "mild | moderate | severe",
          "definition" : "Describes the severity of the adverse event, in relation to the subject. Contrast to AdverseEvent.seriousness - a severe rash might not be serious, but a mild heart problem is.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.severity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventSeverity"
            }],
            "strength" : "required",
            "description" : "The severity of the adverse event itself, in direct relation to the subject.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-severity|4.0.0"
          }
        },
        {
          "id" : "AdverseEvent.outcome",
          "path" : "AdverseEvent.outcome",
          "short" : "resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown",
          "definition" : "Describes the type of outcome from the adverse event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.outcome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventOutcome"
            }],
            "strength" : "required",
            "description" : "TODO (and should this be required?).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0"
          }
        },
        {
          "id" : "AdverseEvent.recorder",
          "path" : "AdverseEvent.recorder",
          "short" : "Who recorded the adverse event",
          "definition" : "Information on who recorded the adverse event.  May be the patient or a practitioner.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.recorder",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "AdverseEvent.contributor",
          "path" : "AdverseEvent.contributor",
          "short" : "Who  was involved in the adverse event or the potential adverse event",
          "definition" : "Parties that may or should contribute or have contributed information to the adverse event, which can consist of one or more activities.  Such information includes information leading to the decision to perform the activity and how to perform the activity (e.g. consultant), information that the activity itself seeks to reveal (e.g. informant of clinical history), or information about what activity was performed (e.g. informant witness).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent.contributor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity",
          "path" : "AdverseEvent.suspectEntity",
          "short" : "The suspected agent causing the adverse event",
          "definition" : "Describes the entity that is suspected to have caused the adverse event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent.suspectEntity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.id",
          "path" : "AdverseEvent.suspectEntity.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AdverseEvent.suspectEntity.extension",
          "path" : "AdverseEvent.suspectEntity.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AdverseEvent.suspectEntity.modifierExtension",
          "path" : "AdverseEvent.suspectEntity.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AdverseEvent.suspectEntity.instance",
          "path" : "AdverseEvent.suspectEntity.instance",
          "short" : "Refers to the specific entity that caused the adverse event",
          "definition" : "Identifies the actual instance of what caused the adverse event.  May be a substance, medication, medication administration, medication statement or a device.",
          "alias" : ["Substance or Medication or Device"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.suspectEntity.instance",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality",
          "path" : "AdverseEvent.suspectEntity.causality",
          "short" : "Information on the possible cause of the event",
          "definition" : "Information on the possible cause of the event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent.suspectEntity.causality",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.id",
          "path" : "AdverseEvent.suspectEntity.causality.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.extension",
          "path" : "AdverseEvent.suspectEntity.causality.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.modifierExtension",
          "path" : "AdverseEvent.suspectEntity.causality.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.assessment",
          "path" : "AdverseEvent.suspectEntity.causality.assessment",
          "short" : "Assessment of if the entity caused the event",
          "definition" : "Assessment of if the entity caused the event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.suspectEntity.causality.assessment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventCausalityAssessment"
            }],
            "strength" : "example",
            "description" : "Codes for the assessment of whether the entity caused the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-causality-assess"
          }
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.productRelatedness",
          "path" : "AdverseEvent.suspectEntity.causality.productRelatedness",
          "short" : "AdverseEvent.suspectEntity.causalityProductRelatedness",
          "definition" : "AdverseEvent.suspectEntity.causalityProductRelatedness.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.suspectEntity.causality.productRelatedness",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.author",
          "path" : "AdverseEvent.suspectEntity.causality.author",
          "short" : "AdverseEvent.suspectEntity.causalityAuthor",
          "definition" : "AdverseEvent.suspectEntity.causalityAuthor.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.suspectEntity.causality.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.method",
          "path" : "AdverseEvent.suspectEntity.causality.method",
          "short" : "ProbabilityScale | Bayesian | Checklist",
          "definition" : "ProbabilityScale | Bayesian | Checklist.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AdverseEvent.suspectEntity.causality.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventCausalityMethod"
            }],
            "strength" : "example",
            "description" : "TODO.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-causality-method"
          }
        },
        {
          "id" : "AdverseEvent.subjectMedicalHistory",
          "path" : "AdverseEvent.subjectMedicalHistory",
          "short" : "AdverseEvent.subjectMedicalHistory",
          "definition" : "AdverseEvent.subjectMedicalHistory.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent.subjectMedicalHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
            "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory",
            "http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Media",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.referenceDocument",
          "path" : "AdverseEvent.referenceDocument",
          "short" : "AdverseEvent.referenceDocument",
          "definition" : "AdverseEvent.referenceDocument.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent.referenceDocument",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.study",
          "path" : "AdverseEvent.study",
          "short" : "AdverseEvent.study",
          "definition" : "AdverseEvent.study.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AdverseEvent.study",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchStudy"]
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "AdverseEvent",
          "path" : "AdverseEvent",
          "short" : "Medical care, research study or other healthcare event causing physical injury",
          "definition" : "Actual or  potential/avoided event causing unintended physical injury resulting from or contributed to by medical care, a research study or other healthcare setting factors that requires additional monitoring, treatment, or hospitalization, or that results in death.",
          "alias" : ["AE"],
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "AdverseEvent.identifier",
          "path" : "AdverseEvent.identifier",
          "short" : "Business identifier for the event",
          "definition" : "Business identifiers assigned to this adverse event by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the adverse event as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.actuality",
          "path" : "AdverseEvent.actuality",
          "short" : "actual | potential",
          "definition" : "Whether the event actually happened, or just had the potential to. Note that this is independent of whether anyone was affected or harmed or how severely.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it has a potential code that indicates the adverse event did not actually happen.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventActuality"
            }],
            "strength" : "required",
            "description" : "Overall nature of the adverse event, e.g. real or potential.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-actuality|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "AdverseEvent.category",
          "path" : "AdverseEvent.category",
          "short" : "product-problem | product-quality | product-use-error | wrong-dose | incorrect-prescribing-information | wrong-technique | wrong-route-of-administration | wrong-rate | wrong-duration | wrong-time | expired-drug | medical-device-use-error | problem-different-manufacturer | unsafe-physical-environment",
          "definition" : "The overall type of event, intended for search and filtering purposes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventCategory"
            }],
            "strength" : "extensible",
            "description" : "Overall categorization of the event, e.g. product-related or situational.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "AdverseEvent.event",
          "path" : "AdverseEvent.event",
          "short" : "Type of the event itself in relation to the subject",
          "definition" : "This element defines the specific type of event that occurred or that was prevented from occurring.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventType"
            }],
            "strength" : "example",
            "description" : "Detailed type of event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "AdverseEvent.subject",
          "path" : "AdverseEvent.subject",
          "short" : "Subject impacted by event",
          "definition" : "This subject or group impacted by the event.",
          "comment" : "If AdverseEvent.resultingCondition differs among members of the group, then use Patient as the subject.",
          "requirements" : "Allows for exposure of biohazard (such as legionella) to a group of individuals in a hospital.",
          "alias" : ["patient"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          }]
        },
        {
          "id" : "AdverseEvent.encounter",
          "path" : "AdverseEvent.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which AdverseEvent was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.  For example, if a medication administration was considered an adverse event because it resulted in a rash, then the encounter when the medication administration was given is the context.  If the patient reports the AdverseEvent during a second encounter, that second encounter is not the context.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "AdverseEvent.date",
          "path" : "AdverseEvent.date",
          "short" : "When the event occurred",
          "definition" : "The date (and perhaps time) when the adverse event occurred.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "AdverseEvent.detected",
          "path" : "AdverseEvent.detected",
          "short" : "When the event was detected",
          "definition" : "Estimated or actual date the AdverseEvent began, in the opinion of the reporter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.recordedDate",
          "path" : "AdverseEvent.recordedDate",
          "short" : "When the event was recorded",
          "definition" : "The date on which the existence of the AdverseEvent was first recorded.",
          "comment" : "The recordedDate represents the date when this particular AdverseEvent record was created in the system, not the date of the most recent update.  The date of the last record modification can be retrieved from the resource metadata.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "AdverseEvent.resultingCondition",
          "path" : "AdverseEvent.resultingCondition",
          "short" : "Effect on the subject due to this event",
          "definition" : "Includes information about the reaction that occurred as a result of exposure to a substance (for example, a drug or a chemical).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.location",
          "path" : "AdverseEvent.location",
          "short" : "Location where adverse event occurred",
          "definition" : "The information about where the adverse event occurred.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.seriousness",
          "path" : "AdverseEvent.seriousness",
          "short" : "Seriousness of the event",
          "definition" : "Assessment whether this event was of real importance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventSeriousness"
            }],
            "strength" : "example",
            "description" : "Overall seriousness of this event for the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-seriousness"
          }
        },
        {
          "id" : "AdverseEvent.severity",
          "path" : "AdverseEvent.severity",
          "short" : "mild | moderate | severe",
          "definition" : "Describes the severity of the adverse event, in relation to the subject. Contrast to AdverseEvent.seriousness - a severe rash might not be serious, but a mild heart problem is.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventSeverity"
            }],
            "strength" : "required",
            "description" : "The severity of the adverse event itself, in direct relation to the subject.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-severity|4.0.0"
          }
        },
        {
          "id" : "AdverseEvent.outcome",
          "path" : "AdverseEvent.outcome",
          "short" : "resolved | recovering | ongoing | resolvedWithSequelae | fatal | unknown",
          "definition" : "Describes the type of outcome from the adverse event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventOutcome"
            }],
            "strength" : "required",
            "description" : "TODO (and should this be required?).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-outcome|4.0.0"
          }
        },
        {
          "id" : "AdverseEvent.recorder",
          "path" : "AdverseEvent.recorder",
          "short" : "Who recorded the adverse event",
          "definition" : "Information on who recorded the adverse event.  May be the patient or a practitioner.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "AdverseEvent.contributor",
          "path" : "AdverseEvent.contributor",
          "short" : "Who  was involved in the adverse event or the potential adverse event",
          "definition" : "Parties that may or should contribute or have contributed information to the adverse event, which can consist of one or more activities.  Such information includes information leading to the decision to perform the activity and how to perform the activity (e.g. consultant), information that the activity itself seeks to reveal (e.g. informant of clinical history), or information about what activity was performed (e.g. informant witness).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity",
          "path" : "AdverseEvent.suspectEntity",
          "short" : "The suspected agent causing the adverse event",
          "definition" : "Describes the entity that is suspected to have caused the adverse event.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.instance",
          "path" : "AdverseEvent.suspectEntity.instance",
          "short" : "Refers to the specific entity that caused the adverse event",
          "definition" : "Identifies the actual instance of what caused the adverse event.  May be a substance, medication, medication administration, medication statement or a device.",
          "alias" : ["Substance or Medication or Device"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality",
          "path" : "AdverseEvent.suspectEntity.causality",
          "short" : "Information on the possible cause of the event",
          "definition" : "Information on the possible cause of the event.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.assessment",
          "path" : "AdverseEvent.suspectEntity.causality.assessment",
          "short" : "Assessment of if the entity caused the event",
          "definition" : "Assessment of if the entity caused the event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventCausalityAssessment"
            }],
            "strength" : "example",
            "description" : "Codes for the assessment of whether the entity caused the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-causality-assess"
          }
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.productRelatedness",
          "path" : "AdverseEvent.suspectEntity.causality.productRelatedness",
          "short" : "AdverseEvent.suspectEntity.causalityProductRelatedness",
          "definition" : "AdverseEvent.suspectEntity.causalityProductRelatedness.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.author",
          "path" : "AdverseEvent.suspectEntity.causality.author",
          "short" : "AdverseEvent.suspectEntity.causalityAuthor",
          "definition" : "AdverseEvent.suspectEntity.causalityAuthor.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.suspectEntity.causality.method",
          "path" : "AdverseEvent.suspectEntity.causality.method",
          "short" : "ProbabilityScale | Bayesian | Checklist",
          "definition" : "ProbabilityScale | Bayesian | Checklist.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdverseEventCausalityMethod"
            }],
            "strength" : "example",
            "description" : "TODO.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adverse-event-causality-method"
          }
        },
        {
          "id" : "AdverseEvent.subjectMedicalHistory",
          "path" : "AdverseEvent.subjectMedicalHistory",
          "short" : "AdverseEvent.subjectMedicalHistory",
          "definition" : "AdverseEvent.subjectMedicalHistory.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
            "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory",
            "http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Media",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.referenceDocument",
          "path" : "AdverseEvent.referenceDocument",
          "short" : "AdverseEvent.referenceDocument",
          "definition" : "AdverseEvent.referenceDocument.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "AdverseEvent.study",
          "path" : "AdverseEvent.study",
          "short" : "AdverseEvent.study",
          "definition" : "AdverseEvent.study.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchStudy"]
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "AllergyIntolerance",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 AllergyIntolerance 
ITU
DomainResource
Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
+ Rule: AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.
+ Rule: AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External ids for this item
 clinicalStatus 
?!ΣI
0..1
CodeableConcept
active | inactive | resolved
AllergyIntolerance Clinical Status Codes (Required)
 verificationStatus 
?!ΣI
0..1
CodeableConcept
unconfirmed | confirmed | refuted | entered-in-error
AllergyIntolerance Verification Status Codes (Required)
 type 
Σ
0..1
code
allergy | intolerance - Underlying mechanism (if known)
AllergyIntoleranceType (Required)
 category 
Σ
0..*
code
food | medication | environment | biologic
AllergyIntoleranceCategory (Required)
 criticality 
Σ
0..1
code
low | high | unable-to-assess
AllergyIntoleranceCriticality (Required)
 code 
Σ
0..1
CodeableConcept
Code that identifies the allergy or intolerance
AllergyIntolerance Substance/Product, Condition and Negation Codes (Example)
 patient 
Σ
1..1
Reference(Patient)
Who the sensitivity is for
 encounter 
0..1
Reference(Encounter)
Encounter when the allergy or intolerance was asserted
 onset[x] 
0..1
When allergy or intolerance was identified
 onsetDateTime
dateTime
 onsetAge
Age
 onsetPeriod
Period
 onsetRange
Range
 onsetString
string
 recordedDate 
0..1
dateTime
Date first version of the resource instance was recorded
 recorder 
0..1
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
Who recorded the sensitivity
 asserter 
Σ
0..1
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
Source of the information about the allergy
 lastOccurrence 
0..1
dateTime
Date(/time) of last known occurrence of a reaction
 note 
0..*
Annotation
Additional text not captured in other fields
 reaction 
0..*
BackboneElement
Adverse Reaction Events linked to exposure to substance
 substance 
0..1
CodeableConcept
Specific substance or pharmaceutical product considered to be responsible for event
Substance Code (Example)
 manifestation 
1..*
CodeableConcept
Clinical symptoms/signs associated with the Event
SNOMED CT Clinical Findings (Example)
 description 
0..1
string
Description of the event as a whole
 onset 
0..1
dateTime
Date(/time) when manifestations showed
 severity 
0..1
code
mild | moderate | severe (of event as a whole)
AllergyIntoleranceSeverity (Required)
 exposureRoute 
0..1
CodeableConcept
How the subject was exposed to the substance
SNOMED CT Route Codes (Example)
 note 
0..*
Annotation
Text about event not captured in other fields

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Summary"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
      "version" : "4.0.0",
      "name" : "AllergyIntolerance",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.",
      "purpose" : "To record a clinical assessment of a propensity, or potential risk to an individual, of an adverse reaction upon future exposure to the specified substance, or class of substance.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "AllergyIntolerance",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "AllergyIntolerance",
          "path" : "AllergyIntolerance",
          "short" : "Allergy or Intolerance (generally: Risk of adverse reaction to a substance)",
          "definition" : "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.",
          "comment" : "Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.",
          "alias" : ["Allergy",
          "Intolerance",
          "Adverse Reaction"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AllergyIntolerance",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "ait-1",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.",
            "expression" : "verificationStatus='entered-in-error' or clinicalStatus.exists()",
            "xpath" : "f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)"
          },
          {
            "key" : "ait-2",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
            "expression" : "verificationStatus!='entered-in-error' or clinicalStatus.empty()",
            "xpath" : "f:verificationStatus/@value!='entered-in-error' or not(exists(f:clinicalStatus))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "AllergyIntolerance.id",
          "path" : "AllergyIntolerance.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AllergyIntolerance.meta",
          "path" : "AllergyIntolerance.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AllergyIntolerance.implicitRules",
          "path" : "AllergyIntolerance.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "AllergyIntolerance.language",
          "path" : "AllergyIntolerance.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "AllergyIntolerance.text",
          "path" : "AllergyIntolerance.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "AllergyIntolerance.contained",
          "path" : "AllergyIntolerance.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AllergyIntolerance.extension",
          "path" : "AllergyIntolerance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AllergyIntolerance.modifierExtension",
          "path" : "AllergyIntolerance.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AllergyIntolerance.identifier",
          "path" : "AllergyIntolerance.identifier",
          "short" : "External ids for this item",
          "definition" : "Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AllergyIntolerance.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "AllergyIntolerance.clinicalStatus",
          "path" : "AllergyIntolerance.clinicalStatus",
          "short" : "active | inactive | resolved",
          "definition" : "The clinical status of the allergy or intolerance.",
          "comment" : "Refer to [discussion](extensibility.html#Special-Case) if clincalStatus is missing data.\nThe data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.clinicalStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["ait-1",
          "ait-2"],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceClinicalStatus"
            }],
            "strength" : "required",
            "description" : "The clinical status of the allergy or intolerance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"
          }]
        },
        {
          "id" : "AllergyIntolerance.verificationStatus",
          "path" : "AllergyIntolerance.verificationStatus",
          "short" : "unconfirmed | confirmed | refuted | entered-in-error",
          "definition" : "Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).",
          "comment" : "The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.verificationStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["ait-1",
          "ait-2"],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceVerificationStatus"
            }],
            "strength" : "required",
            "description" : "Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"
          }]
        },
        {
          "id" : "AllergyIntolerance.type",
          "path" : "AllergyIntolerance.type",
          "short" : "allergy | intolerance - Underlying mechanism (if known)",
          "definition" : "Identification of the underlying physiological mechanism for the reaction risk.",
          "comment" : "Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term \"allergy\" is used rather generically and may overlap with the use of \"intolerance\" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.",
          "alias" : ["Category",
          "Class"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceType"
            }],
            "strength" : "required",
            "description" : "Identification of the underlying physiological mechanism for a Reaction Risk.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "IAM-9"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "AllergyIntolerance.category",
          "path" : "AllergyIntolerance.category",
          "short" : "food | medication | environment | biologic",
          "definition" : "Category of the identified substance.",
          "comment" : "This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation.  When searching on category, consider the implications of AllergyIntolerance resources without a category.  For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned.  Refer to [search](search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category.  Additionally, category should be used with caution because category can be subjective based on the sender.",
          "alias" : ["Category",
          "Type",
          "Reaction Type",
          "Class"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AllergyIntolerance.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCategory"
            }],
            "strength" : "required",
            "description" : "Category of an identified substance associated with allergies or intolerances.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "AL1-2"
          },
          {
            "identity" : "rim",
            "map" : "value < IntoleranceValue (Agent)"
          }]
        },
        {
          "id" : "AllergyIntolerance.criticality",
          "path" : "AllergyIntolerance.criticality",
          "short" : "low | high | unable-to-assess",
          "definition" : "Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.",
          "comment" : "The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere).  Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity.  Existing systems that are capturing both condition criticality and reaction severity may use the term \"severity\" to represent both.  Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.",
          "alias" : ["Severity",
          "Seriousness",
          "Contra-indication",
          "Risk"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.criticality",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCriticality"
            }],
            "strength" : "required",
            "description" : "Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "AL1-4"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }]
        },
        {
          "id" : "AllergyIntolerance.code",
          "path" : "AllergyIntolerance.code",
          "short" : "Code that identifies the allergy or intolerance",
          "definition" : "Code for an allergy or intolerance statement (either a positive or a negated/excluded statement).  This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., \"Latex\"), an allergy or intolerance condition (e.g., \"Latex allergy\"), or a negated/excluded code for a specific substance or class (e.g., \"No latex allergy\") or a general or categorical negated statement (e.g.,  \"No known allergy\", \"No known drug allergies\").  Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.",
          "comment" : "It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.\r\rWhen a substance or product code is specified for the 'code' element, the \"default\" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product.  In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the \"Causative agent\" relationship.\r\rThe 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements.  This extension provides the capability to make \"no known allergy\" (or \"no risk of adverse reaction\") statements regarding any coded substance/product (including cases when a pre-coordinated \"no allergy to x\" concept for that substance/product does not exist).  If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.",
          "alias" : ["Code"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCode"
            }],
            "strength" : "example",
            "description" : "Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-code"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "AL1-3 / IAM-3"
          },
          {
            "identity" : "rim",
            "map" : "substance/product:\r\r.participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rnegated/excluded substance/product:\r\r.participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rpositive or negated/excluded condition/situation:\r\rObservation.code=ASSERTION; Observation.value"
          }]
        },
        {
          "id" : "AllergyIntolerance.patient",
          "path" : "AllergyIntolerance.patient",
          "short" : "Who the sensitivity is for",
          "definition" : "The patient who has the allergy or intolerance.",
          "alias" : ["Patient"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "(PID-3)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "AllergyIntolerance.encounter",
          "path" : "AllergyIntolerance.encounter",
          "short" : "Encounter when the allergy or intolerance was asserted",
          "definition" : "The encounter when the allergy or intolerance was asserted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "AllergyIntolerance.onset[x]",
          "path" : "AllergyIntolerance.onset[x]",
          "short" : "When allergy or intolerance was identified",
          "definition" : "Estimated or actual date,  date-time, or age when allergy or intolerance was identified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.onset[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime.low"
          }]
        },
        {
          "id" : "AllergyIntolerance.recordedDate",
          "path" : "AllergyIntolerance.recordedDate",
          "short" : "Date first version of the resource instance was recorded",
          "definition" : "The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.recordedDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "IAM-13"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "AllergyIntolerance.recorder",
          "path" : "AllergyIntolerance.recorder",
          "short" : "Who recorded the sensitivity",
          "definition" : "Individual who recorded the record and takes responsibility for its content.",
          "alias" : ["Author"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.recorder",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "AllergyIntolerance.asserter",
          "path" : "AllergyIntolerance.asserter",
          "short" : "Source of the information about the allergy",
          "definition" : "The source of the information about the allergy that is recorded.",
          "comment" : "The recorder takes responsibility for the content, but can reference the source from where they got it.",
          "alias" : ["Source",
          "Informant"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.asserter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "IAM-14 (if patient) / IAM-18 (if practitioner)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }]
        },
        {
          "id" : "AllergyIntolerance.lastOccurrence",
          "path" : "AllergyIntolerance.lastOccurrence",
          "short" : "Date(/time) of last known occurrence of a reaction",
          "definition" : "Represents the date and/or time of the last known occurrence of a reaction event.",
          "comment" : "This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.lastOccurrence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime"
          }]
        },
        {
          "id" : "AllergyIntolerance.note",
          "path" : "AllergyIntolerance.note",
          "short" : "Additional text not captured in other fields",
          "definition" : "Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.",
          "comment" : "For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and  AllergyIntolerance.event.notes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AllergyIntolerance.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction",
          "path" : "AllergyIntolerance.reaction",
          "short" : "Adverse Reaction Events linked to exposure to substance",
          "definition" : "Details about each adverse reaction event linked to exposure to the identified substance.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AllergyIntolerance.reaction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.id",
          "path" : "AllergyIntolerance.reaction.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.extension",
          "path" : "AllergyIntolerance.reaction.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.modifierExtension",
          "path" : "AllergyIntolerance.reaction.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.substance",
          "path" : "AllergyIntolerance.reaction.substance",
          "short" : "Specific substance or pharmaceutical product considered to be responsible for event",
          "definition" : "Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.",
          "comment" : "Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible.  The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, \"penicillins\"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, \"amoxycillin\"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.reaction.substance",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceCode"
            }],
            "strength" : "example",
            "description" : "Codes defining the type of the substance (including pharmaceutical products).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.manifestation",
          "path" : "AllergyIntolerance.reaction.manifestation",
          "short" : "Clinical symptoms/signs associated with the Event",
          "definition" : "Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.",
          "comment" : "Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines.  Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.",
          "alias" : ["Symptoms",
          "Signs"],
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "AllergyIntolerance.reaction.manifestation",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Manifestation"
            }],
            "strength" : "example",
            "description" : "Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "AL1-5"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.description",
          "path" : "AllergyIntolerance.reaction.description",
          "short" : "Description of the event as a whole",
          "definition" : "Text description about the reaction as a whole, including details of the manifestation if required.",
          "comment" : "Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.",
          "alias" : ["Narrative",
          "Text"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.reaction.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "text"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.onset",
          "path" : "AllergyIntolerance.reaction.onset",
          "short" : "Date(/time) when manifestations showed",
          "definition" : "Record of the date and/or time of the onset of the Reaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.reaction.onset",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "AL1-6"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime.low"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.severity",
          "path" : "AllergyIntolerance.reaction.severity",
          "short" : "mild | moderate | severe (of event as a whole)",
          "definition" : "Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.",
          "comment" : "It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.reaction.severity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceSeverity"
            }],
            "strength" : "required",
            "description" : "Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.exposureRoute",
          "path" : "AllergyIntolerance.reaction.exposureRoute",
          "short" : "How the subject was exposed to the substance",
          "definition" : "Identification of the route by which the subject was exposed to the substance.",
          "comment" : "Coding of the route of exposure with a terminology should be used wherever possible.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AllergyIntolerance.reaction.exposureRoute",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RouteOfAdministration"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.note",
          "path" : "AllergyIntolerance.reaction.note",
          "short" : "Text about event not captured in other fields",
          "definition" : "Additional text about the adverse reaction event not captured in other fields.",
          "comment" : "Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AllergyIntolerance.reaction.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "AllergyIntolerance",
          "path" : "AllergyIntolerance",
          "short" : "Allergy or Intolerance (generally: Risk of adverse reaction to a substance)",
          "definition" : "Risk of harmful or undesirable, physiological response which is unique to an individual and associated with exposure to a substance.",
          "comment" : "Substances include, but are not limited to: a therapeutic substance administered correctly at an appropriate dosage for the individual; food; material derived from plants or animals; or venom from insect stings.",
          "alias" : ["Allergy",
          "Intolerance",
          "Adverse Reaction"],
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "ait-1",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL be present if verificationStatus is not entered-in-error.",
            "expression" : "verificationStatus='entered-in-error' or clinicalStatus.exists()",
            "xpath" : "f:verificationStatus/@value='entered-in-error' or exists(f:clinicalStatus)"
          },
          {
            "key" : "ait-2",
            "severity" : "error",
            "human" : "AllergyIntolerance.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
            "expression" : "verificationStatus!='entered-in-error' or clinicalStatus.empty()",
            "xpath" : "f:verificationStatus/@value!='entered-in-error' or not(exists(f:clinicalStatus))"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "AllergyIntolerance.identifier",
          "path" : "AllergyIntolerance.identifier",
          "short" : "External ids for this item",
          "definition" : "Business identifiers assigned to this AllergyIntolerance by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the AllergyIntolerance as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "AllergyIntolerance.clinicalStatus",
          "path" : "AllergyIntolerance.clinicalStatus",
          "short" : "active | inactive | resolved",
          "definition" : "The clinical status of the allergy or intolerance.",
          "comment" : "Refer to [discussion](extensibility.html#Special-Case) if clincalStatus is missing data.\nThe data type is CodeableConcept because clinicalStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["ait-1",
          "ait-2"],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the status contains the codes inactive and resolved that mark the AllergyIntolerance as no longer active.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceClinicalStatus"
            }],
            "strength" : "required",
            "description" : "The clinical status of the allergy or intolerance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-clinical|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"clinicalStatus\", moodCode=EVN].value"
          }]
        },
        {
          "id" : "AllergyIntolerance.verificationStatus",
          "path" : "AllergyIntolerance.verificationStatus",
          "short" : "unconfirmed | confirmed | refuted | entered-in-error",
          "definition" : "Assertion about certainty associated with the propensity, or potential risk, of a reaction to the identified substance (including pharmaceutical product).",
          "comment" : "The data type is CodeableConcept because verificationStatus has some clinical judgment involved, such that there might need to be more specificity than the required FHIR value set allows. For example, a SNOMED coding might allow for additional specificity.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["ait-1",
          "ait-2"],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the status contains the codes refuted and entered-in-error that mark the AllergyIntolerance as not currently valid.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceVerificationStatus"
            }],
            "strength" : "required",
            "description" : "Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-verification|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code=\"verificationStatus\", moodCode=EVN].value"
          }]
        },
        {
          "id" : "AllergyIntolerance.type",
          "path" : "AllergyIntolerance.type",
          "short" : "allergy | intolerance - Underlying mechanism (if known)",
          "definition" : "Identification of the underlying physiological mechanism for the reaction risk.",
          "comment" : "Allergic (typically immune-mediated) reactions have been traditionally regarded as an indicator for potential escalation to significant future risk. Contemporary knowledge suggests that some reactions previously thought to be immune-mediated are, in fact, non-immune, but in some cases can still pose a life threatening risk. It is acknowledged that many clinicians might not be in a position to distinguish the mechanism of a particular reaction. Often the term \"allergy\" is used rather generically and may overlap with the use of \"intolerance\" - in practice the boundaries between these two concepts might not be well-defined or understood. This data element is included nevertheless, because many legacy systems have captured this attribute. Immunologic testing may provide supporting evidence for the basis of the reaction and the causative substance, but no tests are 100% sensitive or specific for sensitivity to a particular substance. If, as is commonly the case, it is unclear whether the reaction is due to an allergy or an intolerance, then the type element should be omitted from the resource.",
          "alias" : ["Category",
          "Class"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceType"
            }],
            "strength" : "required",
            "description" : "Identification of the underlying physiological mechanism for a Reaction Risk.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "IAM-9"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "AllergyIntolerance.category",
          "path" : "AllergyIntolerance.category",
          "short" : "food | medication | environment | biologic",
          "definition" : "Category of the identified substance.",
          "comment" : "This data element has been included because it is currently being captured in some clinical systems. This data can be derived from the substance where coding systems are used, and is effectively redundant in that situation.  When searching on category, consider the implications of AllergyIntolerance resources without a category.  For example, when searching on category = medication, medication allergies that don't have a category valued will not be returned.  Refer to [search](search.html) for more information on how to search category with a :missing modifier to get allergies that don't have a category.  Additionally, category should be used with caution because category can be subjective based on the sender.",
          "alias" : ["Category",
          "Type",
          "Reaction Type",
          "Class"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCategory"
            }],
            "strength" : "required",
            "description" : "Category of an identified substance associated with allergies or intolerances.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-category|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "AL1-2"
          },
          {
            "identity" : "rim",
            "map" : "value < IntoleranceValue (Agent)"
          }]
        },
        {
          "id" : "AllergyIntolerance.criticality",
          "path" : "AllergyIntolerance.criticality",
          "short" : "low | high | unable-to-assess",
          "definition" : "Estimate of the potential clinical harm, or seriousness, of the reaction to the identified substance.",
          "comment" : "The default criticality value for any propensity to an adverse reaction should be 'Low Risk', indicating at the very least a relative contraindication to deliberate or voluntary exposure to the substance. 'High Risk' is flagged if the clinician has identified a propensity for a more serious or potentially life-threatening reaction, such as anaphylaxis, and implies an absolute contraindication to deliberate or voluntary exposure to the substance. If this element is missing, the criticality is unknown (though it may be known elsewhere).  Systems that capture a severity at the condition level are actually representing the concept of criticality whereas the severity documented at the reaction level is representing the true reaction severity.  Existing systems that are capturing both condition criticality and reaction severity may use the term \"severity\" to represent both.  Criticality is the worst it could be in the future (i.e. situation-agnostic) whereas severity is situation-dependent.",
          "alias" : ["Severity",
          "Seriousness",
          "Contra-indication",
          "Risk"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCriticality"
            }],
            "strength" : "required",
            "description" : "Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "AL1-4"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }]
        },
        {
          "id" : "AllergyIntolerance.code",
          "path" : "AllergyIntolerance.code",
          "short" : "Code that identifies the allergy or intolerance",
          "definition" : "Code for an allergy or intolerance statement (either a positive or a negated/excluded statement).  This may be a code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk (e.g., \"Latex\"), an allergy or intolerance condition (e.g., \"Latex allergy\"), or a negated/excluded code for a specific substance or class (e.g., \"No latex allergy\") or a general or categorical negated statement (e.g.,  \"No known allergy\", \"No known drug allergies\").  Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.",
          "comment" : "It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, ICD-9, IDC-10, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text.\r\rWhen a substance or product code is specified for the 'code' element, the \"default\" semantic context is that this is a positive statement of an allergy or intolerance (depending on the value of the 'type' element, if present) condition to the specified substance/product.  In the corresponding SNOMED CT allergy model, the specified substance/product is the target (destination) of the \"Causative agent\" relationship.\r\rThe 'substanceExposureRisk' extension is available as a structured and more flexible alternative to the 'code' element for making positive or negative allergy or intolerance statements.  This extension provides the capability to make \"no known allergy\" (or \"no risk of adverse reaction\") statements regarding any coded substance/product (including cases when a pre-coordinated \"no allergy to x\" concept for that substance/product does not exist).  If the 'substanceExposureRisk' extension is present, the AllergyIntolerance.code element SHALL be omitted.",
          "alias" : ["Code"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceCode"
            }],
            "strength" : "example",
            "description" : "Type of the substance/product, allergy or intolerance condition, or negation/exclusion codes for reporting no known allergies.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/allergyintolerance-code"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "AL1-3 / IAM-3"
          },
          {
            "identity" : "rim",
            "map" : "substance/product:\r\r.participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rnegated/excluded substance/product:\r\r.participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]\r\rpositive or negated/excluded condition/situation:\r\rObservation.code=ASSERTION; Observation.value"
          }]
        },
        {
          "id" : "AllergyIntolerance.patient",
          "path" : "AllergyIntolerance.patient",
          "short" : "Who the sensitivity is for",
          "definition" : "The patient who has the allergy or intolerance.",
          "alias" : ["Patient"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "(PID-3)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "AllergyIntolerance.encounter",
          "path" : "AllergyIntolerance.encounter",
          "short" : "Encounter when the allergy or intolerance was asserted",
          "definition" : "The encounter when the allergy or intolerance was asserted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "AllergyIntolerance.onset[x]",
          "path" : "AllergyIntolerance.onset[x]",
          "short" : "When allergy or intolerance was identified",
          "definition" : "Estimated or actual date,  date-time, or age when allergy or intolerance was identified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime.low"
          }]
        },
        {
          "id" : "AllergyIntolerance.recordedDate",
          "path" : "AllergyIntolerance.recordedDate",
          "short" : "Date first version of the resource instance was recorded",
          "definition" : "The recordedDate represents when this particular AllergyIntolerance record was created in the system, which is often a system-generated date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "IAM-13"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "AllergyIntolerance.recorder",
          "path" : "AllergyIntolerance.recorder",
          "short" : "Who recorded the sensitivity",
          "definition" : "Individual who recorded the record and takes responsibility for its content.",
          "alias" : ["Author"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "AllergyIntolerance.asserter",
          "path" : "AllergyIntolerance.asserter",
          "short" : "Source of the information about the allergy",
          "definition" : "The source of the information about the allergy that is recorded.",
          "comment" : "The recorder takes responsibility for the content, but can reference the source from where they got it.",
          "alias" : ["Source",
          "Informant"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "IAM-14 (if patient) / IAM-18 (if practitioner)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }]
        },
        {
          "id" : "AllergyIntolerance.lastOccurrence",
          "path" : "AllergyIntolerance.lastOccurrence",
          "short" : "Date(/time) of last known occurrence of a reaction",
          "definition" : "Represents the date and/or time of the last known occurrence of a reaction event.",
          "comment" : "This date may be replicated by one of the Onset of Reaction dates. Where a textual representation of the date of last occurrence is required e.g. 'In Childhood, '10 years ago' the Comment element should be used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime"
          }]
        },
        {
          "id" : "AllergyIntolerance.note",
          "path" : "AllergyIntolerance.note",
          "short" : "Additional text not captured in other fields",
          "definition" : "Additional narrative about the propensity for the Adverse Reaction, not captured in other fields.",
          "comment" : "For example: including reason for flagging a seriousness of 'High Risk'; and instructions related to future exposure or administration of the substance, such as administration within an Intensive Care Unit or under corticosteroid cover. The notes should be related to an allergy or intolerance as a condition in general and not related to any particular episode of it. For episode notes and descriptions, use AllergyIntolerance.event.description and  AllergyIntolerance.event.notes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction",
          "path" : "AllergyIntolerance.reaction",
          "short" : "Adverse Reaction Events linked to exposure to substance",
          "definition" : "Details about each adverse reaction event linked to exposure to the identified substance.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.substance",
          "path" : "AllergyIntolerance.reaction.substance",
          "short" : "Specific substance or pharmaceutical product considered to be responsible for event",
          "definition" : "Identification of the specific substance (or pharmaceutical product) considered to be responsible for the Adverse Reaction event. Note: the substance for a specific reaction may be different from the substance identified as the cause of the risk, but it must be consistent with it. For instance, it may be a more specific substance (e.g. a brand medication) or a composite product that includes the identified substance. It must be clinically safe to only process the 'code' and ignore the 'reaction.substance'.  If a receiving system is unable to confirm that AllergyIntolerance.reaction.substance falls within the semantic scope of AllergyIntolerance.code, then the receiving system should ignore AllergyIntolerance.reaction.substance.",
          "comment" : "Coding of the specific substance (or pharmaceutical product) with a terminology capable of triggering decision support should be used wherever possible.  The 'code' element allows for the use of a specific substance or pharmaceutical product, or a group or class of substances. In the case of an allergy or intolerance to a class of substances, (for example, \"penicillins\"), the 'reaction.substance' element could be used to code the specific substance that was identified as having caused the reaction (for example, \"amoxycillin\"). Duplication of the value in the 'code' and 'reaction.substance' elements is acceptable when a specific substance has been recorded in 'code'.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceCode"
            }],
            "strength" : "example",
            "description" : "Codes defining the type of the substance (including pharmaceutical products).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.manifestation",
          "path" : "AllergyIntolerance.reaction.manifestation",
          "short" : "Clinical symptoms/signs associated with the Event",
          "definition" : "Clinical symptoms and/or signs that are observed or associated with the adverse reaction event.",
          "comment" : "Manifestation can be expressed as a single word, phrase or brief description. For example: nausea, rash or no reaction. It is preferable that manifestation should be coded with a terminology, where possible. The values entered here may be used to display on an application screen as part of a list of adverse reactions, as recommended in the UK NHS CUI guidelines.  Terminologies commonly used include, but are not limited to, SNOMED CT or ICD10.",
          "alias" : ["Symptoms",
          "Signs"],
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Manifestation"
            }],
            "strength" : "example",
            "description" : "Clinical symptoms and/or signs that are observed or associated with an Adverse Reaction Event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "AL1-5"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.description",
          "path" : "AllergyIntolerance.reaction.description",
          "short" : "Description of the event as a whole",
          "definition" : "Text description about the reaction as a whole, including details of the manifestation if required.",
          "comment" : "Use the description to provide any details of a particular event of the occurred reaction such as circumstances, reaction specifics, what happened before/after. Information, related to the event, but not describing a particular care should be captured in the comment field. For example: at the age of four, the patient was given penicillin for strep throat and subsequently developed severe hives.",
          "alias" : ["Narrative",
          "Text"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "text"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.onset",
          "path" : "AllergyIntolerance.reaction.onset",
          "short" : "Date(/time) when manifestations showed",
          "definition" : "Record of the date and/or time of the onset of the Reaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "AL1-6"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime.low"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.severity",
          "path" : "AllergyIntolerance.reaction.severity",
          "short" : "mild | moderate | severe (of event as a whole)",
          "definition" : "Clinical assessment of the severity of the reaction event as a whole, potentially considering multiple different manifestations.",
          "comment" : "It is acknowledged that this assessment is very subjective. There may be some specific practice domains where objective scales have been applied. Objective scales can be included in this model as extensions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AllergyIntoleranceSeverity"
            }],
            "strength" : "required",
            "description" : "Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reaction-event-severity|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.exposureRoute",
          "path" : "AllergyIntolerance.reaction.exposureRoute",
          "short" : "How the subject was exposed to the substance",
          "definition" : "Identification of the route by which the subject was exposed to the substance.",
          "comment" : "Coding of the route of exposure with a terminology should be used wherever possible.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RouteOfAdministration"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode"
          }]
        },
        {
          "id" : "AllergyIntolerance.reaction.note",
          "path" : "AllergyIntolerance.reaction.note",
          "short" : "Text about event not captured in other fields",
          "definition" : "Additional text about the adverse reaction event not captured in other fields.",
          "comment" : "Use this field to record information indirectly related to a particular event and not captured in the description. For example: Clinical records are no longer available, recorded based on information provided to the patient by her mother and her mother is deceased.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Appointment",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Appointment",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Appointment 
ITU
DomainResource
A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)
+ Rule: Either start and end are specified, or neither
+ Rule: Only proposed or cancelled appointments can be missing start/end dates
+ Rule: Cancelation reason is only used for appointments that have been cancelled, or no-show
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Ids for this item
 status 
?!Σ
1..1
code
proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist
AppointmentStatus (Required)
 cancelationReason 
Σ
0..1
CodeableConcept
The coded reason for the appointment being cancelled
Appointment cancellation reason (Example)
 serviceCategory 
Σ
0..*
CodeableConcept
A broad categorization of the service that is to be performed during this appointment
Service category (Example)
 serviceType 
Σ
0..*
CodeableConcept
The specific service that is to be performed during this appointment
Service type (Example)
 specialty 
Σ
0..*
CodeableConcept
The specialty of a practitioner that would be required to perform the service requested in this appointment
Practice Setting Code Value Set (Preferred)
 appointmentType 
Σ
0..1
CodeableConcept
The style of appointment or patient that has been booked in the slot (not service type)
v2 Appointment Reason Codes (Preferred)
 reasonCode 
Σ
0..*
CodeableConcept
Coded reason this appointment is scheduled
Encounter Reason Codes (Preferred)
 reasonReference 
0..*
Reference(Condition | Procedure | Observation | ImmunizationRecommendation)
Reason the appointment is to take place (resource)
 priority 
0..1
unsignedInt
Used to make informed decisions if needing to re-prioritize
 description 
0..1
string
Shown on a subject line in a meeting request, or appointment list
 supportingInformation 
0..*
Reference(Any)
Additional information to support the appointment
 start 
Σ
0..1
instant
When appointment is to take place
 end 
Σ
0..1
instant
When appointment is to conclude
 minutesDuration 
0..1
positiveInt
Can be less than start/end (e.g. estimate)
 slot 
0..*
Reference(Slot)
The slots that this appointment is filling
 created 
0..1
dateTime
The date that this appointment was initially created
 comment 
0..1
string
Additional comments
 patientInstruction 
0..1
string
Detailed information and instructions for the patient
 basedOn 
0..*
Reference(ServiceRequest)
The service request this appointment is allocated to assess
 participant 
I
1..*
BackboneElement
Participants involved in appointment
+ Rule: Either the type or actor on the participant SHALL be specified
 type 
Σ
0..*
CodeableConcept
Role of participant in the appointment
Participant type (Extensible)
 actor 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)
Person, Location/HealthcareService or Device
 required 
Σ
0..1
code
required | optional | information-only
ParticipantRequired (Required)
 status 
Σ
1..1
code
accepted | declined | tentative | needs-action
ParticipationStatus (Required)
 period 
0..1
Period
Participation period of the actor
 requestedPeriod 
0..*
Period
Potential date/time interval(s) requested to allocate the appointment within

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Workflow"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Appointment",
      "version" : "4.0.0",
      "name" : "Appointment",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s).",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "ical",
        "uri" : "http://ietf.org/rfc/2445",
        "name" : "iCalendar"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Appointment",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Appointment",
          "path" : "Appointment",
          "short" : "A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)",
          "definition" : "A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "app-4",
            "severity" : "error",
            "human" : "Cancelation reason is only used for appointments that have been cancelled, or no-show",
            "expression" : "Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')",
            "xpath" : "not(exists(f:cancellationReason)) or f:status/@value=('no-show', 'cancelled')"
          },
          {
            "key" : "app-3",
            "severity" : "error",
            "human" : "Only proposed or cancelled appointments can be missing start/end dates",
            "expression" : "(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))",
            "xpath" : "((exists(f:start) and exists(f:end)) or (f:status/@value='proposed') or (f:status/@value='cancelled') or (f:status/@value='waitlist'))"
          },
          {
            "key" : "app-2",
            "severity" : "error",
            "human" : "Either start and end are specified, or neither",
            "expression" : "start.exists() = end.exists()",
            "xpath" : "((exists(f:start) and exists(f:end)) or (not(exists(f:start)) and not(exists(f:end))))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "Act[@moodCode <= 'INT']"
          },
          {
            "identity" : "ical",
            "map" : "VEVENT"
          }]
        },
        {
          "id" : "Appointment.id",
          "path" : "Appointment.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Appointment.meta",
          "path" : "Appointment.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Appointment.implicitRules",
          "path" : "Appointment.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Appointment.language",
          "path" : "Appointment.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Appointment.text",
          "path" : "Appointment.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Appointment.contained",
          "path" : "Appointment.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Appointment.extension",
          "path" : "Appointment.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Appointment.modifierExtension",
          "path" : "Appointment.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Appointment.identifier",
          "path" : "Appointment.identifier",
          "short" : "External Ids for this item",
          "definition" : "This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "SCH-1, SCH-2, ARQ-1, ARQ-2"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "ical",
            "map" : "UID"
          }]
        },
        {
          "id" : "Appointment.status",
          "path" : "Appointment.status",
          "short" : "proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist",
          "definition" : "The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.",
          "comment" : "If the Appointment's status is \"cancelled\" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Appointment.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AppointmentStatus"
            }],
            "strength" : "required",
            "description" : "The free/busy status of an appointment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "SCH-25"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          },
          {
            "identity" : "ical",
            "map" : "STATUS"
          }]
        },
        {
          "id" : "Appointment.cancelationReason",
          "path" : "Appointment.cancelationReason",
          "short" : "The coded reason for the appointment being cancelled",
          "definition" : "The coded reason for the appointment being cancelled. This is often used in reporting/billing/futher processing to determine if further actions are required, or specific fees apply.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.cancelationReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "cancelation-reason"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/appointment-cancellation-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Appointment.serviceCategory",
          "path" : "Appointment.serviceCategory",
          "short" : "A broad categorization of the service that is to be performed during this appointment",
          "definition" : "A broad categorization of the service that is to be performed during this appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.serviceCategory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-category"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-category"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a, might be inferred from the ServiceDeliveryLocation"
          },
          {
            "identity" : "ical",
            "map" : "CATEGORIES"
          }]
        },
        {
          "id" : "Appointment.serviceType",
          "path" : "Appointment.serviceType",
          "short" : "The specific service that is to be performed during this appointment",
          "definition" : "The specific service that is to be performed during this appointment.",
          "comment" : "For a provider to provider appointment the code \"FOLLOWUP\" may be appropriate, as this is expected to be discussing some patient that was seen in the past.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.serviceType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-type"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "rim",
            "map" : "n/a, might be inferred from the ServiceDeliveryLocation"
          }]
        },
        {
          "id" : "Appointment.specialty",
          "path" : "Appointment.specialty",
          "short" : "The specialty of a practitioner that would be required to perform the service requested in this appointment",
          "definition" : "The specialty of a practitioner that would be required to perform the service requested in this appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.specialty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "specialty"
            }],
            "strength" : "preferred",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".performer.AssignedPerson.code"
          }]
        },
        {
          "id" : "Appointment.appointmentType",
          "path" : "Appointment.appointmentType",
          "short" : "The style of appointment or patient that has been booked in the slot (not service type)",
          "definition" : "The style of appointment or patient that has been booked in the slot (not service type).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.appointmentType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "appointment-type"
            }],
            "strength" : "preferred",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0276"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ARQ-7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "ical",
            "map" : "CLASSIFICATION"
          }]
        },
        {
          "id" : "Appointment.reasonCode",
          "path" : "Appointment.reasonCode",
          "short" : "Coded reason this appointment is scheduled",
          "definition" : "The coded reason that this appointment is being scheduled. This is more clinical than administrative.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ApptReason"
            }],
            "strength" : "preferred",
            "description" : "The Reason for the appointment to take place.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "v2",
            "map" : "AIS-3, SCH-7"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Appointment.reasonReference",
          "path" : "Appointment.reasonReference",
          "short" : "Reason the appointment is to take place (resource)",
          "definition" : "Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[@typeCode = 'RSON'].observation"
          }]
        },
        {
          "id" : "Appointment.priority",
          "path" : "Appointment.priority",
          "short" : "Used to make informed decisions if needing to re-prioritize",
          "definition" : "The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).",
          "comment" : "Seeking implementer feedback on this property and how interoperable it is.\r\rUsing an extension to record a CodeableConcept for named values may be tested at a future connectathon.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "ARQ-12, SCH-11.6 / TQ1-9"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          },
          {
            "identity" : "ical",
            "map" : "PRIORITY"
          }]
        },
        {
          "id" : "Appointment.description",
          "path" : "Appointment.description",
          "short" : "Shown on a subject line in a meeting request, or appointment list",
          "definition" : "The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE-3"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "ical",
            "map" : "SUMMARY"
          }]
        },
        {
          "id" : "Appointment.supportingInformation",
          "path" : "Appointment.supportingInformation",
          "short" : "Additional information to support the appointment",
          "definition" : "Additional information to support the appointment provided when making the appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.supportingInformation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[@typeCode = 'SPRT'].observation"
          },
          {
            "identity" : "ical",
            "map" : "ATTACH"
          }]
        },
        {
          "id" : "Appointment.start",
          "path" : "Appointment.start",
          "short" : "When appointment is to take place",
          "definition" : "Date/Time that the appointment is to take place.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.start",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "v2",
            "map" : "ARQ-11.1, SCH-11.4 / TQ1-7"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime.low"
          },
          {
            "identity" : "ical",
            "map" : "DTSTART"
          }]
        },
        {
          "id" : "Appointment.end",
          "path" : "Appointment.end",
          "short" : "When appointment is to conclude",
          "definition" : "Date/Time that the appointment is to conclude.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.end",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "SCH-11.5 / TQ1-8/ calculated based on the start and the duration which is in ARQ-9"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime.high"
          },
          {
            "identity" : "ical",
            "map" : "DTEND"
          }]
        },
        {
          "id" : "Appointment.minutesDuration",
          "path" : "Appointment.minutesDuration",
          "short" : "Can be less than start/end (e.g. estimate)",
          "definition" : "Number of minutes that the appointment is to take. This can be less than the duration between the start and end times.  For example, where the actual time of appointment is only an estimate or if a 30 minute appointment is being requested, but any time would work.  Also, if there is, for example, a planned 15 minute break in the middle of a long appointment, the duration may be 15 minutes less than the difference between the start and end.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.minutesDuration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "rim",
            "map" : ".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')].width"
          },
          {
            "identity" : "ical",
            "map" : "DURATION (e.g. PT15M)"
          }]
        },
        {
          "id" : "Appointment.slot",
          "path" : "Appointment.slot",
          "short" : "The slots that this appointment is filling",
          "definition" : "The slots from the participants' schedules that will be filled by the appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.slot",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Slot"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[@typeCode = 'REFR'].act[@classCode = 'ACT'][@moodCode = 'SLOT']"
          }]
        },
        {
          "id" : "Appointment.created",
          "path" : "Appointment.created",
          "short" : "The date that this appointment was initially created",
          "definition" : "The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment.",
          "comment" : "This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.created",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "rim",
            "map" : ".author.time"
          },
          {
            "identity" : "ical",
            "map" : "CREATED"
          }]
        },
        {
          "id" : "Appointment.comment",
          "path" : "Appointment.comment",
          "short" : "Additional comments",
          "definition" : "Additional comments about the appointment.",
          "comment" : "Additional text to aid in facilitating the appointment. For instance, a comment might be, \"patient should proceed immediately to infusion room upon arrival\"\r\rWhere this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE-3"
          },
          {
            "identity" : "rim",
            "map" : ".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value"
          },
          {
            "identity" : "ical",
            "map" : "DESCRIPTION (for internal use)"
          }]
        },
        {
          "id" : "Appointment.patientInstruction",
          "path" : "Appointment.patientInstruction",
          "short" : "Detailed information and instructions for the patient",
          "definition" : "While Appointment.comment contains information for internal use, Appointment.patientInstructions is used to capture patient facing information about the Appointment (e.g. please bring your referral or fast from 8pm night before).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.patientInstruction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE-3"
          },
          {
            "identity" : "rim",
            "map" : ".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value"
          },
          {
            "identity" : "ical",
            "map" : "DESCRIPTION (for patient use)"
          }]
        },
        {
          "id" : "Appointment.basedOn",
          "path" : "Appointment.basedOn",
          "short" : "The service request this appointment is allocated to assess",
          "definition" : "The service request this appointment is allocated to assess (e.g. incoming referral or procedure request).",
          "alias" : ["incomingReferral"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[@typeCode = 'FLFS'].act[@classCode < 'ActCareProvisionRequestType'][@moodCode = 'RQO']"
          }]
        },
        {
          "id" : "Appointment.participant",
          "path" : "Appointment.participant",
          "short" : "Participants involved in appointment",
          "definition" : "List of participants involved in the appointment.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Appointment.participant",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "app-1",
            "severity" : "error",
            "human" : "Either the type or actor on the participant SHALL be specified",
            "expression" : "type.exists() or actor.exists()",
            "xpath" : "(exists(f:type) or exists(f:actor))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer, Request.subject"
          },
          {
            "identity" : "v2",
            "map" : "PID, AIP, AIG, AIL"
          },
          {
            "identity" : "rim",
            "map" : "performer | reusableDevice | subject | location"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE component to be created"
          }]
        },
        {
          "id" : "Appointment.participant.id",
          "path" : "Appointment.participant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Appointment.participant.extension",
          "path" : "Appointment.participant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Appointment.participant.modifierExtension",
          "path" : "Appointment.participant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Appointment.participant.type",
          "path" : "Appointment.participant.type",
          "short" : "Role of participant in the appointment",
          "definition" : "Role of participant in the appointment.",
          "comment" : "The role of the participant can be used to declare what the actor will be doing in the scope of this appointment.\r\rIf the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.\r\rThis value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.participant.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantType"
            }],
            "strength" : "extensible",
            "description" : "Role of participant in encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-participant-type"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "AIP-4, AIG-4"
          },
          {
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).@typeCode"
          },
          {
            "identity" : "ical",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Appointment.participant.actor",
          "path" : "Appointment.participant.actor",
          "short" : "Person, Location/HealthcareService or Device",
          "definition" : "A Person, Location/HealthcareService or Device that is participating in the appointment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.participant.actor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3"
          },
          {
            "identity" : "rim",
            "map" : "performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not \"information-only\""
          }]
        },
        {
          "id" : "Appointment.participant.required",
          "path" : "Appointment.participant.required",
          "short" : "required | optional | information-only",
          "definition" : "Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.participant.required",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantRequired"
            }],
            "strength" : "required",
            "description" : "Is the Participant required to attend the appointment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participantrequired|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).@performInd"
          },
          {
            "identity" : "ical",
            "map" : "ROLE=REQ-PARTICIPANT (roleparam)"
          }]
        },
        {
          "id" : "Appointment.participant.status",
          "path" : "Appointment.participant.status",
          "short" : "accepted | declined | tentative | needs-action",
          "definition" : "Participation status of the actor.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Appointment.participant.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipationStatus"
            }],
            "strength" : "required",
            "description" : "The Participation status of an appointment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participationstatus|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "AIP-12, AIG-14"
          },
          {
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).statusCode"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE;CN=\"John Doe\";RSVP=TRUE:mailto:[email protected] (rsvpparam | partstatparam)"
          }]
        },
        {
          "id" : "Appointment.participant.period",
          "path" : "Appointment.participant.period",
          "short" : "Participation period of the actor",
          "definition" : "Participation period of the actor.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Appointment.participant.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Appointment.requestedPeriod",
          "path" : "Appointment.requestedPeriod",
          "short" : "Potential date/time interval(s) requested to allocate the appointment within",
          "definition" : "A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within.\n\nThe duration (usually in minutes) could also be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time. However, in other situations the duration may be calculated by the scheduling system.",
          "comment" : "This does not introduce a capacity for recurring appointments.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Appointment.requestedPeriod",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "ARQ-11"
          },
          {
            "identity" : "rim",
            "map" : ".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Appointment",
          "path" : "Appointment",
          "short" : "A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s)",
          "definition" : "A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or device(s) for a specific date/time. This may result in one or more Encounter(s).",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "app-4",
            "severity" : "error",
            "human" : "Cancelation reason is only used for appointments that have been cancelled, or no-show",
            "expression" : "Appointment.cancelationReason.exists() implies (Appointment.status='no-show' or Appointment.status='cancelled')",
            "xpath" : "not(exists(f:cancellationReason)) or f:status/@value=('no-show', 'cancelled')"
          },
          {
            "key" : "app-3",
            "severity" : "error",
            "human" : "Only proposed or cancelled appointments can be missing start/end dates",
            "expression" : "(start.exists() and end.exists()) or (status in ('proposed' | 'cancelled' | 'waitlist'))",
            "xpath" : "((exists(f:start) and exists(f:end)) or (f:status/@value='proposed') or (f:status/@value='cancelled') or (f:status/@value='waitlist'))"
          },
          {
            "key" : "app-2",
            "severity" : "error",
            "human" : "Either start and end are specified, or neither",
            "expression" : "start.exists() = end.exists()",
            "xpath" : "((exists(f:start) and exists(f:end)) or (not(exists(f:start)) and not(exists(f:end))))"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "Act[@moodCode <= 'INT']"
          },
          {
            "identity" : "ical",
            "map" : "VEVENT"
          }]
        },
        {
          "id" : "Appointment.identifier",
          "path" : "Appointment.identifier",
          "short" : "External Ids for this item",
          "definition" : "This records identifiers associated with this appointment concern that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "SCH-1, SCH-2, ARQ-1, ARQ-2"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "ical",
            "map" : "UID"
          }]
        },
        {
          "id" : "Appointment.status",
          "path" : "Appointment.status",
          "short" : "proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered-in-error | checked-in | waitlist",
          "definition" : "The overall status of the Appointment. Each of the participants has their own participation status which indicates their involvement in the process, however this status indicates the shared status.",
          "comment" : "If the Appointment's status is \"cancelled\" then all participants are expected to have their calendars released for the appointment period, and as such any Slots that were marked as BUSY can be re-set to FREE.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that mark the Appointment as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AppointmentStatus"
            }],
            "strength" : "required",
            "description" : "The free/busy status of an appointment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/appointmentstatus|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "SCH-25"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          },
          {
            "identity" : "ical",
            "map" : "STATUS"
          }]
        },
        {
          "id" : "Appointment.cancelationReason",
          "path" : "Appointment.cancelationReason",
          "short" : "The coded reason for the appointment being cancelled",
          "definition" : "The coded reason for the appointment being cancelled. This is often used in reporting/billing/futher processing to determine if further actions are required, or specific fees apply.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "cancelation-reason"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/appointment-cancellation-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Appointment.serviceCategory",
          "path" : "Appointment.serviceCategory",
          "short" : "A broad categorization of the service that is to be performed during this appointment",
          "definition" : "A broad categorization of the service that is to be performed during this appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-category"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-category"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a, might be inferred from the ServiceDeliveryLocation"
          },
          {
            "identity" : "ical",
            "map" : "CATEGORIES"
          }]
        },
        {
          "id" : "Appointment.serviceType",
          "path" : "Appointment.serviceType",
          "short" : "The specific service that is to be performed during this appointment",
          "definition" : "The specific service that is to be performed during this appointment.",
          "comment" : "For a provider to provider appointment the code \"FOLLOWUP\" may be appropriate, as this is expected to be discussing some patient that was seen in the past.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-type"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "rim",
            "map" : "n/a, might be inferred from the ServiceDeliveryLocation"
          }]
        },
        {
          "id" : "Appointment.specialty",
          "path" : "Appointment.specialty",
          "short" : "The specialty of a practitioner that would be required to perform the service requested in this appointment",
          "definition" : "The specialty of a practitioner that would be required to perform the service requested in this appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "specialty"
            }],
            "strength" : "preferred",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".performer.AssignedPerson.code"
          }]
        },
        {
          "id" : "Appointment.appointmentType",
          "path" : "Appointment.appointmentType",
          "short" : "The style of appointment or patient that has been booked in the slot (not service type)",
          "definition" : "The style of appointment or patient that has been booked in the slot (not service type).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "appointment-type"
            }],
            "strength" : "preferred",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0276"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ARQ-7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "ical",
            "map" : "CLASSIFICATION"
          }]
        },
        {
          "id" : "Appointment.reasonCode",
          "path" : "Appointment.reasonCode",
          "short" : "Coded reason this appointment is scheduled",
          "definition" : "The coded reason that this appointment is being scheduled. This is more clinical than administrative.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ApptReason"
            }],
            "strength" : "preferred",
            "description" : "The Reason for the appointment to take place.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "v2",
            "map" : "AIS-3, SCH-7"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Appointment.reasonReference",
          "path" : "Appointment.reasonReference",
          "short" : "Reason the appointment is to take place (resource)",
          "definition" : "Reason the appointment has been scheduled to take place, as specified using information from another resource. When the patient arrives and the encounter begins it may be used as the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[@typeCode = 'RSON'].observation"
          }]
        },
        {
          "id" : "Appointment.priority",
          "path" : "Appointment.priority",
          "short" : "Used to make informed decisions if needing to re-prioritize",
          "definition" : "The priority of the appointment. Can be used to make informed decisions if needing to re-prioritize appointments. (The iCal Standard specifies 0 as undefined, 1 as highest, 9 as lowest priority).",
          "comment" : "Seeking implementer feedback on this property and how interoperable it is.\r\rUsing an extension to record a CodeableConcept for named values may be tested at a future connectathon.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "ARQ-12, SCH-11.6 / TQ1-9"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          },
          {
            "identity" : "ical",
            "map" : "PRIORITY"
          }]
        },
        {
          "id" : "Appointment.description",
          "path" : "Appointment.description",
          "short" : "Shown on a subject line in a meeting request, or appointment list",
          "definition" : "The brief description of the appointment as would be shown on a subject line in a meeting request, or appointment list. Detailed or expanded information should be put in the comment field.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE-3"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "ical",
            "map" : "SUMMARY"
          }]
        },
        {
          "id" : "Appointment.supportingInformation",
          "path" : "Appointment.supportingInformation",
          "short" : "Additional information to support the appointment",
          "definition" : "Additional information to support the appointment provided when making the appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[@typeCode = 'SPRT'].observation"
          },
          {
            "identity" : "ical",
            "map" : "ATTACH"
          }]
        },
        {
          "id" : "Appointment.start",
          "path" : "Appointment.start",
          "short" : "When appointment is to take place",
          "definition" : "Date/Time that the appointment is to take place.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "v2",
            "map" : "ARQ-11.1, SCH-11.4 / TQ1-7"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime.low"
          },
          {
            "identity" : "ical",
            "map" : "DTSTART"
          }]
        },
        {
          "id" : "Appointment.end",
          "path" : "Appointment.end",
          "short" : "When appointment is to conclude",
          "definition" : "Date/Time that the appointment is to conclude.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "SCH-11.5 / TQ1-8/ calculated based on the start and the duration which is in ARQ-9"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime.high"
          },
          {
            "identity" : "ical",
            "map" : "DTEND"
          }]
        },
        {
          "id" : "Appointment.minutesDuration",
          "path" : "Appointment.minutesDuration",
          "short" : "Can be less than start/end (e.g. estimate)",
          "definition" : "Number of minutes that the appointment is to take. This can be less than the duration between the start and end times.  For example, where the actual time of appointment is only an estimate or if a 30 minute appointment is being requested, but any time would work.  Also, if there is, for example, a planned 15 minute break in the middle of a long appointment, the duration may be 15 minutes less than the difference between the start and end.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "rim",
            "map" : ".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')].width"
          },
          {
            "identity" : "ical",
            "map" : "DURATION (e.g. PT15M)"
          }]
        },
        {
          "id" : "Appointment.slot",
          "path" : "Appointment.slot",
          "short" : "The slots that this appointment is filling",
          "definition" : "The slots from the participants' schedules that will be filled by the appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Slot"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[@typeCode = 'REFR'].act[@classCode = 'ACT'][@moodCode = 'SLOT']"
          }]
        },
        {
          "id" : "Appointment.created",
          "path" : "Appointment.created",
          "short" : "The date that this appointment was initially created",
          "definition" : "The date that this appointment was initially created. This could be different to the meta.lastModified value on the initial entry, as this could have been before the resource was created on the FHIR server, and should remain unchanged over the lifespan of the appointment.",
          "comment" : "This property is required for many use cases where the age of an appointment is considered in processing workflows for scheduling and billing of appointments.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "rim",
            "map" : ".author.time"
          },
          {
            "identity" : "ical",
            "map" : "CREATED"
          }]
        },
        {
          "id" : "Appointment.comment",
          "path" : "Appointment.comment",
          "short" : "Additional comments",
          "definition" : "Additional comments about the appointment.",
          "comment" : "Additional text to aid in facilitating the appointment. For instance, a comment might be, \"patient should proceed immediately to infusion room upon arrival\"\r\rWhere this is a planned appointment and the start/end dates are not set then this field can be used to provide additional guidance on the details of the appointment request, including any restrictions on when to book it.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE-3"
          },
          {
            "identity" : "rim",
            "map" : ".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value"
          },
          {
            "identity" : "ical",
            "map" : "DESCRIPTION (for internal use)"
          }]
        },
        {
          "id" : "Appointment.patientInstruction",
          "path" : "Appointment.patientInstruction",
          "short" : "Detailed information and instructions for the patient",
          "definition" : "While Appointment.comment contains information for internal use, Appointment.patientInstructions is used to capture patient facing information about the Appointment (e.g. please bring your referral or fast from 8pm night before).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE-3"
          },
          {
            "identity" : "rim",
            "map" : ".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value"
          },
          {
            "identity" : "ical",
            "map" : "DESCRIPTION (for patient use)"
          }]
        },
        {
          "id" : "Appointment.basedOn",
          "path" : "Appointment.basedOn",
          "short" : "The service request this appointment is allocated to assess",
          "definition" : "The service request this appointment is allocated to assess (e.g. incoming referral or procedure request).",
          "alias" : ["incomingReferral"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[@typeCode = 'FLFS'].act[@classCode < 'ActCareProvisionRequestType'][@moodCode = 'RQO']"
          }]
        },
        {
          "id" : "Appointment.participant",
          "path" : "Appointment.participant",
          "short" : "Participants involved in appointment",
          "definition" : "List of participants involved in the appointment.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "app-1",
            "severity" : "error",
            "human" : "Either the type or actor on the participant SHALL be specified",
            "expression" : "type.exists() or actor.exists()",
            "xpath" : "(exists(f:type) or exists(f:actor))"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer, Request.subject"
          },
          {
            "identity" : "v2",
            "map" : "PID, AIP, AIG, AIL"
          },
          {
            "identity" : "rim",
            "map" : "performer | reusableDevice | subject | location"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE component to be created"
          }]
        },
        {
          "id" : "Appointment.participant.type",
          "path" : "Appointment.participant.type",
          "short" : "Role of participant in the appointment",
          "definition" : "Role of participant in the appointment.",
          "comment" : "The role of the participant can be used to declare what the actor will be doing in the scope of this appointment.\r\rIf the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.\r\rThis value SHALL be the same when creating an AppointmentResponse so that they can be matched, and subsequently update the Appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantType"
            }],
            "strength" : "extensible",
            "description" : "Role of participant in encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-participant-type"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "AIP-4, AIG-4"
          },
          {
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).@typeCode"
          },
          {
            "identity" : "ical",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Appointment.participant.actor",
          "path" : "Appointment.participant.actor",
          "short" : "Person, Location/HealthcareService or Device",
          "definition" : "A Person, Location/HealthcareService or Device that is participating in the appointment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List | AIL-3 | AIG-3 | AIP-3"
          },
          {
            "identity" : "rim",
            "map" : "performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource) where the participant type is not \"information-only\""
          }]
        },
        {
          "id" : "Appointment.participant.required",
          "path" : "Appointment.participant.required",
          "short" : "required | optional | information-only",
          "definition" : "Whether this participant is required to be present at the meeting. This covers a use-case where two doctors need to meet to discuss the results for a specific patient, and the patient is not required to be present.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantRequired"
            }],
            "strength" : "required",
            "description" : "Is the Participant required to attend the appointment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participantrequired|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).@performInd"
          },
          {
            "identity" : "ical",
            "map" : "ROLE=REQ-PARTICIPANT (roleparam)"
          }]
        },
        {
          "id" : "Appointment.participant.status",
          "path" : "Appointment.participant.status",
          "short" : "accepted | declined | tentative | needs-action",
          "definition" : "Participation status of the actor.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipationStatus"
            }],
            "strength" : "required",
            "description" : "The Participation status of an appointment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participationstatus|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "AIP-12, AIG-14"
          },
          {
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).statusCode"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE;CN=\"John Doe\";RSVP=TRUE:mailto:[email protected] (rsvpparam | partstatparam)"
          }]
        },
        {
          "id" : "Appointment.participant.period",
          "path" : "Appointment.participant.period",
          "short" : "Participation period of the actor",
          "definition" : "Participation period of the actor.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Appointment.requestedPeriod",
          "path" : "Appointment.requestedPeriod",
          "short" : "Potential date/time interval(s) requested to allocate the appointment within",
          "definition" : "A set of date ranges (potentially including times) that the appointment is preferred to be scheduled within.\n\nThe duration (usually in minutes) could also be provided to indicate the length of the appointment to fill and populate the start/end times for the actual allocated time. However, in other situations the duration may be calculated by the scheduling system.",
          "comment" : "This does not introduce a capacity for recurring appointments.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "ARQ-11"
          },
          {
            "identity" : "rim",
            "map" : ".activityTime[@xsi:type = ('SXPR_TS', 'PIVL_TS')]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/AppointmentResponse",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "AppointmentResponse",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 AppointmentResponse 
ITU
DomainResource
A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection
+ Rule: Either the participantType or actor must be specified
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Ids for this item
 appointment 
Σ
1..1
Reference(Appointment)
Appointment this response relates to
 start 
0..1
instant
Time from appointment, or requested new start time
 end 
0..1
instant
Time from appointment, or requested new end time
 participantType 
Σ
0..*
CodeableConcept
Role of participant in the appointment
Participant type (Extensible)
 actor 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)
Person, Location, HealthcareService, or Device
 participantStatus 
?!Σ
1..1
code
accepted | declined | tentative | in-process | completed | needs-action | entered-in-error
ParticipationStatus (Required)
 comment 
0..1
string
Additional comments

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Workflow"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/AppointmentResponse",
      "version" : "4.0.0",
      "name" : "AppointmentResponse",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "ical",
        "uri" : "http://ietf.org/rfc/2445",
        "name" : "iCalendar"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "AppointmentResponse",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "AppointmentResponse",
          "path" : "AppointmentResponse",
          "short" : "A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection",
          "definition" : "A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AppointmentResponse",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "apr-1",
            "severity" : "error",
            "human" : "Either the participantType or actor must be specified",
            "expression" : "participantType.exists() or actor.exists()",
            "xpath" : "(exists(f:participantType) or exists(f:actor))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "Appointment[@moodCode <= 'PRMS']"
          },
          {
            "identity" : "ical",
            "map" : "VEVENT"
          }]
        },
        {
          "id" : "AppointmentResponse.id",
          "path" : "AppointmentResponse.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AppointmentResponse.meta",
          "path" : "AppointmentResponse.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AppointmentResponse.implicitRules",
          "path" : "AppointmentResponse.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "AppointmentResponse.language",
          "path" : "AppointmentResponse.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "AppointmentResponse.text",
          "path" : "AppointmentResponse.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "AppointmentResponse.contained",
          "path" : "AppointmentResponse.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AppointmentResponse.extension",
          "path" : "AppointmentResponse.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AppointmentResponse.modifierExtension",
          "path" : "AppointmentResponse.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AppointmentResponse.identifier",
          "path" : "AppointmentResponse.identifier",
          "short" : "External Ids for this item",
          "definition" : "This records identifiers associated with this appointment response concern that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AppointmentResponse.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "ical",
            "map" : "UID"
          }]
        },
        {
          "id" : "AppointmentResponse.appointment",
          "path" : "AppointmentResponse.appointment",
          "short" : "Appointment this response relates to",
          "definition" : "Appointment that this response is replying to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AppointmentResponse.appointment",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Appointment"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "rim",
            "map" : "scheduleRequest.ActAppointmentRequest[@moodCode <= 'ARQ']"
          }]
        },
        {
          "id" : "AppointmentResponse.start",
          "path" : "AppointmentResponse.start",
          "short" : "Time from appointment, or requested new start time",
          "definition" : "Date/Time that the appointment is to take place, or requested new start time.",
          "comment" : "This may be either the same as the appointment request to confirm the details of the appointment, or alternately a new time to request a re-negotiation of the start time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AppointmentResponse.start",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime.low"
          }]
        },
        {
          "id" : "AppointmentResponse.end",
          "path" : "AppointmentResponse.end",
          "short" : "Time from appointment, or requested new end time",
          "definition" : "This may be either the same as the appointment request to confirm the details of the appointment, or alternately a new time to request a re-negotiation of the end time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AppointmentResponse.end",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime.high"
          }]
        },
        {
          "id" : "AppointmentResponse.participantType",
          "path" : "AppointmentResponse.participantType",
          "short" : "Role of participant in the appointment",
          "definition" : "Role of participant in the appointment.",
          "comment" : "The role of the participant can be used to declare what the actor will be doing in the scope of the referenced appointment.\r\rIf the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.\r\rThis value SHALL be the same as specified on the referenced Appointment so that they can be matched, and subsequently updated.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AppointmentResponse.participantType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantType"
            }],
            "strength" : "extensible",
            "description" : "Role of participant in encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-participant-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performerType"
          },
          {
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).@typeCode"
          },
          {
            "identity" : "ical",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AppointmentResponse.actor",
          "path" : "AppointmentResponse.actor",
          "short" : "Person, Location, HealthcareService, or Device",
          "definition" : "A Person, Location, HealthcareService, or Device that is participating in the appointment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AppointmentResponse.actor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : "performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource)"
          }]
        },
        {
          "id" : "AppointmentResponse.participantStatus",
          "path" : "AppointmentResponse.participantStatus",
          "short" : "accepted | declined | tentative | in-process | completed | needs-action | entered-in-error",
          "definition" : "Participation status of the participant. When the status is declined or tentative if the start/end times are different to the appointment, then these times should be interpreted as a requested time change. When the status is accepted, the times can either be the time of the appointment (as a confirmation of the time) or can be empty.",
          "comment" : "This element is labeled as a modifier because the status contains the code entered-in-error that marks the participant as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AppointmentResponse.participantStatus",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantStatus"
            }],
            "strength" : "required",
            "description" : "The Participation status of an appointment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participationstatus|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).statusCode"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE;CN=\"Brian Postlethwaite\";RSVP=TRUE:mailto:[email protected] (rsvpparam | partstatparam)"
          }]
        },
        {
          "id" : "AppointmentResponse.comment",
          "path" : "AppointmentResponse.comment",
          "short" : "Additional comments",
          "definition" : "Additional comments about the appointment.",
          "comment" : "This comment is particularly important when the responder is declining, tentatively accepting or requesting another time to indicate the reasons why.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AppointmentResponse.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "rim",
            "map" : ".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value"
          },
          {
            "identity" : "ical",
            "map" : "COMMENT"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "AppointmentResponse",
          "path" : "AppointmentResponse",
          "short" : "A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection",
          "definition" : "A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation or rejection.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "apr-1",
            "severity" : "error",
            "human" : "Either the participantType or actor must be specified",
            "expression" : "participantType.exists() or actor.exists()",
            "xpath" : "(exists(f:participantType) or exists(f:actor))"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "Appointment[@moodCode <= 'PRMS']"
          },
          {
            "identity" : "ical",
            "map" : "VEVENT"
          }]
        },
        {
          "id" : "AppointmentResponse.identifier",
          "path" : "AppointmentResponse.identifier",
          "short" : "External Ids for this item",
          "definition" : "This records identifiers associated with this appointment response concern that are defined by business processes and/ or used to refer to it when a direct URL reference to the resource itself is not appropriate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "ical",
            "map" : "UID"
          }]
        },
        {
          "id" : "AppointmentResponse.appointment",
          "path" : "AppointmentResponse.appointment",
          "short" : "Appointment this response relates to",
          "definition" : "Appointment that this response is replying to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Appointment"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "rim",
            "map" : "scheduleRequest.ActAppointmentRequest[@moodCode <= 'ARQ']"
          }]
        },
        {
          "id" : "AppointmentResponse.start",
          "path" : "AppointmentResponse.start",
          "short" : "Time from appointment, or requested new start time",
          "definition" : "Date/Time that the appointment is to take place, or requested new start time.",
          "comment" : "This may be either the same as the appointment request to confirm the details of the appointment, or alternately a new time to request a re-negotiation of the start time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime.low"
          }]
        },
        {
          "id" : "AppointmentResponse.end",
          "path" : "AppointmentResponse.end",
          "short" : "Time from appointment, or requested new end time",
          "definition" : "This may be either the same as the appointment request to confirm the details of the appointment, or alternately a new time to request a re-negotiation of the end time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime.high"
          }]
        },
        {
          "id" : "AppointmentResponse.participantType",
          "path" : "AppointmentResponse.participantType",
          "short" : "Role of participant in the appointment",
          "definition" : "Role of participant in the appointment.",
          "comment" : "The role of the participant can be used to declare what the actor will be doing in the scope of the referenced appointment.\r\rIf the actor is not specified, then it is expected that the actor will be filled in at a later stage of planning.\r\rThis value SHALL be the same as specified on the referenced Appointment so that they can be matched, and subsequently updated.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantType"
            }],
            "strength" : "extensible",
            "description" : "Role of participant in encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-participant-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performerType"
          },
          {
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).@typeCode"
          },
          {
            "identity" : "ical",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AppointmentResponse.actor",
          "path" : "AppointmentResponse.actor",
          "short" : "Person, Location, HealthcareService, or Device",
          "definition" : "A Person, Location, HealthcareService, or Device that is participating in the appointment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : "performer.person | reusableDevice.manufacturedDevice | subject.patient | location.serviceDeliveryLocation"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE: (Need to provide the common name CN and also the MAILTO properties from the practitioner resource)"
          }]
        },
        {
          "id" : "AppointmentResponse.participantStatus",
          "path" : "AppointmentResponse.participantStatus",
          "short" : "accepted | declined | tentative | in-process | completed | needs-action | entered-in-error",
          "definition" : "Participation status of the participant. When the status is declined or tentative if the start/end times are different to the appointment, then these times should be interpreted as a requested time change. When the status is accepted, the times can either be the time of the appointment (as a confirmation of the time) or can be empty.",
          "comment" : "This element is labeled as a modifier because the status contains the code entered-in-error that marks the participant as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantStatus"
            }],
            "strength" : "required",
            "description" : "The Participation status of an appointment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participationstatus|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "rim",
            "map" : "(performer | reusableDevice | subject | location).statusCode"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE;CN=\"Brian Postlethwaite\";RSVP=TRUE:mailto:[email protected] (rsvpparam | partstatparam)"
          }]
        },
        {
          "id" : "AppointmentResponse.comment",
          "path" : "AppointmentResponse.comment",
          "short" : "Additional comments",
          "definition" : "Additional comments about the appointment.",
          "comment" : "This comment is particularly important when the responder is declining, tentatively accepting or requesting another time to indicate the reasons why.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "rim",
            "map" : ".subjectOf.observation[@moodCode = 'EVN'][code = 'annotation'].value"
          },
          {
            "identity" : "ical",
            "map" : "COMMENT"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/AuditEvent",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "AuditEvent",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 AuditEvent 
TU
DomainResource
Event record kept for security purposes
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 type 
Σ
1..1
Coding
Type/identifier of event
Audit Event ID (Extensible)
 subtype 
Σ
0..*
Coding
More specific type/id for the event
Audit Event Sub-Type (Extensible)
 action 
Σ
0..1
code
Type of action performed during the event
AuditEventAction (Required)
 period 
0..1
Period
When the activity occurred
 recorded 
Σ
1..1
instant
Time when the event was recorded
 outcome 
Σ
0..1
code
Whether the event succeeded or failed
AuditEventOutcome (Required)
 outcomeDesc 
Σ
0..1
string
Description of the event outcome
 purposeOfEvent 
Σ
0..*
CodeableConcept
The purposeOfUse of the event
V3 Value SetPurposeOfUse (Extensible)
 agent 
1..*
BackboneElement
Actor involved in the event
 type 
0..1
CodeableConcept
How agent participated
ParticipationRoleType (Extensible)
 role 
0..*
CodeableConcept
Agent role in the event
SecurityRoleType (Example)
 who 
Σ
0..1
Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson)
Identifier of who
 altId 
0..1
string
Alternative User identity
 name 
0..1
string
Human friendly name for the agent
 requestor 
Σ
1..1
boolean
Whether user is initiator
 location 
0..1
Reference(Location)
Where
 policy 
0..*
uri
Policy that authorized event
 media 
0..1
Coding
Type of media
Media Type Code (Extensible)
 network 
0..1
BackboneElement
Logical network location for application activity
 address 
0..1
string
Identifier for the network access point of the user device
 type 
0..1
code
The type of network access point
AuditEventAgentNetworkType (Required)
 purposeOfUse 
0..*
CodeableConcept
Reason given for this user
V3 Value SetPurposeOfUse (Extensible)
 source 
1..1
BackboneElement
Audit Event Reporter
 site 
0..1
string
Logical source location within the enterprise
 observer 
Σ
1..1
Reference(PractitionerRole | Practitioner | Organization | Device | Patient | RelatedPerson)
The identity of source detecting the event
 type 
0..*
Coding
The type of source where event originated
Audit Event Source Type (Extensible)
 entity 
I
0..*
BackboneElement
Data or objects used
+ Rule: Either a name or a query (NOT both)
 what 
Σ
0..1
Reference(Any)
Specific instance of resource
 type 
0..1
Coding
Type of entity involved
Audit event entity type (Extensible)
 role 
0..1
Coding
What role the entity played
AuditEventEntityRole (Extensible)
 lifecycle 
0..1
Coding
Life-cycle stage for the entity
ObjectLifecycleEvents (Extensible)
 securityLabel 
0..*
Coding
Security labels on the entity
SecurityLabels (Extensible)
 name 
ΣI
0..1
string
Descriptor for entity
 description 
0..1
string
Descriptive text
 query 
ΣI
0..1
base64Binary
Query parameters
 detail 
0..*
BackboneElement
Additional Information about the entity
 type 
1..1
string
Name of the property
 value[x] 
1..1
Property value
 valueString
string
 valueBase64Binary
base64Binary

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Security"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "sec"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/AuditEvent",
      "version" : "4.0.0",
      "name" : "AuditEvent",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Security)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/secure/index.cfm"
        }]
      }],
      "description" : "A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "dicom",
        "uri" : "http://nema.org/dicom",
        "name" : "DICOM Tag Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "w3c.prov",
        "uri" : "http://www.w3.org/ns/prov",
        "name" : "W3C PROV"
      },
      {
        "identity" : "fhirprovenance",
        "uri" : "http://hl7.org/fhir/provenance",
        "name" : "FHIR Provenance Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "AuditEvent",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "AuditEvent",
          "path" : "AuditEvent",
          "short" : "Event record kept for security purposes",
          "definition" : "A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.",
          "comment" : "Based on IHE-ATNA.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "ControlAct[moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "Message"
          }]
        },
        {
          "id" : "AuditEvent.id",
          "path" : "AuditEvent.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AuditEvent.meta",
          "path" : "AuditEvent.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "AuditEvent.implicitRules",
          "path" : "AuditEvent.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "AuditEvent.language",
          "path" : "AuditEvent.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "AuditEvent.text",
          "path" : "AuditEvent.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "AuditEvent.contained",
          "path" : "AuditEvent.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AuditEvent.extension",
          "path" : "AuditEvent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AuditEvent.modifierExtension",
          "path" : "AuditEvent.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AuditEvent.type",
          "path" : "AuditEvent.type",
          "short" : "Type/identifier of event",
          "definition" : "Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.",
          "requirements" : "This identifies the performed function. For \"Execute\" Event Action Code audit records, this identifies the application function performed.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventType"
            }],
            "strength" : "extensible",
            "description" : "Type of event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-event-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code (type, subtype and action are pre-coordinated or sent as translations)"
          },
          {
            "identity" : "dicom",
            "map" : "EventId"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity"
          }]
        },
        {
          "id" : "AuditEvent.subtype",
          "path" : "AuditEvent.subtype",
          "short" : "More specific type/id for the event",
          "definition" : "Identifier for the category of event.",
          "requirements" : "This field enables queries of messages by implementation-defined event categories.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.subtype",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventSubType"
            }],
            "strength" : "extensible",
            "description" : "Sub-type of event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-event-sub-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code (type, subtype and action are pre-coordinated or sent as translations)"
          },
          {
            "identity" : "dicom",
            "map" : "EventTypeCode"
          }]
        },
        {
          "id" : "AuditEvent.action",
          "path" : "AuditEvent.action",
          "short" : "Type of action performed during the event",
          "definition" : "Indicator for type of action performed during the event that generated the audit.",
          "requirements" : "This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.action",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventAction"
            }],
            "strength" : "required",
            "description" : "Indicator for type of action performed during the event that generated the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-event-action|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code (type, subtype and action are pre-coordinated or sent as translations)"
          },
          {
            "identity" : "dicom",
            "map" : "EventActionCode"
          }]
        },
        {
          "id" : "AuditEvent.period",
          "path" : "AuditEvent.period",
          "short" : "When the activity occurred",
          "definition" : "The period during which the activity occurred.",
          "comment" : "The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurred[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "./effectiveTime[type=IVL_TS]"
          },
          {
            "identity" : "dicom",
            "map" : "EventDateTime"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.startTime & Activity.endTime"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.occurred[x]"
          }]
        },
        {
          "id" : "AuditEvent.recorded",
          "path" : "AuditEvent.recorded",
          "short" : "Time when the event was recorded",
          "definition" : "The time when the event was recorded.",
          "comment" : "In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.",
          "requirements" : "This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.recorded",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.when"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.recorded"
          }]
        },
        {
          "id" : "AuditEvent.outcome",
          "path" : "AuditEvent.outcome",
          "short" : "Whether the event succeeded or failed",
          "definition" : "Indicates whether the event succeeded or failed.",
          "comment" : "In some cases a \"success\" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.outcome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventOutcome"
            }],
            "strength" : "required",
            "description" : "Indicates whether the event succeeded or failed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".actionNegationInd"
          },
          {
            "identity" : "dicom",
            "map" : "EventOutcomeIndicator"
          }]
        },
        {
          "id" : "AuditEvent.outcomeDesc",
          "path" : "AuditEvent.outcomeDesc",
          "short" : "Description of the event outcome",
          "definition" : "A free text description of the outcome of the event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.outcomeDesc",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=OUT].target.text"
          },
          {
            "identity" : "dicom",
            "map" : "EventOutcomeDescription"
          }]
        },
        {
          "id" : "AuditEvent.purposeOfEvent",
          "path" : "AuditEvent.purposeOfEvent",
          "short" : "The purposeOfUse of the event",
          "definition" : "The purposeOfUse (reason) that was used during the event being recorded.",
          "comment" : "Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.purposeOfEvent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditPurposeOfUse"
            }],
            "strength" : "extensible",
            "description" : "The reason the activity took place.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "* .reasonCode [ControlActReason when Act.class = CACT Control Act]\n*.outboundRelationship[typeCode=RSON].target"
          },
          {
            "identity" : "dicom",
            "map" : "EventPurposeOfUse"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.Activity"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.reason, Provenance.activity"
          }]
        },
        {
          "id" : "AuditEvent.agent",
          "path" : "AuditEvent.agent",
          "short" : "Actor involved in the event",
          "definition" : "An actor taking an active role in the event or activity that is logged.",
          "comment" : "Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.\n\nFor example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.",
          "requirements" : "An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.",
          "alias" : ["ActiveParticipant"],
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.agent",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".participation"
          },
          {
            "identity" : "dicom",
            "map" : "ActiveParticipant"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.agent"
          }]
        },
        {
          "id" : "AuditEvent.agent.id",
          "path" : "AuditEvent.agent.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.agent.extension",
          "path" : "AuditEvent.agent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.agent.modifierExtension",
          "path" : "AuditEvent.agent.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AuditEvent.agent.type",
          "path" : "AuditEvent.agent.type",
          "short" : "How agent participated",
          "definition" : "Specification of the participation type the user plays when performing the event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditAgentType"
            }],
            "strength" : "extensible",
            "description" : "The Participation type of the agent to the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participation-role-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".typeCode and/or .functionCode"
          },
          {
            "identity" : "dicom",
            "map" : "RoleIdCode"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Attribution"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.agent.type"
          }]
        },
        {
          "id" : "AuditEvent.agent.role",
          "path" : "AuditEvent.agent.role",
          "short" : "Agent role in the event",
          "definition" : "The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.",
          "comment" : "Should be roles relevant to the event. Should  not be an exhaustive list of roles.",
          "requirements" : "This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.agent.role",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditAgentRole"
            }],
            "strength" : "example",
            "description" : "What security role enabled the agent to participate in the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-role-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          },
          {
            "identity" : "dicom",
            "map" : "RoleIdCode"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Attribution"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.agent.role"
          }]
        },
        {
          "id" : "AuditEvent.agent.who",
          "path" : "AuditEvent.agent.who",
          "short" : "Identifier of who",
          "definition" : "Reference to who this agent is that was involved in the event.",
          "comment" : "Where a User ID is available it will go into who.identifier.",
          "requirements" : "This field ties an audit event to a specific resource or identifier.",
          "alias" : ["userId"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.who",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "UserId"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Identity"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.agent.who"
          }]
        },
        {
          "id" : "AuditEvent.agent.altId",
          "path" : "AuditEvent.agent.altId",
          "short" : "Alternative User identity",
          "definition" : "Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.",
          "requirements" : "In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some \"single sign on\" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.altId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".id (distinguish id type by root)"
          },
          {
            "identity" : "dicom",
            "map" : "AlternativeUserId"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Identity"
          }]
        },
        {
          "id" : "AuditEvent.agent.name",
          "path" : "AuditEvent.agent.name",
          "short" : "Human friendly name for the agent",
          "definition" : "Human-meaningful name for the agent.",
          "requirements" : "The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".name"
          },
          {
            "identity" : "dicom",
            "map" : "UserName"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Identity"
          }]
        },
        {
          "id" : "AuditEvent.agent.requestor",
          "path" : "AuditEvent.agent.requestor",
          "short" : "Whether user is initiator",
          "definition" : "Indicator that the user is or is not the requestor, or initiator, for the event being audited.",
          "comment" : "There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.",
          "requirements" : "This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.requestor",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : "If participation.typeCode was author, then true"
          },
          {
            "identity" : "dicom",
            "map" : "UserIsRequestor"
          }]
        },
        {
          "id" : "AuditEvent.agent.location",
          "path" : "AuditEvent.agent.location",
          "short" : "Where",
          "definition" : "Where the event occurred.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "* Role.Class =SDLOC\n*Role.Code = ServiceDeliveryLocationRoleType\n *Entity.Code  = PlaceEntityType = df.Types of places for  Entity.Class = PLC\n*EntityClass = PLC = df.A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place might or might not be constant."
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.location"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.location"
          }]
        },
        {
          "id" : "AuditEvent.agent.policy",
          "path" : "AuditEvent.agent.policy",
          "short" : "Policy that authorized event",
          "definition" : "The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.",
          "comment" : "For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.",
          "requirements" : "This value is used retrospectively to determine the authorization policies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.agent.policy",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "ActPolicyType"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantRoleIDCode"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.policy"
          }]
        },
        {
          "id" : "AuditEvent.agent.media",
          "path" : "AuditEvent.agent.media",
          "short" : "Type of media",
          "definition" : "Type of media involved. Used when the event is about exporting/importing onto media.",
          "requirements" : "Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.media",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DICOMMediaType"
            }],
            "strength" : "extensible",
            "description" : "Used when the event is about exporting/importing onto media.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/dicm-405-mediatype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".player.description.mediaType"
          },
          {
            "identity" : "dicom",
            "map" : "MediaType"
          }]
        },
        {
          "id" : "AuditEvent.agent.network",
          "path" : "AuditEvent.agent.network",
          "short" : "Logical network location for application activity",
          "definition" : "Logical network location for application activity, if the activity has a network location.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.network",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".player.description.reference"
          }]
        },
        {
          "id" : "AuditEvent.agent.network.id",
          "path" : "AuditEvent.agent.network.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.agent.network.extension",
          "path" : "AuditEvent.agent.network.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.agent.network.modifierExtension",
          "path" : "AuditEvent.agent.network.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AuditEvent.agent.network.address",
          "path" : "AuditEvent.agent.network.address",
          "short" : "Identifier for the network access point of the user device",
          "definition" : "An identifier for the network access point of the user device for the audit event.",
          "comment" : "This could be a device id, IP address or some other identifier associated with a device.",
          "requirements" : "This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.network.address",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "pre-coordinated into URL"
          },
          {
            "identity" : "dicom",
            "map" : "NetworkAccessPointID"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Location"
          }]
        },
        {
          "id" : "AuditEvent.agent.network.type",
          "path" : "AuditEvent.agent.network.type",
          "short" : "The type of network access point",
          "definition" : "An identifier for the type of network access point that originated the audit event.",
          "requirements" : "This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.agent.network.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventAgentNetworkType"
            }],
            "strength" : "required",
            "description" : "The type of network access point of this agent in the audit event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/network-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "pre-coordinated into URL"
          },
          {
            "identity" : "dicom",
            "map" : "NetworkAccessPointTypeCode"
          }]
        },
        {
          "id" : "AuditEvent.agent.purposeOfUse",
          "path" : "AuditEvent.agent.purposeOfUse",
          "short" : "Reason given for this user",
          "definition" : "The reason (purpose of use), specific to this agent, that was used during the event being recorded.",
          "comment" : "Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.agent.purposeOfUse",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditPurposeOfUse"
            }],
            "strength" : "extensible",
            "description" : "The reason the activity took place.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "*.reasonCode [ActHealthInformationPurposeOfUseReason codes/v:PurposeOfUse\n(2.16.840.1.113883.1.11.20448)\n* .outboundRelationship[typeCode=RSON or SUBJ].target"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Activity"
          }]
        },
        {
          "id" : "AuditEvent.source",
          "path" : "AuditEvent.source",
          "short" : "Audit Event Reporter",
          "definition" : "The system that is reporting the event.",
          "comment" : "Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.",
          "requirements" : "The event is reported by one source.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.source",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=ASSIGN].player[classCode=DEV, determinerCode=INSTANCE]"
          },
          {
            "identity" : "dicom",
            "map" : "AuditSourceIdentification"
          }]
        },
        {
          "id" : "AuditEvent.source.id",
          "path" : "AuditEvent.source.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.source.extension",
          "path" : "AuditEvent.source.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.source.modifierExtension",
          "path" : "AuditEvent.source.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AuditEvent.source.site",
          "path" : "AuditEvent.source.site",
          "short" : "Logical source location within the enterprise",
          "definition" : "Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.",
          "requirements" : "This value differentiates among the sites in a multi-site enterprise health information system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.source.site",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".scopedRole[classCode=LOCE].player.desc"
          },
          {
            "identity" : "dicom",
            "map" : "AuditEnterpriseSiteId"
          }]
        },
        {
          "id" : "AuditEvent.source.observer",
          "path" : "AuditEvent.source.observer",
          "short" : "The identity of source detecting the event",
          "definition" : "Identifier of the source where the event was detected.",
          "requirements" : "This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.",
          "alias" : ["SourceId"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.source.observer",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "AuditSourceId"
          }]
        },
        {
          "id" : "AuditEvent.source.type",
          "path" : "AuditEvent.source.type",
          "short" : "The type of source where event originated",
          "definition" : "Code specifying the type of source where event originated.",
          "requirements" : "This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.source.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventSourceType"
            }],
            "strength" : "extensible",
            "description" : "Code specifying the type of system that detected and recorded the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-source-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "dicom",
            "map" : "AuditSourceTypeCode"
          }]
        },
        {
          "id" : "AuditEvent.entity",
          "path" : "AuditEvent.entity",
          "short" : "Data or objects used",
          "definition" : "Specific instances of data or objects that have been accessed.",
          "comment" : "Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.",
          "requirements" : "The event may have other entities involved.",
          "alias" : ["ParticipantObject"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.entity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "sev-1",
            "severity" : "error",
            "human" : "Either a name or a query (NOT both)",
            "expression" : "name.empty() or query.empty()",
            "xpath" : "not(exists(f:name)) or not(exists(f:query))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target  or  .participation[typeCode=SBJ].role"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectIdentification"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.target, Provenance.entity"
          }]
        },
        {
          "id" : "AuditEvent.entity.id",
          "path" : "AuditEvent.entity.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.entity.extension",
          "path" : "AuditEvent.entity.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.entity.modifierExtension",
          "path" : "AuditEvent.entity.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AuditEvent.entity.what",
          "path" : "AuditEvent.entity.what",
          "short" : "Specific instance of resource",
          "definition" : "Identifies a specific instance of the entity. The reference should be version specific.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.what",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectID and ParticipantObjectIDTypeCode"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.target, Provenance.entity.what"
          }]
        },
        {
          "id" : "AuditEvent.entity.type",
          "path" : "AuditEvent.entity.type",
          "short" : "Type of entity involved",
          "definition" : "The type of the object that was involved in this audit event.",
          "comment" : "This value is distinct from the user's role or any user relationship to the entity.",
          "requirements" : "To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventEntityType"
            }],
            "strength" : "extensible",
            "description" : "Code for the entity type involved in the audit event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-entity-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "[self::Act].code or role.player.code"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectTypeCode"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.type"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.entity.type"
          }]
        },
        {
          "id" : "AuditEvent.entity.role",
          "path" : "AuditEvent.entity.role",
          "short" : "What role the entity played",
          "definition" : "Code representing the role the entity played in the event being audited.",
          "requirements" : "For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventEntityRole"
            }],
            "strength" : "extensible",
            "description" : "Code representing the role the entity played in the audit event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/object-role"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "role.code (not sure what this would mean for an Act)"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectTypeCodeRole"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.role"
          }]
        },
        {
          "id" : "AuditEvent.entity.lifecycle",
          "path" : "AuditEvent.entity.lifecycle",
          "short" : "Life-cycle stage for the entity",
          "definition" : "Identifier for the data life-cycle stage for the entity.",
          "comment" : "This can be used to provide an audit trail for data, over time, as it passes through the system.",
          "requirements" : "Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.lifecycle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventEntityLifecycle"
            }],
            "strength" : "extensible",
            "description" : "Identifier for the data life-cycle stage for the entity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/object-lifecycle-events"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "target of ObservationEvent[code=\"lifecycle\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDataLifeCycle"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.role"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.entity.role"
          }]
        },
        {
          "id" : "AuditEvent.entity.securityLabel",
          "path" : "AuditEvent.entity.securityLabel",
          "short" : "Security labels on the entity",
          "definition" : "Security labels for the identified entity.",
          "comment" : "Copied from entity meta security tags.",
          "requirements" : "This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.entity.securityLabel",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SecurityLabels"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".confidentialityCode"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectSensitivity"
          }]
        },
        {
          "id" : "AuditEvent.entity.name",
          "path" : "AuditEvent.entity.name",
          "short" : "Descriptor for entity",
          "definition" : "A name of the entity in the audit event.",
          "comment" : "This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.",
          "requirements" : "Use only where entity can't be identified with an identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["sev-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectName"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.Label"
          }]
        },
        {
          "id" : "AuditEvent.entity.description",
          "path" : "AuditEvent.entity.description",
          "short" : "Descriptive text",
          "definition" : "Text that describes the entity in more detail.",
          "requirements" : "Use only where entity can't be identified with an identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDescription"
          }]
        },
        {
          "id" : "AuditEvent.entity.query",
          "path" : "AuditEvent.entity.query",
          "short" : "Query parameters",
          "definition" : "The query parameters for a query-type entities.",
          "comment" : "The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.",
          "requirements" : "For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.query",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "base64Binary"
          }],
          "condition" : ["sev-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "No mapping"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectQuery"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail",
          "path" : "AuditEvent.entity.detail",
          "short" : "Additional Information about the entity",
          "definition" : "Tagged value pairs for conveying additional information about the entity.",
          "requirements" : "Implementation-defined data about specific details of the object accessed or used.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "AuditEvent.entity.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDetail"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail.id",
          "path" : "AuditEvent.entity.detail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail.extension",
          "path" : "AuditEvent.entity.detail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail.modifierExtension",
          "path" : "AuditEvent.entity.detail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail.type",
          "path" : "AuditEvent.entity.detail.type",
          "short" : "Name of the property",
          "definition" : "The type of extra detail provided in the value.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.detail.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDetail.type"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail.value[x]",
          "path" : "AuditEvent.entity.detail.value[x]",
          "short" : "Property value",
          "definition" : "The  value of the extra detail.",
          "comment" : "The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.",
          "requirements" : "Should not duplicate the entity value unless absolutely necessary.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "AuditEvent.entity.detail.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "base64Binary"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDetail.value"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "AuditEvent",
          "path" : "AuditEvent",
          "short" : "Event record kept for security purposes",
          "definition" : "A record of an event made for purposes of maintaining a security log. Typical uses include detection of intrusion attempts and monitoring for inappropriate usage.",
          "comment" : "Based on IHE-ATNA.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "ControlAct[moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "Message"
          }]
        },
        {
          "id" : "AuditEvent.type",
          "path" : "AuditEvent.type",
          "short" : "Type/identifier of event",
          "definition" : "Identifier for a family of the event.  For example, a menu item, program, rule, policy, function code, application name or URL. It identifies the performed function.",
          "requirements" : "This identifies the performed function. For \"Execute\" Event Action Code audit records, this identifies the application function performed.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventType"
            }],
            "strength" : "extensible",
            "description" : "Type of event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-event-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code (type, subtype and action are pre-coordinated or sent as translations)"
          },
          {
            "identity" : "dicom",
            "map" : "EventId"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity"
          }]
        },
        {
          "id" : "AuditEvent.subtype",
          "path" : "AuditEvent.subtype",
          "short" : "More specific type/id for the event",
          "definition" : "Identifier for the category of event.",
          "requirements" : "This field enables queries of messages by implementation-defined event categories.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventSubType"
            }],
            "strength" : "extensible",
            "description" : "Sub-type of event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-event-sub-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code (type, subtype and action are pre-coordinated or sent as translations)"
          },
          {
            "identity" : "dicom",
            "map" : "EventTypeCode"
          }]
        },
        {
          "id" : "AuditEvent.action",
          "path" : "AuditEvent.action",
          "short" : "Type of action performed during the event",
          "definition" : "Indicator for type of action performed during the event that generated the audit.",
          "requirements" : "This broadly indicates what kind of action was done on the AuditEvent.entity by the AuditEvent.agent.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventAction"
            }],
            "strength" : "required",
            "description" : "Indicator for type of action performed during the event that generated the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-event-action|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code (type, subtype and action are pre-coordinated or sent as translations)"
          },
          {
            "identity" : "dicom",
            "map" : "EventActionCode"
          }]
        },
        {
          "id" : "AuditEvent.period",
          "path" : "AuditEvent.period",
          "short" : "When the activity occurred",
          "definition" : "The period during which the activity occurred.",
          "comment" : "The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurred[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "./effectiveTime[type=IVL_TS]"
          },
          {
            "identity" : "dicom",
            "map" : "EventDateTime"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.startTime & Activity.endTime"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.occurred[x]"
          }]
        },
        {
          "id" : "AuditEvent.recorded",
          "path" : "AuditEvent.recorded",
          "short" : "Time when the event was recorded",
          "definition" : "The time when the event was recorded.",
          "comment" : "In a distributed system, some sort of common time base (e.g. an NTP [RFC1305] server) is a good implementation tactic.",
          "requirements" : "This ties an event to a specific date and time. Security audits typically require a consistent time base (e.g. UTC), to eliminate time-zone issues arising from geographical distribution.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.when"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.recorded"
          }]
        },
        {
          "id" : "AuditEvent.outcome",
          "path" : "AuditEvent.outcome",
          "short" : "Whether the event succeeded or failed",
          "definition" : "Indicates whether the event succeeded or failed.",
          "comment" : "In some cases a \"success\" may be partial, for example, an incomplete or interrupted transfer of a radiological study. For the purpose of establishing accountability, these distinctions are not relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventOutcome"
            }],
            "strength" : "required",
            "description" : "Indicates whether the event succeeded or failed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-event-outcome|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".actionNegationInd"
          },
          {
            "identity" : "dicom",
            "map" : "EventOutcomeIndicator"
          }]
        },
        {
          "id" : "AuditEvent.outcomeDesc",
          "path" : "AuditEvent.outcomeDesc",
          "short" : "Description of the event outcome",
          "definition" : "A free text description of the outcome of the event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=OUT].target.text"
          },
          {
            "identity" : "dicom",
            "map" : "EventOutcomeDescription"
          }]
        },
        {
          "id" : "AuditEvent.purposeOfEvent",
          "path" : "AuditEvent.purposeOfEvent",
          "short" : "The purposeOfUse of the event",
          "definition" : "The purposeOfUse (reason) that was used during the event being recorded.",
          "comment" : "Use AuditEvent.agent.purposeOfUse when you know that it is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditPurposeOfUse"
            }],
            "strength" : "extensible",
            "description" : "The reason the activity took place.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "* .reasonCode [ControlActReason when Act.class = CACT Control Act]\n*.outboundRelationship[typeCode=RSON].target"
          },
          {
            "identity" : "dicom",
            "map" : "EventPurposeOfUse"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.Activity"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.reason, Provenance.activity"
          }]
        },
        {
          "id" : "AuditEvent.agent",
          "path" : "AuditEvent.agent",
          "short" : "Actor involved in the event",
          "definition" : "An actor taking an active role in the event or activity that is logged.",
          "comment" : "Several agents may be associated (i.e. have some responsibility for an activity) with an event or activity.\n\nFor example, an activity may be initiated by one user for other users or involve more than one user. However, only one user may be the initiator/requestor for the activity.",
          "requirements" : "An agent can be a person, an organization, software, device, or other actors that may be ascribed responsibility.",
          "alias" : ["ActiveParticipant"],
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".participation"
          },
          {
            "identity" : "dicom",
            "map" : "ActiveParticipant"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.agent"
          }]
        },
        {
          "id" : "AuditEvent.agent.type",
          "path" : "AuditEvent.agent.type",
          "short" : "How agent participated",
          "definition" : "Specification of the participation type the user plays when performing the event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditAgentType"
            }],
            "strength" : "extensible",
            "description" : "The Participation type of the agent to the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participation-role-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".typeCode and/or .functionCode"
          },
          {
            "identity" : "dicom",
            "map" : "RoleIdCode"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Attribution"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.agent.type"
          }]
        },
        {
          "id" : "AuditEvent.agent.role",
          "path" : "AuditEvent.agent.role",
          "short" : "Agent role in the event",
          "definition" : "The security role that the user was acting under, that come from local codes defined by the access control security system (e.g. RBAC, ABAC) used in the local context.",
          "comment" : "Should be roles relevant to the event. Should  not be an exhaustive list of roles.",
          "requirements" : "This value ties an audited event to a user's role(s). It is an optional value that might be used to group events for analysis by user functional role categories.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditAgentRole"
            }],
            "strength" : "example",
            "description" : "What security role enabled the agent to participate in the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-role-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          },
          {
            "identity" : "dicom",
            "map" : "RoleIdCode"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Attribution"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.agent.role"
          }]
        },
        {
          "id" : "AuditEvent.agent.who",
          "path" : "AuditEvent.agent.who",
          "short" : "Identifier of who",
          "definition" : "Reference to who this agent is that was involved in the event.",
          "comment" : "Where a User ID is available it will go into who.identifier.",
          "requirements" : "This field ties an audit event to a specific resource or identifier.",
          "alias" : ["userId"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "UserId"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Identity"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.agent.who"
          }]
        },
        {
          "id" : "AuditEvent.agent.altId",
          "path" : "AuditEvent.agent.altId",
          "short" : "Alternative User identity",
          "definition" : "Alternative agent Identifier. For a human, this should be a user identifier text string from authentication system. This identifier would be one known to a common authentication system (e.g. single sign-on), if available.",
          "requirements" : "In some situations, a human user may authenticate with one identity but, to access a specific application system, may use a synonymous identify. For example, some \"single sign on\" implementations will do this. The alternative identifier would then be the original identify  used for authentication, and the User ID is the one known to and used by the application.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".id (distinguish id type by root)"
          },
          {
            "identity" : "dicom",
            "map" : "AlternativeUserId"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Identity"
          }]
        },
        {
          "id" : "AuditEvent.agent.name",
          "path" : "AuditEvent.agent.name",
          "short" : "Human friendly name for the agent",
          "definition" : "Human-meaningful name for the agent.",
          "requirements" : "The User ID and Authorization User ID may be internal or otherwise obscure values. This field assists the auditor in identifying the actual user.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".name"
          },
          {
            "identity" : "dicom",
            "map" : "UserName"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Identity"
          }]
        },
        {
          "id" : "AuditEvent.agent.requestor",
          "path" : "AuditEvent.agent.requestor",
          "short" : "Whether user is initiator",
          "definition" : "Indicator that the user is or is not the requestor, or initiator, for the event being audited.",
          "comment" : "There can only be one initiator. If the initiator is not clear, then do not choose any one agent as the initiator.",
          "requirements" : "This value is used to distinguish between requestor-users and recipient-users. For example, one person may initiate a report-output to be sent to another user.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : "If participation.typeCode was author, then true"
          },
          {
            "identity" : "dicom",
            "map" : "UserIsRequestor"
          }]
        },
        {
          "id" : "AuditEvent.agent.location",
          "path" : "AuditEvent.agent.location",
          "short" : "Where",
          "definition" : "Where the event occurred.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "* Role.Class =SDLOC\n*Role.Code = ServiceDeliveryLocationRoleType\n *Entity.Code  = PlaceEntityType = df.Types of places for  Entity.Class = PLC\n*EntityClass = PLC = df.A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place might or might not be constant."
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.location"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.location"
          }]
        },
        {
          "id" : "AuditEvent.agent.policy",
          "path" : "AuditEvent.agent.policy",
          "short" : "Policy that authorized event",
          "definition" : "The policy or plan that authorized the activity being recorded. Typically, a single activity may have multiple applicable policies, such as patient consent, guarantor funding, etc. The policy would also indicate the security token used.",
          "comment" : "For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.",
          "requirements" : "This value is used retrospectively to determine the authorization policies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "ActPolicyType"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantRoleIDCode"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.policy"
          }]
        },
        {
          "id" : "AuditEvent.agent.media",
          "path" : "AuditEvent.agent.media",
          "short" : "Type of media",
          "definition" : "Type of media involved. Used when the event is about exporting/importing onto media.",
          "requirements" : "Usually, this is used instead of specifying a network address. This field is not used for Media Id (i.e. the serial number of a CD).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DICOMMediaType"
            }],
            "strength" : "extensible",
            "description" : "Used when the event is about exporting/importing onto media.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/dicm-405-mediatype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".player.description.mediaType"
          },
          {
            "identity" : "dicom",
            "map" : "MediaType"
          }]
        },
        {
          "id" : "AuditEvent.agent.network",
          "path" : "AuditEvent.agent.network",
          "short" : "Logical network location for application activity",
          "definition" : "Logical network location for application activity, if the activity has a network location.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".player.description.reference"
          }]
        },
        {
          "id" : "AuditEvent.agent.network.address",
          "path" : "AuditEvent.agent.network.address",
          "short" : "Identifier for the network access point of the user device",
          "definition" : "An identifier for the network access point of the user device for the audit event.",
          "comment" : "This could be a device id, IP address or some other identifier associated with a device.",
          "requirements" : "This datum identifies the user's network access point, which may be distinct from the server that performed the action. It is an optional value that may be used to group events recorded on separate servers for analysis of a specific network access point's data access across all servers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "pre-coordinated into URL"
          },
          {
            "identity" : "dicom",
            "map" : "NetworkAccessPointID"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Location"
          }]
        },
        {
          "id" : "AuditEvent.agent.network.type",
          "path" : "AuditEvent.agent.network.type",
          "short" : "The type of network access point",
          "definition" : "An identifier for the type of network access point that originated the audit event.",
          "requirements" : "This datum identifies the type of network access point identifier of the user device for the audit event. It is an optional value that may be used to group events recorded on separate servers for analysis of access according to a network access point's type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventAgentNetworkType"
            }],
            "strength" : "required",
            "description" : "The type of network access point of this agent in the audit event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/network-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "pre-coordinated into URL"
          },
          {
            "identity" : "dicom",
            "map" : "NetworkAccessPointTypeCode"
          }]
        },
        {
          "id" : "AuditEvent.agent.purposeOfUse",
          "path" : "AuditEvent.agent.purposeOfUse",
          "short" : "Reason given for this user",
          "definition" : "The reason (purpose of use), specific to this agent, that was used during the event being recorded.",
          "comment" : "Use AuditEvent.agent.purposeOfUse when you know that is specific to the agent, otherwise use AuditEvent.purposeOfEvent. For example, during a machine-to-machine transfer it might not be obvious to the audit system who caused the event, but it does know why.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditPurposeOfUse"
            }],
            "strength" : "extensible",
            "description" : "The reason the activity took place.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "*.reasonCode [ActHealthInformationPurposeOfUseReason codes/v:PurposeOfUse\n(2.16.840.1.113883.1.11.20448)\n* .outboundRelationship[typeCode=RSON or SUBJ].target"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Activity"
          }]
        },
        {
          "id" : "AuditEvent.source",
          "path" : "AuditEvent.source",
          "short" : "Audit Event Reporter",
          "definition" : "The system that is reporting the event.",
          "comment" : "Since multi-tier, distributed, or composite applications make source identification ambiguous, this collection of fields may repeat for each application or process actively involved in the event. For example, multiple value-sets can identify participating web servers, application processes, and database server threads in an n-tier distributed application. Passive event participants (e.g. low-level network transports) need not be identified.",
          "requirements" : "The event is reported by one source.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=ASSIGN].player[classCode=DEV, determinerCode=INSTANCE]"
          },
          {
            "identity" : "dicom",
            "map" : "AuditSourceIdentification"
          }]
        },
        {
          "id" : "AuditEvent.source.site",
          "path" : "AuditEvent.source.site",
          "short" : "Logical source location within the enterprise",
          "definition" : "Logical source location within the healthcare enterprise network.  For example, a hospital or other provider location within a multi-entity provider group.",
          "requirements" : "This value differentiates among the sites in a multi-site enterprise health information system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".scopedRole[classCode=LOCE].player.desc"
          },
          {
            "identity" : "dicom",
            "map" : "AuditEnterpriseSiteId"
          }]
        },
        {
          "id" : "AuditEvent.source.observer",
          "path" : "AuditEvent.source.observer",
          "short" : "The identity of source detecting the event",
          "definition" : "Identifier of the source where the event was detected.",
          "requirements" : "This field ties the event to a specific source system. It may be used to group events for analysis according to where the event was detected.",
          "alias" : ["SourceId"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "AuditSourceId"
          }]
        },
        {
          "id" : "AuditEvent.source.type",
          "path" : "AuditEvent.source.type",
          "short" : "The type of source where event originated",
          "definition" : "Code specifying the type of source where event originated.",
          "requirements" : "This field indicates which type of source is identified by the Audit Source ID. It is an optional value that may be used to group events for analysis according to the type of source where the event occurred.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventSourceType"
            }],
            "strength" : "extensible",
            "description" : "Code specifying the type of system that detected and recorded the event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-source-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "dicom",
            "map" : "AuditSourceTypeCode"
          }]
        },
        {
          "id" : "AuditEvent.entity",
          "path" : "AuditEvent.entity",
          "short" : "Data or objects used",
          "definition" : "Specific instances of data or objects that have been accessed.",
          "comment" : "Required unless the values for event identification, agent identification, and audit source identification are sufficient to document the entire auditable event. Because events may have more than one entity, this group can be a repeating set of values.",
          "requirements" : "The event may have other entities involved.",
          "alias" : ["ParticipantObject"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "sev-1",
            "severity" : "error",
            "human" : "Either a name or a query (NOT both)",
            "expression" : "name.empty() or query.empty()",
            "xpath" : "not(exists(f:name)) or not(exists(f:query))"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target  or  .participation[typeCode=SBJ].role"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectIdentification"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.target, Provenance.entity"
          }]
        },
        {
          "id" : "AuditEvent.entity.what",
          "path" : "AuditEvent.entity.what",
          "short" : "Specific instance of resource",
          "definition" : "Identifies a specific instance of the entity. The reference should be version specific.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectID and ParticipantObjectIDTypeCode"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.target, Provenance.entity.what"
          }]
        },
        {
          "id" : "AuditEvent.entity.type",
          "path" : "AuditEvent.entity.type",
          "short" : "Type of entity involved",
          "definition" : "The type of the object that was involved in this audit event.",
          "comment" : "This value is distinct from the user's role or any user relationship to the entity.",
          "requirements" : "To describe the object being acted upon. In addition to queries on the subject of the action in an auditable event, it is also important to be able to query on the object type for the action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventEntityType"
            }],
            "strength" : "extensible",
            "description" : "Code for the entity type involved in the audit event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/audit-entity-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "[self::Act].code or role.player.code"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectTypeCode"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.type"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.entity.type"
          }]
        },
        {
          "id" : "AuditEvent.entity.role",
          "path" : "AuditEvent.entity.role",
          "short" : "What role the entity played",
          "definition" : "Code representing the role the entity played in the event being audited.",
          "requirements" : "For some detailed audit analysis it may be necessary to indicate a more granular type of entity, based on the application role it serves.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventEntityRole"
            }],
            "strength" : "extensible",
            "description" : "Code representing the role the entity played in the audit event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/object-role"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "role.code (not sure what this would mean for an Act)"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectTypeCodeRole"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.role"
          }]
        },
        {
          "id" : "AuditEvent.entity.lifecycle",
          "path" : "AuditEvent.entity.lifecycle",
          "short" : "Life-cycle stage for the entity",
          "definition" : "Identifier for the data life-cycle stage for the entity.",
          "comment" : "This can be used to provide an audit trail for data, over time, as it passes through the system.",
          "requirements" : "Institutional policies for privacy and security may optionally fall under different accountability rules based on data life cycle. This provides a differentiating value for those cases.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuditEventEntityLifecycle"
            }],
            "strength" : "extensible",
            "description" : "Identifier for the data life-cycle stage for the entity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/object-lifecycle-events"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "target of ObservationEvent[code=\"lifecycle\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDataLifeCycle"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.role"
          },
          {
            "identity" : "fhirprovenance",
            "map" : "Provenance.entity.role"
          }]
        },
        {
          "id" : "AuditEvent.entity.securityLabel",
          "path" : "AuditEvent.entity.securityLabel",
          "short" : "Security labels on the entity",
          "definition" : "Security labels for the identified entity.",
          "comment" : "Copied from entity meta security tags.",
          "requirements" : "This field identifies the security labels for a specific instance of an object, such as a patient, to detect/track privacy and security issues.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SecurityLabels"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".confidentialityCode"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectSensitivity"
          }]
        },
        {
          "id" : "AuditEvent.entity.name",
          "path" : "AuditEvent.entity.name",
          "short" : "Descriptor for entity",
          "definition" : "A name of the entity in the audit event.",
          "comment" : "This field may be used in a query/report to identify audit events for a specific person.  For example, where multiple synonymous entity identifiers (patient number, medical record number, encounter number, etc.) have been used.",
          "requirements" : "Use only where entity can't be identified with an identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["sev-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectName"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.Label"
          }]
        },
        {
          "id" : "AuditEvent.entity.description",
          "path" : "AuditEvent.entity.description",
          "short" : "Descriptive text",
          "definition" : "Text that describes the entity in more detail.",
          "requirements" : "Use only where entity can't be identified with an identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDescription"
          }]
        },
        {
          "id" : "AuditEvent.entity.query",
          "path" : "AuditEvent.entity.query",
          "short" : "Query parameters",
          "definition" : "The query parameters for a query-type entities.",
          "comment" : "The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example, if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.",
          "requirements" : "For query events, it may be necessary to capture the actual query input to the query process in order to identify the specific event. Because of differences among query implementations and data encoding for them, this is a base 64 encoded data blob. It may be subsequently decoded or interpreted by downstream audit analysis processing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "base64Binary"
          }],
          "condition" : ["sev-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "No mapping"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectQuery"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail",
          "path" : "AuditEvent.entity.detail",
          "short" : "Additional Information about the entity",
          "definition" : "Tagged value pairs for conveying additional information about the entity.",
          "requirements" : "Implementation-defined data about specific details of the object accessed or used.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDetail"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail.type",
          "path" : "AuditEvent.entity.detail.type",
          "short" : "Name of the property",
          "definition" : "The type of extra detail provided in the value.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDetail.type"
          }]
        },
        {
          "id" : "AuditEvent.entity.detail.value[x]",
          "path" : "AuditEvent.entity.detail.value[x]",
          "short" : "Property value",
          "definition" : "The  value of the extra detail.",
          "comment" : "The value can be string when known to be a string, else base64 encoding should be used to protect binary or undefined content.  The meaning and secondary-encoding of the content of base64 encoded blob is specific to the AuditEvent.type, AuditEvent.subtype, AuditEvent.entity.type, and AuditEvent.entity.role.  The base64 is a general-use and safe container for event specific data blobs regardless of the encoding used by the transaction being recorded.  An AuditEvent consuming application must understand the event it is consuming and the formats used by the event. For example if auditing an Oracle network database access, the Oracle formats must be understood as they will be simply encoded in the base64binary blob.",
          "requirements" : "Should not duplicate the entity value unless absolutely necessary.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "base64Binary"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          },
          {
            "identity" : "dicom",
            "map" : "ParticipantObjectDetail.value"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Basic",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Basic",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Basic 
ΣTU
DomainResource
Resource for non-supported content
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier
 code 
?!Σ
1..1
CodeableConcept
Kind of Resource
Basic Resource Types (Example)
 subject 
Σ
0..1
Reference(Any)
Identifies the focus of this resource
 created 
Σ
0..1
date
When created
 author 
Σ
0..1
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
Who created

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Other"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Basic",
      "version" : "4.0.0",
      "name" : "Basic",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.",
      "purpose" : "Need some way to safely (without breaking interoperability) allow implementers to exchange content not supported by the initial set of declared resources.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Basic",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Basic",
          "path" : "Basic",
          "short" : "Resource for non-supported content",
          "definition" : "Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.",
          "alias" : ["Z-resource",
          "Extension-resource",
          "Custom-resource"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Basic",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Act, Entity or Role"
          }]
        },
        {
          "id" : "Basic.id",
          "path" : "Basic.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Basic.meta",
          "path" : "Basic.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Basic.implicitRules",
          "path" : "Basic.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Basic.language",
          "path" : "Basic.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Basic.text",
          "path" : "Basic.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Basic.contained",
          "path" : "Basic.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Basic.extension",
          "path" : "Basic.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Basic.modifierExtension",
          "path" : "Basic.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Basic.identifier",
          "path" : "Basic.identifier",
          "short" : "Business identifier",
          "definition" : "Identifier assigned to the resource for business purposes, outside the context of FHIR.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Basic.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "./identifier"
          }]
        },
        {
          "id" : "Basic.code",
          "path" : "Basic.code",
          "short" : "Kind of Resource",
          "definition" : "Identifies the 'type' of resource - equivalent to the resource name for other resources.",
          "comment" : "Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource.  Refer to the resource notes section for information on appropriate terminologies for this code.\n\nThis element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.",
          "requirements" : "Must be able to distinguish different types of Basic resources.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Basic.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element determines what kind of resource is being represented which drives the meaning of all of the other elements.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BasicResourceType"
            }],
            "strength" : "example",
            "description" : "Codes for identifying types of resources not yet defined by FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/basic-resource-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "Basic.subject",
          "path" : "Basic.subject",
          "short" : "Identifies the focus of this resource",
          "definition" : "Identifies the patient, practitioner, device or any other resource that is the \"focus\" of this resource.",
          "comment" : "Optional as not all potential resources will have subjects.  Resources associated with multiple subjects can handle this via extension.",
          "requirements" : "Needed for partitioning the resource by Patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Basic.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "./participation[typeCode='SBJ'] (possibly through a ControlAct and Role)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Basic.created",
          "path" : "Basic.created",
          "short" : "When created",
          "definition" : "Identifies when the resource was first created.",
          "requirements" : "Allows ordering resource instances by time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Basic.created",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "./participation[typeCode='AUT']/time (possibly through a ControlAct and Role)"
          }]
        },
        {
          "id" : "Basic.author",
          "path" : "Basic.author",
          "short" : "Who created",
          "definition" : "Indicates who was responsible for creating the resource instance.",
          "requirements" : "Needed for partitioning the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Basic.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : "./participation[typeCode='SUB'] (possibly through a ControlAct and Role)"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Basic",
          "path" : "Basic",
          "short" : "Resource for non-supported content",
          "definition" : "Basic is used for handling concepts not yet defined in FHIR, narrative-only resources that don't map to an existing resource, and custom resources not appropriate for inclusion in the FHIR specification.",
          "alias" : ["Z-resource",
          "Extension-resource",
          "Custom-resource"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act, Entity or Role"
          }]
        },
        {
          "id" : "Basic.identifier",
          "path" : "Basic.identifier",
          "short" : "Business identifier",
          "definition" : "Identifier assigned to the resource for business purposes, outside the context of FHIR.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "./identifier"
          }]
        },
        {
          "id" : "Basic.code",
          "path" : "Basic.code",
          "short" : "Kind of Resource",
          "definition" : "Identifies the 'type' of resource - equivalent to the resource name for other resources.",
          "comment" : "Because resource references will only be able to indicate 'Basic', the type of reference will need to be specified in a Profile identified as part of the resource.  Refer to the resource notes section for information on appropriate terminologies for this code.\n\nThis element is labeled as a modifier because it defines the meaning of the resource and cannot be ignored.",
          "requirements" : "Must be able to distinguish different types of Basic resources.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element determines what kind of resource is being represented which drives the meaning of all of the other elements.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BasicResourceType"
            }],
            "strength" : "example",
            "description" : "Codes for identifying types of resources not yet defined by FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/basic-resource-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "Basic.subject",
          "path" : "Basic.subject",
          "short" : "Identifies the focus of this resource",
          "definition" : "Identifies the patient, practitioner, device or any other resource that is the \"focus\" of this resource.",
          "comment" : "Optional as not all potential resources will have subjects.  Resources associated with multiple subjects can handle this via extension.",
          "requirements" : "Needed for partitioning the resource by Patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "./participation[typeCode='SBJ'] (possibly through a ControlAct and Role)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Basic.created",
          "path" : "Basic.created",
          "short" : "When created",
          "definition" : "Identifies when the resource was first created.",
          "requirements" : "Allows ordering resource instances by time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "./participation[typeCode='AUT']/time (possibly through a ControlAct and Role)"
          }]
        },
        {
          "id" : "Basic.author",
          "path" : "Basic.author",
          "short" : "Who created",
          "definition" : "Indicates who was responsible for creating the resource instance.",
          "requirements" : "Needed for partitioning the resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : "./participation[typeCode='SUB'] (possibly through a ControlAct and Role)"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Binary",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Binary",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Binary 
N
Resource
Pure binary content defined by a format other than FHIR
Elements defined in Ancestors: id, meta, implicitRules, language
 contentType 
Σ
1..1
code
MimeType of the binary content
MimeType (Required)
 securityContext 
Σ
0..1
Reference(Any)
Identifies another resource to use as proxy when enforcing access control
 data 
0..1
base64Binary
The actual content

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Other"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Binary",
      "version" : "4.0.0",
      "name" : "Binary",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A resource that represents the data of a single raw artifact as digital content accessible in its native format.  A Binary resource can contain any content, whether text, image, pdf, zip archive, etc.",
      "purpose" : "There are situations where it is useful or required to handle pure binary content using the same framework as other resources.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Binary",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Resource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Binary",
          "path" : "Binary",
          "short" : "Pure binary content defined by a format other than FHIR",
          "definition" : "A resource that represents the data of a single raw artifact as digital content accessible in its native format.  A Binary resource can contain any content, whether text, image, pdf, zip archive, etc.",
          "comment" : "Typically, Binary resources are used for handling content such as:  \n\n* CDA Documents (i.e. with XDS) \n* PDF Documents \n* Images (the Media resource is preferred for handling images, but not possible when the content is already binary - e.g. XDS).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Binary",
            "min" : 0,
            "max" : "*"
          },
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "ED"
          }]
        },
        {
          "id" : "Binary.id",
          "path" : "Binary.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Binary.meta",
          "path" : "Binary.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Binary.implicitRules",
          "path" : "Binary.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Binary.language",
          "path" : "Binary.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Binary.contentType",
          "path" : "Binary.contentType",
          "short" : "MimeType of the binary content",
          "definition" : "MimeType of the binary content represented as a standard MimeType (BCP 13).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Binary.contentType",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "ED.mediaType"
          }]
        },
        {
          "id" : "Binary.securityContext",
          "path" : "Binary.securityContext",
          "short" : "Identifies another resource to use as proxy when enforcing access control",
          "definition" : "This element identifies another resource that can be used as a proxy of the security sensitivity to use when deciding and enforcing access control rules for the Binary resource. Given that the Binary resource contains very few elements that can be used to determine the sensitivity of the data and relationships to individuals, the referenced resource stands in as a proxy equivalent for this purpose. This referenced resource may be related to the Binary (e.g. Media, DocumentReference), or may be some non-related Resource purely as a security proxy. E.g. to identify that the binary resource relates to a patient, and access should only be granted to applications that have access to the patient.",
          "comment" : "Very often, a server will also know of a resource that references the binary, and can automatically apply the appropriate access rules based on that reference. However, there are some circumstances where this is not appropriate, e.g. the binary is uploaded directly to the server without any linking resource, the binary is referred to from multiple different resources, and/or the binary is content such as an application logo that has less protection than any of the resources that reference it.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Binary.securityContext",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Binary.data",
          "path" : "Binary.data",
          "short" : "The actual content",
          "definition" : "The actual content, base64 encoded.",
          "comment" : "If the content type is itself base64 encoding, then this will be base64 encoded twice - what is created by un-base64ing the content must be the specified content type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Binary.data",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "base64Binary"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "ED.data"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Binary",
          "path" : "Binary",
          "short" : "Pure binary content defined by a format other than FHIR",
          "definition" : "A resource that represents the data of a single raw artifact as digital content accessible in its native format.  A Binary resource can contain any content, whether text, image, pdf, zip archive, etc.",
          "comment" : "Typically, Binary resources are used for handling content such as:  \n\n* CDA Documents (i.e. with XDS) \n* PDF Documents \n* Images (the Media resource is preferred for handling images, but not possible when the content is already binary - e.g. XDS).",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "ED"
          }]
        },
        {
          "id" : "Binary.contentType",
          "path" : "Binary.contentType",
          "short" : "MimeType of the binary content",
          "definition" : "MimeType of the binary content represented as a standard MimeType (BCP 13).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "ED.mediaType"
          }]
        },
        {
          "id" : "Binary.securityContext",
          "path" : "Binary.securityContext",
          "short" : "Identifies another resource to use as proxy when enforcing access control",
          "definition" : "This element identifies another resource that can be used as a proxy of the security sensitivity to use when deciding and enforcing access control rules for the Binary resource. Given that the Binary resource contains very few elements that can be used to determine the sensitivity of the data and relationships to individuals, the referenced resource stands in as a proxy equivalent for this purpose. This referenced resource may be related to the Binary (e.g. Media, DocumentReference), or may be some non-related Resource purely as a security proxy. E.g. to identify that the binary resource relates to a patient, and access should only be granted to applications that have access to the patient.",
          "comment" : "Very often, a server will also know of a resource that references the binary, and can automatically apply the appropriate access rules based on that reference. However, there are some circumstances where this is not appropriate, e.g. the binary is uploaded directly to the server without any linking resource, the binary is referred to from multiple different resources, and/or the binary is content such as an application logo that has less protection than any of the resources that reference it.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Binary.data",
          "path" : "Binary.data",
          "short" : "The actual content",
          "definition" : "The actual content, base64 encoded.",
          "comment" : "If the content type is itself base64 encoding, then this will be base64 encoded twice - what is created by un-base64ing the content must be the specified content type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "base64Binary"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "ED.data"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "BiologicallyDerivedProduct",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 BiologicallyDerivedProduct 
TU
DomainResource
A material substance originating from a biological entity
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External ids for this item
 productCategory 
0..1
code
organ | tissue | fluid | cells | biologicalAgent
BiologicallyDerivedProductCategory (Required)
 productCode 
0..1
CodeableConcept
What this biologically derived product is
 status 
0..1
code
available | unavailable
BiologicallyDerivedProductStatus (Required)
 request 
0..*
Reference(ServiceRequest)
Procedure request
 quantity 
0..1
integer
The amount of this biologically derived product
 parent 
0..*
Reference(BiologicallyDerivedProduct)
BiologicallyDerivedProduct parent
 collection 
0..1
BackboneElement
How this product was collected
 collector 
0..1
Reference(Practitioner | PractitionerRole)
Individual performing collection
 source 
0..1
Reference(Patient | Organization)
Who is product from
 collected[x] 
0..1
Time of product collection
 collectedDateTime
dateTime
 collectedPeriod
Period
 processing 
0..*
BackboneElement
Any processing of the product during collection
 description 
0..1
string
Description of of processing
 procedure 
0..1
CodeableConcept
Procesing code
Procedure Codes (SNOMED CT) (Example)
 additive 
0..1
Reference(Substance)
Substance added during processing
 time[x] 
0..1
Time of processing
 timeDateTime
dateTime
 timePeriod
Period
 manipulation 
0..1
BackboneElement
Any manipulation of product post-collection
 description 
0..1
string
Description of manipulation
 time[x] 
0..1
Time of manipulation
 timeDateTime
dateTime
 timePeriod
Period
 storage 
0..*
BackboneElement
Product storage
 description 
0..1
string
Description of storage
 temperature 
0..1
decimal
Storage temperature
 scale 
0..1
code
farenheit | celsius | kelvin
BiologicallyDerivedProductStorageScale (Required)
 duration 
0..1
Period
Storage timeperiod

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct",
      "version" : "4.0.0",
      "name" : "BiologicallyDerivedProduct",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A material substance originating from a biological entity intended to be transplanted or infused\ninto another (possibly the same) biological entity.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "BiologicallyDerivedProduct",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "BiologicallyDerivedProduct",
          "path" : "BiologicallyDerivedProduct",
          "short" : "A material substance originating from a biological entity",
          "definition" : "A material substance originating from a biological entity intended to be transplanted or infused\ninto another (possibly the same) biological entity.",
          "comment" : "Substances include, but are not limited to: whole blood, bone marrow, organs, and manipulated blood cells.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BiologicallyDerivedProduct",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Material[classCode=                       Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.id",
          "path" : "BiologicallyDerivedProduct.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "BiologicallyDerivedProduct.meta",
          "path" : "BiologicallyDerivedProduct.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "BiologicallyDerivedProduct.implicitRules",
          "path" : "BiologicallyDerivedProduct.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "BiologicallyDerivedProduct.language",
          "path" : "BiologicallyDerivedProduct.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.text",
          "path" : "BiologicallyDerivedProduct.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.contained",
          "path" : "BiologicallyDerivedProduct.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.extension",
          "path" : "BiologicallyDerivedProduct.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.modifierExtension",
          "path" : "BiologicallyDerivedProduct.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.identifier",
          "path" : "BiologicallyDerivedProduct.identifier",
          "short" : "External ids for this item",
          "definition" : "This records identifiers associated with this biologically derived product instance that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BiologicallyDerivedProduct.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.productCategory",
          "path" : "BiologicallyDerivedProduct.productCategory",
          "short" : "organ | tissue | fluid | cells | biologicalAgent",
          "definition" : "Broad category of this product.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.productCategory",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductCategory"
            }],
            "strength" : "required",
            "description" : "Biologically Derived Product Category.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/product-category|4.0.0"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.productCode",
          "path" : "BiologicallyDerivedProduct.productCode",
          "short" : "What this biologically derived product is",
          "definition" : "A code that identifies the kind of this biologically derived product (SNOMED Ctcode).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.productCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductCode"
            }],
            "strength" : "example",
            "description" : "Biologically Derived Product Code."
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.status",
          "path" : "BiologicallyDerivedProduct.status",
          "short" : "available | unavailable",
          "definition" : "Whether the product is currently available.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductStatus"
            }],
            "strength" : "required",
            "description" : "Biologically Derived Product Status.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/product-status|4.0.0"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.request",
          "path" : "BiologicallyDerivedProduct.request",
          "short" : "Procedure request",
          "definition" : "Procedure request to obtain this biologically derived product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BiologicallyDerivedProduct.request",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.quantity",
          "path" : "BiologicallyDerivedProduct.quantity",
          "short" : "The amount of this biologically derived product",
          "definition" : "Number of discrete units within this product.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.parent",
          "path" : "BiologicallyDerivedProduct.parent",
          "short" : "BiologicallyDerivedProduct parent",
          "definition" : "Parent product (if any).",
          "comment" : "For products that have multiple collections. For example Peripheral Blood Stem Cells may be collected over several days from a single donor and the donation split into in multiple containers which must be linked to the parent donation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BiologicallyDerivedProduct.parent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.collection",
          "path" : "BiologicallyDerivedProduct.collection",
          "short" : "How this product was collected",
          "definition" : "How this product was collected.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.collection",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.id",
          "path" : "BiologicallyDerivedProduct.collection.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.extension",
          "path" : "BiologicallyDerivedProduct.collection.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.modifierExtension",
          "path" : "BiologicallyDerivedProduct.collection.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.collector",
          "path" : "BiologicallyDerivedProduct.collection.collector",
          "short" : "Individual performing collection",
          "definition" : "Healthcare professional who is performing the collection.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.collection.collector",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.source",
          "path" : "BiologicallyDerivedProduct.collection.source",
          "short" : "Who is product from",
          "definition" : "The patient or entity, such as a hospital or vendor in the case of a processed/manipulated/manufactured product, providing the product.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.collection.source",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.collected[x]",
          "path" : "BiologicallyDerivedProduct.collection.collected[x]",
          "short" : "Time of product collection",
          "definition" : "Time of product collection.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.collection.collected[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.processing",
          "path" : "BiologicallyDerivedProduct.processing",
          "short" : "Any processing of the product during collection",
          "definition" : "Any processing of the product during collection that does not change the fundamental nature of the product. For example adding anti-coagulants during the collection of Peripheral Blood Stem Cells.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BiologicallyDerivedProduct.processing",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.id",
          "path" : "BiologicallyDerivedProduct.processing.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.extension",
          "path" : "BiologicallyDerivedProduct.processing.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.modifierExtension",
          "path" : "BiologicallyDerivedProduct.processing.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.description",
          "path" : "BiologicallyDerivedProduct.processing.description",
          "short" : "Description of of processing",
          "definition" : "Description of of processing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.processing.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.procedure",
          "path" : "BiologicallyDerivedProduct.processing.procedure",
          "short" : "Procesing code",
          "definition" : "Procesing code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.processing.procedure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductProcedure"
            }],
            "strength" : "example",
            "description" : "Biologically Derived Product Procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.additive",
          "path" : "BiologicallyDerivedProduct.processing.additive",
          "short" : "Substance added during processing",
          "definition" : "Substance added during processing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.processing.additive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.time[x]",
          "path" : "BiologicallyDerivedProduct.processing.time[x]",
          "short" : "Time of processing",
          "definition" : "Time of processing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.processing.time[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation",
          "path" : "BiologicallyDerivedProduct.manipulation",
          "short" : "Any manipulation of product post-collection",
          "definition" : "Any manipulation of product post-collection that is intended to alter the product.  For example a buffy-coat enrichment or CD8 reduction of Peripheral Blood Stem Cells to make it more suitable for infusion.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.manipulation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation.id",
          "path" : "BiologicallyDerivedProduct.manipulation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation.extension",
          "path" : "BiologicallyDerivedProduct.manipulation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation.modifierExtension",
          "path" : "BiologicallyDerivedProduct.manipulation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation.description",
          "path" : "BiologicallyDerivedProduct.manipulation.description",
          "short" : "Description of manipulation",
          "definition" : "Description of manipulation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.manipulation.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation.time[x]",
          "path" : "BiologicallyDerivedProduct.manipulation.time[x]",
          "short" : "Time of manipulation",
          "definition" : "Time of manipulation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.manipulation.time[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.storage",
          "path" : "BiologicallyDerivedProduct.storage",
          "short" : "Product storage",
          "definition" : "Product storage.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BiologicallyDerivedProduct.storage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.id",
          "path" : "BiologicallyDerivedProduct.storage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.extension",
          "path" : "BiologicallyDerivedProduct.storage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.modifierExtension",
          "path" : "BiologicallyDerivedProduct.storage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.description",
          "path" : "BiologicallyDerivedProduct.storage.description",
          "short" : "Description of storage",
          "definition" : "Description of storage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.storage.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.temperature",
          "path" : "BiologicallyDerivedProduct.storage.temperature",
          "short" : "Storage temperature",
          "definition" : "Storage temperature.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.storage.temperature",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.scale",
          "path" : "BiologicallyDerivedProduct.storage.scale",
          "short" : "farenheit | celsius | kelvin",
          "definition" : "Temperature scale used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.storage.scale",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductStorageScale"
            }],
            "strength" : "required",
            "description" : "BiologicallyDerived Product Storage Scale.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/product-storage-scale|4.0.0"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.duration",
          "path" : "BiologicallyDerivedProduct.storage.duration",
          "short" : "Storage timeperiod",
          "definition" : "Storage timeperiod.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BiologicallyDerivedProduct.storage.duration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "BiologicallyDerivedProduct",
          "path" : "BiologicallyDerivedProduct",
          "short" : "A material substance originating from a biological entity",
          "definition" : "A material substance originating from a biological entity intended to be transplanted or infused\ninto another (possibly the same) biological entity.",
          "comment" : "Substances include, but are not limited to: whole blood, bone marrow, organs, and manipulated blood cells.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Material[classCode=                       Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.identifier",
          "path" : "BiologicallyDerivedProduct.identifier",
          "short" : "External ids for this item",
          "definition" : "This records identifiers associated with this biologically derived product instance that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate (e.g. in CDA documents, or in written / printed documentation).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.productCategory",
          "path" : "BiologicallyDerivedProduct.productCategory",
          "short" : "organ | tissue | fluid | cells | biologicalAgent",
          "definition" : "Broad category of this product.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductCategory"
            }],
            "strength" : "required",
            "description" : "Biologically Derived Product Category.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/product-category|4.0.0"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.productCode",
          "path" : "BiologicallyDerivedProduct.productCode",
          "short" : "What this biologically derived product is",
          "definition" : "A code that identifies the kind of this biologically derived product (SNOMED Ctcode).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductCode"
            }],
            "strength" : "example",
            "description" : "Biologically Derived Product Code."
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.status",
          "path" : "BiologicallyDerivedProduct.status",
          "short" : "available | unavailable",
          "definition" : "Whether the product is currently available.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductStatus"
            }],
            "strength" : "required",
            "description" : "Biologically Derived Product Status.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/product-status|4.0.0"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.request",
          "path" : "BiologicallyDerivedProduct.request",
          "short" : "Procedure request",
          "definition" : "Procedure request to obtain this biologically derived product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.quantity",
          "path" : "BiologicallyDerivedProduct.quantity",
          "short" : "The amount of this biologically derived product",
          "definition" : "Number of discrete units within this product.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.parent",
          "path" : "BiologicallyDerivedProduct.parent",
          "short" : "BiologicallyDerivedProduct parent",
          "definition" : "Parent product (if any).",
          "comment" : "For products that have multiple collections. For example Peripheral Blood Stem Cells may be collected over several days from a single donor and the donation split into in multiple containers which must be linked to the parent donation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/BiologicallyDerivedProduct"]
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.collection",
          "path" : "BiologicallyDerivedProduct.collection",
          "short" : "How this product was collected",
          "definition" : "How this product was collected.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.collector",
          "path" : "BiologicallyDerivedProduct.collection.collector",
          "short" : "Individual performing collection",
          "definition" : "Healthcare professional who is performing the collection.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.source",
          "path" : "BiologicallyDerivedProduct.collection.source",
          "short" : "Who is product from",
          "definition" : "The patient or entity, such as a hospital or vendor in the case of a processed/manipulated/manufactured product, providing the product.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.collection.collected[x]",
          "path" : "BiologicallyDerivedProduct.collection.collected[x]",
          "short" : "Time of product collection",
          "definition" : "Time of product collection.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.processing",
          "path" : "BiologicallyDerivedProduct.processing",
          "short" : "Any processing of the product during collection",
          "definition" : "Any processing of the product during collection that does not change the fundamental nature of the product. For example adding anti-coagulants during the collection of Peripheral Blood Stem Cells.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.description",
          "path" : "BiologicallyDerivedProduct.processing.description",
          "short" : "Description of of processing",
          "definition" : "Description of of processing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.procedure",
          "path" : "BiologicallyDerivedProduct.processing.procedure",
          "short" : "Procesing code",
          "definition" : "Procesing code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductProcedure"
            }],
            "strength" : "example",
            "description" : "Biologically Derived Product Procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.additive",
          "path" : "BiologicallyDerivedProduct.processing.additive",
          "short" : "Substance added during processing",
          "definition" : "Substance added during processing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.processing.time[x]",
          "path" : "BiologicallyDerivedProduct.processing.time[x]",
          "short" : "Time of processing",
          "definition" : "Time of processing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation",
          "path" : "BiologicallyDerivedProduct.manipulation",
          "short" : "Any manipulation of product post-collection",
          "definition" : "Any manipulation of product post-collection that is intended to alter the product.  For example a buffy-coat enrichment or CD8 reduction of Peripheral Blood Stem Cells to make it more suitable for infusion.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation.description",
          "path" : "BiologicallyDerivedProduct.manipulation.description",
          "short" : "Description of manipulation",
          "definition" : "Description of manipulation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.manipulation.time[x]",
          "path" : "BiologicallyDerivedProduct.manipulation.time[x]",
          "short" : "Time of manipulation",
          "definition" : "Time of manipulation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.storage",
          "path" : "BiologicallyDerivedProduct.storage",
          "short" : "Product storage",
          "definition" : "Product storage.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.description",
          "path" : "BiologicallyDerivedProduct.storage.description",
          "short" : "Description of storage",
          "definition" : "Description of storage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.temperature",
          "path" : "BiologicallyDerivedProduct.storage.temperature",
          "short" : "Storage temperature",
          "definition" : "Storage temperature.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.scale",
          "path" : "BiologicallyDerivedProduct.storage.scale",
          "short" : "farenheit | celsius | kelvin",
          "definition" : "Temperature scale used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BiologicallyDerivedProductStorageScale"
            }],
            "strength" : "required",
            "description" : "BiologicallyDerived Product Storage Scale.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/product-storage-scale|4.0.0"
          }
        },
        {
          "id" : "BiologicallyDerivedProduct.storage.duration",
          "path" : "BiologicallyDerivedProduct.storage.duration",
          "short" : "Storage timeperiod",
          "definition" : "Storage timeperiod.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/BodyStructure",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "BodyStructure",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 BodyStructure 
TU
DomainResource
Specific and identified anatomical structure
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Bodystructure identifier
 active 
?!Σ
0..1
boolean
Whether this record is in active use
 morphology 
Σ
0..1
CodeableConcept
Kind of Structure
SNOMED CT Morphologic Abnormalities (Example)
 location 
Σ
0..1
CodeableConcept
Body site
SNOMED CT Body Structures (Example)
 locationQualifier 
0..*
CodeableConcept
Body site modifier
Bodystructure Location Qualifier (Example)
 description 
Σ
0..1
string
Text description
 image 
0..*
Attachment
Attached images
 patient 
Σ
1..1
Reference(Patient)
Who this is about

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Diagnostics"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/BodyStructure",
      "version" : "4.0.0",
      "name" : "BodyStructure",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "Record details about an anatomical structure.  This resource may be used when a coded concept does not provide the necessary detail needed for the use case.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "openehr",
        "uri" : "http://openehr.org",
        "name" : "Open EHR Archetype Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "BodyStructure",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "BodyStructure",
          "path" : "BodyStructure",
          "short" : "Specific and identified anatomical structure",
          "definition" : "Record details about an anatomical structure.  This resource may be used when a coded concept does not provide the necessary detail needed for the use case.",
          "alias" : ["anatomical location"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BodyStructure",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "ActSIte"
          },
          {
            "identity" : "openehr",
            "map" : "Archetype ID   openEHR-EHR-CLUSTER.anatomical_location.v1      Concept name   Anatomical Location      Concept description   Record details about an anatomical location.      Keywords   location, site, anatomical      Copyright   © openEHR Foundation      Purpose   To record details about anatomical location.      Misuse   Not for specifiying unilateral/bilateral occurrence - this is related to an evaluation which perhaps includes multiple locations.      Author   Author name: Heather Leslie Organization: Ocean Informatics Email: [email protected] Date of Origination: 2008-11-10       Translator   Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine. Arabic (Syria): Mona Saleh       Other contributors   Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Dunmail Hodkinson, Black Pear Software Ltd, UK      References   Use cases: - 5LICS, midclavicular line - L forearm, 2cm anterior to the cubital fossa - Right iliac fossa - 5 cm below L tibial tuberosity - 2 cm medial to R nipple - 4 cm below R costal margin in midclavicular line - R femur - midline nose - medial aspect of R great toe nail."
          }]
        },
        {
          "id" : "BodyStructure.id",
          "path" : "BodyStructure.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "BodyStructure.meta",
          "path" : "BodyStructure.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "BodyStructure.implicitRules",
          "path" : "BodyStructure.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "BodyStructure.language",
          "path" : "BodyStructure.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "BodyStructure.text",
          "path" : "BodyStructure.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "BodyStructure.contained",
          "path" : "BodyStructure.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BodyStructure.extension",
          "path" : "BodyStructure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BodyStructure.modifierExtension",
          "path" : "BodyStructure.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "BodyStructure.identifier",
          "path" : "BodyStructure.identifier",
          "short" : "Bodystructure identifier",
          "definition" : "Identifier for this instance of the anatomical structure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BodyStructure.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "openehr",
            "map" : "Specific location  Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)"
          }]
        },
        {
          "id" : "BodyStructure.active",
          "path" : "BodyStructure.active",
          "short" : "Whether this record is in active use",
          "definition" : "Whether this body site is in active use.",
          "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "requirements" : "Need to be able to mark a body site entry as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BodyStructure.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }]
        },
        {
          "id" : "BodyStructure.morphology",
          "path" : "BodyStructure.morphology",
          "short" : "Kind of Structure",
          "definition" : "The kind of structure being represented by the body structure at `BodyStructure.location`.  This can define both normal and abnormal morphologies.",
          "comment" : "The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BodyStructure.morphology",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodyStructureCode"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomic morphology.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/bodystructure-code"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "SPM-4/SPM-5"
          }]
        },
        {
          "id" : "BodyStructure.location",
          "path" : "BodyStructure.location",
          "short" : "Body site",
          "definition" : "The anatomical location or region of the specimen, lesion, or body structure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BodyStructure.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-20/SPM-8/SPM-10"
          },
          {
            "identity" : "rim",
            "map" : ".targetSiteCode"
          },
          {
            "identity" : "openehr",
            "map" : "Name of location"
          }]
        },
        {
          "id" : "BodyStructure.locationQualifier",
          "path" : "BodyStructure.locationQualifier",
          "short" : "Body site modifier",
          "definition" : "Qualifier to refine the anatomical location.  These include qualifiers for laterality, relative location, directionality, number, and plane.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BodyStructure.locationQualifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodyStructureQualifier"
            }],
            "strength" : "example",
            "description" : "Concepts modifying the anatomic location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/bodystructure-relative-location"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9"
          },
          {
            "identity" : "rim",
            "map" : ".targetSiteCode"
          },
          {
            "identity" : "openehr",
            "map" : "Combines Side, Numerical identifier, Anatomical plane,and Aspect"
          }]
        },
        {
          "id" : "BodyStructure.description",
          "path" : "BodyStructure.description",
          "short" : "Text description",
          "definition" : "A summary, characterization or explanation of the body structure.",
          "comment" : "This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "BodyStructure.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "openehr",
            "map" : "Description of anatomical location/Visual markings/orientation"
          }]
        },
        {
          "id" : "BodyStructure.image",
          "path" : "BodyStructure.image",
          "short" : "Attached images",
          "definition" : "Image or images used to identify a location.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BodyStructure.image",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=COMP].target"
          },
          {
            "identity" : "openehr",
            "map" : "Image"
          }]
        },
        {
          "id" : "BodyStructure.patient",
          "path" : "BodyStructure.patient",
          "short" : "Who this is about",
          "definition" : "The person to which the body site belongs.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "BodyStructure.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".scoper or .scoper.playsRole"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "BodyStructure",
          "path" : "BodyStructure",
          "short" : "Specific and identified anatomical structure",
          "definition" : "Record details about an anatomical structure.  This resource may be used when a coded concept does not provide the necessary detail needed for the use case.",
          "alias" : ["anatomical location"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "ActSIte"
          },
          {
            "identity" : "openehr",
            "map" : "Archetype ID   openEHR-EHR-CLUSTER.anatomical_location.v1      Concept name   Anatomical Location      Concept description   Record details about an anatomical location.      Keywords   location, site, anatomical      Copyright   © openEHR Foundation      Purpose   To record details about anatomical location.      Misuse   Not for specifiying unilateral/bilateral occurrence - this is related to an evaluation which perhaps includes multiple locations.      Author   Author name: Heather Leslie Organization: Ocean Informatics Email: [email protected] Date of Origination: 2008-11-10       Translator   Norwegian Bokmål: Lars Bitsch-Larsen, Haukeland University Hospital of Bergen, Norway, MD, DEAA, MBA, spec in anesthesia, spec in tropical medicine. Arabic (Syria): Mona Saleh       Other contributors   Heather Leslie, Ocean Informatics, Australia (Editor) Ian McNicoll, freshEHR Clinical Informatics, United Kingdom (Editor) Dunmail Hodkinson, Black Pear Software Ltd, UK      References   Use cases: - 5LICS, midclavicular line - L forearm, 2cm anterior to the cubital fossa - Right iliac fossa - 5 cm below L tibial tuberosity - 2 cm medial to R nipple - 4 cm below R costal margin in midclavicular line - R femur - midline nose - medial aspect of R great toe nail."
          }]
        },
        {
          "id" : "BodyStructure.identifier",
          "path" : "BodyStructure.identifier",
          "short" : "Bodystructure identifier",
          "definition" : "Identifier for this instance of the anatomical structure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "openehr",
            "map" : "Specific location  Cluster Optional (0..1) Cardinality: Mandatory, repeating, unordered (1..*)"
          }]
        },
        {
          "id" : "BodyStructure.active",
          "path" : "BodyStructure.active",
          "short" : "Whether this record is in active use",
          "definition" : "Whether this body site is in active use.",
          "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "requirements" : "Need to be able to mark a body site entry as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }]
        },
        {
          "id" : "BodyStructure.morphology",
          "path" : "BodyStructure.morphology",
          "short" : "Kind of Structure",
          "definition" : "The kind of structure being represented by the body structure at `BodyStructure.location`.  This can define both normal and abnormal morphologies.",
          "comment" : "The minimum cardinality of 0 supports the use case of specifying a location without defining a morphology.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodyStructureCode"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomic morphology.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/bodystructure-code"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "SPM-4/SPM-5"
          }]
        },
        {
          "id" : "BodyStructure.location",
          "path" : "BodyStructure.location",
          "short" : "Body site",
          "definition" : "The anatomical location or region of the specimen, lesion, or body structure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-20/SPM-8/SPM-10"
          },
          {
            "identity" : "rim",
            "map" : ".targetSiteCode"
          },
          {
            "identity" : "openehr",
            "map" : "Name of location"
          }]
        },
        {
          "id" : "BodyStructure.locationQualifier",
          "path" : "BodyStructure.locationQualifier",
          "short" : "Body site modifier",
          "definition" : "Qualifier to refine the anatomical location.  These include qualifiers for laterality, relative location, directionality, number, and plane.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodyStructureQualifier"
            }],
            "strength" : "example",
            "description" : "Concepts modifying the anatomic location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/bodystructure-relative-location"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "No distinct element defined in V2.x. The IHE Radiology Technical Framework directs the use of OBR-15-specimen source to contain laterality for imaging studies./SPM-9"
          },
          {
            "identity" : "rim",
            "map" : ".targetSiteCode"
          },
          {
            "identity" : "openehr",
            "map" : "Combines Side, Numerical identifier, Anatomical plane,and Aspect"
          }]
        },
        {
          "id" : "BodyStructure.description",
          "path" : "BodyStructure.description",
          "short" : "Text description",
          "definition" : "A summary, characterization or explanation of the body structure.",
          "comment" : "This description could include any visual markings used to orientate the viewer e.g. external reference points, special sutures, ink markings.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "openehr",
            "map" : "Description of anatomical location/Visual markings/orientation"
          }]
        },
        {
          "id" : "BodyStructure.image",
          "path" : "BodyStructure.image",
          "short" : "Attached images",
          "definition" : "Image or images used to identify a location.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Attachment"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=COMP].target"
          },
          {
            "identity" : "openehr",
            "map" : "Image"
          }]
        },
        {
          "id" : "BodyStructure.patient",
          "path" : "BodyStructure.patient",
          "short" : "Who this is about",
          "definition" : "The person to which the body site belongs.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".scoper or .scoper.playsRole"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Bundle",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Bundle",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Bundle 
ΣIN
Resource
Contains a collection of resources
+ Rule: total only when a search or history
+ Rule: entry.search only when a search
+ Rule: entry.request mandatory for batch/transaction/history, otherwise prohibited
+ Rule: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
+ Rule: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
+ Rule: A document must have an identifier with a system and a value
+ Rule: A document must have a date
+ Rule: A document must have a Composition as the first resource
+ Rule: A message must have a MessageHeader as the first resource
Elements defined in Ancestors: id, meta, implicitRules, language
 identifier 
Σ
0..1
Identifier
Persistent identifier for the bundle
 type 
Σ
1..1
code
document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
BundleType (Required)
 timestamp 
Σ
0..1
instant
When the bundle was assembled
 total 
ΣI
0..1
unsignedInt
If search, the total number of matches
 link 
Σ
0..*
BackboneElement
Links related to this Bundle
 relation 
Σ
1..1
string
See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
 url 
Σ
1..1
uri
Reference details for the link
 entry 
ΣI
0..*
BackboneElement
Entry in the bundle - will have a resource or information
+ Rule: must be a resource unless there's a request or response
+ Rule: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
 link 
Σ
0..*
see link
Links related to this entry
 fullUrl 
Σ
0..1
uri
URI for resource (Absolute URL server address or URI for UUID/OID)
 resource 
Σ
0..1
Resource
A resource in the bundle
 search 
ΣI
0..1
BackboneElement
Search related information
 mode 
Σ
0..1
code
match | include | outcome - why this is in the result set
SearchEntryMode (Required)
 score 
Σ
0..1
decimal
Search ranking (between 0 and 1)
 request 
ΣI
0..1
BackboneElement
Additional execution information (transaction/batch/history)
 method 
Σ
1..1
code
GET | HEAD | POST | PUT | DELETE | PATCH
HTTPVerb (Required)
 url 
Σ
1..1
uri
URL for HTTP equivalent of this entry
 ifNoneMatch 
Σ
0..1
string
For managing cache currency
 ifModifiedSince 
Σ
0..1
instant
For managing cache currency
 ifMatch 
Σ
0..1
string
For managing update contention
 ifNoneExist 
Σ
0..1
string
For conditional creates
 response 
ΣI
0..1
BackboneElement
Results of execution (transaction/batch/history)
 status 
Σ
1..1
string
Status response code (text optional)
 location 
Σ
0..1
uri
The location (if the operation returns a location)
 etag 
Σ
0..1
string
The Etag for the resource (if relevant)
 lastModified 
Σ
0..1
instant
Server's date time modified
 outcome 
Σ
0..1
Resource
OperationOutcome with hints and warnings (for batch/transaction)
 signature 
ΣTU
0..1
Signature
Digital Signature

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Other"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Bundle",
      "version" : "4.0.0",
      "name" : "Bundle",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A container for a collection of resources.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "cda",
        "uri" : "http://hl7.org/v3/cda",
        "name" : "CDA (R2)"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Bundle",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Resource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Bundle",
          "path" : "Bundle",
          "short" : "Contains a collection of resources",
          "definition" : "A container for a collection of resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Bundle",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "bdl-7",
            "severity" : "error",
            "human" : "FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)",
            "expression" : "(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()",
            "xpath" : "(f:type/@value = 'history') or (count(for $entry in f:entry[f:resource] return $entry[count(parent::f:Bundle/f:entry[f:fullUrl/@value=$entry/f:fullUrl/@value and ((not(f:resource/*/f:meta/f:versionId/@value) and not($entry/f:resource/*/f:meta/f:versionId/@value)) or f:resource/*/f:meta/f:versionId/@value=$entry/f:resource/*/f:meta/f:versionId/@value)])!=1])=0)"
          },
          {
            "key" : "bdl-9",
            "severity" : "error",
            "human" : "A document must have an identifier with a system and a value",
            "expression" : "type = 'document' implies (identifier.system.exists() and identifier.value.exists())",
            "xpath" : "not(f:type/@value = 'document') or exists(f:identifier/f:system) or exists(f:identifier/f:value)"
          },
          {
            "key" : "bdl-3",
            "severity" : "error",
            "human" : "entry.request mandatory for batch/transaction/history, otherwise prohibited",
            "expression" : "entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))",
            "xpath" : "not(f:entry/f:request) or (f:type/@value = 'batch') or (f:type/@value = 'transaction') or (f:type/@value = 'history')"
          },
          {
            "key" : "bdl-4",
            "severity" : "error",
            "human" : "entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited",
            "expression" : "entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))",
            "xpath" : "not(f:entry/f:response) or (f:type/@value = 'batch-response') or (f:type/@value = 'transaction-response') or (f:type/@value = 'history')"
          },
          {
            "key" : "bdl-12",
            "severity" : "error",
            "human" : "A message must have a MessageHeader as the first resource",
            "expression" : "type = 'message' implies entry.first().resource.is(MessageHeader)",
            "xpath" : "not(f:type/@value='message') or f:entry[1]/f:resource/f:MessageHeader"
          },
          {
            "key" : "bdl-1",
            "severity" : "error",
            "human" : "total only when a search or history",
            "expression" : "total.empty() or (type = 'searchset') or (type = 'history')",
            "xpath" : "not(f:total) or (f:type/@value = 'searchset') or (f:type/@value = 'history')"
          },
          {
            "key" : "bdl-2",
            "severity" : "error",
            "human" : "entry.search only when a search",
            "expression" : "entry.search.empty() or (type = 'searchset')",
            "xpath" : "not(f:entry/f:search) or (f:type/@value = 'searchset')"
          },
          {
            "key" : "bdl-11",
            "severity" : "error",
            "human" : "A document must have a Composition as the first resource",
            "expression" : "type = 'document' implies entry.first().resource.is(Composition)",
            "xpath" : "not(f:type/@value='document') or f:entry[1]/f:resource/f:Composition"
          },
          {
            "key" : "bdl-10",
            "severity" : "error",
            "human" : "A document must have a date",
            "expression" : "type = 'document' implies (meta.lastUpdated.hasValue())",
            "xpath" : "not(f:type/@value = 'document') or exists(f:meta/f:lastUpdated/f:value)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument, if bundle.type = document"
          }]
        },
        {
          "id" : "Bundle.id",
          "path" : "Bundle.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.meta",
          "path" : "Bundle.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.implicitRules",
          "path" : "Bundle.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Bundle.language",
          "path" : "Bundle.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Bundle.identifier",
          "path" : "Bundle.identifier",
          "short" : "Persistent identifier for the bundle",
          "definition" : "A persistent identifier for the bundle that won't change as a bundle is copied from server to server.",
          "comment" : "Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents  the .identifier SHALL be populated such that the .identifier is globally unique.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument.id"
          }]
        },
        {
          "id" : "Bundle.type",
          "path" : "Bundle.type",
          "short" : "document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection",
          "definition" : "Indicates the purpose of this bundle - how it is intended to be used.",
          "comment" : "It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Bundle.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BundleType"
            }],
            "strength" : "required",
            "description" : "Indicates the purpose of a bundle - how it is intended to be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/bundle-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Bundle.timestamp",
          "path" : "Bundle.timestamp",
          "short" : "When the bundle was assembled",
          "definition" : "The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.",
          "comment" : "For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated.  \n\nUsage:\n\n* document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time\n* message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message\n* history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates\n* searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query\n* transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning\n\nThe timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.timestamp",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument.effectiveTime"
          }]
        },
        {
          "id" : "Bundle.total",
          "path" : "Bundle.total",
          "short" : "If search, the total number of matches",
          "definition" : "If a set of search matches, this is the total number of entries of type 'match' across all pages in the search.  It does not include search.mode = 'include' or 'outcome' entries and it does not provide a count of the number of entries in the Bundle.",
          "comment" : "Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.total",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "condition" : ["bdl-1"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.link",
          "path" : "Bundle.link",
          "short" : "Links related to this Bundle",
          "definition" : "A series of links that provide context to this bundle.",
          "comment" : "Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. [HATEOAS](http://en.wikipedia.org/wiki/HATEOAS)). \n\nBundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was [read](http.html#read) directly.\n\nThis specification defines some specific uses of Bundle.link for [searching](search.html#conformance) and [paging](http.html#paging), but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Bundle.link",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.link.id",
          "path" : "Bundle.link.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.link.extension",
          "path" : "Bundle.link.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.link.modifierExtension",
          "path" : "Bundle.link.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Bundle.link.relation",
          "path" : "Bundle.link.relation",
          "short" : "See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1",
          "definition" : "A name which details the functional use for this link - see [http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Bundle.link.relation",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.link.url",
          "path" : "Bundle.link.url",
          "short" : "Reference details for the link",
          "definition" : "The reference details for the link.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Bundle.link.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry",
          "path" : "Bundle.entry",
          "short" : "Entry in the bundle - will have a resource or information",
          "definition" : "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Bundle.entry",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "orderMeaning" : "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "bdl-8",
            "severity" : "error",
            "human" : "fullUrl cannot be a version specific reference",
            "expression" : "fullUrl.contains('/_history/').not()",
            "xpath" : "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))"
          },
          {
            "key" : "bdl-5",
            "severity" : "error",
            "human" : "must be a resource unless there's a request or response",
            "expression" : "resource.exists() or request.exists() or response.exists()",
            "xpath" : "exists(f:resource) or exists(f:request) or exists(f:response)"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.id",
          "path" : "Bundle.entry.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.entry.extension",
          "path" : "Bundle.entry.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.entry.modifierExtension",
          "path" : "Bundle.entry.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Bundle.entry.link",
          "path" : "Bundle.entry.link",
          "short" : "Links related to this entry",
          "definition" : "A series of links that provide context to this entry.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Bundle.entry.link",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Bundle.link",
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.fullUrl",
          "path" : "Bundle.entry.fullUrl",
          "short" : "URI for resource (Absolute URL server address or URI for UUID/OID)",
          "definition" : "The Absolute URL for the resource.  The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
          "comment" : "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.fullUrl",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.resource",
          "path" : "Bundle.entry.resource",
          "short" : "A resource in the bundle",
          "definition" : "The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.resource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.search",
          "path" : "Bundle.entry.search",
          "short" : "Search related information",
          "definition" : "Information about the search process that lead to the creation of this entry.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.search",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["bdl-2"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.search.id",
          "path" : "Bundle.entry.search.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.entry.search.extension",
          "path" : "Bundle.entry.search.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.entry.search.modifierExtension",
          "path" : "Bundle.entry.search.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Bundle.entry.search.mode",
          "path" : "Bundle.entry.search.mode",
          "short" : "match | include | outcome - why this is in the result set",
          "definition" : "Why this entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.",
          "comment" : "There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.search.mode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchEntryMode"
            }],
            "strength" : "required",
            "description" : "Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.0"
          }
        },
        {
          "id" : "Bundle.entry.search.score",
          "path" : "Bundle.entry.search.score",
          "short" : "Search ranking (between 0 and 1)",
          "definition" : "When searching, the server's search ranking score for the entry.",
          "comment" : "Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.search.score",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request",
          "path" : "Bundle.entry.request",
          "short" : "Additional execution information (transaction/batch/history)",
          "definition" : "Additional information about how this entry should be processed as part of a transaction or batch.  For history, it shows how the entry was processed to create the version contained in the entry.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.request",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["bdl-3"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.id",
          "path" : "Bundle.entry.request.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.entry.request.extension",
          "path" : "Bundle.entry.request.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.entry.request.modifierExtension",
          "path" : "Bundle.entry.request.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Bundle.entry.request.method",
          "path" : "Bundle.entry.request.method",
          "short" : "GET | HEAD | POST | PUT | DELETE | PATCH",
          "definition" : "In a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.request.method",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "HTTPVerb"
            }],
            "strength" : "required",
            "description" : "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/http-verb|4.0.0"
          }
        },
        {
          "id" : "Bundle.entry.request.url",
          "path" : "Bundle.entry.request.url",
          "short" : "URL for HTTP equivalent of this entry",
          "definition" : "The URL for this entry, relative to the root (the address to which the request is posted).",
          "comment" : "E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.request.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.ifNoneMatch",
          "path" : "Bundle.entry.request.ifNoneMatch",
          "short" : "For managing cache currency",
          "definition" : "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.request.ifNoneMatch",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.ifModifiedSince",
          "path" : "Bundle.entry.request.ifModifiedSince",
          "short" : "For managing cache currency",
          "definition" : "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.request.ifModifiedSince",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.ifMatch",
          "path" : "Bundle.entry.request.ifMatch",
          "short" : "For managing update contention",
          "definition" : "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.request.ifMatch",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.ifNoneExist",
          "path" : "Bundle.entry.request.ifNoneExist",
          "short" : "For conditional creates",
          "definition" : "Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.request.ifNoneExist",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response",
          "path" : "Bundle.entry.response",
          "short" : "Results of execution (transaction/batch/history)",
          "definition" : "Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.response",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["bdl-4"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.id",
          "path" : "Bundle.entry.response.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.entry.response.extension",
          "path" : "Bundle.entry.response.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Bundle.entry.response.modifierExtension",
          "path" : "Bundle.entry.response.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Bundle.entry.response.status",
          "path" : "Bundle.entry.response.status",
          "short" : "Status response code (text optional)",
          "definition" : "The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.response.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.location",
          "path" : "Bundle.entry.response.location",
          "short" : "The location (if the operation returns a location)",
          "definition" : "The location header created by processing this operation, populated if the operation returns a location.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.response.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.etag",
          "path" : "Bundle.entry.response.etag",
          "short" : "The Etag for the resource (if relevant)",
          "definition" : "The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http.html#versioning) and [Managing Resource Contention](http.html#concurrency)).",
          "comment" : "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.response.etag",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.lastModified",
          "path" : "Bundle.entry.response.lastModified",
          "short" : "Server's date time modified",
          "definition" : "The date/time that the resource was modified on the server.",
          "comment" : "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.response.lastModified",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.outcome",
          "path" : "Bundle.entry.response.outcome",
          "short" : "OperationOutcome with hints and warnings (for batch/transaction)",
          "definition" : "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
          "comment" : "For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.entry.response.outcome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Bundle.signature",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "Bundle.signature",
          "short" : "Digital Signature",
          "definition" : "Digital Signature - base64 encoded. XML-DSig or a JWT.",
          "comment" : "The signature could be created by the \"author\" of the bundle or by the originating device.   Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.",
          "requirements" : "A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Bundle.signature",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Signature"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Bundle",
          "path" : "Bundle",
          "short" : "Contains a collection of resources",
          "definition" : "A container for a collection of resources.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "bdl-7",
            "severity" : "error",
            "human" : "FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)",
            "expression" : "(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()",
            "xpath" : "(f:type/@value = 'history') or (count(for $entry in f:entry[f:resource] return $entry[count(parent::f:Bundle/f:entry[f:fullUrl/@value=$entry/f:fullUrl/@value and ((not(f:resource/*/f:meta/f:versionId/@value) and not($entry/f:resource/*/f:meta/f:versionId/@value)) or f:resource/*/f:meta/f:versionId/@value=$entry/f:resource/*/f:meta/f:versionId/@value)])!=1])=0)"
          },
          {
            "key" : "bdl-9",
            "severity" : "error",
            "human" : "A document must have an identifier with a system and a value",
            "expression" : "type = 'document' implies (identifier.system.exists() and identifier.value.exists())",
            "xpath" : "not(f:type/@value = 'document') or exists(f:identifier/f:system) or exists(f:identifier/f:value)"
          },
          {
            "key" : "bdl-3",
            "severity" : "error",
            "human" : "entry.request mandatory for batch/transaction/history, otherwise prohibited",
            "expression" : "entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))",
            "xpath" : "not(f:entry/f:request) or (f:type/@value = 'batch') or (f:type/@value = 'transaction') or (f:type/@value = 'history')"
          },
          {
            "key" : "bdl-4",
            "severity" : "error",
            "human" : "entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited",
            "expression" : "entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))",
            "xpath" : "not(f:entry/f:response) or (f:type/@value = 'batch-response') or (f:type/@value = 'transaction-response') or (f:type/@value = 'history')"
          },
          {
            "key" : "bdl-12",
            "severity" : "error",
            "human" : "A message must have a MessageHeader as the first resource",
            "expression" : "type = 'message' implies entry.first().resource.is(MessageHeader)",
            "xpath" : "not(f:type/@value='message') or f:entry[1]/f:resource/f:MessageHeader"
          },
          {
            "key" : "bdl-1",
            "severity" : "error",
            "human" : "total only when a search or history",
            "expression" : "total.empty() or (type = 'searchset') or (type = 'history')",
            "xpath" : "not(f:total) or (f:type/@value = 'searchset') or (f:type/@value = 'history')"
          },
          {
            "key" : "bdl-2",
            "severity" : "error",
            "human" : "entry.search only when a search",
            "expression" : "entry.search.empty() or (type = 'searchset')",
            "xpath" : "not(f:entry/f:search) or (f:type/@value = 'searchset')"
          },
          {
            "key" : "bdl-11",
            "severity" : "error",
            "human" : "A document must have a Composition as the first resource",
            "expression" : "type = 'document' implies entry.first().resource.is(Composition)",
            "xpath" : "not(f:type/@value='document') or f:entry[1]/f:resource/f:Composition"
          },
          {
            "key" : "bdl-10",
            "severity" : "error",
            "human" : "A document must have a date",
            "expression" : "type = 'document' implies (meta.lastUpdated.hasValue())",
            "xpath" : "not(f:type/@value = 'document') or exists(f:meta/f:lastUpdated/f:value)"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument, if bundle.type = document"
          }]
        },
        {
          "id" : "Bundle.identifier",
          "path" : "Bundle.identifier",
          "short" : "Persistent identifier for the bundle",
          "definition" : "A persistent identifier for the bundle that won't change as a bundle is copied from server to server.",
          "comment" : "Persistent identity generally only matters for batches of type Document, Message, and Collection. It would not normally be populated for search and history results and servers ignore Bundle.identifier when processing batches and transactions. For Documents  the .identifier SHALL be populated such that the .identifier is globally unique.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument.id"
          }]
        },
        {
          "id" : "Bundle.type",
          "path" : "Bundle.type",
          "short" : "document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection",
          "definition" : "Indicates the purpose of this bundle - how it is intended to be used.",
          "comment" : "It's possible to use a bundle for other purposes (e.g. a document can be accepted as a transaction). This is primarily defined so that there can be specific rules for some of the bundle types.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BundleType"
            }],
            "strength" : "required",
            "description" : "Indicates the purpose of a bundle - how it is intended to be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/bundle-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Bundle.timestamp",
          "path" : "Bundle.timestamp",
          "short" : "When the bundle was assembled",
          "definition" : "The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.",
          "comment" : "For many bundles, the timestamp is equal to .meta.lastUpdated, because they are not stored (e.g. search results). When a bundle is placed in a persistent store, .meta.lastUpdated will be usually be changed by the server. When the bundle is a message, a middleware agent altering the message (even if not stored) SHOULD update .meta.lastUpdated. .timestamp is used to track the original time of the Bundle, and SHOULD be populated.  \n\nUsage:\n\n* document : the date the document was created. Note: the composition may predate the document, or be associated with multiple documents. The date of the composition - the authoring time - may be earlier than the document assembly time\n* message : the date that the content of the message was assembled. This date is not changed by middleware engines unless they add additional data that changes the meaning of the time of the message\n* history : the date that the history was assembled. This time would be used as the _since time to ask for subsequent updates\n* searchset : the time that the search set was assembled. Note that different pages MAY have different timestamps but need not. Having different timestamps does not imply that subsequent pages will represent or include changes made since the initial query\n* transaction | transaction-response | batch | batch-response | collection : no particular assigned meaning\n\nThe timestamp value should be greater than the lastUpdated and other timestamps in the resources in the bundle, and it should be equal or earlier than the .meta.lastUpdated on the Bundle itself.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument.effectiveTime"
          }]
        },
        {
          "id" : "Bundle.total",
          "path" : "Bundle.total",
          "short" : "If search, the total number of matches",
          "definition" : "If a set of search matches, this is the total number of entries of type 'match' across all pages in the search.  It does not include search.mode = 'include' or 'outcome' entries and it does not provide a count of the number of entries in the Bundle.",
          "comment" : "Only used if the bundle is a search result set. The total does not include resources such as OperationOutcome and included resources, only the total number of matching resources.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "condition" : ["bdl-1"],
          "isSummary" : true
        },
        {
          "id" : "Bundle.link",
          "path" : "Bundle.link",
          "short" : "Links related to this Bundle",
          "definition" : "A series of links that provide context to this bundle.",
          "comment" : "Both Bundle.link and Bundle.entry.link are defined to support providing additional context when Bundles are used (e.g. [HATEOAS](http://en.wikipedia.org/wiki/HATEOAS)). \n\nBundle.entry.link corresponds to links found in the HTTP header if the resource in the entry was [read](http.html#read) directly.\n\nThis specification defines some specific uses of Bundle.link for [searching](search.html#conformance) and [paging](http.html#paging), but no specific uses for Bundle.entry.link, and no defined function in a transaction - the meaning is implementation specific.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.link.relation",
          "path" : "Bundle.link.relation",
          "short" : "See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1",
          "definition" : "A name which details the functional use for this link - see [http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1](http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.link.url",
          "path" : "Bundle.link.url",
          "short" : "Reference details for the link",
          "definition" : "The reference details for the link.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry",
          "path" : "Bundle.entry",
          "short" : "Entry in the bundle - will have a resource or information",
          "definition" : "An entry in a bundle resource - will either contain a resource or information about a resource (transactions and history only).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "orderMeaning" : "For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type",
          "constraint" : [{
            "key" : "bdl-8",
            "severity" : "error",
            "human" : "fullUrl cannot be a version specific reference",
            "expression" : "fullUrl.contains('/_history/').not()",
            "xpath" : "not(exists(f:fullUrl[contains(string(@value), '/_history/')]))"
          },
          {
            "key" : "bdl-5",
            "severity" : "error",
            "human" : "must be a resource unless there's a request or response",
            "expression" : "resource.exists() or request.exists() or response.exists()",
            "xpath" : "exists(f:resource) or exists(f:request) or exists(f:response)"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.link",
          "path" : "Bundle.entry.link",
          "short" : "Links related to this entry",
          "definition" : "A series of links that provide context to this entry.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Bundle.link",
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.fullUrl",
          "path" : "Bundle.entry.fullUrl",
          "short" : "URI for resource (Absolute URL server address or URI for UUID/OID)",
          "definition" : "The Absolute URL for the resource.  The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that: \n* fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)\n* Results from operations might involve resources that are not identified.",
          "comment" : "fullUrl might not be [unique in the context of a resource](bundle.html#bundle-unique). Note that since [FHIR resources do not need to be served through the FHIR API](references.html), the fullURL might be a URN or an absolute URL that does not end with the logical id of the resource (Resource.id). However, but if the fullUrl does look like a RESTful server URL (e.g. meets the [regex](references.html#regex), then the 'id' portion of the fullUrl SHALL end with the Resource.id.\n\nNote that the fullUrl is not the same as the canonical URL - it's an absolute url for an endpoint serving the resource (these will happen to have the same value on the canonical server for the resource with the canonical URL).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.resource",
          "path" : "Bundle.entry.resource",
          "short" : "A resource in the bundle",
          "definition" : "The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Resource"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.search",
          "path" : "Bundle.entry.search",
          "short" : "Search related information",
          "definition" : "Information about the search process that lead to the creation of this entry.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["bdl-2"],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.search.mode",
          "path" : "Bundle.entry.search.mode",
          "short" : "match | include | outcome - why this is in the result set",
          "definition" : "Why this entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.",
          "comment" : "There is only one mode. In some corner cases, a resource may be included because it is both a match and an include. In these circumstances, 'match' takes precedence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchEntryMode"
            }],
            "strength" : "required",
            "description" : "Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.0"
          }
        },
        {
          "id" : "Bundle.entry.search.score",
          "path" : "Bundle.entry.search.score",
          "short" : "Search ranking (between 0 and 1)",
          "definition" : "When searching, the server's search ranking score for the entry.",
          "comment" : "Servers are not required to return a ranking score. 1 is most relevant, and 0 is least relevant. Often, search results are sorted by score, but the client may specify a different sort order.\n\nSee [Patient Match](patient-operation-match.html) for the EMPI search which relates to this element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request",
          "path" : "Bundle.entry.request",
          "short" : "Additional execution information (transaction/batch/history)",
          "definition" : "Additional information about how this entry should be processed as part of a transaction or batch.  For history, it shows how the entry was processed to create the version contained in the entry.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["bdl-3"],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.method",
          "path" : "Bundle.entry.request.method",
          "short" : "GET | HEAD | POST | PUT | DELETE | PATCH",
          "definition" : "In a transaction or batch, this is the HTTP action to be executed for this entry. In a history bundle, this indicates the HTTP action that occurred.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "HTTPVerb"
            }],
            "strength" : "required",
            "description" : "HTTP verbs (in the HTTP command line). See [HTTP rfc](https://tools.ietf.org/html/rfc7231) for details.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/http-verb|4.0.0"
          }
        },
        {
          "id" : "Bundle.entry.request.url",
          "path" : "Bundle.entry.request.url",
          "short" : "URL for HTTP equivalent of this entry",
          "definition" : "The URL for this entry, relative to the root (the address to which the request is posted).",
          "comment" : "E.g. for a Patient Create, the method would be \"POST\" and the URL would be \"Patient\". For a Patient Update, the method would be PUT and the URL would be \"Patient/[id]\".",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.ifNoneMatch",
          "path" : "Bundle.entry.request.ifNoneMatch",
          "short" : "For managing cache currency",
          "definition" : "If the ETag values match, return a 304 Not Modified status. See the API documentation for [\"Conditional Read\"](http.html#cread).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.ifModifiedSince",
          "path" : "Bundle.entry.request.ifModifiedSince",
          "short" : "For managing cache currency",
          "definition" : "Only perform the operation if the last updated date matches. See the API documentation for [\"Conditional Read\"](http.html#cread).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.ifMatch",
          "path" : "Bundle.entry.request.ifMatch",
          "short" : "For managing update contention",
          "definition" : "Only perform the operation if the Etag value matches. For more information, see the API section [\"Managing Resource Contention\"](http.html#concurrency).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.request.ifNoneExist",
          "path" : "Bundle.entry.request.ifNoneExist",
          "short" : "For conditional creates",
          "definition" : "Instruct the server not to perform the create if a specified resource already exists. For further information, see the API documentation for [\"Conditional Create\"](http.html#ccreate). This is just the query portion of the URL - what follows the \"?\" (not including the \"?\").",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response",
          "path" : "Bundle.entry.response",
          "short" : "Results of execution (transaction/batch/history)",
          "definition" : "Indicates the results of processing the corresponding 'request' entry in the batch or transaction being responded to or what the results of an operation where when returning history.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["bdl-4"],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.status",
          "path" : "Bundle.entry.response.status",
          "short" : "Status response code (text optional)",
          "definition" : "The status code returned by processing this entry. The status SHALL start with a 3 digit HTTP code (e.g. 404) and may contain the standard HTTP description associated with the status code.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.location",
          "path" : "Bundle.entry.response.location",
          "short" : "The location (if the operation returns a location)",
          "definition" : "The location header created by processing this operation, populated if the operation returns a location.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.etag",
          "path" : "Bundle.entry.response.etag",
          "short" : "The Etag for the resource (if relevant)",
          "definition" : "The Etag for the resource, if the operation for the entry produced a versioned resource (see [Resource Metadata and Versioning](http.html#versioning) and [Managing Resource Contention](http.html#concurrency)).",
          "comment" : "Etags match the Resource.meta.versionId. The ETag has to match the version id in the header if a resource is included.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.lastModified",
          "path" : "Bundle.entry.response.lastModified",
          "short" : "Server's date time modified",
          "definition" : "The date/time that the resource was modified on the server.",
          "comment" : "This has to match the same time in the meta header (meta.lastUpdated) if a resource is included.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.entry.response.outcome",
          "path" : "Bundle.entry.response.outcome",
          "short" : "OperationOutcome with hints and warnings (for batch/transaction)",
          "definition" : "An OperationOutcome containing hints and warnings produced as part of processing this entry in a batch or transaction.",
          "comment" : "For a POST/PUT operation, this is the equivalent outcome that would be returned for prefer = operationoutcome - except that the resource is always returned whether or not the outcome is returned.\n\nThis outcome is not used for error responses in batch/transaction, only for hints and warnings. In a batch operation, the error will be in Bundle.entry.response, and for transaction, there will be a single OperationOutcome instead of a bundle in the case of an error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Resource"
          }],
          "isSummary" : true
        },
        {
          "id" : "Bundle.signature",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "Bundle.signature",
          "short" : "Digital Signature",
          "definition" : "Digital Signature - base64 encoded. XML-DSig or a JWT.",
          "comment" : "The signature could be created by the \"author\" of the bundle or by the originating device.   Requirements around inclusion of a signature, verification of signatures and treatment of signed/non-signed bundles is implementation-environment specific.",
          "requirements" : "A Signature holds an electronic representation of a signature and its supporting context in a FHIR accessible form. The signature may either be a cryptographic type (XML DigSig or a JWS), which is able to provide non-repudiation proof, or it may be a graphical image that represents a signature or a signature process. This element allows capturing signatures on documents, messages, transactions or even search responses, to support content-authentication, non-repudiation or other business cases. This is primarily relevant where the bundle may travel through multiple hops or via other mechanisms where HTTPS non-repudiation is insufficient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Signature"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CapabilityStatement",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CapabilityStatement",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CapabilityStatement 
IN
DomainResource
A statement of system capabilities
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: A Capability Statement SHALL have at least one of REST, messaging or document element.
+ Rule: A Capability Statement SHALL have at least one of description, software, or implementation element.
+ Rule: Messaging end-point is required (and is only permitted) when a statement is for an implementation.
+ Rule: The set of documents must be unique by the combination of profile and mode.
+ Rule: If kind = instance, implementation must be present and software may be present
+ Rule: If kind = capability, implementation must be absent, software must be present
+ Rule: If kind = requirements, implementation and software must be absent
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this capability statement, represented as a URI (globally unique)
 version 
Σ
0..1
string
Business version of the capability statement
 name 
ΣI
0..1
string
Name for this capability statement (computer friendly)
 title 
Σ
0..1
string
Name for this capability statement (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
1..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
I
0..1
markdown
Natural language description of the capability statement
 useContext 
ΣTU
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for capability statement (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this capability statement is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 kind 
ΣI
1..1
code
instance | capability | requirements
CapabilityStatementKind (Required)
 instantiates 
Σ
0..*
canonical(CapabilityStatement)
Canonical URL of another capability statement this implements
 imports 
ΣTU
0..*
canonical(CapabilityStatement)
Canonical URL of another capability statement this adds to
 software 
ΣI
0..1
BackboneElement
Software that is covered by this capability statement
 name 
Σ
1..1
string
A name the software is known by
 version 
Σ
0..1
string
Version covered by this statement
 releaseDate 
Σ
0..1
dateTime
Date this version was released
 implementation 
ΣI
0..1
BackboneElement
If this describes a specific instance
 description 
Σ
1..1
string
Describes this specific instance
 url 
Σ
0..1
url
Base URL for the installation
 custodian 
ΣTU
0..1
Reference(Organization)
Organization that manages the data
 fhirVersion 
Σ
1..1
code
FHIR Version the system supports
FHIRVersion (Required)
 format 
Σ
1..*
code
formats supported (xml | json | ttl | mime type)
MimeType (Required)
 patchFormat 
Σ
0..*
code
Patch formats supported
MimeType (Required)
 implementationGuide 
Σ
0..*
canonical(ImplementationGuide)
Implementation guides supported
 rest 
ΣI
0..*
BackboneElement
If the endpoint is a RESTful one
+ Rule: A given resource can only be described once per RESTful mode.
 mode 
Σ
1..1
code
client | server
RestfulCapabilityMode (Required)
 documentation 
0..1
markdown
General description of implementation
 security 
ΣTU
0..1
BackboneElement
Information about security of implementation
 cors 
Σ
0..1
boolean
Adds CORS Headers (http://enable-cors.org/)
 service 
Σ
0..*
CodeableConcept
OAuth | SMART-on-FHIR | NTLM | Basic | Kerberos | Certificates
RestfulSecurityService (Extensible)
 description 
0..1
markdown
General description of how security works
 resource 
ΣI
0..*
BackboneElement
Resource served on the REST interface
+ Rule: Search parameter names must be unique in the context of a resource.
 type 
Σ
1..1
code
A resource type that is supported
ResourceType (Required)
 profile 
Σ
0..1
canonical(StructureDefinition)
Base System profile for all uses of resource
 supportedProfile 
ΣTU
0..*
canonical(StructureDefinition)
Profiles for use cases supported
 documentation 
0..1
markdown
Additional information about the use of the resource type
 interaction 
0..*
BackboneElement
What operations are supported?
 code 
1..1
code
read | vread | update | patch | delete | history-instance | history-type | create | search-type
TypeRestfulInteraction (Required)
 documentation 
0..1
markdown
Anything special about operation behavior
 versioning 
TU
0..1
code
no-version | versioned | versioned-update
ResourceVersionPolicy (Required)
 readHistory 
TU
0..1
boolean
Whether vRead can return past versions
 updateCreate 
TU
0..1
boolean
If update can commit to a new identity
 conditionalCreate 
TU
0..1
boolean
If allows/uses conditional create
 conditionalRead 
TU
0..1
code
not-supported | modified-since | not-match | full-support
ConditionalReadStatus (Required)
 conditionalUpdate 
TU
0..1
boolean
If allows/uses conditional update
 conditionalDelete 
TU
0..1
code
not-supported | single | multiple - how conditional delete is supported
ConditionalDeleteStatus (Required)
 referencePolicy 
TU
0..*
code
literal | logical | resolves | enforced | local
ReferenceHandlingPolicy (Required)
 searchInclude 
TU
0..*
string
_include values supported by the server
 searchRevInclude 
TU
0..*
string
_revinclude values supported by the server
 searchParam 
0..*
BackboneElement
Search parameters supported by implementation
 name 
1..1
string
Name of search parameter
 definition 
0..1
canonical(SearchParameter)
Source of definition for parameter
 type 
1..1
code
number | date | string | token | reference | composite | quantity | uri | special
SearchParamType (Required)
 documentation 
0..1
markdown
Server-specific usage
 operation 
Σ
0..*
BackboneElement
Definition of a resource operation
 name 
Σ
1..1
string
Name by which the operation/query is invoked
 definition 
Σ
1..1
canonical(OperationDefinition)
The defined operation/query
 documentation 
0..1
markdown
Specific details about operation behavior
 interaction 
0..*
BackboneElement
What operations are supported?
 code 
1..1
code
transaction | batch | search-system | history-system
SystemRestfulInteraction (Required)
 documentation 
0..1
markdown
Anything special about operation behavior
 searchParam 
0..*
see searchParam
Search parameters for searching all resources
 operation 
Σ
0..*
see operation
Definition of a system level operation
 compartment 
0..*
canonical(CompartmentDefinition)
Compartments served/used by system
 messaging 
ΣITU
0..*
BackboneElement
If messaging is supported
 endpoint 
0..*
BackboneElement
Where messages should be sent
 protocol 
1..1
Coding
http | ftp | mllp +
MessageTransport (Extensible)
 address 
1..1
url
Network address or identifier of the end-point
 reliableCache 
0..1
unsignedInt
Reliable Message Cache Length (min)
 documentation 
0..1
markdown
Messaging interface behavior details
 supportedMessage 
Σ
0..*
BackboneElement
Messages supported by this system
 mode 
Σ
1..1
code
sender | receiver
EventCapabilityMode (Required)
 definition 
Σ
1..1
canonical(MessageDefinition)
Message supported by this system
 document 
ΣITU
0..*
BackboneElement
Document definition
 mode 
Σ
1..1
code
producer | consumer
DocumentMode (Required)
 documentation 
0..1
markdown
Description of document support
 profile 
Σ
1..1
canonical(StructureDefinition)
Constraint on the resources used in the document

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CapabilityStatement",
      "version" : "4.0.0",
      "name" : "CapabilityStatement",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CapabilityStatement",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CapabilityStatement",
          "path" : "CapabilityStatement",
          "short" : "A statement of system capabilities",
          "definition" : "A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation.",
          "comment" : "Applications may implement multiple versions (see [Managing Multiple Versions](versioning.html), and the [$versions](capabilitystatement-operation-versions.html) operation). If they do, then a CapabilityStatement describes the system's support for a particular version of FHIR, and the server will have multiple statements, one for each version.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "cpb-7",
            "severity" : "error",
            "human" : "The set of documents must be unique by the combination of profile and mode.",
            "expression" : "document.select(profile&mode).isDistinct()",
            "xpath" : "count(f:document[f:mode/@value='producer'])=count(distinct-values(f:document[f:mode/@value='producer']/f:profile/f:reference/@value)) and count(f:document[f:mode/@value='consumer'])=count(distinct-values(f:document[f:mode/@value='consumer']/f:profile/f:reference/@value))"
          },
          {
            "key" : "cpb-16",
            "severity" : "error",
            "human" : "If kind = requirements, implementation and software must be absent",
            "expression" : "(kind!='requirements') or (implementation.exists().not() and software.exists().not())",
            "xpath" : "not(f:kind/@value='instance') or (not(exists(f:implementation)) and not(exists(f:software)))"
          },
          {
            "key" : "cpb-15",
            "severity" : "error",
            "human" : "If kind = capability, implementation must be absent, software must be present",
            "expression" : "(kind != 'capability') or (implementation.exists().not() and software.exists())",
            "xpath" : " not(f:kind/@value='instance') or (not(exists(f:implementation)) and exists(f:software))"
          },
          {
            "key" : "cpb-3",
            "severity" : "error",
            "human" : "Messaging end-point is required (and is only permitted) when a statement is for an implementation.",
            "expression" : "messaging.endpoint.empty() or kind = 'instance'",
            "xpath" : "not(exists(f:messaging/f:endpoint)) or f:kind/@value = 'instance'"
          },
          {
            "key" : "cpb-14",
            "severity" : "error",
            "human" : "If kind = instance, implementation must be present and software may be present",
            "expression" : "(kind != 'instance') or implementation.exists()",
            "xpath" : "not(f:kind/@value='instance') or exists(f:implementation)"
          },
          {
            "key" : "cpb-2",
            "severity" : "error",
            "human" : "A Capability Statement SHALL have at least one of description, software, or implementation element.",
            "expression" : "(description.count() + software.count() + implementation.count()) > 0",
            "xpath" : "count(f:software | f:implementation | f:description) > 0"
          },
          {
            "key" : "cpb-1",
            "severity" : "error",
            "human" : "A Capability Statement SHALL have at least one of REST, messaging or document element.",
            "expression" : "rest.exists() or messaging.exists() or document.exists()",
            "xpath" : "exists(f:rest) or exists(f:messaging) or exists(f:document)"
          },
          {
            "key" : "cpb-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.id",
          "path" : "CapabilityStatement.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.meta",
          "path" : "CapabilityStatement.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implicitRules",
          "path" : "CapabilityStatement.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.language",
          "path" : "CapabilityStatement.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CapabilityStatement.text",
          "path" : "CapabilityStatement.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CapabilityStatement.contained",
          "path" : "CapabilityStatement.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.extension",
          "path" : "CapabilityStatement.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.modifierExtension",
          "path" : "CapabilityStatement.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.url",
          "path" : "CapabilityStatement.url",
          "short" : "Canonical identifier for this capability statement, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this capability statement when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this capability statement is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the capability statement is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the capability statement to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CapabilityStatement.version",
          "path" : "CapabilityStatement.version",
          "short" : "Business version of the capability statement",
          "definition" : "The identifier that is used to identify this version of the capability statement when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the capability statement author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different capability statement instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the capability statement with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "CapabilityStatement.name",
          "path" : "CapabilityStatement.name",
          "short" : "Name for this capability statement (computer friendly)",
          "definition" : "A natural language name identifying the capability statement. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.title",
          "path" : "CapabilityStatement.title",
          "short" : "Name for this capability statement (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the capability statement.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "CapabilityStatement.status",
          "path" : "CapabilityStatement.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this capability statement. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of capability statements that are appropriate for use versus not.This is not intended for use with actual capability statements, but where capability statements are used to describe possible or desired systems.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CapabilityStatement.experimental",
          "path" : "CapabilityStatement.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this capability statement is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of capability statements that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level capability statement.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CapabilityStatement.date",
          "path" : "CapabilityStatement.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the capability statement was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the capability statement changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the capability statement. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.date",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CapabilityStatement.publisher",
          "path" : "CapabilityStatement.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the capability statement.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the capability statement is the organization or individual primarily responsible for the maintenance and upkeep of the capability statement. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the capability statement. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the capability statement.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "CapabilityStatement.contact",
          "path" : "CapabilityStatement.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "CapabilityStatement.description",
          "path" : "CapabilityStatement.description",
          "short" : "Natural language description of the capability statement",
          "definition" : "A free text natural language description of the capability statement from a consumer's perspective. Typically, this is used when the capability statement describes a desired rather than an actual solution, for example as a formal expression of requirements as part of an RFP.",
          "comment" : "This description can be used to capture details such as why the capability statement was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the capability statement as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the capability statement is presumed to be the predominant language in the place the capability statement was created).This does not need to be populated if the description is adequately implied by the software or implementation details.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "condition" : ["cpb-2"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "CapabilityStatement.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate capability statement instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "CapabilityStatement.jurisdiction",
          "path" : "CapabilityStatement.jurisdiction",
          "short" : "Intended jurisdiction for capability statement (if applicable)",
          "definition" : "A legal or geographic region in which the capability statement is intended to be used.",
          "comment" : "It may be possible for the capability statement to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "CapabilityStatement.purpose",
          "path" : "CapabilityStatement.purpose",
          "short" : "Why this capability statement is defined",
          "definition" : "Explanation of why this capability statement is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the capability statement. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this capability statement.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CapabilityStatement.copyright",
          "path" : "CapabilityStatement.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the capability statement and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the capability statement.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the capability statement and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CapabilityStatement.kind",
          "path" : "CapabilityStatement.kind",
          "short" : "instance | capability | requirements",
          "definition" : "The way that this statement is intended to be used, to describe an actual running instance of software, a particular product (kind, not instance of software) or a class of implementation (e.g. a desired purchase).",
          "requirements" : "Allow searching the 3 modes.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.kind",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["cpb-15"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CapabilityStatementKind"
            }],
            "strength" : "required",
            "description" : "How a capability statement is intended to be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.instantiates",
          "path" : "CapabilityStatement.instantiates",
          "short" : "Canonical URL of another capability statement this implements",
          "definition" : "Reference to a canonical URL of another CapabilityStatement that this software implements. This capability statement is a published API description that corresponds to a business service. The server may actually implement a subset of the capability statement it claims to implement, so the capability statement must specify the full capability details.",
          "comment" : "HL7 defines the following Services: [Terminology Service](terminology-service.html).    \n\nMany [Implementation Guides](http://fhir.org/guides/registry) define additional services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.instantiates",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CapabilityStatement"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.imports",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.imports",
          "short" : "Canonical URL of another capability statement this adds to",
          "definition" : "Reference to a canonical URL of another CapabilityStatement that this software adds to. The capability statement automatically includes everything in the other statement, and it is not duplicated, though the server may repeat the same resources, interactions and operations to add additional details to them.",
          "comment" : "the contents of any directly or indirectly imported CapabilityStatements SHALL NOT overlap, i.e. they cannot refer to the same rest/resource, operations/name, searchparam/name, interaction/code, messaging/endpoint, document/mode pair.\n\nA capability statement that imports another CapabilityStatement automatically instantiates it too (though this is often not a very useful statement for the kinds of CapabilityStatements that are suitable for importing).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.imports",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CapabilityStatement"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.software",
          "path" : "CapabilityStatement.software",
          "short" : "Software that is covered by this capability statement",
          "definition" : "Software that is covered by this capability statement.  It is used when the capability statement describes the capabilities of a particular software version, independent of an installation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.software",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-2"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.software.id",
          "path" : "CapabilityStatement.software.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.software.extension",
          "path" : "CapabilityStatement.software.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.software.modifierExtension",
          "path" : "CapabilityStatement.software.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.software.name",
          "path" : "CapabilityStatement.software.name",
          "short" : "A name the software is known by",
          "definition" : "Name the software is known by.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.software.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.software.version",
          "path" : "CapabilityStatement.software.version",
          "short" : "Version covered by this statement",
          "definition" : "The version identifier for the software covered by this statement.",
          "comment" : "If possible, a version should be specified, as statements are likely to be different for different versions of software.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.software.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.software.releaseDate",
          "path" : "CapabilityStatement.software.releaseDate",
          "short" : "Date this version was released",
          "definition" : "Date this version of the software was released.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.software.releaseDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implementation",
          "path" : "CapabilityStatement.implementation",
          "short" : "If this describes a specific instance",
          "definition" : "Identifies a specific implementation instance that is described by the capability statement - i.e. a particular installation, rather than the capabilities of a software program.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.implementation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-2",
          "cpb-15"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implementation.id",
          "path" : "CapabilityStatement.implementation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.implementation.extension",
          "path" : "CapabilityStatement.implementation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.implementation.modifierExtension",
          "path" : "CapabilityStatement.implementation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.implementation.description",
          "path" : "CapabilityStatement.implementation.description",
          "short" : "Describes this specific instance",
          "definition" : "Information about the specific installation that this capability statement relates to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.implementation.description",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implementation.url",
          "path" : "CapabilityStatement.implementation.url",
          "short" : "Base URL for the installation",
          "definition" : "An absolute base URL for the implementation.  This forms the base for REST interfaces as well as the mailbox and document interfaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.implementation.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implementation.custodian",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.implementation.custodian",
          "short" : "Organization that manages the data",
          "definition" : "The organization responsible for the management of the instance and oversight of the data on the server at the specified URL.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.implementation.custodian",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.fhirVersion",
          "path" : "CapabilityStatement.fhirVersion",
          "short" : "FHIR Version the system supports",
          "definition" : "The version of the FHIR specification that this CapabilityStatement describes (which SHALL be the same as the FHIR version of the CapabilityStatement itself). There is no default value.",
          "comment" : "Servers may implement multiple versions (see [Managing Multiple Versions](versioning.html), and the [$versions](capabilitystatement-operation-versions.html) operation). If they do, and the CapabilityStatement is requested from the server, then this fhirVersion will be either the version requested, or the server's default version.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.fhirVersion",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRVersion"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "All published FHIR Versions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.format",
          "path" : "CapabilityStatement.format",
          "short" : "formats supported (xml | json | ttl | mime type)",
          "definition" : "A list of the formats supported by this implementation using their content types.",
          "comment" : "\"xml\", \"json\" and \"ttl\" are allowed, which describe the simple encodings described in the specification (and imply appropriate bundle support). Otherwise, mime types are legal here.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.format",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.patchFormat",
          "path" : "CapabilityStatement.patchFormat",
          "short" : "Patch formats supported",
          "definition" : "A list of the patch formats supported by this implementation using their content types.",
          "comment" : "At present, the patch mime types application/json-patch+json and application/xml-patch+xml are legal. Generally, if a server supports PATCH, it would be expected to support the patch formats and match the formats it supports, but this is not always possible or necessary.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.patchFormat",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.implementationGuide",
          "path" : "CapabilityStatement.implementationGuide",
          "short" : "Implementation guides supported",
          "definition" : "A list of implementation guides that the server does (or should) support in their entirety.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.implementationGuide",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImplementationGuide"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest",
          "path" : "CapabilityStatement.rest",
          "short" : "If the endpoint is a RESTful one",
          "definition" : "A definition of the restful capabilities of the solution, if any.",
          "comment" : "Multiple repetitions allow definition of both client and/or server behaviors or possibly behaviors under different configuration settings (for software or requirements statements).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "cpb-9",
            "severity" : "error",
            "human" : "A given resource can only be described once per RESTful mode.",
            "expression" : "resource.select(type).isDistinct()",
            "xpath" : "count(f:resource)=count(distinct-values(f:resource/f:type/@value))"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.id",
          "path" : "CapabilityStatement.rest.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.extension",
          "path" : "CapabilityStatement.rest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.modifierExtension",
          "path" : "CapabilityStatement.rest.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.mode",
          "path" : "CapabilityStatement.rest.mode",
          "short" : "client | server",
          "definition" : "Identifies whether this portion of the statement is describing the ability to initiate or receive restful operations.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.mode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RestfulCapabilityMode"
            }],
            "strength" : "required",
            "description" : "The mode of a RESTful capability statement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/restful-capability-mode|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.documentation",
          "path" : "CapabilityStatement.rest.documentation",
          "short" : "General description of implementation",
          "definition" : "Information about the system's restful capabilities that apply across all applications, such as security.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.security",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.security",
          "short" : "Information about security of implementation",
          "definition" : "Information about security implementation from an interface perspective - what a client needs to know.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.security",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.security.id",
          "path" : "CapabilityStatement.rest.security.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.security.extension",
          "path" : "CapabilityStatement.rest.security.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
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            "strength" : "extensible",
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          "comment" : "Conditional Create is mainly appropriate for interface engine scripts converting from other formats, such as v2.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.conditionalCreate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.resource.conditionalRead",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.conditionalRead",
          "short" : "not-supported | modified-since | not-match | full-support",
          "definition" : "A code that indicates how the server supports conditional read.",
          "comment" : "Conditional Read is mainly appropriate for interface engine scripts converting from other formats, such as v2.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.conditionalRead",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionalReadStatus"
            }],
            "strength" : "required",
            "description" : "A code that indicates how the server supports conditional read.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/conditional-read-status|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.conditionalUpdate",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.conditionalUpdate",
          "short" : "If allows/uses conditional update",
          "definition" : "A flag that indicates that the server supports conditional update.",
          "comment" : "Conditional Update is mainly appropriate for interface engine scripts converting from other formats, such as v2.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.conditionalUpdate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.resource.conditionalDelete",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.conditionalDelete",
          "short" : "not-supported | single | multiple - how conditional delete is supported",
          "definition" : "A code that indicates how the server supports conditional delete.",
          "comment" : "Conditional Delete is mainly appropriate for interface engine scripts converting from other formats, such as v2.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.conditionalDelete",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionalDeleteStatus"
            }],
            "strength" : "required",
            "description" : "A code that indicates how the server supports conditional delete.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/conditional-delete-status|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.referencePolicy",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.referencePolicy",
          "short" : "literal | logical | resolves | enforced | local",
          "definition" : "A set of flags that defines how references are supported.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.referencePolicy",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ReferenceHandlingPolicy"
            }],
            "strength" : "required",
            "description" : "A set of flags that defines how references are supported.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reference-handling-policy|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchInclude",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.searchInclude",
          "short" : "_include values supported by the server",
          "definition" : "A list of _include values supported by the server.",
          "comment" : "If this list is empty, the server does not support includes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.searchInclude",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchRevInclude",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.searchRevInclude",
          "short" : "_revinclude values supported by the server",
          "definition" : "A list of _revinclude (reverse include) values supported by the server.",
          "comment" : "If this list is empty, the server does not support reverse includes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.searchRevInclude",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam",
          "path" : "CapabilityStatement.rest.resource.searchParam",
          "short" : "Search parameters supported by implementation",
          "definition" : "Search parameters for implementations to support and/or make use of - either references to ones defined in the specification, or additional ones defined for/by the implementation.",
          "comment" : "The search parameters should include the control search parameters such as _sort, _count, etc. that also apply to this resource (though many will be listed at [CapabilityStatement.rest.searchParam](capabilitystatement-definitions.html#CapabilityStatement.rest.searchParam)). The behavior of some search parameters may be further described by other code or extension elements, or narrative within the capability statement or linked [SearchParameter](searchparameter.html#) definitions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.searchParam",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.id",
          "path" : "CapabilityStatement.rest.resource.searchParam.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.extension",
          "path" : "CapabilityStatement.rest.resource.searchParam.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.modifierExtension",
          "path" : "CapabilityStatement.rest.resource.searchParam.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.name",
          "path" : "CapabilityStatement.rest.resource.searchParam.name",
          "short" : "Name of search parameter",
          "definition" : "The name of the search parameter used in the interface.",
          "comment" : "Parameter names cannot overlap with standard parameter names, and standard parameters cannot be redefined.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.searchParam.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.definition",
          "path" : "CapabilityStatement.rest.resource.searchParam.definition",
          "short" : "Source of definition for parameter",
          "definition" : "An absolute URI that is a formal reference to where this parameter was first defined, so that a client can be confident of the meaning of the search parameter (a reference to [SearchParameter.url](searchparameter-definitions.html#SearchParameter.url)). This element SHALL be populated if the search parameter refers to a SearchParameter defined by the FHIR core specification or externally defined IGs.",
          "comment" : "This SHOULD be present, and matches refers to a SearchParameter by its canonical URL. If systems wish to document their support for modifiers, comparators, target resource types, and chained parameters, they should do using a search parameter resource. This element SHALL be populated if the search parameter refers to a SearchParameter defined by the FHIR core specification or externally defined IGs.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.searchParam.definition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SearchParameter"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.type",
          "path" : "CapabilityStatement.rest.resource.searchParam.type",
          "short" : "number | date | string | token | reference | composite | quantity | uri | special",
          "definition" : "The type of value a search parameter refers to, and how the content is interpreted.",
          "comment" : "While this can be looked up from the definition, it is included here as a convenience for systems that autogenerate a query interface based on the server capability statement.  It SHALL be the same as the type in the search parameter definition.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.searchParam.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchParamType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "Data types allowed to be used for search parameters.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-param-type|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.documentation",
          "path" : "CapabilityStatement.rest.resource.searchParam.documentation",
          "short" : "Server-specific usage",
          "definition" : "This allows documentation of any distinct behaviors about how the search parameter is used.  For example, text matching algorithms.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.searchParam.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation",
          "path" : "CapabilityStatement.rest.resource.operation",
          "short" : "Definition of a resource operation",
          "definition" : "Definition of an operation or a named query together with its parameters and their meaning and type. Consult the definition of the operation for details about how to invoke the operation, and the parameters.",
          "comment" : "Operations linked from CapabilityStatement.rest.resource.operation must have OperationDefinition.type = true or OperationDefinition.instance = true.    \n\nIf an operation that is listed in multiple CapabilityStatement.rest.resource.operation (e.g. for different resource types), then clients should understand that the operation is only supported on the specified resource types, and that may be a subset of those listed in OperationDefinition.resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.operation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.id",
          "path" : "CapabilityStatement.rest.resource.operation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.extension",
          "path" : "CapabilityStatement.rest.resource.operation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.modifierExtension",
          "path" : "CapabilityStatement.rest.resource.operation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.name",
          "path" : "CapabilityStatement.rest.resource.operation.name",
          "short" : "Name by which the operation/query is invoked",
          "definition" : "The name of the operation or query. For an operation, this is the name  prefixed with $ and used in the URL. For a query, this is the name used in the _query parameter when the query is called.",
          "comment" : "The name here SHOULD be the same as the name in the definition, unless there is a name clash and the name cannot be used. The name does not include the \"$\" portion that is always included in the URL.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.operation.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.definition",
          "path" : "CapabilityStatement.rest.resource.operation.definition",
          "short" : "The defined operation/query",
          "definition" : "Where the formal definition can be found. If a server references the base definition of an Operation (i.e. from the specification itself such as ```http://hl7.org/fhir/OperationDefinition/ValueSet-expand```), that means it supports the full capabilities of the operation - e.g. both GET and POST invocation.  If it only supports a subset, it must define its own custom [OperationDefinition](operationdefinition.html#) with a 'base' of the original OperationDefinition.  The custom definition would describe the specific subset of functionality supported.",
          "comment" : "This can be used to build an HTML form to invoke the operation, for instance.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.operation.definition",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.documentation",
          "path" : "CapabilityStatement.rest.resource.operation.documentation",
          "short" : "Specific details about operation behavior",
          "definition" : "Documentation that describes anything special about the operation behavior, possibly detailing different behavior for system, type and instance-level invocation of the operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.resource.operation.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.interaction",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SystemInteraction"
          }],
          "path" : "CapabilityStatement.rest.interaction",
          "short" : "What operations are supported?",
          "definition" : "A specification of restful operations supported by the system.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.interaction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.interaction.id",
          "path" : "CapabilityStatement.rest.interaction.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.interaction.extension",
          "path" : "CapabilityStatement.rest.interaction.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.interaction.modifierExtension",
          "path" : "CapabilityStatement.rest.interaction.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.interaction.code",
          "path" : "CapabilityStatement.rest.interaction.code",
          "short" : "transaction | batch | search-system | history-system",
          "definition" : "A coded identifier of the operation, supported by the system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.interaction.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SystemRestfulInteraction"
            }],
            "strength" : "required",
            "description" : "Operations supported by REST at the system level.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/system-restful-interaction|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.interaction.documentation",
          "path" : "CapabilityStatement.rest.interaction.documentation",
          "short" : "Anything special about operation behavior",
          "definition" : "Guidance specific to the implementation of this operation, such as limitations on the kind of transactions allowed, or information about system wide search is implemented.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.rest.interaction.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.searchParam",
          "path" : "CapabilityStatement.rest.searchParam",
          "short" : "Search parameters for searching all resources",
          "definition" : "Search parameters that are supported for searching all resources for implementations to support and/or make use of - either references to ones defined in the specification, or additional ones defined for/by the implementation.",
          "comment" : "Typically, the only search parameters supported for all searches are those that apply to all resources - tags, profiles, text search etc. These search parameters should include the control search parameters such as _sort, _count, etc. that also apply to this resource (though many will be listed at [CapabilityStatement.rest.searchParam](capabilitystatement-definitions.html#CapabilityStatement.rest.searchParam)). The behavior of some search parameters may be further described by other code or extension elements, or narrative within the capability statement or linked [SearchParameter](searchparameter.html#) definitions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.searchParam",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#CapabilityStatement.rest.resource.searchParam",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.rest.operation",
          "path" : "CapabilityStatement.rest.operation",
          "short" : "Definition of a system level operation",
          "definition" : "Definition of an operation or a named query together with its parameters and their meaning and type.",
          "comment" : "CapabilityStatement.rest.operation is for operations invoked at the system level, or for operations that are supported across multiple resource types. Operations linked from CapabilityStatement.rest.operation must have OperationDefinition.system = true, or more than one Operation.resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.operation",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#CapabilityStatement.rest.resource.operation",
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.compartment",
          "path" : "CapabilityStatement.rest.compartment",
          "short" : "Compartments served/used by system",
          "definition" : "An absolute URI which is a reference to the definition of a compartment that the system supports. The reference is to a CompartmentDefinition resource by its canonical URL .",
          "comment" : "At present, the only defined compartments are at [CompartmentDefinition](compartmentdefinition.html).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.rest.compartment",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CompartmentDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.messaging",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.messaging",
          "short" : "If messaging is supported",
          "definition" : "A description of the messaging capabilities of the solution.",
          "comment" : "Multiple repetitions allow the documentation of multiple endpoints per solution.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.messaging",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.messaging.id",
          "path" : "CapabilityStatement.messaging.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.extension",
          "path" : "CapabilityStatement.messaging.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.modifierExtension",
          "path" : "CapabilityStatement.messaging.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint",
          "path" : "CapabilityStatement.messaging.endpoint",
          "short" : "Where messages should be sent",
          "definition" : "An endpoint (network accessible address) to which messages and/or replies are to be sent.",
          "alias" : ["3"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.messaging.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint.id",
          "path" : "CapabilityStatement.messaging.endpoint.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint.extension",
          "path" : "CapabilityStatement.messaging.endpoint.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint.modifierExtension",
          "path" : "CapabilityStatement.messaging.endpoint.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint.protocol",
          "path" : "CapabilityStatement.messaging.endpoint.protocol",
          "short" : "http | ftp | mllp +",
          "definition" : "A list of the messaging transport protocol(s) identifiers, supported by this endpoint.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.messaging.endpoint.protocol",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MessageTransport"
            }],
            "strength" : "extensible",
            "description" : "The protocol used for message transport.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-transport"
          }
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint.address",
          "path" : "CapabilityStatement.messaging.endpoint.address",
          "short" : "Network address or identifier of the end-point",
          "definition" : "The network address of the endpoint. For solutions that do not use network addresses for routing, it can be just an identifier.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.messaging.endpoint.address",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.messaging.reliableCache",
          "path" : "CapabilityStatement.messaging.reliableCache",
          "short" : "Reliable Message Cache Length (min)",
          "definition" : "Length if the receiver's reliable messaging cache in minutes (if a receiver) or how long the cache length on the receiver should be (if a sender).",
          "comment" : "If this value is missing then the application does not implement (receiver) or depend on (sender) reliable messaging.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.messaging.reliableCache",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.messaging.documentation",
          "path" : "CapabilityStatement.messaging.documentation",
          "short" : "Messaging interface behavior details",
          "definition" : "Documentation about the system's messaging capabilities for this endpoint not otherwise documented by the capability statement.  For example, the process for becoming an authorized messaging exchange partner.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.messaging.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage",
          "path" : "CapabilityStatement.messaging.supportedMessage",
          "short" : "Messages supported by this system",
          "definition" : "References to message definitions for messages this system can send or receive.",
          "comment" : "This is a proposed alternative to the messaging.event structure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.messaging.supportedMessage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage.id",
          "path" : "CapabilityStatement.messaging.supportedMessage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage.extension",
          "path" : "CapabilityStatement.messaging.supportedMessage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage.modifierExtension",
          "path" : "CapabilityStatement.messaging.supportedMessage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage.mode",
          "path" : "CapabilityStatement.messaging.supportedMessage.mode",
          "short" : "sender | receiver",
          "definition" : "The mode of this event declaration - whether application is sender or receiver.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.messaging.supportedMessage.mode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EventCapabilityMode"
            }],
            "strength" : "required",
            "description" : "The mode of a message capability statement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/event-capability-mode|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage.definition",
          "path" : "CapabilityStatement.messaging.supportedMessage.definition",
          "short" : "Message supported by this system",
          "definition" : "Points to a message definition that identifies the messaging event, message structure, allowed responses, etc.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.messaging.supportedMessage.definition",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.document",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.document",
          "short" : "Document definition",
          "definition" : "A document definition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CapabilityStatement.document",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.document.id",
          "path" : "CapabilityStatement.document.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.document.extension",
          "path" : "CapabilityStatement.document.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.document.modifierExtension",
          "path" : "CapabilityStatement.document.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CapabilityStatement.document.mode",
          "path" : "CapabilityStatement.document.mode",
          "short" : "producer | consumer",
          "definition" : "Mode of this document declaration - whether an application is a producer or consumer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.document.mode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentMode"
            }],
            "strength" : "required",
            "description" : "Whether the application produces or consumes documents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-mode|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.document.documentation",
          "path" : "CapabilityStatement.document.documentation",
          "short" : "Description of document support",
          "definition" : "A description of how the application supports or uses the specified document profile.  For example, when documents are created, what action is taken with consumed documents, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.document.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CapabilityStatement.document.profile",
          "path" : "CapabilityStatement.document.profile",
          "short" : "Constraint on the resources used in the document",
          "definition" : "A profile on the document Bundle that constrains which resources are present, and their contents.",
          "comment" : "The profile is actually on the Bundle.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CapabilityStatement.document.profile",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CapabilityStatement",
          "path" : "CapabilityStatement",
          "short" : "A statement of system capabilities",
          "definition" : "A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for a particular version of FHIR that may be used as a statement of actual server functionality or a statement of required or desired server implementation.",
          "comment" : "Applications may implement multiple versions (see [Managing Multiple Versions](versioning.html), and the [$versions](capabilitystatement-operation-versions.html) operation). If they do, then a CapabilityStatement describes the system's support for a particular version of FHIR, and the server will have multiple statements, one for each version.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "cpb-7",
            "severity" : "error",
            "human" : "The set of documents must be unique by the combination of profile and mode.",
            "expression" : "document.select(profile&mode).isDistinct()",
            "xpath" : "count(f:document[f:mode/@value='producer'])=count(distinct-values(f:document[f:mode/@value='producer']/f:profile/f:reference/@value)) and count(f:document[f:mode/@value='consumer'])=count(distinct-values(f:document[f:mode/@value='consumer']/f:profile/f:reference/@value))"
          },
          {
            "key" : "cpb-16",
            "severity" : "error",
            "human" : "If kind = requirements, implementation and software must be absent",
            "expression" : "(kind!='requirements') or (implementation.exists().not() and software.exists().not())",
            "xpath" : "not(f:kind/@value='instance') or (not(exists(f:implementation)) and not(exists(f:software)))"
          },
          {
            "key" : "cpb-15",
            "severity" : "error",
            "human" : "If kind = capability, implementation must be absent, software must be present",
            "expression" : "(kind != 'capability') or (implementation.exists().not() and software.exists())",
            "xpath" : " not(f:kind/@value='instance') or (not(exists(f:implementation)) and exists(f:software))"
          },
          {
            "key" : "cpb-3",
            "severity" : "error",
            "human" : "Messaging end-point is required (and is only permitted) when a statement is for an implementation.",
            "expression" : "messaging.endpoint.empty() or kind = 'instance'",
            "xpath" : "not(exists(f:messaging/f:endpoint)) or f:kind/@value = 'instance'"
          },
          {
            "key" : "cpb-14",
            "severity" : "error",
            "human" : "If kind = instance, implementation must be present and software may be present",
            "expression" : "(kind != 'instance') or implementation.exists()",
            "xpath" : "not(f:kind/@value='instance') or exists(f:implementation)"
          },
          {
            "key" : "cpb-2",
            "severity" : "error",
            "human" : "A Capability Statement SHALL have at least one of description, software, or implementation element.",
            "expression" : "(description.count() + software.count() + implementation.count()) > 0",
            "xpath" : "count(f:software | f:implementation | f:description) > 0"
          },
          {
            "key" : "cpb-1",
            "severity" : "error",
            "human" : "A Capability Statement SHALL have at least one of REST, messaging or document element.",
            "expression" : "rest.exists() or messaging.exists() or document.exists()",
            "xpath" : "exists(f:rest) or exists(f:messaging) or exists(f:document)"
          },
          {
            "key" : "cpb-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CapabilityStatement.url",
          "path" : "CapabilityStatement.url",
          "short" : "Canonical identifier for this capability statement, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this capability statement when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this capability statement is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the capability statement is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the capability statement to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CapabilityStatement.version",
          "path" : "CapabilityStatement.version",
          "short" : "Business version of the capability statement",
          "definition" : "The identifier that is used to identify this version of the capability statement when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the capability statement author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different capability statement instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the capability statement with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "CapabilityStatement.name",
          "path" : "CapabilityStatement.name",
          "short" : "Name for this capability statement (computer friendly)",
          "definition" : "A natural language name identifying the capability statement. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.title",
          "path" : "CapabilityStatement.title",
          "short" : "Name for this capability statement (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the capability statement.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "CapabilityStatement.status",
          "path" : "CapabilityStatement.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this capability statement. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of capability statements that are appropriate for use versus not.This is not intended for use with actual capability statements, but where capability statements are used to describe possible or desired systems.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CapabilityStatement.experimental",
          "path" : "CapabilityStatement.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this capability statement is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of capability statements that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level capability statement.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CapabilityStatement.date",
          "path" : "CapabilityStatement.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the capability statement was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the capability statement changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the capability statement. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CapabilityStatement.publisher",
          "path" : "CapabilityStatement.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the capability statement.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the capability statement is the organization or individual primarily responsible for the maintenance and upkeep of the capability statement. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the capability statement. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the capability statement.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "CapabilityStatement.contact",
          "path" : "CapabilityStatement.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "CapabilityStatement.description",
          "path" : "CapabilityStatement.description",
          "short" : "Natural language description of the capability statement",
          "definition" : "A free text natural language description of the capability statement from a consumer's perspective. Typically, this is used when the capability statement describes a desired rather than an actual solution, for example as a formal expression of requirements as part of an RFP.",
          "comment" : "This description can be used to capture details such as why the capability statement was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the capability statement as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the capability statement is presumed to be the predominant language in the place the capability statement was created).This does not need to be populated if the description is adequately implied by the software or implementation details.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "condition" : ["cpb-2"],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "CapabilityStatement.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate capability statement instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "CapabilityStatement.jurisdiction",
          "path" : "CapabilityStatement.jurisdiction",
          "short" : "Intended jurisdiction for capability statement (if applicable)",
          "definition" : "A legal or geographic region in which the capability statement is intended to be used.",
          "comment" : "It may be possible for the capability statement to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "CapabilityStatement.purpose",
          "path" : "CapabilityStatement.purpose",
          "short" : "Why this capability statement is defined",
          "definition" : "Explanation of why this capability statement is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the capability statement. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this capability statement.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CapabilityStatement.copyright",
          "path" : "CapabilityStatement.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the capability statement and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the capability statement.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the capability statement and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CapabilityStatement.kind",
          "path" : "CapabilityStatement.kind",
          "short" : "instance | capability | requirements",
          "definition" : "The way that this statement is intended to be used, to describe an actual running instance of software, a particular product (kind, not instance of software) or a class of implementation (e.g. a desired purchase).",
          "requirements" : "Allow searching the 3 modes.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["cpb-15"],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CapabilityStatementKind"
            }],
            "strength" : "required",
            "description" : "How a capability statement is intended to be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.instantiates",
          "path" : "CapabilityStatement.instantiates",
          "short" : "Canonical URL of another capability statement this implements",
          "definition" : "Reference to a canonical URL of another CapabilityStatement that this software implements. This capability statement is a published API description that corresponds to a business service. The server may actually implement a subset of the capability statement it claims to implement, so the capability statement must specify the full capability details.",
          "comment" : "HL7 defines the following Services: [Terminology Service](terminology-service.html).    \n\nMany [Implementation Guides](http://fhir.org/guides/registry) define additional services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CapabilityStatement"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.imports",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.imports",
          "short" : "Canonical URL of another capability statement this adds to",
          "definition" : "Reference to a canonical URL of another CapabilityStatement that this software adds to. The capability statement automatically includes everything in the other statement, and it is not duplicated, though the server may repeat the same resources, interactions and operations to add additional details to them.",
          "comment" : "the contents of any directly or indirectly imported CapabilityStatements SHALL NOT overlap, i.e. they cannot refer to the same rest/resource, operations/name, searchparam/name, interaction/code, messaging/endpoint, document/mode pair.\n\nA capability statement that imports another CapabilityStatement automatically instantiates it too (though this is often not a very useful statement for the kinds of CapabilityStatements that are suitable for importing).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CapabilityStatement"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.software",
          "path" : "CapabilityStatement.software",
          "short" : "Software that is covered by this capability statement",
          "definition" : "Software that is covered by this capability statement.  It is used when the capability statement describes the capabilities of a particular software version, independent of an installation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-2"],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.software.name",
          "path" : "CapabilityStatement.software.name",
          "short" : "A name the software is known by",
          "definition" : "Name the software is known by.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.software.version",
          "path" : "CapabilityStatement.software.version",
          "short" : "Version covered by this statement",
          "definition" : "The version identifier for the software covered by this statement.",
          "comment" : "If possible, a version should be specified, as statements are likely to be different for different versions of software.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.software.releaseDate",
          "path" : "CapabilityStatement.software.releaseDate",
          "short" : "Date this version was released",
          "definition" : "Date this version of the software was released.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implementation",
          "path" : "CapabilityStatement.implementation",
          "short" : "If this describes a specific instance",
          "definition" : "Identifies a specific implementation instance that is described by the capability statement - i.e. a particular installation, rather than the capabilities of a software program.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-2",
          "cpb-15"],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implementation.description",
          "path" : "CapabilityStatement.implementation.description",
          "short" : "Describes this specific instance",
          "definition" : "Information about the specific installation that this capability statement relates to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implementation.url",
          "path" : "CapabilityStatement.implementation.url",
          "short" : "Base URL for the installation",
          "definition" : "An absolute base URL for the implementation.  This forms the base for REST interfaces as well as the mailbox and document interfaces.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.implementation.custodian",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.implementation.custodian",
          "short" : "Organization that manages the data",
          "definition" : "The organization responsible for the management of the instance and oversight of the data on the server at the specified URL.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.fhirVersion",
          "path" : "CapabilityStatement.fhirVersion",
          "short" : "FHIR Version the system supports",
          "definition" : "The version of the FHIR specification that this CapabilityStatement describes (which SHALL be the same as the FHIR version of the CapabilityStatement itself). There is no default value.",
          "comment" : "Servers may implement multiple versions (see [Managing Multiple Versions](versioning.html), and the [$versions](capabilitystatement-operation-versions.html) operation). If they do, and the CapabilityStatement is requested from the server, then this fhirVersion will be either the version requested, or the server's default version.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRVersion"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "All published FHIR Versions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.format",
          "path" : "CapabilityStatement.format",
          "short" : "formats supported (xml | json | ttl | mime type)",
          "definition" : "A list of the formats supported by this implementation using their content types.",
          "comment" : "\"xml\", \"json\" and \"ttl\" are allowed, which describe the simple encodings described in the specification (and imply appropriate bundle support). Otherwise, mime types are legal here.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.patchFormat",
          "path" : "CapabilityStatement.patchFormat",
          "short" : "Patch formats supported",
          "definition" : "A list of the patch formats supported by this implementation using their content types.",
          "comment" : "At present, the patch mime types application/json-patch+json and application/xml-patch+xml are legal. Generally, if a server supports PATCH, it would be expected to support the patch formats and match the formats it supports, but this is not always possible or necessary.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.implementationGuide",
          "path" : "CapabilityStatement.implementationGuide",
          "short" : "Implementation guides supported",
          "definition" : "A list of implementation guides that the server does (or should) support in their entirety.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImplementationGuide"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest",
          "path" : "CapabilityStatement.rest",
          "short" : "If the endpoint is a RESTful one",
          "definition" : "A definition of the restful capabilities of the solution, if any.",
          "comment" : "Multiple repetitions allow definition of both client and/or server behaviors or possibly behaviors under different configuration settings (for software or requirements statements).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-1"],
          "constraint" : [{
            "key" : "cpb-9",
            "severity" : "error",
            "human" : "A given resource can only be described once per RESTful mode.",
            "expression" : "resource.select(type).isDistinct()",
            "xpath" : "count(f:resource)=count(distinct-values(f:resource/f:type/@value))"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.mode",
          "path" : "CapabilityStatement.rest.mode",
          "short" : "client | server",
          "definition" : "Identifies whether this portion of the statement is describing the ability to initiate or receive restful operations.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RestfulCapabilityMode"
            }],
            "strength" : "required",
            "description" : "The mode of a RESTful capability statement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/restful-capability-mode|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.documentation",
          "path" : "CapabilityStatement.rest.documentation",
          "short" : "General description of implementation",
          "definition" : "Information about the system's restful capabilities that apply across all applications, such as security.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.security",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.security",
          "short" : "Information about security of implementation",
          "definition" : "Information about security implementation from an interface perspective - what a client needs to know.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.security.cors",
          "path" : "CapabilityStatement.rest.security.cors",
          "short" : "Adds CORS Headers (http://enable-cors.org/)",
          "definition" : "Server adds CORS headers when responding to requests - this enables Javascript applications to use the server.",
          "comment" : "The easiest CORS headers to add are Access-Control-Allow-Origin: * & Access-Control-Request-Method: GET, POST, PUT, DELETE. All servers SHOULD support CORS.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.security.service",
          "path" : "CapabilityStatement.rest.security.service",
          "short" : "OAuth | SMART-on-FHIR | NTLM | Basic | Kerberos | Certificates",
          "definition" : "Types of security services that are supported/required by the system.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RestfulSecurityService"
            }],
            "strength" : "extensible",
            "description" : "Types of security services used with FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/restful-security-service"
          }
        },
        {
          "id" : "CapabilityStatement.rest.security.description",
          "path" : "CapabilityStatement.rest.security.description",
          "short" : "General description of how security works",
          "definition" : "General description of how security works.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource",
          "path" : "CapabilityStatement.rest.resource",
          "short" : "Resource served on the REST interface",
          "definition" : "A specification of the restful capabilities of the solution for a specific resource type.",
          "comment" : "Max of one repetition per resource type.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "cpb-12",
            "severity" : "error",
            "human" : "Search parameter names must be unique in the context of a resource.",
            "expression" : "searchParam.select(name).isDistinct()",
            "xpath" : "count(f:searchParam)=count(distinct-values(f:searchParam/f:name/@value))"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.type",
          "path" : "CapabilityStatement.rest.resource.type",
          "short" : "A resource type that is supported",
          "definition" : "A type of resource exposed via the restful interface.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.profile",
          "path" : "CapabilityStatement.rest.resource.profile",
          "short" : "Base System profile for all uses of resource",
          "definition" : "A specification of the profile that describes the solution's overall support for the resource, including any constraints on cardinality, bindings, lengths or other limitations. See further discussion in [Using Profiles](profiling.html#profile-uses).",
          "comment" : "The profile applies to all  resources of this type - i.e. it is the superset of what is supported by the system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.supportedProfile",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.supportedProfile",
          "short" : "Profiles for use cases supported",
          "definition" : "A list of profiles that represent different use cases supported by the system. For a server, \"supported by the system\" means the system hosts/produces a set of resources that are conformant to a particular profile, and allows clients that use its services to search using this profile and to find appropriate data. For a client, it means the system will search by this profile and process data according to the guidance implicit in the profile. See further discussion in [Using Profiles](profiling.html#profile-uses).",
          "comment" : "Supported profiles are different than the profile that applies to a particular resource in .rest.resource.profile. The resource profile is a general statement of what features of the resource are supported overall by the system - the sum total of the facilities it supports. A supported profile is a deeper statement about the functionality of the data and services provided by the server (or used by the client). A typical case is a laboratory system that produces a set of different reports - this is the list of types of data that it publishes. A key aspect of declaring profiles here is the question of how the client converts knowledge that the server publishes this data into working with the data; the client can inspect individual resources to determine whether they conform to a particular profile, but how does it find the ones that do? It does so by searching using the _profile parameter, so any resources listed here must be valid values for the _profile resource (using the identifier in the target profile).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.documentation",
          "path" : "CapabilityStatement.rest.resource.documentation",
          "short" : "Additional information about the use of the resource type",
          "definition" : "Additional information about the resource type used by the system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.interaction",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ResourceInteraction"
          }],
          "path" : "CapabilityStatement.rest.resource.interaction",
          "short" : "What operations are supported?",
          "definition" : "Identifies a restful operation supported by the solution.",
          "comment" : "In general, a Resource will only appear in a CapabilityStatement if the server actually has some capabilities - e.g. there is at least one interaction supported. However interactions can be omitted to support summarization (_summary = true).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.interaction.code",
          "path" : "CapabilityStatement.rest.resource.interaction.code",
          "short" : "read | vread | update | patch | delete | history-instance | history-type | create | search-type",
          "definition" : "Coded identifier of the operation, supported by the system resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TypeRestfulInteraction"
            }],
            "strength" : "required",
            "description" : "Operations supported by REST at the type or instance level.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/type-restful-interaction|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.interaction.documentation",
          "path" : "CapabilityStatement.rest.resource.interaction.documentation",
          "short" : "Anything special about operation behavior",
          "definition" : "Guidance specific to the implementation of this operation, such as 'delete is a logical delete' or 'updates are only allowed with version id' or 'creates permitted from pre-authorized certificates only'.",
          "requirements" : "REST allows a degree of variability in the implementation of RESTful solutions that is useful for exchange partners to be aware of.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.versioning",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.versioning",
          "short" : "no-version | versioned | versioned-update",
          "definition" : "This field is set to no-version to specify that the system does not support (server) or use (client) versioning for this resource type. If this has some other value, the server must at least correctly track and populate the versionId meta-property on resources. If the value is 'versioned-update', then the server supports all the versioning features, including using e-tags for version integrity in the API.",
          "comment" : "If a server supports versionIds correctly, it SHOULD support vread too, but is not required to do so.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceVersionPolicy"
            }],
            "strength" : "required",
            "description" : "How the system supports versioning for a resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/versioning-policy|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.readHistory",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.readHistory",
          "short" : "Whether vRead can return past versions",
          "definition" : "A flag for whether the server is able to return past versions as part of the vRead operation.",
          "comment" : "It is useful to support the vRead operation for current operations, even if past versions aren't available.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.updateCreate",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.updateCreate",
          "short" : "If update can commit to a new identity",
          "definition" : "A flag to indicate that the server allows or needs to allow the client to create new identities on the server (that is, the client PUTs to a location where there is no existing resource). Allowing this operation means that the server allows the client to create new identities on the server.",
          "comment" : "Allowing the clients to create new identities on the server means that the system administrator needs to have confidence that the clients do not create clashing identities between them. Obviously, if there is only one client, this won't happen. While creating identities on the client means that the clients need to be managed, it's much more convenient for many scenarios if such management can be put in place.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.conditionalCreate",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.conditionalCreate",
          "short" : "If allows/uses conditional create",
          "definition" : "A flag that indicates that the server supports conditional create.",
          "comment" : "Conditional Create is mainly appropriate for interface engine scripts converting from other formats, such as v2.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.conditionalRead",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.conditionalRead",
          "short" : "not-supported | modified-since | not-match | full-support",
          "definition" : "A code that indicates how the server supports conditional read.",
          "comment" : "Conditional Read is mainly appropriate for interface engine scripts converting from other formats, such as v2.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionalReadStatus"
            }],
            "strength" : "required",
            "description" : "A code that indicates how the server supports conditional read.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/conditional-read-status|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.conditionalUpdate",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.conditionalUpdate",
          "short" : "If allows/uses conditional update",
          "definition" : "A flag that indicates that the server supports conditional update.",
          "comment" : "Conditional Update is mainly appropriate for interface engine scripts converting from other formats, such as v2.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.conditionalDelete",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.conditionalDelete",
          "short" : "not-supported | single | multiple - how conditional delete is supported",
          "definition" : "A code that indicates how the server supports conditional delete.",
          "comment" : "Conditional Delete is mainly appropriate for interface engine scripts converting from other formats, such as v2.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionalDeleteStatus"
            }],
            "strength" : "required",
            "description" : "A code that indicates how the server supports conditional delete.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/conditional-delete-status|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.referencePolicy",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.referencePolicy",
          "short" : "literal | logical | resolves | enforced | local",
          "definition" : "A set of flags that defines how references are supported.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ReferenceHandlingPolicy"
            }],
            "strength" : "required",
            "description" : "A set of flags that defines how references are supported.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reference-handling-policy|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchInclude",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.searchInclude",
          "short" : "_include values supported by the server",
          "definition" : "A list of _include values supported by the server.",
          "comment" : "If this list is empty, the server does not support includes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchRevInclude",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.rest.resource.searchRevInclude",
          "short" : "_revinclude values supported by the server",
          "definition" : "A list of _revinclude (reverse include) values supported by the server.",
          "comment" : "If this list is empty, the server does not support reverse includes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam",
          "path" : "CapabilityStatement.rest.resource.searchParam",
          "short" : "Search parameters supported by implementation",
          "definition" : "Search parameters for implementations to support and/or make use of - either references to ones defined in the specification, or additional ones defined for/by the implementation.",
          "comment" : "The search parameters should include the control search parameters such as _sort, _count, etc. that also apply to this resource (though many will be listed at [CapabilityStatement.rest.searchParam](capabilitystatement-definitions.html#CapabilityStatement.rest.searchParam)). The behavior of some search parameters may be further described by other code or extension elements, or narrative within the capability statement or linked [SearchParameter](searchparameter.html#) definitions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.name",
          "path" : "CapabilityStatement.rest.resource.searchParam.name",
          "short" : "Name of search parameter",
          "definition" : "The name of the search parameter used in the interface.",
          "comment" : "Parameter names cannot overlap with standard parameter names, and standard parameters cannot be redefined.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.definition",
          "path" : "CapabilityStatement.rest.resource.searchParam.definition",
          "short" : "Source of definition for parameter",
          "definition" : "An absolute URI that is a formal reference to where this parameter was first defined, so that a client can be confident of the meaning of the search parameter (a reference to [SearchParameter.url](searchparameter-definitions.html#SearchParameter.url)). This element SHALL be populated if the search parameter refers to a SearchParameter defined by the FHIR core specification or externally defined IGs.",
          "comment" : "This SHOULD be present, and matches refers to a SearchParameter by its canonical URL. If systems wish to document their support for modifiers, comparators, target resource types, and chained parameters, they should do using a search parameter resource. This element SHALL be populated if the search parameter refers to a SearchParameter defined by the FHIR core specification or externally defined IGs.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SearchParameter"]
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.type",
          "path" : "CapabilityStatement.rest.resource.searchParam.type",
          "short" : "number | date | string | token | reference | composite | quantity | uri | special",
          "definition" : "The type of value a search parameter refers to, and how the content is interpreted.",
          "comment" : "While this can be looked up from the definition, it is included here as a convenience for systems that autogenerate a query interface based on the server capability statement.  It SHALL be the same as the type in the search parameter definition.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchParamType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "Data types allowed to be used for search parameters.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-param-type|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.resource.searchParam.documentation",
          "path" : "CapabilityStatement.rest.resource.searchParam.documentation",
          "short" : "Server-specific usage",
          "definition" : "This allows documentation of any distinct behaviors about how the search parameter is used.  For example, text matching algorithms.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation",
          "path" : "CapabilityStatement.rest.resource.operation",
          "short" : "Definition of a resource operation",
          "definition" : "Definition of an operation or a named query together with its parameters and their meaning and type. Consult the definition of the operation for details about how to invoke the operation, and the parameters.",
          "comment" : "Operations linked from CapabilityStatement.rest.resource.operation must have OperationDefinition.type = true or OperationDefinition.instance = true.    \n\nIf an operation that is listed in multiple CapabilityStatement.rest.resource.operation (e.g. for different resource types), then clients should understand that the operation is only supported on the specified resource types, and that may be a subset of those listed in OperationDefinition.resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.name",
          "path" : "CapabilityStatement.rest.resource.operation.name",
          "short" : "Name by which the operation/query is invoked",
          "definition" : "The name of the operation or query. For an operation, this is the name  prefixed with $ and used in the URL. For a query, this is the name used in the _query parameter when the query is called.",
          "comment" : "The name here SHOULD be the same as the name in the definition, unless there is a name clash and the name cannot be used. The name does not include the \"$\" portion that is always included in the URL.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.definition",
          "path" : "CapabilityStatement.rest.resource.operation.definition",
          "short" : "The defined operation/query",
          "definition" : "Where the formal definition can be found. If a server references the base definition of an Operation (i.e. from the specification itself such as ```http://hl7.org/fhir/OperationDefinition/ValueSet-expand```), that means it supports the full capabilities of the operation - e.g. both GET and POST invocation.  If it only supports a subset, it must define its own custom [OperationDefinition](operationdefinition.html#) with a 'base' of the original OperationDefinition.  The custom definition would describe the specific subset of functionality supported.",
          "comment" : "This can be used to build an HTML form to invoke the operation, for instance.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.resource.operation.documentation",
          "path" : "CapabilityStatement.rest.resource.operation.documentation",
          "short" : "Specific details about operation behavior",
          "definition" : "Documentation that describes anything special about the operation behavior, possibly detailing different behavior for system, type and instance-level invocation of the operation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.interaction",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SystemInteraction"
          }],
          "path" : "CapabilityStatement.rest.interaction",
          "short" : "What operations are supported?",
          "definition" : "A specification of restful operations supported by the system.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.interaction.code",
          "path" : "CapabilityStatement.rest.interaction.code",
          "short" : "transaction | batch | search-system | history-system",
          "definition" : "A coded identifier of the operation, supported by the system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SystemRestfulInteraction"
            }],
            "strength" : "required",
            "description" : "Operations supported by REST at the system level.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/system-restful-interaction|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.rest.interaction.documentation",
          "path" : "CapabilityStatement.rest.interaction.documentation",
          "short" : "Anything special about operation behavior",
          "definition" : "Guidance specific to the implementation of this operation, such as limitations on the kind of transactions allowed, or information about system wide search is implemented.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.rest.searchParam",
          "path" : "CapabilityStatement.rest.searchParam",
          "short" : "Search parameters for searching all resources",
          "definition" : "Search parameters that are supported for searching all resources for implementations to support and/or make use of - either references to ones defined in the specification, or additional ones defined for/by the implementation.",
          "comment" : "Typically, the only search parameters supported for all searches are those that apply to all resources - tags, profiles, text search etc. These search parameters should include the control search parameters such as _sort, _count, etc. that also apply to this resource (though many will be listed at [CapabilityStatement.rest.searchParam](capabilitystatement-definitions.html#CapabilityStatement.rest.searchParam)). The behavior of some search parameters may be further described by other code or extension elements, or narrative within the capability statement or linked [SearchParameter](searchparameter.html#) definitions.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#CapabilityStatement.rest.resource.searchParam"
        },
        {
          "id" : "CapabilityStatement.rest.operation",
          "path" : "CapabilityStatement.rest.operation",
          "short" : "Definition of a system level operation",
          "definition" : "Definition of an operation or a named query together with its parameters and their meaning and type.",
          "comment" : "CapabilityStatement.rest.operation is for operations invoked at the system level, or for operations that are supported across multiple resource types. Operations linked from CapabilityStatement.rest.operation must have OperationDefinition.system = true, or more than one Operation.resource.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#CapabilityStatement.rest.resource.operation",
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.rest.compartment",
          "path" : "CapabilityStatement.rest.compartment",
          "short" : "Compartments served/used by system",
          "definition" : "An absolute URI which is a reference to the definition of a compartment that the system supports. The reference is to a CompartmentDefinition resource by its canonical URL .",
          "comment" : "At present, the only defined compartments are at [CompartmentDefinition](compartmentdefinition.html).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CompartmentDefinition"]
          }]
        },
        {
          "id" : "CapabilityStatement.messaging",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.messaging",
          "short" : "If messaging is supported",
          "definition" : "A description of the messaging capabilities of the solution.",
          "comment" : "Multiple repetitions allow the documentation of multiple endpoints per solution.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-1"],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint",
          "path" : "CapabilityStatement.messaging.endpoint",
          "short" : "Where messages should be sent",
          "definition" : "An endpoint (network accessible address) to which messages and/or replies are to be sent.",
          "alias" : ["3"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint.protocol",
          "path" : "CapabilityStatement.messaging.endpoint.protocol",
          "short" : "http | ftp | mllp +",
          "definition" : "A list of the messaging transport protocol(s) identifiers, supported by this endpoint.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MessageTransport"
            }],
            "strength" : "extensible",
            "description" : "The protocol used for message transport.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-transport"
          }
        },
        {
          "id" : "CapabilityStatement.messaging.endpoint.address",
          "path" : "CapabilityStatement.messaging.endpoint.address",
          "short" : "Network address or identifier of the end-point",
          "definition" : "The network address of the endpoint. For solutions that do not use network addresses for routing, it can be just an identifier.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.reliableCache",
          "path" : "CapabilityStatement.messaging.reliableCache",
          "short" : "Reliable Message Cache Length (min)",
          "definition" : "Length if the receiver's reliable messaging cache in minutes (if a receiver) or how long the cache length on the receiver should be (if a sender).",
          "comment" : "If this value is missing then the application does not implement (receiver) or depend on (sender) reliable messaging.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.documentation",
          "path" : "CapabilityStatement.messaging.documentation",
          "short" : "Messaging interface behavior details",
          "definition" : "Documentation about the system's messaging capabilities for this endpoint not otherwise documented by the capability statement.  For example, the process for becoming an authorized messaging exchange partner.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage",
          "path" : "CapabilityStatement.messaging.supportedMessage",
          "short" : "Messages supported by this system",
          "definition" : "References to message definitions for messages this system can send or receive.",
          "comment" : "This is a proposed alternative to the messaging.event structure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage.mode",
          "path" : "CapabilityStatement.messaging.supportedMessage.mode",
          "short" : "sender | receiver",
          "definition" : "The mode of this event declaration - whether application is sender or receiver.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EventCapabilityMode"
            }],
            "strength" : "required",
            "description" : "The mode of a message capability statement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/event-capability-mode|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.messaging.supportedMessage.definition",
          "path" : "CapabilityStatement.messaging.supportedMessage.definition",
          "short" : "Message supported by this system",
          "definition" : "Points to a message definition that identifies the messaging event, message structure, allowed responses, etc.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.document",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CapabilityStatement.document",
          "short" : "Document definition",
          "definition" : "A document definition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpb-1"],
          "isSummary" : true
        },
        {
          "id" : "CapabilityStatement.document.mode",
          "path" : "CapabilityStatement.document.mode",
          "short" : "producer | consumer",
          "definition" : "Mode of this document declaration - whether an application is a producer or consumer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentMode"
            }],
            "strength" : "required",
            "description" : "Whether the application produces or consumes documents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-mode|4.0.0"
          }
        },
        {
          "id" : "CapabilityStatement.document.documentation",
          "path" : "CapabilityStatement.document.documentation",
          "short" : "Description of document support",
          "definition" : "A description of how the application supports or uses the specified document profile.  For example, when documents are created, what action is taken with consumed documents, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "CapabilityStatement.document.profile",
          "path" : "CapabilityStatement.document.profile",
          "short" : "Constraint on the resources used in the document",
          "definition" : "A profile on the document Bundle that constrains which resources are present, and their contents.",
          "comment" : "The profile is actually on the Bundle.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CarePlan",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CarePlan",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CarePlan 
TU
DomainResource
Healthcare plan for patient or group
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Ids for this plan
 instantiatesCanonical 
Σ
0..*
canonical(PlanDefinition | Questionnaire | Measure | ActivityDefinition | OperationDefinition)
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 basedOn 
Σ
0..*
Reference(CarePlan)
Fulfills CarePlan
 replaces 
Σ
0..*
Reference(CarePlan)
CarePlan replaced by this CarePlan
 partOf 
Σ
0..*
Reference(CarePlan)
Part of referenced CarePlan
 status 
?!Σ
1..1
code
draft | active | suspended | completed | entered-in-error | cancelled | unknown
RequestStatus (Required)
 intent 
?!Σ
1..1
code
proposal | plan | order | option
Care Plan Intent (Required)
 category 
Σ
0..*
CodeableConcept
Type of plan
Care Plan Category (Example)
 title 
Σ
0..1
string
Human-friendly name for the care plan
 description 
Σ
0..1
string
Summary of nature of plan
 subject 
Σ
1..1
Reference(Patient | Group)
Who the care plan is for
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 period 
Σ
0..1
Period
Time period plan covers
 created 
Σ
0..1
dateTime
Date record was first recorded
 author 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)
Who is the designated responsible party
 contributor 
0..*
Reference(Patient | Practitioner | PractitionerRole | Device | RelatedPerson | Organization | CareTeam)
Who provided the content of the care plan
 careTeam 
0..*
Reference(CareTeam)
Who's involved in plan?
 addresses 
Σ
0..*
Reference(Condition)
Health issues this plan addresses
 supportingInfo 
0..*
Reference(Any)
Information considered as part of plan
 goal 
0..*
Reference(Goal)
Desired outcome of plan
 activity 
I
0..*
BackboneElement
Action to occur as part of plan
+ Rule: Provide a reference or detail, not both
 outcomeCodeableConcept 
0..*
CodeableConcept
Results of the activity
Care Plan Activity Outcome (Example)
 outcomeReference 
0..*
Reference(Any)
Appointment, Encounter, Procedure, etc.
 progress 
0..*
Annotation
Comments about the activity status/progress
 reference 
I
0..1
Reference(Appointment | CommunicationRequest | DeviceRequest | MedicationRequest | NutritionOrder | Task | ServiceRequest | VisionPrescription | RequestGroup)
Activity details defined in specific resource
 detail 
I
0..1
BackboneElement
In-line definition of activity
 kind 
0..1
code
Kind of resource
Care Plan Activity Kind (Required)
 instantiatesCanonical 
0..*
canonical(PlanDefinition | ActivityDefinition | Questionnaire | Measure | OperationDefinition)
Instantiates FHIR protocol or definition
 instantiatesUri 
0..*
uri
Instantiates external protocol or definition
 code 
0..1
CodeableConcept
Detail type of activity
Procedure Codes (SNOMED CT) (Example)
 reasonCode 
0..*
CodeableConcept
Why activity should be done or why activity was prohibited
SNOMED CT Clinical Findings (Example)
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
Why activity is needed
 goal 
0..*
Reference(Goal)
Goals this activity relates to
 status 
?!
1..1
code
not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error
CarePlanActivityStatus (Required)
 statusReason 
0..1
CodeableConcept
Reason for current status
 doNotPerform 
?!
0..1
boolean
If true, activity is prohibiting action
 scheduled[x] 
0..1
When activity is to occur
 scheduledTiming
Timing
 scheduledPeriod
Period
 scheduledString
string
 location 
0..1
Reference(Location)
Where it should happen
 performer 
0..*
Reference(Practitioner | PractitionerRole | Organization | RelatedPerson | Patient | CareTeam | HealthcareService | Device)
Who will be responsible?
 product[x] 
0..1
What is to be administered/supplied
SNOMED CT Medication Codes (Example)
 productCodeableConcept
CodeableConcept
 productReference
Reference(Medication | Substance)
 dailyAmount 
0..1
SimpleQuantity
How to consume/day?
 quantity 
0..1
SimpleQuantity
How much to administer/supply/consume
 description 
0..1
string
Extra info describing activity to perform
 note 
0..*
Annotation
Comments about the plan

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Care Provision"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CarePlan",
      "version" : "4.0.0",
      "name" : "CarePlan",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CarePlan",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CarePlan",
          "path" : "CarePlan",
          "short" : "Healthcare plan for patient or group",
          "definition" : "Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.",
          "alias" : ["Care Team"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=PCPR, moodCode=INT]"
          }]
        },
        {
          "id" : "CarePlan.id",
          "path" : "CarePlan.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CarePlan.meta",
          "path" : "CarePlan.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CarePlan.implicitRules",
          "path" : "CarePlan.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CarePlan.language",
          "path" : "CarePlan.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CarePlan.text",
          "path" : "CarePlan.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CarePlan.contained",
          "path" : "CarePlan.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CarePlan.extension",
          "path" : "CarePlan.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CarePlan.modifierExtension",
          "path" : "CarePlan.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CarePlan.identifier",
          "path" : "CarePlan.identifier",
          "short" : "External Ids for this plan",
          "definition" : "Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PTH-3"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "CarePlan.instantiatesCanonical",
          "path" : "CarePlan.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "CarePlan.instantiatesUri",
          "path" : "CarePlan.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "CarePlan.basedOn",
          "path" : "CarePlan.basedOn",
          "short" : "Fulfills CarePlan",
          "definition" : "A care plan that is fulfilled in whole or in part by this care plan.",
          "requirements" : "Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          }]
        },
        {
          "id" : "CarePlan.replaces",
          "path" : "CarePlan.replaces",
          "short" : "CarePlan replaced by this CarePlan",
          "definition" : "Completed or terminated care plan whose function is taken by this new care plan.",
          "comment" : "The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.",
          "requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.",
          "alias" : ["supersedes"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.replaces",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          }]
        },
        {
          "id" : "CarePlan.partOf",
          "path" : "CarePlan.partOf",
          "short" : "Part of referenced CarePlan",
          "definition" : "A larger care plan of which this particular care plan is a component or step.",
          "comment" : "Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses.  As such, this element is still being discussed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CarePlan.status",
          "path" : "CarePlan.status",
          "short" : "draft | active | suspended | completed | entered-in-error | cancelled | unknown",
          "definition" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.",
          "comment" : "The unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid.",
          "requirements" : "Allows clinicians to determine whether the plan is actionable or not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanStatus"
            }],
            "strength" : "required",
            "description" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status {uses different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "PTH-5"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode planned = new active = active completed = completed"
          }]
        },
        {
          "id" : "CarePlan.intent",
          "path" : "CarePlan.intent",
          "short" : "proposal | plan | order | option",
          "definition" : "Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.",
          "comment" : "This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
          "requirements" : "Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.intent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request\"",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanIntent"
            }],
            "strength" : "required",
            "description" : "Codes indicating the degree of authority/intentionality associated with a care plan.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          }]
        },
        {
          "id" : "CarePlan.category",
          "path" : "CarePlan.category",
          "short" : "Type of plan",
          "definition" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.",
          "comment" : "There may be multiple axes of categorization and one plan may serve multiple purposes.  In some cases, this may be redundant with references to CarePlan.concern.",
          "requirements" : "Used for filtering what plan(s) are retrieved and displayed to different types of users.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanCategory"
            }],
            "strength" : "example",
            "description" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CarePlan.title",
          "path" : "CarePlan.title",
          "short" : "Human-friendly name for the care plan",
          "definition" : "Human-friendly name for the care plan.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CarePlan.description",
          "path" : "CarePlan.description",
          "short" : "Summary of nature of plan",
          "definition" : "A description of the scope and nature of the plan.",
          "requirements" : "Provides more detail than conveyed by category.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "CarePlan.subject",
          "path" : "CarePlan.subject",
          "short" : "Who the care plan is for",
          "definition" : "Identifies the patient or group whose intended care is described by the plan.",
          "alias" : ["patient"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PAT].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CarePlan.encounter",
          "path" : "CarePlan.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "Associated PV1"
          },
          {
            "identity" : "rim",
            "map" : "."
          }]
        },
        {
          "id" : "CarePlan.period",
          "path" : "CarePlan.period",
          "short" : "Time period plan covers",
          "definition" : "Indicates when the plan did (or is intended to) come into effect and end.",
          "comment" : "Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).",
          "requirements" : "Allows tracking what plan(s) are in effect at a particular time.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "v2",
            "map" : "GOL-7 / GOL-8"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "CarePlan.created",
          "path" : "CarePlan.created",
          "short" : "Date record was first recorded",
          "definition" : "Represents when this particular CarePlan record was created in the system, which is often a system-generated date.",
          "alias" : ["authoredOn"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.created",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "CarePlan.author",
          "path" : "CarePlan.author",
          "short" : "Who is the designated responsible party",
          "definition" : "When populated, the author is responsible for the care plan.  The care plan is attributed to the author.",
          "comment" : "The author may also be a contributor.  For example, an organization can be an author, but not listed as a contributor.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "CarePlan.contributor",
          "path" : "CarePlan.contributor",
          "short" : "Who provided the content of the care plan",
          "definition" : "Identifies the individual(s) or organization who provided the contents of the care plan.",
          "comment" : "Collaborative care plans may have multiple contributors.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.contributor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CarePlan.careTeam",
          "path" : "CarePlan.careTeam",
          "short" : "Who's involved in plan?",
          "definition" : "Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.",
          "requirements" : "Allows representation of care teams, helps scope care plan.  In some cases may be a determiner of access permissions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.careTeam",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer {similar but does not entail CareTeam}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "CarePlan.addresses",
          "path" : "CarePlan.addresses",
          "short" : "Health issues this plan addresses",
          "definition" : "Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.",
          "comment" : "When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.",
          "requirements" : "Links plan to the conditions it manages.  The element can identify risks addressed by the plan as well as active conditions.  (The Condition resource can include things like \"at risk for hypertension\" or \"fall risk\".)  Also scopes plans - multiple plans may exist addressing different concerns.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.addresses",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRB-4"
          },
          {
            "identity" : "rim",
            "map" : ".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"
          }]
        },
        {
          "id" : "CarePlan.supportingInfo",
          "path" : "CarePlan.supportingInfo",
          "short" : "Information considered as part of plan",
          "definition" : "Identifies portions of the patient's record that specifically influenced the formation of the plan.  These might include comorbidities, recent procedures, limitations, recent assessments, etc.",
          "comment" : "Use \"concern\" to identify specific conditions addressed by the care plan.",
          "requirements" : "Identifies barriers and other considerations associated with the care plan.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.supportingInfo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          }]
        },
        {
          "id" : "CarePlan.goal",
          "path" : "CarePlan.goal",
          "short" : "Desired outcome of plan",
          "definition" : "Describes the intended objective(s) of carrying out the care plan.",
          "comment" : "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.",
          "requirements" : "Provides context for plan.  Allows plan effectiveness to be evaluated by clinicians.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.goal",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Goal"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "GOL.1"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode<=OBJ]."
          }]
        },
        {
          "id" : "CarePlan.activity",
          "path" : "CarePlan.activity",
          "short" : "Action to occur as part of plan",
          "definition" : "Identifies a planned action to occur as part of the plan.  For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.",
          "requirements" : "Allows systems to prompt for performance of planned activities, and validate plans against best practice.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "cpl-3",
            "severity" : "error",
            "human" : "Provide a reference or detail, not both",
            "expression" : "detail.empty() or reference.empty()",
            "xpath" : "not(exists(f:detail)) or not(exists(f:reference))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{no mapping\nNOTE: This is a list of contained Request-Event tuples!}"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }]
        },
        {
          "id" : "CarePlan.activity.id",
          "path" : "CarePlan.activity.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CarePlan.activity.extension",
          "path" : "CarePlan.activity.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CarePlan.activity.modifierExtension",
          "path" : "CarePlan.activity.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CarePlan.activity.outcomeCodeableConcept",
          "path" : "CarePlan.activity.outcomeCodeableConcept",
          "short" : "Results of the activity",
          "definition" : "Identifies the outcome at the point when the status of the activity is assessed.  For example, the outcome of an education activity could be patient understands (or not).",
          "comment" : "Note that this should not duplicate the activity status (e.g. completed or in progress).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.outcomeCodeableConcept",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityOutcome"
            }],
            "strength" : "example",
            "description" : "Identifies the results of the activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-outcome"
          }
        },
        {
          "id" : "CarePlan.activity.outcomeReference",
          "path" : "CarePlan.activity.outcomeReference",
          "short" : "Appointment, Encounter, Procedure, etc.",
          "definition" : "Details of the outcome or action resulting from the activity.  The reference to an \"event\" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself.  The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).",
          "comment" : "The activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.",
          "requirements" : "Links plan to resulting actions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.outcomeReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{Event that is outcome of Request in activity.reference}"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=FLFS].source"
          }]
        },
        {
          "id" : "CarePlan.activity.progress",
          "path" : "CarePlan.activity.progress",
          "short" : "Comments about the activity status/progress",
          "definition" : "Notes about the adherence/status/progress of the activity.",
          "comment" : "This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.",
          "requirements" : "Can be used to capture information about adherence, progress, concerns, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.progress",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE?"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        },
        {
          "id" : "CarePlan.activity.reference",
          "path" : "CarePlan.activity.reference",
          "short" : "Activity details defined in specific resource",
          "definition" : "The details of the proposed activity represented in a specific resource.",
          "comment" : "Standard extension exists ([resource-pertainsToGoal](extension-resource-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.  \rThe goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan.  Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the \"basedOn\" element.  i.e. Requests that are part of a CarePlan are not \"based on\" the CarePlan.",
          "requirements" : "Details in a form consistent with other applications and contexts of use.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.reference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Appointment",
            "http://hl7.org/fhir/StructureDefinition/CommunicationRequest",
            "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
            "http://hl7.org/fhir/StructureDefinition/Task",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/VisionPrescription",
            "http://hl7.org/fhir/StructureDefinition/RequestGroup"]
          }],
          "condition" : ["cpl-3"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{Request that resulted in Event in activity.actionResulting}"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }]
        },
        {
          "id" : "CarePlan.activity.detail",
          "path" : "CarePlan.activity.detail",
          "short" : "In-line definition of activity",
          "definition" : "A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.",
          "requirements" : "Details in a simple form for generic care plan systems.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpl-3"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.id",
          "path" : "CarePlan.activity.detail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.extension",
          "path" : "CarePlan.activity.detail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.modifierExtension",
          "path" : "CarePlan.activity.detail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.kind",
          "path" : "CarePlan.activity.detail.kind",
          "short" : "Kind of resource",
          "definition" : "A description of the kind of resource the in-line definition of a care plan activity is representing.  The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference.  For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.",
          "requirements" : "May determine what types of extensions are permitted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.kind",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityKind"
            }],
            "strength" : "required",
            "description" : "Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=LIST].code"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.instantiatesCanonical",
          "path" : "CarePlan.activity.detail.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.",
          "requirements" : "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.detail.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.instantiatesUri",
          "path" : "CarePlan.activity.detail.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "requirements" : "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.detail.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.code",
          "path" : "CarePlan.activity.detail.code",
          "short" : "Detail type of activity",
          "definition" : "Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter.",
          "comment" : "Tends to be less relevant for activities involving particular products.  Codes should not convey negation - use \"prohibited\" instead.",
          "requirements" : "Allows matching performed to planned as well as validation against protocols.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityType"
            }],
            "strength" : "example",
            "description" : "Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "OBR-4 / RXE-2 / RXO-1 / RXD-2"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.reasonCode",
          "path" : "CarePlan.activity.detail.reasonCode",
          "short" : "Why activity should be done or why activity was prohibited",
          "definition" : "Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.",
          "comment" : "This could be a diagnosis code.  If a full condition record exists or additional detail is needed, use reasonCondition instead.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.detail.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityReason"
            }],
            "strength" : "example",
            "description" : "Identifies why a care plan activity is needed.  Can include any health condition codes as well as such concepts as \"general wellness\", prophylaxis, surgical preparation, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.reasonReference",
          "path" : "CarePlan.activity.detail.reasonReference",
          "short" : "Why activity is needed",
          "definition" : "Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan.",
          "comment" : "Conditions can be identified at the activity level that are not identified as reasons for the overall plan.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.detail.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.goal",
          "path" : "CarePlan.activity.detail.goal",
          "short" : "Goals this activity relates to",
          "definition" : "Internal reference that identifies the goals that this activity is intended to contribute towards meeting.",
          "requirements" : "So that participants know the link explicitly.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.detail.goal",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Goal"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode<=OBJ]."
          }]
        },
        {
          "id" : "CarePlan.activity.detail.status",
          "path" : "CarePlan.activity.detail.status",
          "short" : "not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error",
          "definition" : "Identifies what progress is being made for the specific activity.",
          "comment" : "Some aspects of status can be inferred based on the resources linked in actionTaken.  Note that \"status\" is only as current as the plan was most recently updated.  \nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.",
          "requirements" : "Indicates progress against the plan, whether the activity is still relevant for the plan.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the activity should not be treated as valid",
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityStatus"
            }],
            "strength" : "required",
            "description" : "Codes that reflect the current state of a care plan activity within its overall life cycle.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC-5?"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.statusReason",
          "path" : "CarePlan.activity.detail.statusReason",
          "short" : "Reason for current status",
          "definition" : "Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.",
          "comment" : "Will generally not be present if status is \"complete\".  Be sure to prompt to update this (or at least remove the existing value) if the status is changed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.statusReason"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.doNotPerform",
          "path" : "CarePlan.activity.detail.doNotPerform",
          "short" : "If true, activity is prohibiting action",
          "definition" : "If true, indicates that the described activity is one that must NOT be engaged in when following the plan.  If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.",
          "comment" : "This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.",
          "requirements" : "Captures intention to not do something that may have been previously typical.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.doNotPerform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If missing indicates that the described activity is one that should be engaged in when following the plan.",
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For example, instead of a request for a procedure, it is a request for the procedure to not occur.",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.doNotPerform"
          },
          {
            "identity" : "rim",
            "map" : "actionNegationInd"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.scheduled[x]",
          "path" : "CarePlan.activity.detail.scheduled[x]",
          "short" : "When activity is to occur",
          "definition" : "The period, timing or frequency upon which the described activity is to occur.",
          "requirements" : "Allows prompting for activities and detection of missed planned activities.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.scheduled[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Timing"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "TQ1"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.location",
          "path" : "CarePlan.activity.detail.location",
          "short" : "Where it should happen",
          "definition" : "Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.",
          "comment" : "May reference a specific clinical location or may identify a type of location.",
          "requirements" : "Helps in planning of activity.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBR-24(???!!)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.performer",
          "path" : "CarePlan.activity.detail.performer",
          "short" : "Who will be responsible?",
          "definition" : "Identifies who's expected to be involved in the activity.",
          "comment" : "A performer MAY also be a participant in the care plan.",
          "requirements" : "Helps in planning of activity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.activity.detail.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "v2",
            "map" : "PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM]"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.product[x]",
          "path" : "CarePlan.activity.detail.product[x]",
          "short" : "What is to be administered/supplied",
          "definition" : "Identifies the food, drug or other product to be consumed or supplied in the activity.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.product[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanProduct"
            }],
            "strength" : "example",
            "description" : "A product supplied or administered as part of a care plan activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXE-2 / RXO-1 / RXD-2"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.dailyAmount",
          "path" : "CarePlan.activity.detail.dailyAmount",
          "short" : "How to consume/day?",
          "definition" : "Identifies the quantity expected to be consumed in a given day.",
          "requirements" : "Allows rough dose checking.",
          "alias" : ["daily dose"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.dailyAmount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXO-23 / RXE-19 / RXD-12"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.quantity",
          "path" : "CarePlan.activity.detail.quantity",
          "short" : "How much to administer/supply/consume",
          "definition" : "Identifies the quantity expected to be supplied, administered or consumed by the subject.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 /  TQ1-2.1  *and*  RXO-12 /  RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP][classCode=SPLY].quantity"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.description",
          "path" : "CarePlan.activity.detail.description",
          "short" : "Extra info describing activity to perform",
          "definition" : "This provides a textual description of constraints on the intended activity occurrence, including relation to other activities.  It may also include objectives, pre-conditions and end-conditions.  Finally, it may convey specifics about the activity such as body site, method, route, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CarePlan.activity.detail.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE?"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "CarePlan.note",
          "path" : "CarePlan.note",
          "short" : "Comments about the plan",
          "definition" : "General notes about the care plan not covered elsewhere.",
          "requirements" : "Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CarePlan.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE?"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CarePlan",
          "path" : "CarePlan",
          "short" : "Healthcare plan for patient or group",
          "definition" : "Describes the intention of how one or more practitioners intend to deliver care for a particular patient, group or community for a period of time, possibly limited to care for a specific condition or set of conditions.",
          "alias" : ["Care Team"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=PCPR, moodCode=INT]"
          }]
        },
        {
          "id" : "CarePlan.identifier",
          "path" : "CarePlan.identifier",
          "short" : "External Ids for this plan",
          "definition" : "Business identifiers assigned to this care plan by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the care plan as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PTH-3"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "CarePlan.instantiatesCanonical",
          "path" : "CarePlan.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "CarePlan.instantiatesUri",
          "path" : "CarePlan.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "CarePlan.basedOn",
          "path" : "CarePlan.basedOn",
          "short" : "Fulfills CarePlan",
          "definition" : "A care plan that is fulfilled in whole or in part by this care plan.",
          "requirements" : "Allows tracing of the care plan and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          }]
        },
        {
          "id" : "CarePlan.replaces",
          "path" : "CarePlan.replaces",
          "short" : "CarePlan replaced by this CarePlan",
          "definition" : "Completed or terminated care plan whose function is taken by this new care plan.",
          "comment" : "The replacement could be because the initial care plan was immediately rejected (due to an issue) or because the previous care plan was completed, but the need for the action described by the care plan remains ongoing.",
          "requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple care plans.",
          "alias" : ["supersedes"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          }]
        },
        {
          "id" : "CarePlan.partOf",
          "path" : "CarePlan.partOf",
          "short" : "Part of referenced CarePlan",
          "definition" : "A larger care plan of which this particular care plan is a component or step.",
          "comment" : "Each care plan is an independent request, such that having a care plan be part of another care plan can cause issues with cascading statuses.  As such, this element is still being discussed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CarePlan.status",
          "path" : "CarePlan.status",
          "short" : "draft | active | suspended | completed | entered-in-error | cancelled | unknown",
          "definition" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.",
          "comment" : "The unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the care plan.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the plan as not currently valid.",
          "requirements" : "Allows clinicians to determine whether the plan is actionable or not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanStatus"
            }],
            "strength" : "required",
            "description" : "Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status {uses different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "PTH-5"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode planned = new active = active completed = completed"
          }]
        },
        {
          "id" : "CarePlan.intent",
          "path" : "CarePlan.intent",
          "short" : "proposal | plan | order | option",
          "definition" : "Indicates the level of authority/intentionality associated with the care plan and where the care plan fits into the workflow chain.",
          "comment" : "This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
          "requirements" : "Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request\"",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanIntent"
            }],
            "strength" : "required",
            "description" : "Codes indicating the degree of authority/intentionality associated with a care plan.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          }]
        },
        {
          "id" : "CarePlan.category",
          "path" : "CarePlan.category",
          "short" : "Type of plan",
          "definition" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", \"wellness plan\", etc.",
          "comment" : "There may be multiple axes of categorization and one plan may serve multiple purposes.  In some cases, this may be redundant with references to CarePlan.concern.",
          "requirements" : "Used for filtering what plan(s) are retrieved and displayed to different types of users.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanCategory"
            }],
            "strength" : "example",
            "description" : "Identifies what \"kind\" of plan this is to support differentiation between multiple co-existing plans; e.g. \"Home health\", \"psychiatric\", \"asthma\", \"disease management\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CarePlan.title",
          "path" : "CarePlan.title",
          "short" : "Human-friendly name for the care plan",
          "definition" : "Human-friendly name for the care plan.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CarePlan.description",
          "path" : "CarePlan.description",
          "short" : "Summary of nature of plan",
          "definition" : "A description of the scope and nature of the plan.",
          "requirements" : "Provides more detail than conveyed by category.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "CarePlan.subject",
          "path" : "CarePlan.subject",
          "short" : "Who the care plan is for",
          "definition" : "Identifies the patient or group whose intended care is described by the plan.",
          "alias" : ["patient"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PAT].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CarePlan.encounter",
          "path" : "CarePlan.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this CarePlan was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. CarePlan activities conducted as a result of the care plan may well occur as part of other encounters.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "Associated PV1"
          },
          {
            "identity" : "rim",
            "map" : "."
          }]
        },
        {
          "id" : "CarePlan.period",
          "path" : "CarePlan.period",
          "short" : "Time period plan covers",
          "definition" : "Indicates when the plan did (or is intended to) come into effect and end.",
          "comment" : "Any activities scheduled as part of the plan should be constrained to the specified period regardless of whether the activities are planned within a single encounter/episode or across multiple encounters/episodes (e.g. the longitudinal management of a chronic condition).",
          "requirements" : "Allows tracking what plan(s) are in effect at a particular time.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "v2",
            "map" : "GOL-7 / GOL-8"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "CarePlan.created",
          "path" : "CarePlan.created",
          "short" : "Date record was first recorded",
          "definition" : "Represents when this particular CarePlan record was created in the system, which is often a system-generated date.",
          "alias" : ["authoredOn"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "CarePlan.author",
          "path" : "CarePlan.author",
          "short" : "Who is the designated responsible party",
          "definition" : "When populated, the author is responsible for the care plan.  The care plan is attributed to the author.",
          "comment" : "The author may also be a contributor.  For example, an organization can be an author, but not listed as a contributor.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "CarePlan.contributor",
          "path" : "CarePlan.contributor",
          "short" : "Who provided the content of the care plan",
          "definition" : "Identifies the individual(s) or organization who provided the contents of the care plan.",
          "comment" : "Collaborative care plans may have multiple contributors.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }]
        },
        {
          "id" : "CarePlan.careTeam",
          "path" : "CarePlan.careTeam",
          "short" : "Who's involved in plan?",
          "definition" : "Identifies all people and organizations who are expected to be involved in the care envisioned by this plan.",
          "requirements" : "Allows representation of care teams, helps scope care plan.  In some cases may be a determiner of access permissions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer {similar but does not entail CareTeam}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "CarePlan.addresses",
          "path" : "CarePlan.addresses",
          "short" : "Health issues this plan addresses",
          "definition" : "Identifies the conditions/problems/concerns/diagnoses/etc. whose management and/or mitigation are handled by this plan.",
          "comment" : "When the diagnosis is related to an allergy or intolerance, the Condition and AllergyIntolerance resources can both be used. However, to be actionable for decision support, using Condition alone is not sufficient as the allergy or intolerance condition needs to be represented as an AllergyIntolerance.",
          "requirements" : "Links plan to the conditions it manages.  The element can identify risks addressed by the plan as well as active conditions.  (The Condition resource can include things like \"at risk for hypertension\" or \"fall risk\".)  Also scopes plans - multiple plans may exist addressing different concerns.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRB-4"
          },
          {
            "identity" : "rim",
            "map" : ".actRelationship[typeCode=SUBJ].target[classCode=CONC, moodCode=EVN]"
          }]
        },
        {
          "id" : "CarePlan.supportingInfo",
          "path" : "CarePlan.supportingInfo",
          "short" : "Information considered as part of plan",
          "definition" : "Identifies portions of the patient's record that specifically influenced the formation of the plan.  These might include comorbidities, recent procedures, limitations, recent assessments, etc.",
          "comment" : "Use \"concern\" to identify specific conditions addressed by the care plan.",
          "requirements" : "Identifies barriers and other considerations associated with the care plan.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          }]
        },
        {
          "id" : "CarePlan.goal",
          "path" : "CarePlan.goal",
          "short" : "Desired outcome of plan",
          "definition" : "Describes the intended objective(s) of carrying out the care plan.",
          "comment" : "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.",
          "requirements" : "Provides context for plan.  Allows plan effectiveness to be evaluated by clinicians.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Goal"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "GOL.1"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode<=OBJ]."
          }]
        },
        {
          "id" : "CarePlan.activity",
          "path" : "CarePlan.activity",
          "short" : "Action to occur as part of plan",
          "definition" : "Identifies a planned action to occur as part of the plan.  For example, a medication to be used, lab tests to perform, self-monitoring, education, etc.",
          "requirements" : "Allows systems to prompt for performance of planned activities, and validate plans against best practice.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "cpl-3",
            "severity" : "error",
            "human" : "Provide a reference or detail, not both",
            "expression" : "detail.empty() or reference.empty()",
            "xpath" : "not(exists(f:detail)) or not(exists(f:reference))"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{no mapping\nNOTE: This is a list of contained Request-Event tuples!}"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }]
        },
        {
          "id" : "CarePlan.activity.outcomeCodeableConcept",
          "path" : "CarePlan.activity.outcomeCodeableConcept",
          "short" : "Results of the activity",
          "definition" : "Identifies the outcome at the point when the status of the activity is assessed.  For example, the outcome of an education activity could be patient understands (or not).",
          "comment" : "Note that this should not duplicate the activity status (e.g. completed or in progress).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityOutcome"
            }],
            "strength" : "example",
            "description" : "Identifies the results of the activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-outcome"
          }
        },
        {
          "id" : "CarePlan.activity.outcomeReference",
          "path" : "CarePlan.activity.outcomeReference",
          "short" : "Appointment, Encounter, Procedure, etc.",
          "definition" : "Details of the outcome or action resulting from the activity.  The reference to an \"event\" resource, such as Procedure or Encounter or Observation, is the result/outcome of the activity itself.  The activity can be conveyed using CarePlan.activity.detail OR using the CarePlan.activity.reference (a reference to a “request” resource).",
          "comment" : "The activity outcome is independent of the outcome of the related goal(s).  For example, if the goal is to achieve a target body weight of 150 lbs and an activity is defined to diet, then the activity outcome could be calories consumed whereas the goal outcome is an observation for the actual body weight measured.",
          "requirements" : "Links plan to resulting actions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{Event that is outcome of Request in activity.reference}"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=FLFS].source"
          }]
        },
        {
          "id" : "CarePlan.activity.progress",
          "path" : "CarePlan.activity.progress",
          "short" : "Comments about the activity status/progress",
          "definition" : "Notes about the adherence/status/progress of the activity.",
          "comment" : "This element should NOT be used to describe the activity to be performed - that occurs either within the resource pointed to by activity.detail.reference or in activity.detail.description.",
          "requirements" : "Can be used to capture information about adherence, progress, concerns, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE?"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        },
        {
          "id" : "CarePlan.activity.reference",
          "path" : "CarePlan.activity.reference",
          "short" : "Activity details defined in specific resource",
          "definition" : "The details of the proposed activity represented in a specific resource.",
          "comment" : "Standard extension exists ([resource-pertainsToGoal](extension-resource-pertainstogoal.html)) that allows goals to be referenced from any of the referenced resources in CarePlan.activity.reference.  \rThe goal should be visible when the resource referenced by CarePlan.activity.reference is viewed independently from the CarePlan.  Requests that are pointed to by a CarePlan using this element should *not* point to this CarePlan using the \"basedOn\" element.  i.e. Requests that are part of a CarePlan are not \"based on\" the CarePlan.",
          "requirements" : "Details in a form consistent with other applications and contexts of use.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Appointment",
            "http://hl7.org/fhir/StructureDefinition/CommunicationRequest",
            "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
            "http://hl7.org/fhir/StructureDefinition/Task",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/VisionPrescription",
            "http://hl7.org/fhir/StructureDefinition/RequestGroup"]
          }],
          "condition" : ["cpl-3"],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{Request that resulted in Event in activity.actionResulting}"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }]
        },
        {
          "id" : "CarePlan.activity.detail",
          "path" : "CarePlan.activity.detail",
          "short" : "In-line definition of activity",
          "definition" : "A simple summary of a planned activity suitable for a general care plan system (e.g. form driven) that doesn't know about specific resources such as procedure etc.",
          "requirements" : "Details in a simple form for generic care plan systems.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["cpl-3"],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.kind",
          "path" : "CarePlan.activity.detail.kind",
          "short" : "Kind of resource",
          "definition" : "A description of the kind of resource the in-line definition of a care plan activity is representing.  The CarePlan.activity.detail is an in-line definition when a resource is not referenced using CarePlan.activity.reference.  For example, a MedicationRequest, a ServiceRequest, or a CommunicationRequest.",
          "requirements" : "May determine what types of extensions are permitted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityKind"
            }],
            "strength" : "required",
            "description" : "Resource types defined as part of FHIR that can be represented as in-line definitions of a care plan activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-kind|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=LIST].code"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.instantiatesCanonical",
          "path" : "CarePlan.activity.detail.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.",
          "requirements" : "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.instantiatesUri",
          "path" : "CarePlan.activity.detail.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, questionnaire or other definition that is adhered to in whole or in part by this CarePlan activity.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "requirements" : "Allows Questionnaires that the patient (or practitioner) should fill in to fulfill the care plan activity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.code",
          "path" : "CarePlan.activity.detail.code",
          "short" : "Detail type of activity",
          "definition" : "Detailed description of the type of planned activity; e.g. what lab test, what procedure, what kind of encounter.",
          "comment" : "Tends to be less relevant for activities involving particular products.  Codes should not convey negation - use \"prohibited\" instead.",
          "requirements" : "Allows matching performed to planned as well as validation against protocols.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityType"
            }],
            "strength" : "example",
            "description" : "Detailed description of the type of activity; e.g. What lab test, what procedure, what kind of encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "OBR-4 / RXE-2 / RXO-1 / RXD-2"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.reasonCode",
          "path" : "CarePlan.activity.detail.reasonCode",
          "short" : "Why activity should be done or why activity was prohibited",
          "definition" : "Provides the rationale that drove the inclusion of this particular activity as part of the plan or the reason why the activity was prohibited.",
          "comment" : "This could be a diagnosis code.  If a full condition record exists or additional detail is needed, use reasonCondition instead.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityReason"
            }],
            "strength" : "example",
            "description" : "Identifies why a care plan activity is needed.  Can include any health condition codes as well as such concepts as \"general wellness\", prophylaxis, surgical preparation, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.reasonReference",
          "path" : "CarePlan.activity.detail.reasonReference",
          "short" : "Why activity is needed",
          "definition" : "Indicates another resource, such as the health condition(s), whose existence justifies this request and drove the inclusion of this particular activity as part of the plan.",
          "comment" : "Conditions can be identified at the activity level that are not identified as reasons for the overall plan.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.goal",
          "path" : "CarePlan.activity.detail.goal",
          "short" : "Goals this activity relates to",
          "definition" : "Internal reference that identifies the goals that this activity is intended to contribute towards meeting.",
          "requirements" : "So that participants know the link explicitly.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Goal"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode<=OBJ]."
          }]
        },
        {
          "id" : "CarePlan.activity.detail.status",
          "path" : "CarePlan.activity.detail.status",
          "short" : "not-started | scheduled | in-progress | on-hold | completed | cancelled | stopped | unknown | entered-in-error",
          "definition" : "Identifies what progress is being made for the specific activity.",
          "comment" : "Some aspects of status can be inferred based on the resources linked in actionTaken.  Note that \"status\" is only as current as the plan was most recently updated.  \nThe unknown code is not to be used to convey other statuses.  The unknown code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the activity.",
          "requirements" : "Indicates progress against the plan, whether the activity is still relevant for the plan.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the activity should not be treated as valid",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanActivityStatus"
            }],
            "strength" : "required",
            "description" : "Codes that reflect the current state of a care plan activity within its overall life cycle.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-plan-activity-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC-5?"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode not-started = new scheduled = not-started (and fulfillment relationship to appointent) in-progress = active on-hold = suspended completed = completed cancelled = aborted"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.statusReason",
          "path" : "CarePlan.activity.detail.statusReason",
          "short" : "Reason for current status",
          "definition" : "Provides reason why the activity isn't yet started, is on hold, was cancelled, etc.",
          "comment" : "Will generally not be present if status is \"complete\".  Be sure to prompt to update this (or at least remove the existing value) if the status is changed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.statusReason"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.doNotPerform",
          "path" : "CarePlan.activity.detail.doNotPerform",
          "short" : "If true, activity is prohibiting action",
          "definition" : "If true, indicates that the described activity is one that must NOT be engaged in when following the plan.  If false, or missing, indicates that the described activity is one that should be engaged in when following the plan.",
          "comment" : "This element is labeled as a modifier because it marks an activity as an activity that is not to be performed.",
          "requirements" : "Captures intention to not do something that may have been previously typical.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If missing indicates that the described activity is one that should be engaged in when following the plan.",
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For example, instead of a request for a procedure, it is a request for the procedure to not occur.",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.doNotPerform"
          },
          {
            "identity" : "rim",
            "map" : "actionNegationInd"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.scheduled[x]",
          "path" : "CarePlan.activity.detail.scheduled[x]",
          "short" : "When activity is to occur",
          "definition" : "The period, timing or frequency upon which the described activity is to occur.",
          "requirements" : "Allows prompting for activities and detection of missed planned activities.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Timing"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "TQ1"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.location",
          "path" : "CarePlan.activity.detail.location",
          "short" : "Where it should happen",
          "definition" : "Identifies the facility where the activity will occur; e.g. home, hospital, specific clinic, etc.",
          "comment" : "May reference a specific clinical location or may identify a type of location.",
          "requirements" : "Helps in planning of activity.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBR-24(???!!)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.performer",
          "path" : "CarePlan.activity.detail.performer",
          "short" : "Who will be responsible?",
          "definition" : "Identifies who's expected to be involved in the activity.",
          "comment" : "A performer MAY also be a participant in the care plan.",
          "requirements" : "Helps in planning of activity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "v2",
            "map" : "PRT-5 : ( PRV-4 = (provider participations)); PRT-5 : ( PRV-4 = (non-provider person participations )) ; PRT-5 : ( PRV-4 = (patient non-subject of care) ) ; PRT-8"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM]"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.product[x]",
          "path" : "CarePlan.activity.detail.product[x]",
          "short" : "What is to be administered/supplied",
          "definition" : "Identifies the food, drug or other product to be consumed or supplied in the activity.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CarePlanProduct"
            }],
            "strength" : "example",
            "description" : "A product supplied or administered as part of a care plan activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXE-2 / RXO-1 / RXD-2"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.dailyAmount",
          "path" : "CarePlan.activity.detail.dailyAmount",
          "short" : "How to consume/day?",
          "definition" : "Identifies the quantity expected to be consumed in a given day.",
          "requirements" : "Allows rough dose checking.",
          "alias" : ["daily dose"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXO-23 / RXE-19 / RXD-12"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP][classCode=SBADM].doseQuantity"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.quantity",
          "path" : "CarePlan.activity.detail.quantity",
          "short" : "How much to administer/supply/consume",
          "definition" : "Identifies the quantity expected to be supplied, administered or consumed by the subject.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXO-11 / RXE-10 / RXD-4 / RXG-5 / RXA-6 /  TQ1-2.1  *and*  RXO-12 /  RXE-11 / RXD-5 / RXG-7 / RXA-7 / TQ1-2.2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP][classCode=SPLY].quantity"
          }]
        },
        {
          "id" : "CarePlan.activity.detail.description",
          "path" : "CarePlan.activity.detail.description",
          "short" : "Extra info describing activity to perform",
          "definition" : "This provides a textual description of constraints on the intended activity occurrence, including relation to other activities.  It may also include objectives, pre-conditions and end-conditions.  Finally, it may convey specifics about the activity such as body site, method, route, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE?"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "CarePlan.note",
          "path" : "CarePlan.note",
          "short" : "Comments about the plan",
          "definition" : "General notes about the care plan not covered elsewhere.",
          "requirements" : "Used to capture information that applies to the plan as a whole that doesn't fit into discrete elements.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE?"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CareTeam",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CareTeam",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CareTeam 
TU
DomainResource
Planned participants in the coordination and delivery of care for a patient or group
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Ids for this team
 status 
?!Σ
0..1
code
proposed | active | suspended | inactive | entered-in-error
CareTeamStatus (Required)
 category 
Σ
0..*
CodeableConcept
Type of team
Care Team category (Example)
 name 
Σ
0..1
string
Name of the team, such as crisis assessment team
 subject 
Σ
0..1
Reference(Patient | Group)
Who care team is for
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 period 
Σ
0..1
Period
Time period team covers
 participant 
I
0..*
BackboneElement
Members of the team
+ Rule: CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner
 role 
Σ
0..*
CodeableConcept
Type of involvement
Participant Roles (Example)
 member 
Σ
0..1
Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Organization | CareTeam)
Who is involved
 onBehalfOf 
Σ
0..1
Reference(Organization)
Organization of the practitioner
 period 
0..1
Period
Time period of participant
 reasonCode 
0..*
CodeableConcept
Why the care team exists
SNOMED CT Clinical Findings (Example)
 reasonReference 
0..*
Reference(Condition)
Why the care team exists
 managingOrganization 
Σ
0..*
Reference(Organization)
Organization responsible for the care team
 telecom 
0..*
ContactPoint
A contact detail for the care team (that applies to all members)
 note 
0..*
Annotation
Comments made about the CareTeam

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Care Provision"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CareTeam",
      "version" : "4.0.0",
      "name" : "CareTeam",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CareTeam",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CareTeam",
          "path" : "CareTeam",
          "short" : "Planned participants in the coordination and delivery of care for a patient or group",
          "definition" : "The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "CareTeam.id",
          "path" : "CareTeam.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CareTeam.meta",
          "path" : "CareTeam.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CareTeam.implicitRules",
          "path" : "CareTeam.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CareTeam.language",
          "path" : "CareTeam.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CareTeam.text",
          "path" : "CareTeam.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CareTeam.contained",
          "path" : "CareTeam.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CareTeam.extension",
          "path" : "CareTeam.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CareTeam.modifierExtension",
          "path" : "CareTeam.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CareTeam.identifier",
          "path" : "CareTeam.identifier",
          "short" : "External Ids for this team",
          "definition" : "Business identifiers assigned to this care team by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the care team as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CareTeam.status",
          "path" : "CareTeam.status",
          "short" : "proposed | active | suspended | inactive | entered-in-error",
          "definition" : "Indicates the current state of the care team.",
          "comment" : "This element is labeled as a modifier because the status contains the code entered-in-error that marks the care team as not currently valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CareTeam.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamStatus"
            }],
            "strength" : "required",
            "description" : "Indicates the status of the care team.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-team-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CareTeam.category",
          "path" : "CareTeam.category",
          "short" : "Type of team",
          "definition" : "Identifies what kind of team.  This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.",
          "comment" : "There may be multiple axis of categorization and one team may serve multiple purposes.",
          "requirements" : "Used for filtering what teams(s) are retrieved and displayed to different types of users.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamCategory"
            }],
            "strength" : "example",
            "description" : "Indicates the type of care team.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-team-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CareTeam.name",
          "path" : "CareTeam.name",
          "short" : "Name of the team, such as crisis assessment team",
          "definition" : "A label for human use intended to distinguish like teams.  E.g. the \"red\" vs. \"green\" trauma teams.",
          "comment" : "The meaning/purpose of the team is conveyed in CareTeam.category.  This element may also convey semantics of the team (e.g. \"Red trauma team\"), but its primary purpose is to distinguish between identical teams in a human-friendly way.  (\"Team 18735\" isn't as friendly.).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CareTeam.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CareTeam.subject",
          "path" : "CareTeam.subject",
          "short" : "Who care team is for",
          "definition" : "Identifies the patient or group whose intended care is handled by the team.",
          "requirements" : "Allows the team to care for a group (e.g. marriage) therapy. \nAllows for an organization to designate a team such as the PICC line team.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CareTeam.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CareTeam.encounter",
          "path" : "CareTeam.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this CareTeam was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CareTeam.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "CareTeam.period",
          "path" : "CareTeam.period",
          "short" : "Time period team covers",
          "definition" : "Indicates when the team did (or is intended to) come into effect and end.",
          "requirements" : "Allows tracking what team(s) are in effect at a particular time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CareTeam.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "CareTeam.participant",
          "path" : "CareTeam.participant",
          "short" : "Members of the team",
          "definition" : "Identifies all people and organizations who are expected to be involved in the care team.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.participant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["ctm-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "ctm-1",
            "severity" : "error",
            "human" : "CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner",
            "expression" : "onBehalfOf.exists() implies (member.resolve() is Practitioner)",
            "xpath" : "starts-with(f:member/f:reference/@value, 'Practitioner/') or contains(f:member/f:reference/@value, '/Practitioner/') or exists(ancestor::*/f:contains/f:Practitioner/f:id[@value=substring-after(current()/f:member/f:reference/@value, '#')]) or not(exists(f:onBehalfOf))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "REL (REL.4 is always the Patient) ( or PRT?)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "CareTeam.participant.id",
          "path" : "CareTeam.participant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CareTeam.participant.extension",
          "path" : "CareTeam.participant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CareTeam.participant.modifierExtension",
          "path" : "CareTeam.participant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CareTeam.participant.role",
          "path" : "CareTeam.participant.role",
          "short" : "Type of involvement",
          "definition" : "Indicates specific responsibility of an individual within the care team, such as \"Primary care physician\", \"Trained social worker counselor\", \"Caregiver\", etc.",
          "comment" : "Roles may sometimes be inferred by type of Practitioner.  These are relationships that hold only within the context of the care team.  General relationships should be handled as properties of the Patient resource directly.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.participant.role",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamParticipantRole"
            }],
            "strength" : "example",
            "description" : "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participant-role"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "REL.2 (or PRT-4?)"
          },
          {
            "identity" : "rim",
            "map" : ".functionCode"
          }]
        },
        {
          "id" : "CareTeam.participant.member",
          "path" : "CareTeam.participant.member",
          "short" : "Who is involved",
          "definition" : "The specific person or organization who is participating/expected to participate in the care team.",
          "comment" : "Patient only needs to be listed if they have a role other than \"subject of care\".\n\nMember is optional because some participants may be known only by their role, particularly in draft plans.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CareTeam.participant.member",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "REL.5 (or PRT-5 : ( PRV-4 {provider participations} ) / PRT-5 : ( PRV-4  {non-provider person participations} ) / PRT-5 : ( PRV-4 = (patient non-subject of care) ) / PRT-8?)"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "CareTeam.participant.onBehalfOf",
          "path" : "CareTeam.participant.onBehalfOf",
          "short" : "Organization of the practitioner",
          "definition" : "The organization of the practitioner.",
          "requirements" : "Practitioners can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CareTeam.participant.onBehalfOf",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CareTeam.participant.period",
          "path" : "CareTeam.participant.period",
          "short" : "Time period of participant",
          "definition" : "Indicates when the specific member or organization did (or is intended to) come into effect and end.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CareTeam.participant.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CareTeam.reasonCode",
          "path" : "CareTeam.reasonCode",
          "short" : "Why the care team exists",
          "definition" : "Describes why the care team exists.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamReason"
            }],
            "strength" : "example",
            "description" : "Indicates the reason for the care team.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "CareTeam.reasonReference",
          "path" : "CareTeam.reasonReference",
          "short" : "Why the care team exists",
          "definition" : "Condition(s) that this care team addresses.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "CareTeam.managingOrganization",
          "path" : "CareTeam.managingOrganization",
          "short" : "Organization responsible for the care team",
          "definition" : "The organization responsible for the care team.",
          "requirements" : "Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.managingOrganization",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CareTeam.telecom",
          "path" : "CareTeam.telecom",
          "short" : "A contact detail for the care team (that applies to all members)",
          "definition" : "A central contact detail for the care team (that applies to all members).",
          "comment" : "The ContactPoint.use code of home is not appropriate to use. These contacts are not the contact details of individual care team members.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CareTeam.note",
          "path" : "CareTeam.note",
          "short" : "Comments made about the CareTeam",
          "definition" : "Comments made about the CareTeam.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CareTeam.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CareTeam",
          "path" : "CareTeam",
          "short" : "Planned participants in the coordination and delivery of care for a patient or group",
          "definition" : "The Care Team includes all the people and organizations who plan to participate in the coordination and delivery of care for a patient.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "CareTeam.identifier",
          "path" : "CareTeam.identifier",
          "short" : "External Ids for this team",
          "definition" : "Business identifiers assigned to this care team by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the care team as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CareTeam.status",
          "path" : "CareTeam.status",
          "short" : "proposed | active | suspended | inactive | entered-in-error",
          "definition" : "Indicates the current state of the care team.",
          "comment" : "This element is labeled as a modifier because the status contains the code entered-in-error that marks the care team as not currently valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamStatus"
            }],
            "strength" : "required",
            "description" : "Indicates the status of the care team.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-team-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CareTeam.category",
          "path" : "CareTeam.category",
          "short" : "Type of team",
          "definition" : "Identifies what kind of team.  This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.",
          "comment" : "There may be multiple axis of categorization and one team may serve multiple purposes.",
          "requirements" : "Used for filtering what teams(s) are retrieved and displayed to different types of users.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamCategory"
            }],
            "strength" : "example",
            "description" : "Indicates the type of care team.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/care-team-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CareTeam.name",
          "path" : "CareTeam.name",
          "short" : "Name of the team, such as crisis assessment team",
          "definition" : "A label for human use intended to distinguish like teams.  E.g. the \"red\" vs. \"green\" trauma teams.",
          "comment" : "The meaning/purpose of the team is conveyed in CareTeam.category.  This element may also convey semantics of the team (e.g. \"Red trauma team\"), but its primary purpose is to distinguish between identical teams in a human-friendly way.  (\"Team 18735\" isn't as friendly.).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CareTeam.subject",
          "path" : "CareTeam.subject",
          "short" : "Who care team is for",
          "definition" : "Identifies the patient or group whose intended care is handled by the team.",
          "requirements" : "Allows the team to care for a group (e.g. marriage) therapy. \nAllows for an organization to designate a team such as the PICC line team.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CareTeam.encounter",
          "path" : "CareTeam.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this CareTeam was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "CareTeam.period",
          "path" : "CareTeam.period",
          "short" : "Time period team covers",
          "definition" : "Indicates when the team did (or is intended to) come into effect and end.",
          "requirements" : "Allows tracking what team(s) are in effect at a particular time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "CareTeam.participant",
          "path" : "CareTeam.participant",
          "short" : "Members of the team",
          "definition" : "Identifies all people and organizations who are expected to be involved in the care team.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["ctm-1"],
          "constraint" : [{
            "key" : "ctm-1",
            "severity" : "error",
            "human" : "CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner",
            "expression" : "onBehalfOf.exists() implies (member.resolve() is Practitioner)",
            "xpath" : "starts-with(f:member/f:reference/@value, 'Practitioner/') or contains(f:member/f:reference/@value, '/Practitioner/') or exists(ancestor::*/f:contains/f:Practitioner/f:id[@value=substring-after(current()/f:member/f:reference/@value, '#')]) or not(exists(f:onBehalfOf))"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "REL (REL.4 is always the Patient) ( or PRT?)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "CareTeam.participant.role",
          "path" : "CareTeam.participant.role",
          "short" : "Type of involvement",
          "definition" : "Indicates specific responsibility of an individual within the care team, such as \"Primary care physician\", \"Trained social worker counselor\", \"Caregiver\", etc.",
          "comment" : "Roles may sometimes be inferred by type of Practitioner.  These are relationships that hold only within the context of the care team.  General relationships should be handled as properties of the Patient resource directly.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamParticipantRole"
            }],
            "strength" : "example",
            "description" : "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participant-role"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "REL.2 (or PRT-4?)"
          },
          {
            "identity" : "rim",
            "map" : ".functionCode"
          }]
        },
        {
          "id" : "CareTeam.participant.member",
          "path" : "CareTeam.participant.member",
          "short" : "Who is involved",
          "definition" : "The specific person or organization who is participating/expected to participate in the care team.",
          "comment" : "Patient only needs to be listed if they have a role other than \"subject of care\".\n\nMember is optional because some participants may be known only by their role, particularly in draft plans.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "REL.5 (or PRT-5 : ( PRV-4 {provider participations} ) / PRT-5 : ( PRV-4  {non-provider person participations} ) / PRT-5 : ( PRV-4 = (patient non-subject of care) ) / PRT-8?)"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "CareTeam.participant.onBehalfOf",
          "path" : "CareTeam.participant.onBehalfOf",
          "short" : "Organization of the practitioner",
          "definition" : "The organization of the practitioner.",
          "requirements" : "Practitioners can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CareTeam.participant.period",
          "path" : "CareTeam.participant.period",
          "short" : "Time period of participant",
          "definition" : "Indicates when the specific member or organization did (or is intended to) come into effect and end.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "CareTeam.reasonCode",
          "path" : "CareTeam.reasonCode",
          "short" : "Why the care team exists",
          "definition" : "Describes why the care team exists.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamReason"
            }],
            "strength" : "example",
            "description" : "Indicates the reason for the care team.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "CareTeam.reasonReference",
          "path" : "CareTeam.reasonReference",
          "short" : "Why the care team exists",
          "definition" : "Condition(s) that this care team addresses.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "CareTeam.managingOrganization",
          "path" : "CareTeam.managingOrganization",
          "short" : "Organization responsible for the care team",
          "definition" : "The organization responsible for the care team.",
          "requirements" : "Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CareTeam.telecom",
          "path" : "CareTeam.telecom",
          "short" : "A contact detail for the care team (that applies to all members)",
          "definition" : "A central contact detail for the care team (that applies to all members).",
          "comment" : "The ContactPoint.use code of home is not appropriate to use. These contacts are not the contact details of individual care team members.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }]
        },
        {
          "id" : "CareTeam.note",
          "path" : "CareTeam.note",
          "short" : "Comments made about the CareTeam",
          "definition" : "Comments made about the CareTeam.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CatalogEntry",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CatalogEntry",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CatalogEntry 
TU
DomainResource
An entry in a catalog
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique identifier of the catalog item
 type 
0..1
CodeableConcept
The type of item - medication, device, service, protocol or other
 orderable 
Σ
1..1
boolean
Whether the entry represents an orderable item
 referencedItem 
Σ
1..1
Reference(Medication | Device | Organization | Practitioner | PractitionerRole | HealthcareService | ActivityDefinition | PlanDefinition | SpecimenDefinition | ObservationDefinition | Binary)
The item that is being defined
 additionalIdentifier 
0..*
Identifier
Any additional identifier(s) for the catalog item, in the same granularity or concept
 classification 
0..*
CodeableConcept
Classification (category or class) of the item entry
 status 
0..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 validityPeriod 
0..1
Period
The time period in which this catalog entry is expected to be active
 validTo 
0..1
dateTime
The date until which this catalog entry is expected to be active
 lastUpdated 
0..1
dateTime
When was this catalog last updated
 additionalCharacteristic 
0..*
CodeableConcept
Additional characteristics of the catalog entry
 additionalClassification 
0..*
CodeableConcept
Additional classification of the catalog entry
 relatedEntry 
0..*
BackboneElement
An item that this catalog entry is related to
 relationtype 
1..1
code
triggers | is-replaced-by
CatalogEntryRelationType (Required)
 item 
1..1
Reference(CatalogEntry)
The reference to the related item

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Documents"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CatalogEntry",
      "version" : "4.0.0",
      "name" : "CatalogEntry",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "Catalog entries are wrappers that contextualize items included in a catalog.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CatalogEntry",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CatalogEntry",
          "path" : "CatalogEntry",
          "short" : "An entry in a catalog",
          "definition" : "Catalog entries are wrappers that contextualize items included in a catalog.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CatalogEntry",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "CatalogEntry.id",
          "path" : "CatalogEntry.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.meta",
          "path" : "CatalogEntry.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.implicitRules",
          "path" : "CatalogEntry.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.language",
          "path" : "CatalogEntry.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CatalogEntry.text",
          "path" : "CatalogEntry.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CatalogEntry.contained",
          "path" : "CatalogEntry.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CatalogEntry.extension",
          "path" : "CatalogEntry.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CatalogEntry.modifierExtension",
          "path" : "CatalogEntry.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CatalogEntry.identifier",
          "path" : "CatalogEntry.identifier",
          "short" : "Unique identifier of the catalog item",
          "definition" : "Used in supporting different identifiers for the same product, e.g. manufacturer code and retailer code.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CatalogEntry.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.type",
          "path" : "CatalogEntry.type",
          "short" : "The type of item - medication, device, service, protocol or other",
          "definition" : "The type of item - medication, device, service, protocol or other.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.orderable",
          "path" : "CatalogEntry.orderable",
          "short" : "Whether the entry represents an orderable item",
          "definition" : "Whether the entry represents an orderable item.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.orderable",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.referencedItem",
          "path" : "CatalogEntry.referencedItem",
          "short" : "The item that is being defined",
          "definition" : "The item in a catalog or definition.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.referencedItem",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/SpecimenDefinition",
            "http://hl7.org/fhir/StructureDefinition/ObservationDefinition",
            "http://hl7.org/fhir/StructureDefinition/Binary"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.additionalIdentifier",
          "path" : "CatalogEntry.additionalIdentifier",
          "short" : "Any additional identifier(s) for the catalog item, in the same granularity or concept",
          "definition" : "Used in supporting related concepts, e.g. NDC to RxNorm.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CatalogEntry.additionalIdentifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.classification",
          "path" : "CatalogEntry.classification",
          "short" : "Classification (category or class) of the item entry",
          "definition" : "Classes of devices, or ATC for medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CatalogEntry.classification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.status",
          "path" : "CatalogEntry.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "Used to support catalog exchange even for unsupported products, e.g. getting list of medications even if not prescribable.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          }
        },
        {
          "id" : "CatalogEntry.validityPeriod",
          "path" : "CatalogEntry.validityPeriod",
          "short" : "The time period in which this catalog entry is expected to be active",
          "definition" : "The time period in which this catalog entry is expected to be active.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.validityPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.validTo",
          "path" : "CatalogEntry.validTo",
          "short" : "The date until which this catalog entry is expected to be active",
          "definition" : "The date until which this catalog entry is expected to be active.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.validTo",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.lastUpdated",
          "path" : "CatalogEntry.lastUpdated",
          "short" : "When was this catalog last updated",
          "definition" : "Typically date of issue is different from the beginning of the validity. This can be used to see when an item was last updated.",
          "comment" : "Perhaps not needed - if we use fhir resource metadata.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.lastUpdated",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.additionalCharacteristic",
          "path" : "CatalogEntry.additionalCharacteristic",
          "short" : "Additional characteristics of the catalog entry",
          "definition" : "Used for examplefor Out of Formulary, or any specifics.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CatalogEntry.additionalCharacteristic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.additionalClassification",
          "path" : "CatalogEntry.additionalClassification",
          "short" : "Additional classification of the catalog entry",
          "definition" : "User for example for ATC classification, or.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CatalogEntry.additionalClassification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.relatedEntry",
          "path" : "CatalogEntry.relatedEntry",
          "short" : "An item that this catalog entry is related to",
          "definition" : "Used for example, to point to a substance, or to a device used to administer a medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CatalogEntry.relatedEntry",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CatalogEntry.relatedEntry.id",
          "path" : "CatalogEntry.relatedEntry.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CatalogEntry.relatedEntry.extension",
          "path" : "CatalogEntry.relatedEntry.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CatalogEntry.relatedEntry.modifierExtension",
          "path" : "CatalogEntry.relatedEntry.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CatalogEntry.relatedEntry.relationtype",
          "path" : "CatalogEntry.relatedEntry.relationtype",
          "short" : "triggers | is-replaced-by",
          "definition" : "The type of relation to the related item: child, parent, packageContent, containerPackage, usedIn, uses, requires, etc.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.relatedEntry.relationtype",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CatalogEntryRelationType"
            }],
            "strength" : "required",
            "description" : "The type of relations between entries.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/relation-type|4.0.0"
          }
        },
        {
          "id" : "CatalogEntry.relatedEntry.item",
          "path" : "CatalogEntry.relatedEntry.item",
          "short" : "The reference to the related item",
          "definition" : "The reference to the related item.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CatalogEntry.relatedEntry.item",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CatalogEntry"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CatalogEntry",
          "path" : "CatalogEntry",
          "short" : "An entry in a catalog",
          "definition" : "Catalog entries are wrappers that contextualize items included in a catalog.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "CatalogEntry.identifier",
          "path" : "CatalogEntry.identifier",
          "short" : "Unique identifier of the catalog item",
          "definition" : "Used in supporting different identifiers for the same product, e.g. manufacturer code and retailer code.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.type",
          "path" : "CatalogEntry.type",
          "short" : "The type of item - medication, device, service, protocol or other",
          "definition" : "The type of item - medication, device, service, protocol or other.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "CatalogEntry.orderable",
          "path" : "CatalogEntry.orderable",
          "short" : "Whether the entry represents an orderable item",
          "definition" : "Whether the entry represents an orderable item.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.referencedItem",
          "path" : "CatalogEntry.referencedItem",
          "short" : "The item that is being defined",
          "definition" : "The item in a catalog or definition.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/SpecimenDefinition",
            "http://hl7.org/fhir/StructureDefinition/ObservationDefinition",
            "http://hl7.org/fhir/StructureDefinition/Binary"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CatalogEntry.additionalIdentifier",
          "path" : "CatalogEntry.additionalIdentifier",
          "short" : "Any additional identifier(s) for the catalog item, in the same granularity or concept",
          "definition" : "Used in supporting related concepts, e.g. NDC to RxNorm.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "CatalogEntry.classification",
          "path" : "CatalogEntry.classification",
          "short" : "Classification (category or class) of the item entry",
          "definition" : "Classes of devices, or ATC for medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "CatalogEntry.status",
          "path" : "CatalogEntry.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "Used to support catalog exchange even for unsupported products, e.g. getting list of medications even if not prescribable.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          }
        },
        {
          "id" : "CatalogEntry.validityPeriod",
          "path" : "CatalogEntry.validityPeriod",
          "short" : "The time period in which this catalog entry is expected to be active",
          "definition" : "The time period in which this catalog entry is expected to be active.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "CatalogEntry.validTo",
          "path" : "CatalogEntry.validTo",
          "short" : "The date until which this catalog entry is expected to be active",
          "definition" : "The date until which this catalog entry is expected to be active.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "CatalogEntry.lastUpdated",
          "path" : "CatalogEntry.lastUpdated",
          "short" : "When was this catalog last updated",
          "definition" : "Typically date of issue is different from the beginning of the validity. This can be used to see when an item was last updated.",
          "comment" : "Perhaps not needed - if we use fhir resource metadata.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "CatalogEntry.additionalCharacteristic",
          "path" : "CatalogEntry.additionalCharacteristic",
          "short" : "Additional characteristics of the catalog entry",
          "definition" : "Used for examplefor Out of Formulary, or any specifics.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "CatalogEntry.additionalClassification",
          "path" : "CatalogEntry.additionalClassification",
          "short" : "Additional classification of the catalog entry",
          "definition" : "User for example for ATC classification, or.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "CatalogEntry.relatedEntry",
          "path" : "CatalogEntry.relatedEntry",
          "short" : "An item that this catalog entry is related to",
          "definition" : "Used for example, to point to a substance, or to a device used to administer a medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CatalogEntry.relatedEntry.relationtype",
          "path" : "CatalogEntry.relatedEntry.relationtype",
          "short" : "triggers | is-replaced-by",
          "definition" : "The type of relation to the related item: child, parent, packageContent, containerPackage, usedIn, uses, requires, etc.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CatalogEntryRelationType"
            }],
            "strength" : "required",
            "description" : "The type of relations between entries.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/relation-type|4.0.0"
          }
        },
        {
          "id" : "CatalogEntry.relatedEntry.item",
          "path" : "CatalogEntry.relatedEntry.item",
          "short" : "The reference to the related item",
          "definition" : "The reference to the related item.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CatalogEntry"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ChargeItem",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ChargeItem",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ChargeItem 
TU
DomainResource
Item containing charge code(s) associated with the provision of healthcare provider products
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business Identifier for item
 definitionUri 
0..*
uri
Defining information about the code of this charge item
 definitionCanonical 
0..*
canonical(ChargeItemDefinition)
Resource defining the code of this ChargeItem
 status 
?!Σ
1..1
code
planned | billable | not-billable | aborted | billed | entered-in-error | unknown
ChargeItemStatus (Required)
 partOf 
0..*
Reference(ChargeItem)
Part of referenced ChargeItem
 code 
Σ
1..1
CodeableConcept
A code that identifies the charge, like a billing code
ChargeItemCode (Example)
 subject 
Σ
1..1
Reference(Patient | Group)
Individual service was done for/to
 context 
Σ
0..1
Reference(Encounter | EpisodeOfCare)
Encounter / Episode associated with event
 occurrence[x] 
Σ
0..1
When the charged service was applied
 occurrenceDateTime
dateTime
 occurrencePeriod
Period
 occurrenceTiming
Timing
 performer 
0..*
BackboneElement
Who performed charged service
 function 
0..1
CodeableConcept
What type of performance was done
Procedure Performer Role Codes (Example)
 actor 
1..1
Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)
Individual who was performing
 performingOrganization 
0..1
Reference(Organization)
Organization providing the charged service
 requestingOrganization 
0..1
Reference(Organization)
Organization requesting the charged service
 costCenter 
0..1
Reference(Organization)
Organization that has ownership of the (potential, future) revenue
 quantity 
Σ
0..1
Quantity
Quantity of which the charge item has been serviced
 bodysite 
Σ
0..*
CodeableConcept
Anatomical location, if relevant
SNOMED CT Body Structures (Example)
 factorOverride 
0..1
decimal
Factor overriding the associated rules
 priceOverride 
0..1
Money
Price overriding the associated rules
 overrideReason 
0..1
string
Reason for overriding the list price/factor
 enterer 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)
Individual who was entering
 enteredDate 
Σ
0..1
dateTime
Date the charge item was entered
 reason 
0..*
CodeableConcept
Why was the charged  service rendered?
ICD-10 Codes (Example)
 service 
0..*
Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery)
Which rendered service is being charged?
 product[x] 
0..1
Product charged
FHIR Device Types (Example)
 productReference
Reference(Device | Medication | Substance)
 productCodeableConcept
CodeableConcept
 account 
Σ
0..*
Reference(Account)
Account to place this charge
 note 
0..*
Annotation
Comments made about the ChargeItem
 supportingInformation 
0..*
Reference(Any)
Further information supporting this charge

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.General"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ChargeItem",
      "version" : "4.0.0",
      "name" : "ChargeItem",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ChargeItem",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ChargeItem",
          "path" : "ChargeItem",
          "short" : "Item containing charge code(s) associated with the provision of healthcare provider products",
          "definition" : "The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "FT1"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode=EVN]"
          }]
        },
        {
          "id" : "ChargeItem.id",
          "path" : "ChargeItem.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ChargeItem.meta",
          "path" : "ChargeItem.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ChargeItem.implicitRules",
          "path" : "ChargeItem.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ChargeItem.language",
          "path" : "ChargeItem.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ChargeItem.text",
          "path" : "ChargeItem.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ChargeItem.contained",
          "path" : "ChargeItem.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItem.extension",
          "path" : "ChargeItem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItem.modifierExtension",
          "path" : "ChargeItem.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItem.identifier",
          "path" : "ChargeItem.identifier",
          "short" : "Business Identifier for item",
          "definition" : "Identifiers assigned to this event performer or other systems.",
          "requirements" : "Allows identification of the charge Item as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "FT1.2"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "ChargeItem.definitionUri",
          "path" : "ChargeItem.definitionUri",
          "short" : "Defining information about the code of this charge item",
          "definition" : "References the (external) source of pricing information, rules of application for the code this ChargeItem uses.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.definitionUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiates"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ChargeItem.definitionCanonical",
          "path" : "ChargeItem.definitionCanonical",
          "short" : "Resource defining the code of this ChargeItem",
          "definition" : "References the source of pricing information, rules of application for the code this ChargeItem uses.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.definitionCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiates"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ChargeItem.status",
          "path" : "ChargeItem.status",
          "short" : "planned | billable | not-billable | aborted | billed | entered-in-error | unknown",
          "definition" : "The current state of the ChargeItem.",
          "comment" : "Unknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the charge item as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of a ChargeItem.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ChargeItem.partOf",
          "path" : "ChargeItem.partOf",
          "short" : "Part of referenced ChargeItem",
          "definition" : "ChargeItems can be grouped to larger ChargeItems covering the whole set.",
          "requirements" : "E.g. Drug administration as part of a procedure, procedure as part of observation, etc.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItem"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "ChargeItem.code",
          "path" : "ChargeItem.code",
          "short" : "A code that identifies the charge, like a billing code",
          "definition" : "A code that identifies the charge, like a billing code.",
          "alias" : ["type"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemCode"
            }],
            "strength" : "example",
            "description" : "Example set of codes that can be used for billing purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "FT1.7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "ChargeItem.subject",
          "path" : "ChargeItem.subject",
          "short" : "Individual service was done for/to",
          "definition" : "The individual or set of individuals the action is being or was performed on.",
          "requirements" : "Links the event to the Patient context.",
          "alias" : ["patient"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PAT in proximity to FT1 segment"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ChargeItem.context",
          "path" : "ChargeItem.context",
          "short" : "Encounter / Episode associated with event",
          "definition" : "The encounter or episode of care that establishes the context for this event.",
          "requirements" : "Links the request to the Encounter context.",
          "alias" : ["encounter"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.context",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1 in proximity to FT1 segment"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "ChargeItem.occurrence[x]",
          "path" : "ChargeItem.occurrence[x]",
          "short" : "When the charged service was applied",
          "definition" : "Date/time(s) or duration when the charged service was applied.",
          "comment" : "The list of types may be constrained as appropriate for the type of charge item.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.occurrence[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "ChargeItem.performer",
          "path" : "ChargeItem.performer",
          "short" : "Who performed charged service",
          "definition" : "Indicates who or what performed or participated in the charged service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ChargeItem.performer.id",
          "path" : "ChargeItem.performer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ChargeItem.performer.extension",
          "path" : "ChargeItem.performer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ChargeItem.performer.modifierExtension",
          "path" : "ChargeItem.performer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItem.performer.function",
          "path" : "ChargeItem.performer.function",
          "short" : "What type of performance was done",
          "definition" : "Describes the type of performance or participation(e.g. primary surgeon, anesthesiologiest, etc.).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.performer.function",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemPerformerFunction"
            }],
            "strength" : "example",
            "description" : "Codes describing the types of functional roles performers can take on when performing events.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation.functionCode"
          }]
        },
        {
          "id" : "ChargeItem.performer.actor",
          "path" : "ChargeItem.performer.actor",
          "short" : "Individual who was performing",
          "definition" : "The device, practitioner, etc. who performed or participated in the service.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.performer.actor",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "ChargeItem.performingOrganization",
          "path" : "ChargeItem.performingOrganization",
          "short" : "Organization providing the charged service",
          "definition" : "The organization requesting the service.",
          "comment" : "Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.performingOrganization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "ChargeItem.requestingOrganization",
          "path" : "ChargeItem.requestingOrganization",
          "short" : "Organization requesting the charged service",
          "definition" : "The organization performing the service.",
          "comment" : "The rendered Service might not be associated with a Request. This property indicates which Organization requested the services to be rendered. (In many cases, this may just be the Department associated with the Encounter.location).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.requestingOrganization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "ChargeItem.costCenter",
          "path" : "ChargeItem.costCenter",
          "short" : "Organization that has ownership of the (potential, future) revenue",
          "definition" : "The financial cost center permits the tracking of charge attribution.",
          "comment" : "The costCenter could either be given as a reference to an Organization(Role) resource or as the identifier of the cost center determined by Reference.identifier.value and Reference.identifier.system, depending on use case requirements.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.costCenter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.13"
          }]
        },
        {
          "id" : "ChargeItem.quantity",
          "path" : "ChargeItem.quantity",
          "short" : "Quantity of which the charge item has been serviced",
          "definition" : "Quantity of which the charge item has been serviced.",
          "comment" : "In many cases this may just be a value, if the underlying units are implicit in the definition of the charge item code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.10"
          }]
        },
        {
          "id" : "ChargeItem.bodysite",
          "path" : "ChargeItem.bodysite",
          "short" : "Anatomical location, if relevant",
          "definition" : "The anatomical location where the related service has been applied.",
          "comment" : "Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.bodysite",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".targetBodySiteCode"
          }]
        },
        {
          "id" : "ChargeItem.factorOverride",
          "path" : "ChargeItem.factorOverride",
          "short" : "Factor overriding the associated rules",
          "definition" : "Factor overriding the factor determined by the rules associated with the code.",
          "comment" : "There is no reason to carry the factor in the instance of a ChargeItem unless special circumstances require a manual override. The factors are usually defined by a set of rules in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.factorOverride",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.26"
          }]
        },
        {
          "id" : "ChargeItem.priceOverride",
          "path" : "ChargeItem.priceOverride",
          "short" : "Price overriding the associated rules",
          "definition" : "Total price of the charge overriding the list price associated with the code.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.priceOverride",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "ChargeItem.overrideReason",
          "path" : "ChargeItem.overrideReason",
          "short" : "Reason for overriding the list price/factor",
          "definition" : "If the list price or the rule-based factor associated with the code is overridden, this attribute can capture a text to indicate the  reason for this action.",
          "comment" : "Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.overrideReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ChargeItem.enterer",
          "path" : "ChargeItem.enterer",
          "short" : "Individual who was entering",
          "definition" : "The device, practitioner, etc. who entered the charge item.",
          "comment" : "The enterer is also the person considered responsible for factor/price overrides if applicable.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.enterer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "ChargeItem.enteredDate",
          "path" : "ChargeItem.enteredDate",
          "short" : "Date the charge item was entered",
          "definition" : "Date the charge item was entered.",
          "comment" : "The actual date when the service associated with the charge has been rendered is captured in occurrence[x].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.enteredDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ChargeItem.reason",
          "path" : "ChargeItem.reason",
          "short" : "Why was the charged  service rendered?",
          "definition" : "Describes why the event occurred in coded or textual form.",
          "comment" : "If the application of the charge item requires a reason to be given, it can be captured here. Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.reason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemReason"
            }],
            "strength" : "example",
            "description" : "Example binding for reason.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "ChargeItem.service",
          "path" : "ChargeItem.service",
          "short" : "Which rendered service is being charged?",
          "definition" : "Indicated the rendered service that caused this charge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.service",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
            "http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/SupplyDelivery"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "ChargeItem.product[x]",
          "path" : "ChargeItem.product[x]",
          "short" : "Product charged",
          "definition" : "Identifies the device, food, drug or other product being charged either by type code or reference to an instance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItem.product[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemProduct"
            }],
            "strength" : "example",
            "description" : "Example binding for product type.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role"
          }]
        },
        {
          "id" : "ChargeItem.account",
          "path" : "ChargeItem.account",
          "short" : "Account to place this charge",
          "definition" : "Account into which this ChargeItems belongs.",
          "comment" : "Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the postprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.account",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ChargeItem.note",
          "path" : "ChargeItem.note",
          "short" : "Comments made about the ChargeItem",
          "definition" : "Comments made about the event by the performer, subject or other participants.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        },
        {
          "id" : "ChargeItem.supportingInformation",
          "path" : "ChargeItem.supportingInformation",
          "short" : "Further information supporting this charge",
          "definition" : "Further information supporting this charge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItem.supportingInformation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.supportingInfo"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ChargeItem",
          "path" : "ChargeItem",
          "short" : "Item containing charge code(s) associated with the provision of healthcare provider products",
          "definition" : "The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "FT1"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode=EVN]"
          }]
        },
        {
          "id" : "ChargeItem.identifier",
          "path" : "ChargeItem.identifier",
          "short" : "Business Identifier for item",
          "definition" : "Identifiers assigned to this event performer or other systems.",
          "requirements" : "Allows identification of the charge Item as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "FT1.2"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "ChargeItem.definitionUri",
          "path" : "ChargeItem.definitionUri",
          "short" : "Defining information about the code of this charge item",
          "definition" : "References the (external) source of pricing information, rules of application for the code this ChargeItem uses.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiates"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ChargeItem.definitionCanonical",
          "path" : "ChargeItem.definitionCanonical",
          "short" : "Resource defining the code of this ChargeItem",
          "definition" : "References the source of pricing information, rules of application for the code this ChargeItem uses.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiates"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ChargeItem.status",
          "path" : "ChargeItem.status",
          "short" : "planned | billable | not-billable | aborted | billed | entered-in-error | unknown",
          "definition" : "The current state of the ChargeItem.",
          "comment" : "Unknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the charge item as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of a ChargeItem.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ChargeItem.partOf",
          "path" : "ChargeItem.partOf",
          "short" : "Part of referenced ChargeItem",
          "definition" : "ChargeItems can be grouped to larger ChargeItems covering the whole set.",
          "requirements" : "E.g. Drug administration as part of a procedure, procedure as part of observation, etc.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItem"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "ChargeItem.code",
          "path" : "ChargeItem.code",
          "short" : "A code that identifies the charge, like a billing code",
          "definition" : "A code that identifies the charge, like a billing code.",
          "alias" : ["type"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemCode"
            }],
            "strength" : "example",
            "description" : "Example set of codes that can be used for billing purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "FT1.7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "ChargeItem.subject",
          "path" : "ChargeItem.subject",
          "short" : "Individual service was done for/to",
          "definition" : "The individual or set of individuals the action is being or was performed on.",
          "requirements" : "Links the event to the Patient context.",
          "alias" : ["patient"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PAT in proximity to FT1 segment"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ChargeItem.context",
          "path" : "ChargeItem.context",
          "short" : "Encounter / Episode associated with event",
          "definition" : "The encounter or episode of care that establishes the context for this event.",
          "requirements" : "Links the request to the Encounter context.",
          "alias" : ["encounter"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1 in proximity to FT1 segment"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "ChargeItem.occurrence[x]",
          "path" : "ChargeItem.occurrence[x]",
          "short" : "When the charged service was applied",
          "definition" : "Date/time(s) or duration when the charged service was applied.",
          "comment" : "The list of types may be constrained as appropriate for the type of charge item.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "ChargeItem.performer",
          "path" : "ChargeItem.performer",
          "short" : "Who performed charged service",
          "definition" : "Indicates who or what performed or participated in the charged service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ChargeItem.performer.function",
          "path" : "ChargeItem.performer.function",
          "short" : "What type of performance was done",
          "definition" : "Describes the type of performance or participation(e.g. primary surgeon, anesthesiologiest, etc.).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemPerformerFunction"
            }],
            "strength" : "example",
            "description" : "Codes describing the types of functional roles performers can take on when performing events.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation.functionCode"
          }]
        },
        {
          "id" : "ChargeItem.performer.actor",
          "path" : "ChargeItem.performer.actor",
          "short" : "Individual who was performing",
          "definition" : "The device, practitioner, etc. who performed or participated in the service.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "ChargeItem.performingOrganization",
          "path" : "ChargeItem.performingOrganization",
          "short" : "Organization providing the charged service",
          "definition" : "The organization requesting the service.",
          "comment" : "Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "ChargeItem.requestingOrganization",
          "path" : "ChargeItem.requestingOrganization",
          "short" : "Organization requesting the charged service",
          "definition" : "The organization performing the service.",
          "comment" : "The rendered Service might not be associated with a Request. This property indicates which Organization requested the services to be rendered. (In many cases, this may just be the Department associated with the Encounter.location).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "ChargeItem.costCenter",
          "path" : "ChargeItem.costCenter",
          "short" : "Organization that has ownership of the (potential, future) revenue",
          "definition" : "The financial cost center permits the tracking of charge attribution.",
          "comment" : "The costCenter could either be given as a reference to an Organization(Role) resource or as the identifier of the cost center determined by Reference.identifier.value and Reference.identifier.system, depending on use case requirements.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.13"
          }]
        },
        {
          "id" : "ChargeItem.quantity",
          "path" : "ChargeItem.quantity",
          "short" : "Quantity of which the charge item has been serviced",
          "definition" : "Quantity of which the charge item has been serviced.",
          "comment" : "In many cases this may just be a value, if the underlying units are implicit in the definition of the charge item code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.10"
          }]
        },
        {
          "id" : "ChargeItem.bodysite",
          "path" : "ChargeItem.bodysite",
          "short" : "Anatomical location, if relevant",
          "definition" : "The anatomical location where the related service has been applied.",
          "comment" : "Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".targetBodySiteCode"
          }]
        },
        {
          "id" : "ChargeItem.factorOverride",
          "path" : "ChargeItem.factorOverride",
          "short" : "Factor overriding the associated rules",
          "definition" : "Factor overriding the factor determined by the rules associated with the code.",
          "comment" : "There is no reason to carry the factor in the instance of a ChargeItem unless special circumstances require a manual override. The factors are usually defined by a set of rules in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.26"
          }]
        },
        {
          "id" : "ChargeItem.priceOverride",
          "path" : "ChargeItem.priceOverride",
          "short" : "Price overriding the associated rules",
          "definition" : "Total price of the charge overriding the list price associated with the code.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "ChargeItem.overrideReason",
          "path" : "ChargeItem.overrideReason",
          "short" : "Reason for overriding the list price/factor",
          "definition" : "If the list price or the rule-based factor associated with the code is overridden, this attribute can capture a text to indicate the  reason for this action.",
          "comment" : "Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : false
        },
        {
          "id" : "ChargeItem.enterer",
          "path" : "ChargeItem.enterer",
          "short" : "Individual who was entering",
          "definition" : "The device, practitioner, etc. who entered the charge item.",
          "comment" : "The enterer is also the person considered responsible for factor/price overrides if applicable.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "ChargeItem.enteredDate",
          "path" : "ChargeItem.enteredDate",
          "short" : "Date the charge item was entered",
          "definition" : "Date the charge item was entered.",
          "comment" : "The actual date when the service associated with the charge has been rendered is captured in occurrence[x].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "ChargeItem.reason",
          "path" : "ChargeItem.reason",
          "short" : "Why was the charged  service rendered?",
          "definition" : "Describes why the event occurred in coded or textual form.",
          "comment" : "If the application of the charge item requires a reason to be given, it can be captured here. Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemReason"
            }],
            "strength" : "example",
            "description" : "Example binding for reason.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "ChargeItem.service",
          "path" : "ChargeItem.service",
          "short" : "Which rendered service is being charged?",
          "definition" : "Indicated the rendered service that caused this charge.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
            "http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/SupplyDelivery"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "ChargeItem.product[x]",
          "path" : "ChargeItem.product[x]",
          "short" : "Product charged",
          "definition" : "Identifies the device, food, drug or other product being charged either by type code or reference to an instance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemProduct"
            }],
            "strength" : "example",
            "description" : "Example binding for product type.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role"
          }]
        },
        {
          "id" : "ChargeItem.account",
          "path" : "ChargeItem.account",
          "short" : "Account to place this charge",
          "definition" : "Account into which this ChargeItems belongs.",
          "comment" : "Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the postprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ChargeItem.note",
          "path" : "ChargeItem.note",
          "short" : "Comments made about the ChargeItem",
          "definition" : "Comments made about the event by the performer, subject or other participants.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        },
        {
          "id" : "ChargeItem.supportingInformation",
          "path" : "ChargeItem.supportingInformation",
          "short" : "Further information supporting this charge",
          "definition" : "Further information supporting this charge.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.supportingInfo"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ChargeItemDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ChargeItemDefinition 
ITU
DomainResource
Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
1..1
uri
Canonical identifier for this charge item definition, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the charge item definition
 version 
Σ
0..1
string
Business version of the charge item definition
 title 
Σ
0..1
string
Name for this charge item definition (human friendly)
 derivedFromUri 
Σ
0..*
uri
Underlying externally-defined charge item definition
 partOf 
Σ
0..*
canonical(ChargeItemDefinition)
A larger definition of which this particular definition is a component or step
 replaces 
Σ
0..*
canonical(ChargeItemDefinition)
Completed or terminated request(s) whose function is taken by this new request
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the charge item definition
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for charge item definition (if applicable)
Jurisdiction (Extensible)
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the charge item definition was approved by publisher
 lastReviewDate 
0..1
date
When the charge item definition was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the charge item definition is expected to be used
 code 
Σ
0..1
CodeableConcept
Billing codes or product types this definition applies to
ChargeItemCode (Example)
 instance 
0..*
Reference(Medication | Substance | Device)
Instances this definition applies to
 applicability 
0..*
BackboneElement
Whether or not the billing code is applicable
 description 
0..1
string
Natural language description of the condition
 language 
0..1
string
Language of the expression
 expression 
0..1
string
Boolean-valued expression
 propertyGroup 
0..*
BackboneElement
Group of properties which are applicable under the same conditions
 applicability 
0..*
see applicability
Conditions under which the priceComponent is applicable
 priceComponent 
0..*
BackboneElement
Components of total line item price
 type 
1..1
code
base | surcharge | deduction | discount | tax | informational
InvoicePriceComponentType (Required)
 code 
0..1
CodeableConcept
Code identifying the specific component
 factor 
0..1
decimal
Factor used for calculating this component
 amount 
0..1
Money
Monetary amount associated with this component

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.General"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition",
      "version" : "4.0.0",
      "name" : "ChargeItemDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "The ChargeItemDefinition resource provides the properties that apply to the (billing) codes necessary to calculate costs and prices. The properties may differ largely depending on type and realm, therefore this resource gives only a rough structure and requires profiling for each type of billing code system.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ChargeItemDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ChargeItemDefinition",
          "path" : "ChargeItemDefinition",
          "short" : "Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined",
          "definition" : "The ChargeItemDefinition resource provides the properties that apply to the (billing) codes necessary to calculate costs and prices. The properties may differ largely depending on type and realm, therefore this resource gives only a rough structure and requires profiling for each type of billing code system.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "cid-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.id",
          "path" : "ChargeItemDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ChargeItemDefinition.meta",
          "path" : "ChargeItemDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ChargeItemDefinition.implicitRules",
          "path" : "ChargeItemDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ChargeItemDefinition.language",
          "path" : "ChargeItemDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ChargeItemDefinition.text",
          "path" : "ChargeItemDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ChargeItemDefinition.contained",
          "path" : "ChargeItemDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.extension",
          "path" : "ChargeItemDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.modifierExtension",
          "path" : "ChargeItemDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.url",
          "path" : "ChargeItemDefinition.url",
          "short" : "Canonical identifier for this charge item definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this charge item definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this charge item definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the charge item definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the charge item definition to be referenced by a single globally unique identifier.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.identifier",
          "path" : "ChargeItemDefinition.identifier",
          "short" : "Additional identifier for the charge item definition",
          "definition" : "A formal identifier that is used to identify this charge item definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this charge item definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.version",
          "path" : "ChargeItemDefinition.version",
          "short" : "Business version of the charge item definition",
          "definition" : "The identifier that is used to identify this version of the charge item definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the charge item definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets.",
          "comment" : "There may be different charge item definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the charge item definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.title",
          "path" : "ChargeItemDefinition.title",
          "short" : "Name for this charge item definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the charge item definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.derivedFromUri",
          "path" : "ChargeItemDefinition.derivedFromUri",
          "short" : "Underlying externally-defined charge item definition",
          "definition" : "The URL pointing to an externally-defined charge item definition that is adhered to in whole or in part by this definition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.derivedFromUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.partOf",
          "path" : "ChargeItemDefinition.partOf",
          "short" : "A larger definition of which this particular definition is a component or step",
          "definition" : "A larger definition of which this particular definition is a component or step.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.replaces",
          "path" : "ChargeItemDefinition.replaces",
          "short" : "Completed or terminated request(s) whose function is taken by this new request",
          "definition" : "As new versions of a protocol or guideline are defined, allows identification of what versions are replaced by a new instance.",
          "alias" : ["supersedes",
          "prior",
          "renewed order"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.replaces",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.status",
          "path" : "ChargeItemDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The current state of the ChargeItemDefinition.",
          "comment" : "Allows filtering of charge item definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status {different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.experimental",
          "path" : "ChargeItemDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this charge item definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of charge item definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level charge item definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.date",
          "path" : "ChargeItemDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the charge item definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the charge item definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the charge item definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.publisher",
          "path" : "ChargeItemDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the charge item definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the charge item definition is the organization or individual primarily responsible for the maintenance and upkeep of the charge item definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the charge item definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the charge item definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher {as string instead of CodeableConcept}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.contact",
          "path" : "ChargeItemDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.description",
          "path" : "ChargeItemDefinition.description",
          "short" : "Natural language description of the charge item definition",
          "definition" : "A free text natural language description of the charge item definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the charge item definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the charge item definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the charge item definition is presumed to be the predominant language in the place the charge item definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.useContext",
          "path" : "ChargeItemDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate charge item definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.jurisdiction",
          "path" : "ChargeItemDefinition.jurisdiction",
          "short" : "Intended jurisdiction for charge item definition (if applicable)",
          "definition" : "A legal or geographic region in which the charge item definition is intended to be used.",
          "comment" : "It may be possible for the charge item definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.copyright",
          "path" : "ChargeItemDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the charge item definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the charge item definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the charge item definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.approvalDate",
          "path" : "ChargeItemDefinition.approvalDate",
          "short" : "When the charge item definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.lastReviewDate",
          "path" : "ChargeItemDefinition.lastReviewDate",
          "short" : "When the charge item definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.effectivePeriod",
          "path" : "ChargeItemDefinition.effectivePeriod",
          "short" : "When the charge item definition is expected to be used",
          "definition" : "The period during which the charge item definition content was or is planned to be in active use.",
          "comment" : "The effective period for a charge item definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the charge item definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.code",
          "path" : "ChargeItemDefinition.code",
          "short" : "Billing codes or product types this definition applies to",
          "definition" : "The defined billing details in this resource pertain to the given billing code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemDefinitionCode"
            }],
            "strength" : "example",
            "description" : "Billing Code defined by this ChargeItemDefinition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.instance",
          "path" : "ChargeItemDefinition.instance",
          "short" : "Instances this definition applies to",
          "definition" : "The defined billing details in this resource pertain to the given product instance(s).",
          "comment" : "In case of highly customized, individually produced or fitted devices/substances, the pricing information may be different for each instance of the product. This reference links pricing details to specific product instances.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.instance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability",
          "path" : "ChargeItemDefinition.applicability",
          "short" : "Whether or not the billing code is applicable",
          "definition" : "Expressions that describe applicability criteria for the billing code.",
          "comment" : "The applicability conditions can be used to ascertain whether a billing item is allowed in a specific context. E.g. some billing codes may only be applicable in out-patient settings, only to male/female patients or only to children.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.applicability",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.id",
          "path" : "ChargeItemDefinition.applicability.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.extension",
          "path" : "ChargeItemDefinition.applicability.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.modifierExtension",
          "path" : "ChargeItemDefinition.applicability.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.description",
          "path" : "ChargeItemDefinition.applicability.description",
          "short" : "Natural language description of the condition",
          "definition" : "A brief, natural language description of the condition that effectively communicates the intended semantics.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.applicability.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.language",
          "path" : "ChargeItemDefinition.applicability.language",
          "short" : "Language of the expression",
          "definition" : "The media type of the language for the expression, e.g. \"text/cql\" for Clinical Query Language expressions or \"text/fhirpath\" for FHIRPath expressions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.applicability.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.expression",
          "path" : "ChargeItemDefinition.applicability.expression",
          "short" : "Boolean-valued expression",
          "definition" : "An expression that returns true or false, indicating whether the condition is satisfied. When using FHIRPath expressions, the %context environment variable must be replaced at runtime with the ChargeItem resource to which this definition is applied.",
          "comment" : "Please note that FHIRPath Expressions can only be evaluated in the scope of the current ChargeItem resource to which this definition is being applied.\nFHIRPath expressions can traverse into other resources linked from the ChargeItem resource, however, testing rules such as that a billing code may be billed only once per encounter need a wider scope. In such scenarios, CQL may be the appropriate choice.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.applicability.expression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup",
          "path" : "ChargeItemDefinition.propertyGroup",
          "short" : "Group of properties which are applicable under the same conditions",
          "definition" : "Group of properties which are applicable under the same conditions. If no applicability rules are established for the group, then all properties always apply.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.propertyGroup",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.id",
          "path" : "ChargeItemDefinition.propertyGroup.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.extension",
          "path" : "ChargeItemDefinition.propertyGroup.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.modifierExtension",
          "path" : "ChargeItemDefinition.propertyGroup.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.applicability",
          "path" : "ChargeItemDefinition.propertyGroup.applicability",
          "short" : "Conditions under which the priceComponent is applicable",
          "definition" : "Expressions that describe applicability criteria for the priceComponent.",
          "comment" : "The applicability conditions can be used to ascertain whether a billing item is allowed in a specific context. E.g. some billing codes may only be applicable in out-patient settings, only to male/female patients or only to children.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.propertyGroup.applicability",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ChargeItemDefinition.applicability",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent",
          "short" : "Components of total line item price",
          "definition" : "The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the prices have been calculated.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ChargeItemDefinition.propertyGroup.priceComponent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.id",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.extension",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.modifierExtension",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.type",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.type",
          "short" : "base | surcharge | deduction | discount | tax | informational",
          "definition" : "This code identifies the type of the component.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.propertyGroup.priceComponent.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemDefinitionPriceComponentType"
            }],
            "strength" : "required",
            "description" : "Codes indicating the kind of the price component.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.code",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.code",
          "short" : "Code identifying the specific component",
          "definition" : "A code that identifies the component. Codes may be used to differentiate between kinds of taxes, surcharges, discounts etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.propertyGroup.priceComponent.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.factor",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.factor",
          "short" : "Factor used for calculating this component",
          "definition" : "The factor that has been applied on the base price for calculating this component.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.propertyGroup.priceComponent.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.amount",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.amount",
          "short" : "Monetary amount associated with this component",
          "definition" : "The amount calculated for this component.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ChargeItemDefinition.propertyGroup.priceComponent.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ChargeItemDefinition",
          "path" : "ChargeItemDefinition",
          "short" : "Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined",
          "definition" : "The ChargeItemDefinition resource provides the properties that apply to the (billing) codes necessary to calculate costs and prices. The properties may differ largely depending on type and realm, therefore this resource gives only a rough structure and requires profiling for each type of billing code system.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "cid-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.url",
          "path" : "ChargeItemDefinition.url",
          "short" : "Canonical identifier for this charge item definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this charge item definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this charge item definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the charge item definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the charge item definition to be referenced by a single globally unique identifier.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.identifier",
          "path" : "ChargeItemDefinition.identifier",
          "short" : "Additional identifier for the charge item definition",
          "definition" : "A formal identifier that is used to identify this charge item definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this charge item definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.version",
          "path" : "ChargeItemDefinition.version",
          "short" : "Business version of the charge item definition",
          "definition" : "The identifier that is used to identify this version of the charge item definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the charge item definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active assets.",
          "comment" : "There may be different charge item definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the charge item definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.title",
          "path" : "ChargeItemDefinition.title",
          "short" : "Name for this charge item definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the charge item definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.derivedFromUri",
          "path" : "ChargeItemDefinition.derivedFromUri",
          "short" : "Underlying externally-defined charge item definition",
          "definition" : "The URL pointing to an externally-defined charge item definition that is adhered to in whole or in part by this definition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.partOf",
          "path" : "ChargeItemDefinition.partOf",
          "short" : "A larger definition of which this particular definition is a component or step",
          "definition" : "A larger definition of which this particular definition is a component or step.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.replaces",
          "path" : "ChargeItemDefinition.replaces",
          "short" : "Completed or terminated request(s) whose function is taken by this new request",
          "definition" : "As new versions of a protocol or guideline are defined, allows identification of what versions are replaced by a new instance.",
          "alias" : ["supersedes",
          "prior",
          "renewed order"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.status",
          "path" : "ChargeItemDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The current state of the ChargeItemDefinition.",
          "comment" : "Allows filtering of charge item definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status {different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.experimental",
          "path" : "ChargeItemDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this charge item definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of charge item definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level charge item definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.date",
          "path" : "ChargeItemDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the charge item definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the charge item definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the charge item definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.publisher",
          "path" : "ChargeItemDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the charge item definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the charge item definition is the organization or individual primarily responsible for the maintenance and upkeep of the charge item definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the charge item definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the charge item definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher {as string instead of CodeableConcept}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.contact",
          "path" : "ChargeItemDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.description",
          "path" : "ChargeItemDefinition.description",
          "short" : "Natural language description of the charge item definition",
          "definition" : "A free text natural language description of the charge item definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the charge item definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the charge item definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the charge item definition is presumed to be the predominant language in the place the charge item definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.useContext",
          "path" : "ChargeItemDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate charge item definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.jurisdiction",
          "path" : "ChargeItemDefinition.jurisdiction",
          "short" : "Intended jurisdiction for charge item definition (if applicable)",
          "definition" : "A legal or geographic region in which the charge item definition is intended to be used.",
          "comment" : "It may be possible for the charge item definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.copyright",
          "path" : "ChargeItemDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the charge item definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the charge item definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the charge item definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.approvalDate",
          "path" : "ChargeItemDefinition.approvalDate",
          "short" : "When the charge item definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.lastReviewDate",
          "path" : "ChargeItemDefinition.lastReviewDate",
          "short" : "When the charge item definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.effectivePeriod",
          "path" : "ChargeItemDefinition.effectivePeriod",
          "short" : "When the charge item definition is expected to be used",
          "definition" : "The period during which the charge item definition content was or is planned to be in active use.",
          "comment" : "The effective period for a charge item definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the charge item definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ChargeItemDefinition.code",
          "path" : "ChargeItemDefinition.code",
          "short" : "Billing codes or product types this definition applies to",
          "definition" : "The defined billing details in this resource pertain to the given billing code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemDefinitionCode"
            }],
            "strength" : "example",
            "description" : "Billing Code defined by this ChargeItemDefinition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.instance",
          "path" : "ChargeItemDefinition.instance",
          "short" : "Instances this definition applies to",
          "definition" : "The defined billing details in this resource pertain to the given product instance(s).",
          "comment" : "In case of highly customized, individually produced or fitted devices/substances, the pricing information may be different for each instance of the product. This reference links pricing details to specific product instances.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability",
          "path" : "ChargeItemDefinition.applicability",
          "short" : "Whether or not the billing code is applicable",
          "definition" : "Expressions that describe applicability criteria for the billing code.",
          "comment" : "The applicability conditions can be used to ascertain whether a billing item is allowed in a specific context. E.g. some billing codes may only be applicable in out-patient settings, only to male/female patients or only to children.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.description",
          "path" : "ChargeItemDefinition.applicability.description",
          "short" : "Natural language description of the condition",
          "definition" : "A brief, natural language description of the condition that effectively communicates the intended semantics.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.language",
          "path" : "ChargeItemDefinition.applicability.language",
          "short" : "Language of the expression",
          "definition" : "The media type of the language for the expression, e.g. \"text/cql\" for Clinical Query Language expressions or \"text/fhirpath\" for FHIRPath expressions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.applicability.expression",
          "path" : "ChargeItemDefinition.applicability.expression",
          "short" : "Boolean-valued expression",
          "definition" : "An expression that returns true or false, indicating whether the condition is satisfied. When using FHIRPath expressions, the %context environment variable must be replaced at runtime with the ChargeItem resource to which this definition is applied.",
          "comment" : "Please note that FHIRPath Expressions can only be evaluated in the scope of the current ChargeItem resource to which this definition is being applied.\nFHIRPath expressions can traverse into other resources linked from the ChargeItem resource, however, testing rules such as that a billing code may be billed only once per encounter need a wider scope. In such scenarios, CQL may be the appropriate choice.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup",
          "path" : "ChargeItemDefinition.propertyGroup",
          "short" : "Group of properties which are applicable under the same conditions",
          "definition" : "Group of properties which are applicable under the same conditions. If no applicability rules are established for the group, then all properties always apply.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.applicability",
          "path" : "ChargeItemDefinition.propertyGroup.applicability",
          "short" : "Conditions under which the priceComponent is applicable",
          "definition" : "Expressions that describe applicability criteria for the priceComponent.",
          "comment" : "The applicability conditions can be used to ascertain whether a billing item is allowed in a specific context. E.g. some billing codes may only be applicable in out-patient settings, only to male/female patients or only to children.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ChargeItemDefinition.applicability",
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent",
          "short" : "Components of total line item price",
          "definition" : "The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the prices have been calculated.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.type",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.type",
          "short" : "base | surcharge | deduction | discount | tax | informational",
          "definition" : "This code identifies the type of the component.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ChargeItemDefinitionPriceComponentType"
            }],
            "strength" : "required",
            "description" : "Codes indicating the kind of the price component.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.code",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.code",
          "short" : "Code identifying the specific component",
          "definition" : "A code that identifies the component. Codes may be used to differentiate between kinds of taxes, surcharges, discounts etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.factor",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.factor",
          "short" : "Factor used for calculating this component",
          "definition" : "The factor that has been applied on the base price for calculating this component.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ChargeItemDefinition.propertyGroup.priceComponent.amount",
          "path" : "ChargeItemDefinition.propertyGroup.priceComponent.amount",
          "short" : "Monetary amount associated with this component",
          "definition" : "The amount calculated for this component.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Claim",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Claim",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Claim 
TU
DomainResource
Claim, Pre-determination or Pre-authorization
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier for claim
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 type 
Σ
1..1
CodeableConcept
Category or discipline
Claim Type Codes (Extensible)
 subType 
0..1
CodeableConcept
More granular claim type
Example Claim SubType Codes (Example)
 use 
Σ
1..1
code
claim | preauthorization | predetermination
Use (Required)
 patient 
Σ
1..1
Reference(Patient)
The recipient of the products and services
 billablePeriod 
Σ
0..1
Period
Relevant time frame for the claim
 created 
Σ
1..1
dateTime
Resource creation date
 enterer 
0..1
Reference(Practitioner | PractitionerRole)
Author of the claim
 insurer 
Σ
0..1
Reference(Organization)
Target
 provider 
Σ
1..1
Reference(Practitioner | PractitionerRole | Organization)
Party responsible for the claim
 priority 
Σ
1..1
CodeableConcept
Desired processing ugency
Process Priority Codes (Example)
 fundsReserve 
0..1
CodeableConcept
For whom to reserve funds
FundsReserve (Example)
 related 
0..*
BackboneElement
Prior or corollary claims
 claim 
0..1
Reference(Claim)
Reference to the related claim
 relationship 
0..1
CodeableConcept
How the reference claim is related
Example Related Claim Relationship Codes (Example)
 reference 
0..1
Identifier
File or case reference
 prescription 
0..1
Reference(DeviceRequest | MedicationRequest | VisionPrescription)
Prescription authorizing services and products
 originalPrescription 
0..1
Reference(DeviceRequest | MedicationRequest | VisionPrescription)
Original prescription if superseded by fulfiller
 payee 
0..1
BackboneElement
Recipient of benefits payable
 type 
1..1
CodeableConcept
Category of recipient
PayeeType (Example)
 party 
0..1
Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)
Recipient reference
 referral 
0..1
Reference(ServiceRequest)
Treatment referral
 facility 
0..1
Reference(Location)
Servicing facility
 careTeam 
0..*
BackboneElement
Members of the care team
 sequence 
1..1
positiveInt
Order of care team
 provider 
1..1
Reference(Practitioner | PractitionerRole | Organization)
Practitioner or organization
 responsible 
0..1
boolean
Indicator of the lead practitioner
 role 
0..1
CodeableConcept
Function within the team
Claim Care Team Role Codes (Example)
 qualification 
0..1
CodeableConcept
Practitioner credential or specialization
Example Provider Qualification Codes (Example)
 supportingInfo 
0..*
BackboneElement
Supporting information
 sequence 
1..1
positiveInt
Information instance identifier
 category 
1..1
CodeableConcept
Classification of the supplied information
Claim Information Category Codes (Example)
 code 
0..1
CodeableConcept
Type of information
Exception Codes (Example)
 timing[x] 
0..1
When it occurred
 timingDate
date
 timingPeriod
Period
 value[x] 
0..1
Data to be provided
 valueBoolean
boolean
 valueString
string
 valueQuantity
Quantity
 valueAttachment
Attachment
 valueReference
Reference(Any)
 reason 
0..1
CodeableConcept
Explanation for the information
Missing Tooth Reason Codes (Example)
 diagnosis 
0..*
BackboneElement
Pertinent diagnosis information
 sequence 
1..1
positiveInt
Diagnosis instance identifier
 diagnosis[x] 
1..1
Nature of illness or problem
ICD-10 Codes (Example)
 diagnosisCodeableConcept
CodeableConcept
 diagnosisReference
Reference(Condition)
 type 
0..*
CodeableConcept
Timing or nature of the diagnosis
Example Diagnosis Type Codes (Example)
 onAdmission 
0..1
CodeableConcept
Present on admission
Example Diagnosis on Admission Codes (Example)
 packageCode 
0..1
CodeableConcept
Package billing code
Example Diagnosis Related Group Codes (Example)
 procedure 
0..*
BackboneElement
Clinical procedures performed
 sequence 
1..1
positiveInt
Procedure instance identifier
 type 
0..*
CodeableConcept
Category of Procedure
Example Procedure Type Codes (Example)
 date 
0..1
dateTime
When the procedure was performed
 procedure[x] 
1..1
Specific clinical procedure
ICD-10 Procedure Codes (Example)
 procedureCodeableConcept
CodeableConcept
 procedureReference
Reference(Procedure)
 udi 
0..*
Reference(Device)
Unique device identifier
 insurance 
Σ
1..*
BackboneElement
Patient insurance information
 sequence 
Σ
1..1
positiveInt
Insurance instance identifier
 focal 
Σ
1..1
boolean
Coverage to be used for adjudication
 identifier 
0..1
Identifier
Pre-assigned Claim number
 coverage 
Σ
1..1
Reference(Coverage)
Insurance information
 businessArrangement 
0..1
string
Additional provider contract number
 preAuthRef 
0..*
string
Prior authorization reference number
 claimResponse 
0..1
Reference(ClaimResponse)
Adjudication results
 accident 
0..1
BackboneElement
Details of the event
 date 
1..1
date
When the incident occurred
 type 
0..1
CodeableConcept
The nature of the accident
V3 Value SetActIncidentCode (Extensible)
 location[x] 
0..1
Where the event occurred
 locationAddress
Address
 locationReference
Reference(Location)
 item 
0..*
BackboneElement
Product or service provided
 sequence 
1..1
positiveInt
Item instance identifier
 careTeamSequence 
0..*
positiveInt
Applicable careTeam members
 diagnosisSequence 
0..*
positiveInt
Applicable diagnoses
 procedureSequence 
0..*
positiveInt
Applicable procedures
 informationSequence 
0..*
positiveInt
Applicable exception and supporting information
 revenue 
0..1
CodeableConcept
Revenue or cost center code
Example Revenue Center Codes (Example)
 category 
0..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Product or service billing modifiers
Modifier type Codes (Example)
 programCode 
0..*
CodeableConcept
Program the product or service is provided under
Example Program Reason Codes (Example)
 serviced[x] 
0..1
Date or dates of service or product delivery
 servicedDate
date
 servicedPeriod
Period
 location[x] 
0..1
Place of service or where product was supplied
Example Service Place Codes (Example)
 locationCodeableConcept
CodeableConcept
 locationAddress
Address
 locationReference
Reference(Location)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 udi 
0..*
Reference(Device)
Unique device identifier
 bodySite 
0..1
CodeableConcept
Anatomical location
Oral Site Codes (Example)
 subSite 
0..*
CodeableConcept
Anatomical sub-location
Surface Codes (Example)
 encounter 
0..*
Reference(Encounter)
Encounters related to this billed item
 detail 
0..*
BackboneElement
Product or service provided
 sequence 
1..1
positiveInt
Item instance identifier
 revenue 
0..1
CodeableConcept
Revenue or cost center code
Example Revenue Center Codes (Example)
 category 
0..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 programCode 
0..*
CodeableConcept
Program the product or service is provided under
Example Program Reason Codes (Example)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 udi 
0..*
Reference(Device)
Unique device identifier
 subDetail 
0..*
BackboneElement
Product or service provided
 sequence 
1..1
positiveInt
Item instance identifier
 revenue 
0..1
CodeableConcept
Revenue or cost center code
Example Revenue Center Codes (Example)
 category 
0..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 programCode 
0..*
CodeableConcept
Program the product or service is provided under
Example Program Reason Codes (Example)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 udi 
0..*
Reference(Device)
Unique device identifier
 total 
0..1
Money
Total claim cost

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Billing"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Claim",
      "version" : "4.0.0",
      "name" : "Claim",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.",
      "purpose" : "The Claim resource is used by providers to exchange services and products rendered to patients or planned to be rendered with insurers for reimbuserment. It is also used by insurers to exchange claims information with statutory reporting and data analytics firms.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Claim",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Claim",
          "path" : "Claim",
          "short" : "Claim, Pre-determination or Pre-authorization",
          "definition" : "A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.",
          "comment" : "The Claim resource fulfills three information request requirements: Claim - a request for adjudication for reimbursement for products and/or services provided; Preauthorization - a request to authorize the future provision of products and/or services including an anticipated adjudication; and, Predetermination - a request for a non-bind adjudication of possible future products and/or services.",
          "alias" : ["Adjudication Request",
          "Preauthorization Request",
          "Predetermination Request"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "Claim.id",
          "path" : "Claim.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Claim.meta",
          "path" : "Claim.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Claim.implicitRules",
          "path" : "Claim.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Claim.language",
          "path" : "Claim.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Claim.text",
          "path" : "Claim.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Claim.contained",
          "path" : "Claim.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.extension",
          "path" : "Claim.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.modifierExtension",
          "path" : "Claim.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.identifier",
          "path" : "Claim.identifier",
          "short" : "Business Identifier for claim",
          "definition" : "A unique identifier assigned to this claim.",
          "requirements" : "Allows claims to be distinguished and referenced.",
          "alias" : ["Claim Number"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Claim.status",
          "path" : "Claim.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Claim.type",
          "path" : "Claim.type",
          "short" : "Category or discipline",
          "definition" : "The category of claim, e.g. oral, pharmacy, vision, institutional, professional.",
          "comment" : "The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.",
          "requirements" : "Claim type determine the general sets of business rules applied for information requirements and adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimType"
            }],
            "strength" : "extensible",
            "description" : "The type or discipline-style of the claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Claim.subType",
          "path" : "Claim.subType",
          "short" : "More granular claim type",
          "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
          "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
          "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.subType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimSubType"
            }],
            "strength" : "example",
            "description" : "A more granular claim typecode.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Claim.use",
          "path" : "Claim.use",
          "short" : "claim | preauthorization | predetermination",
          "definition" : "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.",
          "requirements" : "This element is required to understand the nature of the request for adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.use",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Use"
            }],
            "strength" : "required",
            "description" : "The purpose of the Claim: predetermination, preauthorization, claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Claim.patient",
          "path" : "Claim.patient",
          "short" : "The recipient of the products and services",
          "definition" : "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.",
          "requirements" : "The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Claim.billablePeriod",
          "path" : "Claim.billablePeriod",
          "short" : "Relevant time frame for the claim",
          "definition" : "The period for which charges are being submitted.",
          "comment" : "Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and predeterminations. Typically line item dates of service should fall within the billing period if one is specified.",
          "requirements" : "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.billablePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Claim.created",
          "path" : "Claim.created",
          "short" : "Resource creation date",
          "definition" : "The date this resource was created.",
          "comment" : "This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.created",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "Claim.enterer",
          "path" : "Claim.enterer",
          "short" : "Author of the claim",
          "definition" : "Individual who created the claim, predetermination or preauthorization.",
          "requirements" : "Some jurisdictions require the contact information for personnel completing claims.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.enterer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "Claim.insurer",
          "path" : "Claim.insurer",
          "short" : "Target",
          "definition" : "The Insurer who is target of the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.insurer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          }]
        },
        {
          "id" : "Claim.provider",
          "path" : "Claim.provider",
          "short" : "Party responsible for the claim",
          "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.provider",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "Claim.priority",
          "path" : "Claim.priority",
          "short" : "Desired processing ugency",
          "definition" : "The provider-required urgency of processing the request. Typical values include: stat, routine deferred.",
          "comment" : "If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.",
          "requirements" : "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.priority",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcessPriority"
            }],
            "strength" : "example",
            "description" : "The timeliness with which processing is required: stat, normal, deferred.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/process-priority"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          }]
        },
        {
          "id" : "Claim.fundsReserve",
          "path" : "Claim.fundsReserve",
          "short" : "For whom to reserve funds",
          "definition" : "A code to indicate whether and for whom funds are to be reserved for future claims.",
          "comment" : "This field is only used for preauthorizations.",
          "requirements" : "In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.",
          "alias" : ["Fund pre-allocation"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.fundsReserve",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundsReserve"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
          }
        },
        {
          "id" : "Claim.related",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "RelatedClaim"
          }],
          "path" : "Claim.related",
          "short" : "Prior or corollary claims",
          "definition" : "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.",
          "comment" : "For example,  for the original treatment and follow-up exams.",
          "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.related",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.related.id",
          "path" : "Claim.related.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.related.extension",
          "path" : "Claim.related.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.related.modifierExtension",
          "path" : "Claim.related.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.related.claim",
          "path" : "Claim.related.claim",
          "short" : "Reference to the related claim",
          "definition" : "Reference to a related claim.",
          "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.related.claim",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          }]
        },
        {
          "id" : "Claim.related.relationship",
          "path" : "Claim.related.relationship",
          "short" : "How the reference claim is related",
          "definition" : "A code to convey how the claims are related.",
          "comment" : "For example, prior claim or umbrella.",
          "requirements" : "Some insurers need a declaration of the type of relationship.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.related.relationship",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RelatedClaimRelationship"
            }],
            "strength" : "example",
            "description" : "Relationship of this claim to a related Claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/related-claim-relationship"
          }
        },
        {
          "id" : "Claim.related.reference",
          "path" : "Claim.related.reference",
          "short" : "File or case reference",
          "definition" : "An alternate organizational reference to the case or file to which this particular claim pertains.",
          "comment" : "For example, Property/Casualty insurer claim # or Workers Compensation case # .",
          "requirements" : "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.related.reference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.prescription",
          "path" : "Claim.prescription",
          "short" : "Prescription authorizing services and products",
          "definition" : "Prescription to support the dispensing of pharmacy, device or vision products.",
          "requirements" : "Required to authorize the dispensing of controlled substances and devices.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.prescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceRequest",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.originalPrescription",
          "path" : "Claim.originalPrescription",
          "short" : "Original prescription if superseded by fulfiller",
          "definition" : "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.",
          "comment" : "For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefore issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.",
          "requirements" : "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.originalPrescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceRequest",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.payee",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Payee"
          }],
          "path" : "Claim.payee",
          "short" : "Recipient of benefits payable",
          "definition" : "The party to be reimbursed for cost of the products and services according to the terms of the policy.",
          "comment" : "Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and choose to pay the subscriber instead.",
          "requirements" : "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.payee",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.payee.id",
          "path" : "Claim.payee.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.payee.extension",
          "path" : "Claim.payee.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.payee.modifierExtension",
          "path" : "Claim.payee.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.payee.type",
          "path" : "Claim.payee.type",
          "short" : "Category of recipient",
          "definition" : "Type of Party to be reimbursed: subscriber, provider, other.",
          "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.payee.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PayeeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "A code for the party to be reimbursed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
          }
        },
        {
          "id" : "Claim.payee.party",
          "path" : "Claim.payee.party",
          "short" : "Recipient reference",
          "definition" : "Reference to the individual or organization to whom any payment will be made.",
          "comment" : "Not required if the payee is 'subscriber' or 'provider'.",
          "requirements" : "Need to provide demographics if the payee is not 'subscriber' nor 'provider'.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.payee.party",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.referral",
          "path" : "Claim.referral",
          "short" : "Treatment referral",
          "definition" : "A reference to a referral resource.",
          "comment" : "The referral resource which lists the date, practitioner, reason and other supporting information.",
          "requirements" : "Some insurers require proof of referral to pay for services or to pay specialist rates for services.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.referral",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.cause"
          }]
        },
        {
          "id" : "Claim.facility",
          "path" : "Claim.facility",
          "short" : "Servicing facility",
          "definition" : "Facility where the services were provided.",
          "requirements" : "Insurance adjudication can be dependant on where services were delivered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.facility",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "Claim.careTeam",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "CareTeam"
          }],
          "path" : "Claim.careTeam",
          "short" : "Members of the care team",
          "definition" : "The members of the team who provided the products and services.",
          "requirements" : "Common to identify the responsible and supporting practitioners.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.careTeam",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.careTeam.id",
          "path" : "Claim.careTeam.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.careTeam.extension",
          "path" : "Claim.careTeam.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.careTeam.modifierExtension",
          "path" : "Claim.careTeam.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.careTeam.sequence",
          "path" : "Claim.careTeam.sequence",
          "short" : "Order of care team",
          "definition" : "A number to uniquely identify care team entries.",
          "requirements" : "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.careTeam.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.careTeam.provider",
          "path" : "Claim.careTeam.provider",
          "short" : "Practitioner or organization",
          "definition" : "Member of the team who provided the product or service.",
          "requirements" : "Often a regulatory requirement to specify the responsible provider.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.careTeam.provider",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "Claim.careTeam.responsible",
          "path" : "Claim.careTeam.responsible",
          "short" : "Indicator of the lead practitioner",
          "definition" : "The party who is billing and/or responsible for the claimed products or services.",
          "comment" : "Responsible might not be required when there is only a single provider listed.",
          "requirements" : "When multiple parties are present it is required to distinguish the lead or responsible individual.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.careTeam.responsible",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.careTeam.role",
          "path" : "Claim.careTeam.role",
          "short" : "Function within the team",
          "definition" : "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.",
          "comment" : "Role might not be required when there is only a single provider listed.",
          "requirements" : "When multiple parties are present it is required to distinguish the roles performed by each member.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.careTeam.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamRole"
            }],
            "strength" : "example",
            "description" : "The role codes for the care team members.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-careteamrole"
          }
        },
        {
          "id" : "Claim.careTeam.qualification",
          "path" : "Claim.careTeam.qualification",
          "short" : "Practitioner credential or specialization",
          "definition" : "The qualification of the practitioner which is applicable for this service.",
          "requirements" : "Need to specify which qualification a provider is delivering the product or service under.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.careTeam.qualification",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProviderQualification"
            }],
            "strength" : "example",
            "description" : "Provider professional qualifications.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provider-qualification"
          }
        },
        {
          "id" : "Claim.supportingInfo",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SupportingInformation"
          }],
          "path" : "Claim.supportingInfo",
          "short" : "Supporting information",
          "definition" : "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.",
          "comment" : "Often there are multiple jurisdiction specific valuesets which are required.",
          "requirements" : "Typically these information codes are required to support the services rendered or the adjudication of the services rendered.",
          "alias" : ["Attachments\nException Codes\nOccurrence Codes\nValue codes"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.supportingInfo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          }]
        },
        {
          "id" : "Claim.supportingInfo.id",
          "path" : "Claim.supportingInfo.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.supportingInfo.extension",
          "path" : "Claim.supportingInfo.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.supportingInfo.modifierExtension",
          "path" : "Claim.supportingInfo.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.supportingInfo.sequence",
          "path" : "Claim.supportingInfo.sequence",
          "short" : "Information instance identifier",
          "definition" : "A number to uniquely identify supporting information entries.",
          "requirements" : "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.supportingInfo.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.supportingInfo.category",
          "path" : "Claim.supportingInfo.category",
          "short" : "Classification of the supplied information",
          "definition" : "The general class of the information supplied: information; exception; accident, employment; onset, etc.",
          "comment" : "This may contain a category for the local bill type codes.",
          "requirements" : "Required to group or associate information items with common characteristics. For example: admission information or prior treatments.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.supportingInfo.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InformationCategory"
            }],
            "strength" : "example",
            "description" : "The valuset used for additional information category codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-informationcategory"
          }
        },
        {
          "id" : "Claim.supportingInfo.code",
          "path" : "Claim.supportingInfo.code",
          "short" : "Type of information",
          "definition" : "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought.",
          "requirements" : "Required to identify the kind of additional information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.supportingInfo.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InformationCode"
            }],
            "strength" : "example",
            "description" : "The valuset used for additional information codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-exception"
          }
        },
        {
          "id" : "Claim.supportingInfo.timing[x]",
          "path" : "Claim.supportingInfo.timing[x]",
          "short" : "When it occurred",
          "definition" : "The date when or period to which this information refers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.supportingInfo.timing[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.supportingInfo.value[x]",
          "path" : "Claim.supportingInfo.value[x]",
          "short" : "Data to be provided",
          "definition" : "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.",
          "comment" : "Could be used to provide references to other resources, document. For example could contain a PDF in an Attachment of the Police Report for an Accident.",
          "requirements" : "To convey the data content to be provided when the information is more than a simple code or period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.supportingInfo.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.supportingInfo.reason",
          "path" : "Claim.supportingInfo.reason",
          "short" : "Explanation for the information",
          "definition" : "Provides the reason in the situation where a reason code is required in addition to the content.",
          "comment" : "For example: the reason for the additional stay, or why a tooth is  missing.",
          "requirements" : "Needed when the supporting information has both a date and amount/value and requires explanation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.supportingInfo.reason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MissingReason"
            }],
            "strength" : "example",
            "description" : "Reason codes for the missing teeth.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/missing-tooth-reason"
          }
        },
        {
          "id" : "Claim.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "Claim.diagnosis",
          "short" : "Pertinent diagnosis information",
          "definition" : "Information about diagnoses relevant to the claim items.",
          "requirements" : "Required for the adjudication by provided context for the services and product listed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.diagnosis",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          }]
        },
        {
          "id" : "Claim.diagnosis.id",
          "path" : "Claim.diagnosis.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.diagnosis.extension",
          "path" : "Claim.diagnosis.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.diagnosis.modifierExtension",
          "path" : "Claim.diagnosis.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.diagnosis.sequence",
          "path" : "Claim.diagnosis.sequence",
          "short" : "Diagnosis instance identifier",
          "definition" : "A number to uniquely identify diagnosis entries.",
          "comment" : "Diagnosis are presented in list order to their expected importance: primary, secondary, etc.",
          "requirements" : "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.diagnosis.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.diagnosis.diagnosis[x]",
          "path" : "Claim.diagnosis.diagnosis[x]",
          "short" : "Nature of illness or problem",
          "definition" : "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
          "requirements" : "Provides health context for the evaluation of the products and/or services.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.diagnosis.diagnosis[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10"
            }],
            "strength" : "example",
            "description" : "Example ICD10 Diagnostic codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
          }
        },
        {
          "id" : "Claim.diagnosis.type",
          "path" : "Claim.diagnosis.type",
          "short" : "Timing or nature of the diagnosis",
          "definition" : "When the condition was observed or the relative ranking.",
          "comment" : "For example: admitting, primary, secondary, discharge.",
          "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.diagnosis.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisType"
            }],
            "strength" : "example",
            "description" : "The type of the diagnosis: admitting, principal, discharge.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosistype"
          }
        },
        {
          "id" : "Claim.diagnosis.onAdmission",
          "path" : "Claim.diagnosis.onAdmission",
          "short" : "Present on admission",
          "definition" : "Indication of whether the diagnosis was present on admission to a facility.",
          "requirements" : "Many systems need to understand for adjudication if the diagnosis was present a time of admission.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.diagnosis.onAdmission",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisOnAdmission"
            }],
            "strength" : "example",
            "description" : "Present on admission.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"
          }
        },
        {
          "id" : "Claim.diagnosis.packageCode",
          "path" : "Claim.diagnosis.packageCode",
          "short" : "Package billing code",
          "definition" : "A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.",
          "comment" : "For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.",
          "requirements" : "Required to relate the current  diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.diagnosis.packageCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisRelatedGroup"
            }],
            "strength" : "example",
            "description" : "The DRG codes associated with the diagnosis.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"
          }
        },
        {
          "id" : "Claim.procedure",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Procedure"
          }],
          "path" : "Claim.procedure",
          "short" : "Clinical procedures performed",
          "definition" : "Procedures performed on the patient relevant to the billing items with the claim.",
          "requirements" : "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.procedure",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.procedure.id",
          "path" : "Claim.procedure.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.procedure.extension",
          "path" : "Claim.procedure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.procedure.modifierExtension",
          "path" : "Claim.procedure.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.procedure.sequence",
          "path" : "Claim.procedure.sequence",
          "short" : "Procedure instance identifier",
          "definition" : "A number to uniquely identify procedure entries.",
          "requirements" : "Necessary to provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.procedure.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.procedure.type",
          "path" : "Claim.procedure.type",
          "short" : "Category of Procedure",
          "definition" : "When the condition was observed or the relative ranking.",
          "comment" : "For example: primary, secondary.",
          "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.procedure.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureType"
            }],
            "strength" : "example",
            "description" : "Example procedure type codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-procedure-type"
          }
        },
        {
          "id" : "Claim.procedure.date",
          "path" : "Claim.procedure.date",
          "short" : "When the procedure was performed",
          "definition" : "Date and optionally time the procedure was performed.",
          "requirements" : "Required for auditing purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.procedure.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.procedure.procedure[x]",
          "path" : "Claim.procedure.procedure[x]",
          "short" : "Specific clinical procedure",
          "definition" : "The code or reference to a Procedure resource which identifies the clinical intervention performed.",
          "requirements" : "This identifies the actual clinical procedure.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.procedure.procedure[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10_Procedures"
            }],
            "strength" : "example",
            "description" : "Example ICD10 Procedure codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10-procedures"
          }
        },
        {
          "id" : "Claim.procedure.udi",
          "path" : "Claim.procedure.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.procedure.udi",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "Claim.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "At least one insurer is required for a claim to be a claim.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Claim.insurance",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Coverage"
          }]
        },
        {
          "id" : "Claim.insurance.id",
          "path" : "Claim.insurance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.insurance.extension",
          "path" : "Claim.insurance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.insurance.modifierExtension",
          "path" : "Claim.insurance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.insurance.sequence",
          "path" : "Claim.insurance.sequence",
          "short" : "Insurance instance identifier",
          "definition" : "A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.",
          "requirements" : "To maintain order of the coverages.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.insurance.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Claim.insurance.focal",
          "path" : "Claim.insurance.focal",
          "short" : "Coverage to be used for adjudication",
          "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
          "comment" : "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.",
          "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.insurance.focal",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Claim.insurance.identifier",
          "path" : "Claim.insurance.identifier",
          "short" : "Pre-assigned Claim number",
          "definition" : "The business identifier to be used when the claim is sent for adjudication against this insurance policy.",
          "comment" : "Only required in jurisdictions where insurers, rather than the provider, are required to send claims to  insurers that appear after them in the list. This element is not required when 'subrogation=true'.",
          "requirements" : "This will be the claim number should it be necessary to create this claim in the future. This is provided so that payors may forward claims to other payors in the Coordination of Benefit for adjudication rather than the provider being required to initiate each adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.insurance.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Claim.insurance.coverage",
          "path" : "Claim.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.insurance.coverage",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Claim.insurance.businessArrangement",
          "path" : "Claim.insurance.businessArrangement",
          "short" : "Additional provider contract number",
          "definition" : "A business agreement number established between the provider and the insurer for special business processing purposes.",
          "requirements" : "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.insurance.businessArrangement",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.insurance.preAuthRef",
          "path" : "Claim.insurance.preAuthRef",
          "short" : "Prior authorization reference number",
          "definition" : "Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.",
          "comment" : "This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.",
          "requirements" : "Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.insurance.preAuthRef",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.insurance.claimResponse",
          "path" : "Claim.insurance.claimResponse",
          "short" : "Adjudication results",
          "definition" : "The result of the adjudication of the line items for the Coverage specified in this insurance.",
          "comment" : "Must not be specified when 'focal=true' for this insurance.",
          "requirements" : "An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.insurance.claimResponse",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.accident",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Accident"
          }],
          "path" : "Claim.accident",
          "short" : "Details of the event",
          "definition" : "Details of an accident which resulted in injuries which required the products and services listed in the claim.",
          "requirements" : "When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.accident",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.accident.id",
          "path" : "Claim.accident.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.accident.extension",
          "path" : "Claim.accident.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.accident.modifierExtension",
          "path" : "Claim.accident.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.accident.date",
          "path" : "Claim.accident.date",
          "short" : "When the incident occurred",
          "definition" : "Date of an accident event  related to the products and services contained in the claim.",
          "comment" : "The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.",
          "requirements" : "Required for audit purposes and adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.accident.date",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.accident.type",
          "path" : "Claim.accident.type",
          "short" : "The nature of the accident",
          "definition" : "The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.",
          "requirements" : "Coverage may be dependant on the type of accident.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.accident.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AccidentType"
            }],
            "strength" : "extensible",
            "description" : "Type of accident: work place, auto, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"
          }
        },
        {
          "id" : "Claim.accident.location[x]",
          "path" : "Claim.accident.location[x]",
          "short" : "Where the event occurred",
          "definition" : "The physical location of the accident event.",
          "requirements" : "Required for audit purposes and determination of applicable insurance liability.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.accident.location[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Item"
          }],
          "path" : "Claim.item",
          "short" : "Product or service provided",
          "definition" : "A claim line. Either a simple  product or service or a 'group' of details which can each be a simple items or groups of sub-details.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.id",
          "path" : "Claim.item.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.item.extension",
          "path" : "Claim.item.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.item.modifierExtension",
          "path" : "Claim.item.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.item.sequence",
          "path" : "Claim.item.sequence",
          "short" : "Item instance identifier",
          "definition" : "A number to uniquely identify item entries.",
          "requirements" : "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.careTeamSequence",
          "path" : "Claim.item.careTeamSequence",
          "short" : "Applicable careTeam members",
          "definition" : "CareTeam members related to this service or product.",
          "requirements" : "Need to identify the individuals and their roles in the provision of the product or service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.careTeamSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.diagnosisSequence",
          "path" : "Claim.item.diagnosisSequence",
          "short" : "Applicable diagnoses",
          "definition" : "Diagnosis applicable for this service or product.",
          "requirements" : "Need to related the product or service to the associated diagnoses.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.diagnosisSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.procedureSequence",
          "path" : "Claim.item.procedureSequence",
          "short" : "Applicable procedures",
          "definition" : "Procedures applicable for this service or product.",
          "requirements" : "Need to provide any listed specific procedures to support the product or service being claimed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.procedureSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.informationSequence",
          "path" : "Claim.item.informationSequence",
          "short" : "Applicable exception and supporting information",
          "definition" : "Exceptions, special conditions and supporting information applicable for this service or product.",
          "requirements" : "Need to reference the supporting information items that relate directly to this product or service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.informationSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.revenue",
          "path" : "Claim.item.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.revenue",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "Claim.item.category",
          "path" : "Claim.item.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral-basic, major, glasses.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "Claim.item.productOrService",
          "path" : "Claim.item.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "Claim.item.modifier",
          "path" : "Claim.item.modifier",
          "short" : "Product or service billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "Claim.item.programCode",
          "path" : "Claim.item.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.programCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "Claim.item.serviced[x]",
          "path" : "Claim.item.serviced[x]",
          "short" : "Date or dates of service or product delivery",
          "definition" : "The date or dates when the service or product was supplied, performed or completed.",
          "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.serviced[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Claim.item.location[x]",
          "path" : "Claim.item.location[x]",
          "short" : "Place of service or where product was supplied",
          "definition" : "Where the product or service was provided.",
          "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.location[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServicePlace"
            }],
            "strength" : "example",
            "description" : "Place of service: pharmacy, school, prison, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "Claim.item.quantity",
          "path" : "Claim.item.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.unitPrice",
          "path" : "Claim.item.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.factor",
          "path" : "Claim.item.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.net",
          "path" : "Claim.item.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.udi",
          "path" : "Claim.item.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.udi",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.bodySite",
          "path" : "Claim.item.bodySite",
          "short" : "Anatomical location",
          "definition" : "Physical service site on the patient (limb, tooth, etc.).",
          "comment" : "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralSites"
            }],
            "strength" : "example",
            "description" : "The code for the teeth, quadrant, sextant and arch.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
          }
        },
        {
          "id" : "Claim.item.subSite",
          "path" : "Claim.item.subSite",
          "short" : "Anatomical sub-location",
          "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.subSite",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Surface"
            }],
            "strength" : "example",
            "description" : "The code for the tooth surface and surface combinations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
          }
        },
        {
          "id" : "Claim.item.encounter",
          "path" : "Claim.item.encounter",
          "short" : "Encounters related to this billed item",
          "definition" : "The Encounters during which this Claim was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "requirements" : "Used in some jurisdictions to link clinical events to claim items.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.encounter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          }]
        },
        {
          "id" : "Claim.item.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Detail"
          }],
          "path" : "Claim.item.detail",
          "short" : "Product or service provided",
          "definition" : "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.id",
          "path" : "Claim.item.detail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.item.detail.extension",
          "path" : "Claim.item.detail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.item.detail.modifierExtension",
          "path" : "Claim.item.detail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.item.detail.sequence",
          "path" : "Claim.item.detail.sequence",
          "short" : "Item instance identifier",
          "definition" : "A number to uniquely identify item entries.",
          "requirements" : "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.revenue",
          "path" : "Claim.item.detail.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.revenue",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "Claim.item.detail.category",
          "path" : "Claim.item.detail.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral-basic, major, glasses.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "Claim.item.detail.productOrService",
          "path" : "Claim.item.detail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "Claim.item.detail.modifier",
          "path" : "Claim.item.detail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.detail.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "Claim.item.detail.programCode",
          "path" : "Claim.item.detail.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.detail.programCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "Claim.item.detail.quantity",
          "path" : "Claim.item.detail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.unitPrice",
          "path" : "Claim.item.detail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.factor",
          "path" : "Claim.item.detail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.net",
          "path" : "Claim.item.detail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.udi",
          "path" : "Claim.item.detail.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.detail.udi",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SubDetail"
          }],
          "path" : "Claim.item.detail.subDetail",
          "short" : "Product or service provided",
          "definition" : "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.detail.subDetail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.subDetail.id",
          "path" : "Claim.item.detail.subDetail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.extension",
          "path" : "Claim.item.detail.subDetail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.modifierExtension",
          "path" : "Claim.item.detail.subDetail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.sequence",
          "path" : "Claim.item.detail.subDetail.sequence",
          "short" : "Item instance identifier",
          "definition" : "A number to uniquely identify item entries.",
          "requirements" : "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.subDetail.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.subDetail.revenue",
          "path" : "Claim.item.detail.subDetail.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.subDetail.revenue",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.category",
          "path" : "Claim.item.detail.subDetail.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.subDetail.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral-basic, major, glasses.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.productOrService",
          "path" : "Claim.item.detail.subDetail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.subDetail.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.modifier",
          "path" : "Claim.item.detail.subDetail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.detail.subDetail.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.programCode",
          "path" : "Claim.item.detail.subDetail.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.detail.subDetail.programCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.quantity",
          "path" : "Claim.item.detail.subDetail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.subDetail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.subDetail.unitPrice",
          "path" : "Claim.item.detail.subDetail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.subDetail.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.subDetail.factor",
          "path" : "Claim.item.detail.subDetail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.subDetail.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.subDetail.net",
          "path" : "Claim.item.detail.subDetail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.item.detail.subDetail.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.item.detail.subDetail.udi",
          "path" : "Claim.item.detail.subDetail.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Claim.item.detail.subDetail.udi",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Claim.total",
          "path" : "Claim.total",
          "short" : "Total claim cost",
          "definition" : "The total value of the all the items in the claim.",
          "requirements" : "Used for  control total purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Claim.total",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Claim",
          "path" : "Claim",
          "short" : "Claim, Pre-determination or Pre-authorization",
          "definition" : "A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.",
          "comment" : "The Claim resource fulfills three information request requirements: Claim - a request for adjudication for reimbursement for products and/or services provided; Preauthorization - a request to authorize the future provision of products and/or services including an anticipated adjudication; and, Predetermination - a request for a non-bind adjudication of possible future products and/or services.",
          "alias" : ["Adjudication Request",
          "Preauthorization Request",
          "Predetermination Request"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "Claim.identifier",
          "path" : "Claim.identifier",
          "short" : "Business Identifier for claim",
          "definition" : "A unique identifier assigned to this claim.",
          "requirements" : "Allows claims to be distinguished and referenced.",
          "alias" : ["Claim Number"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Claim.status",
          "path" : "Claim.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Claim.type",
          "path" : "Claim.type",
          "short" : "Category or discipline",
          "definition" : "The category of claim, e.g. oral, pharmacy, vision, institutional, professional.",
          "comment" : "The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.",
          "requirements" : "Claim type determine the general sets of business rules applied for information requirements and adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimType"
            }],
            "strength" : "extensible",
            "description" : "The type or discipline-style of the claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Claim.subType",
          "path" : "Claim.subType",
          "short" : "More granular claim type",
          "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
          "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
          "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimSubType"
            }],
            "strength" : "example",
            "description" : "A more granular claim typecode.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Claim.use",
          "path" : "Claim.use",
          "short" : "claim | preauthorization | predetermination",
          "definition" : "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.",
          "requirements" : "This element is required to understand the nature of the request for adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Use"
            }],
            "strength" : "required",
            "description" : "The purpose of the Claim: predetermination, preauthorization, claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Claim.patient",
          "path" : "Claim.patient",
          "short" : "The recipient of the products and services",
          "definition" : "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.",
          "requirements" : "The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Claim.billablePeriod",
          "path" : "Claim.billablePeriod",
          "short" : "Relevant time frame for the claim",
          "definition" : "The period for which charges are being submitted.",
          "comment" : "Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and predeterminations. Typically line item dates of service should fall within the billing period if one is specified.",
          "requirements" : "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Claim.created",
          "path" : "Claim.created",
          "short" : "Resource creation date",
          "definition" : "The date this resource was created.",
          "comment" : "This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "Claim.enterer",
          "path" : "Claim.enterer",
          "short" : "Author of the claim",
          "definition" : "Individual who created the claim, predetermination or preauthorization.",
          "requirements" : "Some jurisdictions require the contact information for personnel completing claims.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "Claim.insurer",
          "path" : "Claim.insurer",
          "short" : "Target",
          "definition" : "The Insurer who is target of the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          }]
        },
        {
          "id" : "Claim.provider",
          "path" : "Claim.provider",
          "short" : "Party responsible for the claim",
          "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "Claim.priority",
          "path" : "Claim.priority",
          "short" : "Desired processing ugency",
          "definition" : "The provider-required urgency of processing the request. Typical values include: stat, routine deferred.",
          "comment" : "If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.",
          "requirements" : "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcessPriority"
            }],
            "strength" : "example",
            "description" : "The timeliness with which processing is required: stat, normal, deferred.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/process-priority"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          }]
        },
        {
          "id" : "Claim.fundsReserve",
          "path" : "Claim.fundsReserve",
          "short" : "For whom to reserve funds",
          "definition" : "A code to indicate whether and for whom funds are to be reserved for future claims.",
          "comment" : "This field is only used for preauthorizations.",
          "requirements" : "In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.",
          "alias" : ["Fund pre-allocation"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundsReserve"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
          }
        },
        {
          "id" : "Claim.related",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "RelatedClaim"
          }],
          "path" : "Claim.related",
          "short" : "Prior or corollary claims",
          "definition" : "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.",
          "comment" : "For example,  for the original treatment and follow-up exams.",
          "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Claim.related.claim",
          "path" : "Claim.related.claim",
          "short" : "Reference to the related claim",
          "definition" : "Reference to a related claim.",
          "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          }]
        },
        {
          "id" : "Claim.related.relationship",
          "path" : "Claim.related.relationship",
          "short" : "How the reference claim is related",
          "definition" : "A code to convey how the claims are related.",
          "comment" : "For example, prior claim or umbrella.",
          "requirements" : "Some insurers need a declaration of the type of relationship.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RelatedClaimRelationship"
            }],
            "strength" : "example",
            "description" : "Relationship of this claim to a related Claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/related-claim-relationship"
          }
        },
        {
          "id" : "Claim.related.reference",
          "path" : "Claim.related.reference",
          "short" : "File or case reference",
          "definition" : "An alternate organizational reference to the case or file to which this particular claim pertains.",
          "comment" : "For example, Property/Casualty insurer claim # or Workers Compensation case # .",
          "requirements" : "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "Claim.prescription",
          "path" : "Claim.prescription",
          "short" : "Prescription authorizing services and products",
          "definition" : "Prescription to support the dispensing of pharmacy, device or vision products.",
          "requirements" : "Required to authorize the dispensing of controlled substances and devices.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceRequest",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
          }]
        },
        {
          "id" : "Claim.originalPrescription",
          "path" : "Claim.originalPrescription",
          "short" : "Original prescription if superseded by fulfiller",
          "definition" : "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.",
          "comment" : "For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefore issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.",
          "requirements" : "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceRequest",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
          }]
        },
        {
          "id" : "Claim.payee",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Payee"
          }],
          "path" : "Claim.payee",
          "short" : "Recipient of benefits payable",
          "definition" : "The party to be reimbursed for cost of the products and services according to the terms of the policy.",
          "comment" : "Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and choose to pay the subscriber instead.",
          "requirements" : "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Claim.payee.type",
          "path" : "Claim.payee.type",
          "short" : "Category of recipient",
          "definition" : "Type of Party to be reimbursed: subscriber, provider, other.",
          "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PayeeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "A code for the party to be reimbursed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
          }
        },
        {
          "id" : "Claim.payee.party",
          "path" : "Claim.payee.party",
          "short" : "Recipient reference",
          "definition" : "Reference to the individual or organization to whom any payment will be made.",
          "comment" : "Not required if the payee is 'subscriber' or 'provider'.",
          "requirements" : "Need to provide demographics if the payee is not 'subscriber' nor 'provider'.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }]
        },
        {
          "id" : "Claim.referral",
          "path" : "Claim.referral",
          "short" : "Treatment referral",
          "definition" : "A reference to a referral resource.",
          "comment" : "The referral resource which lists the date, practitioner, reason and other supporting information.",
          "requirements" : "Some insurers require proof of referral to pay for services or to pay specialist rates for services.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.cause"
          }]
        },
        {
          "id" : "Claim.facility",
          "path" : "Claim.facility",
          "short" : "Servicing facility",
          "definition" : "Facility where the services were provided.",
          "requirements" : "Insurance adjudication can be dependant on where services were delivered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "Claim.careTeam",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "CareTeam"
          }],
          "path" : "Claim.careTeam",
          "short" : "Members of the care team",
          "definition" : "The members of the team who provided the products and services.",
          "requirements" : "Common to identify the responsible and supporting practitioners.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Claim.careTeam.sequence",
          "path" : "Claim.careTeam.sequence",
          "short" : "Order of care team",
          "definition" : "A number to uniquely identify care team entries.",
          "requirements" : "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.careTeam.provider",
          "path" : "Claim.careTeam.provider",
          "short" : "Practitioner or organization",
          "definition" : "Member of the team who provided the product or service.",
          "requirements" : "Often a regulatory requirement to specify the responsible provider.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "Claim.careTeam.responsible",
          "path" : "Claim.careTeam.responsible",
          "short" : "Indicator of the lead practitioner",
          "definition" : "The party who is billing and/or responsible for the claimed products or services.",
          "comment" : "Responsible might not be required when there is only a single provider listed.",
          "requirements" : "When multiple parties are present it is required to distinguish the lead or responsible individual.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "Claim.careTeam.role",
          "path" : "Claim.careTeam.role",
          "short" : "Function within the team",
          "definition" : "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.",
          "comment" : "Role might not be required when there is only a single provider listed.",
          "requirements" : "When multiple parties are present it is required to distinguish the roles performed by each member.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamRole"
            }],
            "strength" : "example",
            "description" : "The role codes for the care team members.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-careteamrole"
          }
        },
        {
          "id" : "Claim.careTeam.qualification",
          "path" : "Claim.careTeam.qualification",
          "short" : "Practitioner credential or specialization",
          "definition" : "The qualification of the practitioner which is applicable for this service.",
          "requirements" : "Need to specify which qualification a provider is delivering the product or service under.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProviderQualification"
            }],
            "strength" : "example",
            "description" : "Provider professional qualifications.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provider-qualification"
          }
        },
        {
          "id" : "Claim.supportingInfo",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SupportingInformation"
          }],
          "path" : "Claim.supportingInfo",
          "short" : "Supporting information",
          "definition" : "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.",
          "comment" : "Often there are multiple jurisdiction specific valuesets which are required.",
          "requirements" : "Typically these information codes are required to support the services rendered or the adjudication of the services rendered.",
          "alias" : ["Attachments\nException Codes\nOccurrence Codes\nValue codes"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          }]
        },
        {
          "id" : "Claim.supportingInfo.sequence",
          "path" : "Claim.supportingInfo.sequence",
          "short" : "Information instance identifier",
          "definition" : "A number to uniquely identify supporting information entries.",
          "requirements" : "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.supportingInfo.category",
          "path" : "Claim.supportingInfo.category",
          "short" : "Classification of the supplied information",
          "definition" : "The general class of the information supplied: information; exception; accident, employment; onset, etc.",
          "comment" : "This may contain a category for the local bill type codes.",
          "requirements" : "Required to group or associate information items with common characteristics. For example: admission information or prior treatments.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InformationCategory"
            }],
            "strength" : "example",
            "description" : "The valuset used for additional information category codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-informationcategory"
          }
        },
        {
          "id" : "Claim.supportingInfo.code",
          "path" : "Claim.supportingInfo.code",
          "short" : "Type of information",
          "definition" : "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought.",
          "requirements" : "Required to identify the kind of additional information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InformationCode"
            }],
            "strength" : "example",
            "description" : "The valuset used for additional information codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-exception"
          }
        },
        {
          "id" : "Claim.supportingInfo.timing[x]",
          "path" : "Claim.supportingInfo.timing[x]",
          "short" : "When it occurred",
          "definition" : "The date when or period to which this information refers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }]
        },
        {
          "id" : "Claim.supportingInfo.value[x]",
          "path" : "Claim.supportingInfo.value[x]",
          "short" : "Data to be provided",
          "definition" : "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.",
          "comment" : "Could be used to provide references to other resources, document. For example could contain a PDF in an Attachment of the Police Report for an Accident.",
          "requirements" : "To convey the data content to be provided when the information is more than a simple code or period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "Claim.supportingInfo.reason",
          "path" : "Claim.supportingInfo.reason",
          "short" : "Explanation for the information",
          "definition" : "Provides the reason in the situation where a reason code is required in addition to the content.",
          "comment" : "For example: the reason for the additional stay, or why a tooth is  missing.",
          "requirements" : "Needed when the supporting information has both a date and amount/value and requires explanation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MissingReason"
            }],
            "strength" : "example",
            "description" : "Reason codes for the missing teeth.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/missing-tooth-reason"
          }
        },
        {
          "id" : "Claim.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "Claim.diagnosis",
          "short" : "Pertinent diagnosis information",
          "definition" : "Information about diagnoses relevant to the claim items.",
          "requirements" : "Required for the adjudication by provided context for the services and product listed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          }]
        },
        {
          "id" : "Claim.diagnosis.sequence",
          "path" : "Claim.diagnosis.sequence",
          "short" : "Diagnosis instance identifier",
          "definition" : "A number to uniquely identify diagnosis entries.",
          "comment" : "Diagnosis are presented in list order to their expected importance: primary, secondary, etc.",
          "requirements" : "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.diagnosis.diagnosis[x]",
          "path" : "Claim.diagnosis.diagnosis[x]",
          "short" : "Nature of illness or problem",
          "definition" : "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
          "requirements" : "Provides health context for the evaluation of the products and/or services.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10"
            }],
            "strength" : "example",
            "description" : "Example ICD10 Diagnostic codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
          }
        },
        {
          "id" : "Claim.diagnosis.type",
          "path" : "Claim.diagnosis.type",
          "short" : "Timing or nature of the diagnosis",
          "definition" : "When the condition was observed or the relative ranking.",
          "comment" : "For example: admitting, primary, secondary, discharge.",
          "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisType"
            }],
            "strength" : "example",
            "description" : "The type of the diagnosis: admitting, principal, discharge.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosistype"
          }
        },
        {
          "id" : "Claim.diagnosis.onAdmission",
          "path" : "Claim.diagnosis.onAdmission",
          "short" : "Present on admission",
          "definition" : "Indication of whether the diagnosis was present on admission to a facility.",
          "requirements" : "Many systems need to understand for adjudication if the diagnosis was present a time of admission.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisOnAdmission"
            }],
            "strength" : "example",
            "description" : "Present on admission.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"
          }
        },
        {
          "id" : "Claim.diagnosis.packageCode",
          "path" : "Claim.diagnosis.packageCode",
          "short" : "Package billing code",
          "definition" : "A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.",
          "comment" : "For example DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardial Infarction and a DRG for HeartAttack would be assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.",
          "requirements" : "Required to relate the current  diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisRelatedGroup"
            }],
            "strength" : "example",
            "description" : "The DRG codes associated with the diagnosis.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"
          }
        },
        {
          "id" : "Claim.procedure",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Procedure"
          }],
          "path" : "Claim.procedure",
          "short" : "Clinical procedures performed",
          "definition" : "Procedures performed on the patient relevant to the billing items with the claim.",
          "requirements" : "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Claim.procedure.sequence",
          "path" : "Claim.procedure.sequence",
          "short" : "Procedure instance identifier",
          "definition" : "A number to uniquely identify procedure entries.",
          "requirements" : "Necessary to provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.procedure.type",
          "path" : "Claim.procedure.type",
          "short" : "Category of Procedure",
          "definition" : "When the condition was observed or the relative ranking.",
          "comment" : "For example: primary, secondary.",
          "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureType"
            }],
            "strength" : "example",
            "description" : "Example procedure type codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-procedure-type"
          }
        },
        {
          "id" : "Claim.procedure.date",
          "path" : "Claim.procedure.date",
          "short" : "When the procedure was performed",
          "definition" : "Date and optionally time the procedure was performed.",
          "requirements" : "Required for auditing purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "Claim.procedure.procedure[x]",
          "path" : "Claim.procedure.procedure[x]",
          "short" : "Specific clinical procedure",
          "definition" : "The code or reference to a Procedure resource which identifies the clinical intervention performed.",
          "requirements" : "This identifies the actual clinical procedure.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10_Procedures"
            }],
            "strength" : "example",
            "description" : "Example ICD10 Procedure codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10-procedures"
          }
        },
        {
          "id" : "Claim.procedure.udi",
          "path" : "Claim.procedure.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        },
        {
          "id" : "Claim.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "Claim.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "At least one insurer is required for a claim to be a claim.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Coverage"
          }]
        },
        {
          "id" : "Claim.insurance.sequence",
          "path" : "Claim.insurance.sequence",
          "short" : "Insurance instance identifier",
          "definition" : "A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.",
          "requirements" : "To maintain order of the coverages.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "isSummary" : true
        },
        {
          "id" : "Claim.insurance.focal",
          "path" : "Claim.insurance.focal",
          "short" : "Coverage to be used for adjudication",
          "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
          "comment" : "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.",
          "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "Claim.insurance.identifier",
          "path" : "Claim.insurance.identifier",
          "short" : "Pre-assigned Claim number",
          "definition" : "The business identifier to be used when the claim is sent for adjudication against this insurance policy.",
          "comment" : "Only required in jurisdictions where insurers, rather than the provider, are required to send claims to  insurers that appear after them in the list. This element is not required when 'subrogation=true'.",
          "requirements" : "This will be the claim number should it be necessary to create this claim in the future. This is provided so that payors may forward claims to other payors in the Coordination of Benefit for adjudication rather than the provider being required to initiate each adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Claim.insurance.coverage",
          "path" : "Claim.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isSummary" : true
        },
        {
          "id" : "Claim.insurance.businessArrangement",
          "path" : "Claim.insurance.businessArrangement",
          "short" : "Additional provider contract number",
          "definition" : "A business agreement number established between the provider and the insurer for special business processing purposes.",
          "requirements" : "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Claim.insurance.preAuthRef",
          "path" : "Claim.insurance.preAuthRef",
          "short" : "Prior authorization reference number",
          "definition" : "Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.",
          "comment" : "This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.",
          "requirements" : "Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Claim.insurance.claimResponse",
          "path" : "Claim.insurance.claimResponse",
          "short" : "Adjudication results",
          "definition" : "The result of the adjudication of the line items for the Coverage specified in this insurance.",
          "comment" : "Must not be specified when 'focal=true' for this insurance.",
          "requirements" : "An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }]
        },
        {
          "id" : "Claim.accident",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Accident"
          }],
          "path" : "Claim.accident",
          "short" : "Details of the event",
          "definition" : "Details of an accident which resulted in injuries which required the products and services listed in the claim.",
          "requirements" : "When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Claim.accident.date",
          "path" : "Claim.accident.date",
          "short" : "When the incident occurred",
          "definition" : "Date of an accident event  related to the products and services contained in the claim.",
          "comment" : "The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.",
          "requirements" : "Required for audit purposes and adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }]
        },
        {
          "id" : "Claim.accident.type",
          "path" : "Claim.accident.type",
          "short" : "The nature of the accident",
          "definition" : "The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.",
          "requirements" : "Coverage may be dependant on the type of accident.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AccidentType"
            }],
            "strength" : "extensible",
            "description" : "Type of accident: work place, auto, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"
          }
        },
        {
          "id" : "Claim.accident.location[x]",
          "path" : "Claim.accident.location[x]",
          "short" : "Where the event occurred",
          "definition" : "The physical location of the accident event.",
          "requirements" : "Required for audit purposes and determination of applicable insurance liability.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }]
        },
        {
          "id" : "Claim.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Item"
          }],
          "path" : "Claim.item",
          "short" : "Product or service provided",
          "definition" : "A claim line. Either a simple  product or service or a 'group' of details which can each be a simple items or groups of sub-details.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Claim.item.sequence",
          "path" : "Claim.item.sequence",
          "short" : "Item instance identifier",
          "definition" : "A number to uniquely identify item entries.",
          "requirements" : "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.item.careTeamSequence",
          "path" : "Claim.item.careTeamSequence",
          "short" : "Applicable careTeam members",
          "definition" : "CareTeam members related to this service or product.",
          "requirements" : "Need to identify the individuals and their roles in the provision of the product or service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.item.diagnosisSequence",
          "path" : "Claim.item.diagnosisSequence",
          "short" : "Applicable diagnoses",
          "definition" : "Diagnosis applicable for this service or product.",
          "requirements" : "Need to related the product or service to the associated diagnoses.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.item.procedureSequence",
          "path" : "Claim.item.procedureSequence",
          "short" : "Applicable procedures",
          "definition" : "Procedures applicable for this service or product.",
          "requirements" : "Need to provide any listed specific procedures to support the product or service being claimed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.item.informationSequence",
          "path" : "Claim.item.informationSequence",
          "short" : "Applicable exception and supporting information",
          "definition" : "Exceptions, special conditions and supporting information applicable for this service or product.",
          "requirements" : "Need to reference the supporting information items that relate directly to this product or service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.item.revenue",
          "path" : "Claim.item.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "Claim.item.category",
          "path" : "Claim.item.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral-basic, major, glasses.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "Claim.item.productOrService",
          "path" : "Claim.item.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "Claim.item.modifier",
          "path" : "Claim.item.modifier",
          "short" : "Product or service billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "Claim.item.programCode",
          "path" : "Claim.item.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "Claim.item.serviced[x]",
          "path" : "Claim.item.serviced[x]",
          "short" : "Date or dates of service or product delivery",
          "definition" : "The date or dates when the service or product was supplied, performed or completed.",
          "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Claim.item.location[x]",
          "path" : "Claim.item.location[x]",
          "short" : "Place of service or where product was supplied",
          "definition" : "Where the product or service was provided.",
          "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServicePlace"
            }],
            "strength" : "example",
            "description" : "Place of service: pharmacy, school, prison, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "Claim.item.quantity",
          "path" : "Claim.item.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "Claim.item.unitPrice",
          "path" : "Claim.item.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "Claim.item.factor",
          "path" : "Claim.item.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "Claim.item.net",
          "path" : "Claim.item.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "Claim.item.udi",
          "path" : "Claim.item.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        },
        {
          "id" : "Claim.item.bodySite",
          "path" : "Claim.item.bodySite",
          "short" : "Anatomical location",
          "definition" : "Physical service site on the patient (limb, tooth, etc.).",
          "comment" : "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralSites"
            }],
            "strength" : "example",
            "description" : "The code for the teeth, quadrant, sextant and arch.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
          }
        },
        {
          "id" : "Claim.item.subSite",
          "path" : "Claim.item.subSite",
          "short" : "Anatomical sub-location",
          "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Surface"
            }],
            "strength" : "example",
            "description" : "The code for the tooth surface and surface combinations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
          }
        },
        {
          "id" : "Claim.item.encounter",
          "path" : "Claim.item.encounter",
          "short" : "Encounters related to this billed item",
          "definition" : "The Encounters during which this Claim was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "requirements" : "Used in some jurisdictions to link clinical events to claim items.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          }]
        },
        {
          "id" : "Claim.item.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Detail"
          }],
          "path" : "Claim.item.detail",
          "short" : "Product or service provided",
          "definition" : "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Claim.item.detail.sequence",
          "path" : "Claim.item.detail.sequence",
          "short" : "Item instance identifier",
          "definition" : "A number to uniquely identify item entries.",
          "requirements" : "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.item.detail.revenue",
          "path" : "Claim.item.detail.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "Claim.item.detail.category",
          "path" : "Claim.item.detail.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral-basic, major, glasses.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "Claim.item.detail.productOrService",
          "path" : "Claim.item.detail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "Claim.item.detail.modifier",
          "path" : "Claim.item.detail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "Claim.item.detail.programCode",
          "path" : "Claim.item.detail.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "Claim.item.detail.quantity",
          "path" : "Claim.item.detail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "Claim.item.detail.unitPrice",
          "path" : "Claim.item.detail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "Claim.item.detail.factor",
          "path" : "Claim.item.detail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "Claim.item.detail.net",
          "path" : "Claim.item.detail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "Claim.item.detail.udi",
          "path" : "Claim.item.detail.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SubDetail"
          }],
          "path" : "Claim.item.detail.subDetail",
          "short" : "Product or service provided",
          "definition" : "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.sequence",
          "path" : "Claim.item.detail.subDetail.sequence",
          "short" : "Item instance identifier",
          "definition" : "A number to uniquely identify item entries.",
          "requirements" : "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.revenue",
          "path" : "Claim.item.detail.subDetail.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.category",
          "path" : "Claim.item.detail.subDetail.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral-basic, major, glasses.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.productOrService",
          "path" : "Claim.item.detail.subDetail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.modifier",
          "path" : "Claim.item.detail.subDetail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.programCode",
          "path" : "Claim.item.detail.subDetail.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "Claim.item.detail.subDetail.quantity",
          "path" : "Claim.item.detail.subDetail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.unitPrice",
          "path" : "Claim.item.detail.subDetail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.factor",
          "path" : "Claim.item.detail.subDetail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.net",
          "path" : "Claim.item.detail.subDetail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "Claim.item.detail.subDetail.udi",
          "path" : "Claim.item.detail.subDetail.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        },
        {
          "id" : "Claim.total",
          "path" : "Claim.total",
          "short" : "Total claim cost",
          "definition" : "The total value of the all the items in the claim.",
          "requirements" : "Used for  control total purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ClaimResponse",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ClaimResponse 
TU
DomainResource
Response to a claim predetermination or preauthorization
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier for a claim response
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 type 
Σ
1..1
CodeableConcept
More granular claim type
Claim Type Codes (Extensible)
 subType 
0..1
CodeableConcept
More granular claim type
Example Claim SubType Codes (Example)
 use 
Σ
1..1
code
claim | preauthorization | predetermination
Use (Required)
 patient 
Σ
1..1
Reference(Patient)
The recipient of the products and services
 created 
Σ
1..1
dateTime
Response creation date
 insurer 
Σ
1..1
Reference(Organization)
Party responsible for reimbursement
 requestor 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Party responsible for the claim
 request 
Σ
0..1
Reference(Claim)
Id of resource triggering adjudication
 outcome 
Σ
1..1
code
queued | complete | error | partial
Claim Processing Codes (Required)
 disposition 
0..1
string
Disposition Message
 preAuthRef 
0..1
string
Preauthorization reference
 preAuthPeriod 
0..1
Period
Preauthorization reference effective period
 payeeType 
0..1
CodeableConcept
Party to be paid any benefits payable
PayeeType (Example)
 item 
0..*
BackboneElement
Adjudication for claim line items
 itemSequence 
1..1
positiveInt
Claim item instance identifier
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
1..*
BackboneElement
Adjudication details
 category 
1..1
CodeableConcept
Type of adjudication information
Adjudication Value Codes (Example)
 reason 
0..1
CodeableConcept
Explanation of adjudication outcome
Adjudication Reason Codes (Example)
 amount 
0..1
Money
Monetary amount
 value 
0..1
decimal
Non-monetary value
 detail 
0..*
BackboneElement
Adjudication for claim details
 detailSequence 
1..1
positiveInt
Claim detail instance identifier
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
1..*
see adjudication
Detail level adjudication details
 subDetail 
0..*
BackboneElement
Adjudication for claim sub-details
 subDetailSequence 
1..1
positiveInt
Claim sub-detail instance identifier
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
0..*
see adjudication
Subdetail level adjudication details
 addItem 
0..*
BackboneElement
Insurer added line items
 itemSequence 
0..*
positiveInt
Item sequence number
 detailSequence 
0..*
positiveInt
Detail sequence number
 subdetailSequence 
0..*
positiveInt
Subdetail sequence number
 provider 
0..*
Reference(Practitioner | PractitionerRole | Organization)
Authorized providers
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 programCode 
0..*
CodeableConcept
Program the product or service is provided under
Example Program Reason Codes (Example)
 serviced[x] 
0..1
Date or dates of service or product delivery
 servicedDate
date
 servicedPeriod
Period
 location[x] 
0..1
Place of service or where product was supplied
Example Service Place Codes (Example)
 locationCodeableConcept
CodeableConcept
 locationAddress
Address
 locationReference
Reference(Location)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 bodySite 
0..1
CodeableConcept
Anatomical location
Oral Site Codes (Example)
 subSite 
0..*
CodeableConcept
Anatomical sub-location
Surface Codes (Example)
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
1..*
see adjudication
Added items adjudication
 detail 
0..*
BackboneElement
Insurer added line details
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
1..*
see adjudication
Added items detail adjudication
 subDetail 
0..*
BackboneElement
Insurer added line items
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
1..*
see adjudication
Added items detail adjudication
 adjudication 
0..*
see adjudication
Header-level adjudication
 total 
Σ
0..*
BackboneElement
Adjudication totals
 category 
Σ
1..1
CodeableConcept
Type of adjudication information
Adjudication Value Codes (Example)
 amount 
Σ
1..1
Money
Financial total for the category
 payment 
0..1
BackboneElement
Payment Details
 type 
1..1
CodeableConcept
Partial or complete payment
Example Payment Type Codes (Example)
 adjustment 
0..1
Money
Payment adjustment for non-claim issues
 adjustmentReason 
0..1
CodeableConcept
Explanation for the adjustment
Payment Adjustment Reason Codes (Example)
 date 
0..1
date
Expected date of payment
 amount 
1..1
Money
Payable amount after adjustment
 identifier 
0..1
Identifier
Business identifier for the payment
 fundsReserve 
0..1
CodeableConcept
Funds reserved status
FundsReserve (Example)
 formCode 
0..1
CodeableConcept
Printed form identifier
Forms (Example)
 form 
0..1
Attachment
Printed reference or actual form
 processNote 
0..*
BackboneElement
Note concerning adjudication
 number 
0..1
positiveInt
Note instance identifier
 type 
0..1
code
display | print | printoper
NoteType (Required)
 text 
1..1
string
Note explanatory text
 language 
0..1
CodeableConcept
Language of the text
Common Languages (Preferred but limited to AllLanguages)
 communicationRequest 
0..*
Reference(CommunicationRequest)
Request for additional information
 insurance 
0..*
BackboneElement
Patient insurance information
 sequence 
1..1
positiveInt
Insurance instance identifier
 focal 
1..1
boolean
Coverage to be used for adjudication
 coverage 
1..1
Reference(Coverage)
Insurance information
 businessArrangement 
0..1
string
Additional provider contract number
 claimResponse 
0..1
Reference(ClaimResponse)
Adjudication results
 error 
0..*
BackboneElement
Processing errors
 itemSequence 
0..1
positiveInt
Item sequence number
 detailSequence 
0..1
positiveInt
Detail sequence number
 subDetailSequence 
0..1
positiveInt
Subdetail sequence number
 code 
1..1
CodeableConcept
Error code detailing processing issues
AdjudicationError (Example)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Billing"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ClaimResponse",
      "version" : "4.0.0",
      "name" : "ClaimResponse",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "This resource provides the adjudication details from the processing of a Claim resource.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ClaimResponse",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ClaimResponse",
          "path" : "ClaimResponse",
          "short" : "Response to a claim predetermination or preauthorization",
          "definition" : "This resource provides the adjudication details from the processing of a Claim resource.",
          "alias" : ["Remittance Advice"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "ClaimResponse.id",
          "path" : "ClaimResponse.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ClaimResponse.meta",
          "path" : "ClaimResponse.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ClaimResponse.implicitRules",
          "path" : "ClaimResponse.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ClaimResponse.language",
          "path" : "ClaimResponse.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ClaimResponse.text",
          "path" : "ClaimResponse.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ClaimResponse.contained",
          "path" : "ClaimResponse.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.extension",
          "path" : "ClaimResponse.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.modifierExtension",
          "path" : "ClaimResponse.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.identifier",
          "path" : "ClaimResponse.identifier",
          "short" : "Business Identifier for a claim response",
          "definition" : "A unique identifier assigned to this claim response.",
          "requirements" : "Allows claim responses to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ClaimResponse.status",
          "path" : "ClaimResponse.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimResponseStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ClaimResponse.type",
          "path" : "ClaimResponse.type",
          "short" : "More granular claim type",
          "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
          "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
          "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimType"
            }],
            "strength" : "extensible",
            "description" : "The type or discipline-style of the claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ClaimResponse.subType",
          "path" : "ClaimResponse.subType",
          "short" : "More granular claim type",
          "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
          "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
          "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.subType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimSubType"
            }],
            "strength" : "example",
            "description" : "A more granular claim typecode.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ClaimResponse.use",
          "path" : "ClaimResponse.use",
          "short" : "claim | preauthorization | predetermination",
          "definition" : "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.",
          "requirements" : "This element is required to understand the nature of the request for adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.use",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Use"
            }],
            "strength" : "required",
            "description" : "Claim, preauthorization, predetermination.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ClaimResponse.patient",
          "path" : "ClaimResponse.patient",
          "short" : "The recipient of the products and services",
          "definition" : "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.",
          "requirements" : "The patient must be supplied to the insurer so that confirmation of coverage and service hstory may be considered as part of the authorization and/or adjudiction.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ClaimResponse.created",
          "path" : "ClaimResponse.created",
          "short" : "Response creation date",
          "definition" : "The date this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.created",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ClaimResponse.insurer",
          "path" : "ClaimResponse.insurer",
          "short" : "Party responsible for reimbursement",
          "definition" : "The party responsible for authorization, adjudication and reimbursement.",
          "requirements" : "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.insurer",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          }]
        },
        {
          "id" : "ClaimResponse.requestor",
          "path" : "ClaimResponse.requestor",
          "short" : "Party responsible for the claim",
          "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.requestor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "ClaimResponse.request",
          "path" : "ClaimResponse.request",
          "short" : "Id of resource triggering adjudication",
          "definition" : "Original request resource reference.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.request",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "ClaimResponse.outcome",
          "path" : "ClaimResponse.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "The outcome of the claim, predetermination, or preauthorization processing.",
          "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
          "requirements" : "To advise the requestor of an overall processing outcome.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.outcome",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            }],
            "strength" : "required",
            "description" : "The result of the claim processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "ClaimResponse.disposition",
          "path" : "ClaimResponse.disposition",
          "short" : "Disposition Message",
          "definition" : "A human readable description of the status of the adjudication.",
          "requirements" : "Provided for user display.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.disposition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        },
        {
          "id" : "ClaimResponse.preAuthRef",
          "path" : "ClaimResponse.preAuthRef",
          "short" : "Preauthorization reference",
          "definition" : "Reference from the Insurer which is used in later communications which refers to this adjudication.",
          "comment" : "This value is only present on preauthorization adjudications.",
          "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.preAuthRef",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.preAuthPeriod",
          "path" : "ClaimResponse.preAuthPeriod",
          "short" : "Preauthorization reference effective period",
          "definition" : "The time frame during which this authorization is effective.",
          "requirements" : "To convey to the provider when the authorized products and services must be supplied for the authorized adjudication to apply.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.preAuthPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.payeeType",
          "path" : "ClaimResponse.payeeType",
          "short" : "Party to be paid any benefits payable",
          "definition" : "Type of Party to be reimbursed: subscriber, provider, other.",
          "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.payeeType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PayeeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "A code for the party to be reimbursed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
          }
        },
        {
          "id" : "ClaimResponse.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Item"
          }],
          "path" : "ClaimResponse.item",
          "short" : "Adjudication for claim line items",
          "definition" : "A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.",
          "requirements" : "The adjudication for items provided on the claim.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.id",
          "path" : "ClaimResponse.item.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.item.extension",
          "path" : "ClaimResponse.item.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.item.modifierExtension",
          "path" : "ClaimResponse.item.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.item.itemSequence",
          "path" : "ClaimResponse.item.itemSequence",
          "short" : "Claim item instance identifier",
          "definition" : "A number to uniquely reference the claim item entries.",
          "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim item.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.item.itemSequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.noteNumber",
          "path" : "ClaimResponse.item.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.adjudication",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Adjudication"
          }],
          "path" : "ClaimResponse.item.adjudication",
          "short" : "Adjudication details",
          "definition" : "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.",
          "requirements" : "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item.adjudication",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.adjudication.id",
          "path" : "ClaimResponse.item.adjudication.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.item.adjudication.extension",
          "path" : "ClaimResponse.item.adjudication.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.item.adjudication.modifierExtension",
          "path" : "ClaimResponse.item.adjudication.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.item.adjudication.category",
          "path" : "ClaimResponse.item.adjudication.category",
          "short" : "Type of adjudication information",
          "definition" : "A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item.",
          "comment" : "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
          "requirements" : "Needed to enable understanding of the context of the other information in the adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.item.adjudication.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Adjudication"
            }],
            "strength" : "example",
            "description" : "The adjudication codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
          }
        },
        {
          "id" : "ClaimResponse.item.adjudication.reason",
          "path" : "ClaimResponse.item.adjudication.reason",
          "short" : "Explanation of adjudication outcome",
          "definition" : "A code supporting the understanding of the adjudication result and explaining variance from expected amount.",
          "comment" : "For example may indicate that the funds for this benefit type have been exhausted.",
          "requirements" : "To support understanding of variance from adjudication expectations.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.item.adjudication.reason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjudicationReason"
            }],
            "strength" : "example",
            "description" : "The adjudication reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-reason"
          }
        },
        {
          "id" : "ClaimResponse.item.adjudication.amount",
          "path" : "ClaimResponse.item.adjudication.amount",
          "short" : "Monetary amount",
          "definition" : "Monetary amount associated with the category.",
          "comment" : "For example: amount submitted, eligible amount, co-payment, and benefit payable.",
          "requirements" : "Most adjuciation categories convey a monetary amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.item.adjudication.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.adjudication.value",
          "path" : "ClaimResponse.item.adjudication.value",
          "short" : "Non-monetary value",
          "definition" : "A non-monetary value associated with the category. Mutually exclusive to the amount element above.",
          "comment" : "For example: eligible percentage or co-payment percentage.",
          "requirements" : "Some adjudication categories convey a percentage or a fixed value.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.item.adjudication.value",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ItemDetail"
          }],
          "path" : "ClaimResponse.item.detail",
          "short" : "Adjudication for claim details",
          "definition" : "A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The adjudication for details provided on the claim.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.detail.id",
          "path" : "ClaimResponse.item.detail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.extension",
          "path" : "ClaimResponse.item.detail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.modifierExtension",
          "path" : "ClaimResponse.item.detail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.detailSequence",
          "path" : "ClaimResponse.item.detail.detailSequence",
          "short" : "Claim detail instance identifier",
          "definition" : "A number to uniquely reference the claim detail entry.",
          "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim detail.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.item.detail.detailSequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.detail.noteNumber",
          "path" : "ClaimResponse.item.detail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item.detail.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.detail.adjudication",
          "path" : "ClaimResponse.item.detail.adjudication",
          "short" : "Detail level adjudication details",
          "definition" : "The adjudication results.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item.detail.adjudication",
            "min" : 1,
            "max" : "*"
          },
          "contentReference" : "#ClaimResponse.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SubDetail"
          }],
          "path" : "ClaimResponse.item.detail.subDetail",
          "short" : "Adjudication for claim sub-details",
          "definition" : "A sub-detail adjudication of a simple product or service.",
          "requirements" : "The adjudication for sub-details provided on the claim.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item.detail.subDetail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.id",
          "path" : "ClaimResponse.item.detail.subDetail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.extension",
          "path" : "ClaimResponse.item.detail.subDetail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.modifierExtension",
          "path" : "ClaimResponse.item.detail.subDetail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
          "path" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
          "short" : "Claim sub-detail instance identifier",
          "definition" : "A number to uniquely reference the claim sub-detail entry.",
          "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim sub-detail.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.noteNumber",
          "path" : "ClaimResponse.item.detail.subDetail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item.detail.subDetail.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.adjudication",
          "path" : "ClaimResponse.item.detail.subDetail.adjudication",
          "short" : "Subdetail level adjudication details",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.item.detail.subDetail.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ClaimResponse.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItem"
          }],
          "path" : "ClaimResponse.addItem",
          "short" : "Insurer added line items",
          "definition" : "The first-tier service adjudications for payor added product or service lines.",
          "requirements" : "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.id",
          "path" : "ClaimResponse.addItem.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.extension",
          "path" : "ClaimResponse.addItem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.modifierExtension",
          "path" : "ClaimResponse.addItem.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.itemSequence",
          "path" : "ClaimResponse.addItem.itemSequence",
          "short" : "Item sequence number",
          "definition" : "Claim items which this service line is intended to replace.",
          "requirements" : "Provides references to the claim items.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.itemSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detailSequence",
          "path" : "ClaimResponse.addItem.detailSequence",
          "short" : "Detail sequence number",
          "definition" : "The sequence number of the details within the claim item which this line is intended to replace.",
          "requirements" : "Provides references to the claim details within the claim item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detailSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.subdetailSequence",
          "path" : "ClaimResponse.addItem.subdetailSequence",
          "short" : "Subdetail sequence number",
          "definition" : "The sequence number of the sub-details within the details within the claim item which this line is intended to replace.",
          "requirements" : "Provides references to the claim sub-details within the claim detail.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.subdetailSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.provider",
          "path" : "ClaimResponse.addItem.provider",
          "short" : "Authorized providers",
          "definition" : "The providers who are authorized for the services rendered to the patient.",
          "requirements" : "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.provider",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.productOrService",
          "path" : "ClaimResponse.addItem.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ClaimResponse.addItem.modifier",
          "path" : "ClaimResponse.addItem.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.C, 24.D mods"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.programCode",
          "path" : "ClaimResponse.addItem.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.programCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.H"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.serviced[x]",
          "path" : "ClaimResponse.addItem.serviced[x]",
          "short" : "Date or dates of service or product delivery",
          "definition" : "The date or dates when the service or product was supplied, performed or completed.",
          "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.serviced[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "24.A"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.location[x]",
          "path" : "ClaimResponse.addItem.location[x]",
          "short" : "Place of service or where product was supplied",
          "definition" : "Where the product or service was provided.",
          "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.location[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServicePlace"
            }],
            "strength" : "example",
            "description" : "Place of service: pharmacy, school, prison, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "24.B"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.quantity",
          "path" : "ClaimResponse.addItem.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.G"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.unitPrice",
          "path" : "ClaimResponse.addItem.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.factor",
          "path" : "ClaimResponse.addItem.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.net",
          "path" : "ClaimResponse.addItem.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.F"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.bodySite",
          "path" : "ClaimResponse.addItem.bodySite",
          "short" : "Anatomical location",
          "definition" : "Physical service site on the patient (limb, tooth, etc.).",
          "comment" : "For example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralSites"
            }],
            "strength" : "example",
            "description" : "The code for the teeth, quadrant, sextant and arch.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
          }
        },
        {
          "id" : "ClaimResponse.addItem.subSite",
          "path" : "ClaimResponse.addItem.subSite",
          "short" : "Anatomical sub-location",
          "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.subSite",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Surface"
            }],
            "strength" : "example",
            "description" : "The code for the tooth surface and surface combinations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
          }
        },
        {
          "id" : "ClaimResponse.addItem.noteNumber",
          "path" : "ClaimResponse.addItem.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.adjudication",
          "path" : "ClaimResponse.addItem.adjudication",
          "short" : "Added items adjudication",
          "definition" : "The adjudication results.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.adjudication",
            "min" : 1,
            "max" : "*"
          },
          "contentReference" : "#ClaimResponse.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItemDetail"
          }],
          "path" : "ClaimResponse.addItem.detail",
          "short" : "Insurer added line details",
          "definition" : "The second-tier service adjudications for payor added services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.id",
          "path" : "ClaimResponse.addItem.detail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.extension",
          "path" : "ClaimResponse.addItem.detail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.modifierExtension",
          "path" : "ClaimResponse.addItem.detail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.productOrService",
          "path" : "ClaimResponse.addItem.detail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ClaimResponse.addItem.detail.modifier",
          "path" : "ClaimResponse.addItem.detail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.C, 24.D mods"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.quantity",
          "path" : "ClaimResponse.addItem.detail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.G"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.unitPrice",
          "path" : "ClaimResponse.addItem.detail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.factor",
          "path" : "ClaimResponse.addItem.detail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.net",
          "path" : "ClaimResponse.addItem.detail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.F"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.noteNumber",
          "path" : "ClaimResponse.addItem.detail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.adjudication",
          "path" : "ClaimResponse.addItem.detail.adjudication",
          "short" : "Added items detail adjudication",
          "definition" : "The adjudication results.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.adjudication",
            "min" : 1,
            "max" : "*"
          },
          "contentReference" : "#ClaimResponse.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItemSubDetail"
          }],
          "path" : "ClaimResponse.addItem.detail.subDetail",
          "short" : "Insurer added line items",
          "definition" : "The third-tier service adjudications for payor added services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.id",
          "path" : "ClaimResponse.addItem.detail.subDetail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.extension",
          "path" : "ClaimResponse.addItem.detail.subDetail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.modifierExtension",
          "path" : "ClaimResponse.addItem.detail.subDetail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.productOrService",
          "path" : "ClaimResponse.addItem.detail.subDetail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.modifier",
          "path" : "ClaimResponse.addItem.detail.subDetail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.C, 24.D mods"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.quantity",
          "path" : "ClaimResponse.addItem.detail.subDetail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.G"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
          "path" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.factor",
          "path" : "ClaimResponse.addItem.detail.subDetail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.net",
          "path" : "ClaimResponse.addItem.detail.subDetail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.F"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
          "path" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.adjudication",
          "path" : "ClaimResponse.addItem.detail.subDetail.adjudication",
          "short" : "Added items detail adjudication",
          "definition" : "The adjudication results.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.addItem.detail.subDetail.adjudication",
            "min" : 1,
            "max" : "*"
          },
          "contentReference" : "#ClaimResponse.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.adjudication",
          "path" : "ClaimResponse.adjudication",
          "short" : "Header-level adjudication",
          "definition" : "The adjudication results which are presented at the header level rather than at the line-item or add-item levels.",
          "requirements" : "Some insurers will receive line-items but provide the adjudication only at a summary or header-level.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ClaimResponse.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.total",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Total"
          }],
          "path" : "ClaimResponse.total",
          "short" : "Adjudication totals",
          "definition" : "Categorized monetary totals for the adjudication.",
          "comment" : "Totals for amounts submitted, co-pays, benefits payable etc.",
          "requirements" : "To provide the requestor with financial totals by category for the adjudication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.total",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ClaimResponse.total.id",
          "path" : "ClaimResponse.total.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.total.extension",
          "path" : "ClaimResponse.total.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.total.modifierExtension",
          "path" : "ClaimResponse.total.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.total.category",
          "path" : "ClaimResponse.total.category",
          "short" : "Type of adjudication information",
          "definition" : "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
          "comment" : "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
          "requirements" : "Needed to convey the type of total provided.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.total.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Adjudication"
            }],
            "strength" : "example",
            "description" : "The adjudication codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
          }
        },
        {
          "id" : "ClaimResponse.total.amount",
          "path" : "ClaimResponse.total.amount",
          "short" : "Financial total for the category",
          "definition" : "Monetary total amount associated with the category.",
          "requirements" : "Needed to convey the total monetary amount.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.total.amount",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ClaimResponse.payment",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Payment"
          }],
          "path" : "ClaimResponse.payment",
          "short" : "Payment Details",
          "definition" : "Payment details for the adjudication of the claim.",
          "requirements" : "Needed to convey references to the financial instrument that has been used if payment has been made.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.payment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.payment.id",
          "path" : "ClaimResponse.payment.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.payment.extension",
          "path" : "ClaimResponse.payment.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.payment.modifierExtension",
          "path" : "ClaimResponse.payment.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.payment.type",
          "path" : "ClaimResponse.payment.type",
          "short" : "Partial or complete payment",
          "definition" : "Whether this represents partial or complete payment of the benefits payable.",
          "requirements" : "To advise the requestor when the insurer believes all payments to have been completed.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.payment.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentType"
            }],
            "strength" : "example",
            "description" : "The type (partial, complete) of the payment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-paymenttype"
          }
        },
        {
          "id" : "ClaimResponse.payment.adjustment",
          "path" : "ClaimResponse.payment.adjustment",
          "short" : "Payment adjustment for non-claim issues",
          "definition" : "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.",
          "comment" : "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.",
          "requirements" : "To advise the requestor of adjustments applied to the payment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.payment.adjustment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.payment.adjustmentReason",
          "path" : "ClaimResponse.payment.adjustmentReason",
          "short" : "Explanation for the adjustment",
          "definition" : "Reason for the payment adjustment.",
          "requirements" : "Needed to clarify the monetary adjustment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.payment.adjustmentReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentAdjustmentReason"
            }],
            "strength" : "example",
            "description" : "Payment Adjustment reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payment-adjustment-reason"
          }
        },
        {
          "id" : "ClaimResponse.payment.date",
          "path" : "ClaimResponse.payment.date",
          "short" : "Expected date of payment",
          "definition" : "Estimated date the payment will be issued or the actual issue date of payment.",
          "requirements" : "To advise the payee when payment can be expected.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.payment.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.payment.amount",
          "path" : "ClaimResponse.payment.amount",
          "short" : "Payable amount after adjustment",
          "definition" : "Benefits payable less any payment adjustment.",
          "requirements" : "Needed to provide the actual payment amount.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.payment.amount",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.payment.identifier",
          "path" : "ClaimResponse.payment.identifier",
          "short" : "Business identifier for the payment",
          "definition" : "Issuer's unique identifier for the payment instrument.",
          "comment" : "For example: EFT number or check number.",
          "requirements" : "Enable the receiver to reconcile when payment received.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.payment.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.fundsReserve",
          "path" : "ClaimResponse.fundsReserve",
          "short" : "Funds reserved status",
          "definition" : "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.",
          "comment" : "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.",
          "requirements" : "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.fundsReserve",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundsReserve"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
          }
        },
        {
          "id" : "ClaimResponse.formCode",
          "path" : "ClaimResponse.formCode",
          "short" : "Printed form identifier",
          "definition" : "A code for the form to be used for printing the content.",
          "comment" : "May be needed to identify specific jurisdictional forms.",
          "requirements" : "Needed to specify the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.formCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Forms"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The forms codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
          }
        },
        {
          "id" : "ClaimResponse.form",
          "path" : "ClaimResponse.form",
          "short" : "Printed reference or actual form",
          "definition" : "The actual form, by reference or inclusion, for printing the content or an EOB.",
          "comment" : "Needed to permit insurers to include the actual form.",
          "requirements" : "Needed to include the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.form",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.processNote",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Note"
          }],
          "path" : "ClaimResponse.processNote",
          "short" : "Note concerning adjudication",
          "definition" : "A note that describes or explains adjudication results in a human readable form.",
          "requirements" : "Provides the insurer specific textual explanations associated with the processing.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.processNote",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.processNote.id",
          "path" : "ClaimResponse.processNote.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.processNote.extension",
          "path" : "ClaimResponse.processNote.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.processNote.modifierExtension",
          "path" : "ClaimResponse.processNote.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.processNote.number",
          "path" : "ClaimResponse.processNote.number",
          "short" : "Note instance identifier",
          "definition" : "A number to uniquely identify a note entry.",
          "requirements" : "Necessary to provide a mechanism to link from adjudications.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.processNote.number",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.processNote.type",
          "path" : "ClaimResponse.processNote.type",
          "short" : "display | print | printoper",
          "definition" : "The business purpose of the note text.",
          "requirements" : "To convey the expectation for when the text is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.processNote.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NoteType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The presentation types of notes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/note-type|4.0.0"
          }
        },
        {
          "id" : "ClaimResponse.processNote.text",
          "path" : "ClaimResponse.processNote.text",
          "short" : "Note explanatory text",
          "definition" : "The explanation or description associated with the processing.",
          "requirements" : "Required to provide human readable explanation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.processNote.text",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.processNote.language",
          "path" : "ClaimResponse.processNote.language",
          "short" : "Language of the text",
          "definition" : "A code to define the language used in the text of the note.",
          "comment" : "Only required if the language is different from the resource language.",
          "requirements" : "Note text may vary from the resource defined language.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.processNote.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ClaimResponse.communicationRequest",
          "path" : "ClaimResponse.communicationRequest",
          "short" : "Request for additional information",
          "definition" : "Request for additional supporting or authorizing information.",
          "comment" : "For example: professional reports, documents, images, clinical resources, or accident reports.",
          "requirements" : "Need to communicate insurer request for additional information required to support the adjudication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.communicationRequest",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CommunicationRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "ClaimResponse.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "At least one insurer is required for a claim to be a claim.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.insurance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Coverage"
          }]
        },
        {
          "id" : "ClaimResponse.insurance.id",
          "path" : "ClaimResponse.insurance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.insurance.extension",
          "path" : "ClaimResponse.insurance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.insurance.modifierExtension",
          "path" : "ClaimResponse.insurance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.insurance.sequence",
          "path" : "ClaimResponse.insurance.sequence",
          "short" : "Insurance instance identifier",
          "definition" : "A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.",
          "requirements" : "To maintain order of the coverages.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.insurance.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.insurance.focal",
          "path" : "ClaimResponse.insurance.focal",
          "short" : "Coverage to be used for adjudication",
          "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
          "comment" : "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.",
          "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.insurance.focal",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.insurance.coverage",
          "path" : "ClaimResponse.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.insurance.coverage",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.insurance.businessArrangement",
          "path" : "ClaimResponse.insurance.businessArrangement",
          "short" : "Additional provider contract number",
          "definition" : "A business agreement number established between the provider and the insurer for special business processing purposes.",
          "requirements" : "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.insurance.businessArrangement",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.insurance.claimResponse",
          "path" : "ClaimResponse.insurance.claimResponse",
          "short" : "Adjudication results",
          "definition" : "The result of the adjudication of the line items for the Coverage specified in this insurance.",
          "comment" : "Must not be specified when 'focal=true' for this insurance.",
          "requirements" : "An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.insurance.claimResponse",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.error",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Error"
          }],
          "path" : "ClaimResponse.error",
          "short" : "Processing errors",
          "definition" : "Errors encountered during the processing of the adjudication.",
          "comment" : "If the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present.",
          "requirements" : "Need to communicate processing issues to the requestor.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClaimResponse.error",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.error.id",
          "path" : "ClaimResponse.error.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.error.extension",
          "path" : "ClaimResponse.error.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClaimResponse.error.modifierExtension",
          "path" : "ClaimResponse.error.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClaimResponse.error.itemSequence",
          "path" : "ClaimResponse.error.itemSequence",
          "short" : "Item sequence number",
          "definition" : "The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
          "requirements" : "Provides references to the claim items.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.error.itemSequence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.error.detailSequence",
          "path" : "ClaimResponse.error.detailSequence",
          "short" : "Detail sequence number",
          "definition" : "The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
          "requirements" : "Provides references to the claim details within the claim item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.error.detailSequence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.error.subDetailSequence",
          "path" : "ClaimResponse.error.subDetailSequence",
          "short" : "Subdetail sequence number",
          "definition" : "The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
          "requirements" : "Provides references to the claim sub-details within the claim detail.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.error.subDetailSequence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClaimResponse.error.code",
          "path" : "ClaimResponse.error.code",
          "short" : "Error code detailing processing issues",
          "definition" : "An error code, from a specified code system, which details why the claim could not be adjudicated.",
          "requirements" : "Required to convey processing errors.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClaimResponse.error.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjudicationError"
            }],
            "strength" : "example",
            "description" : "The adjudication error codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-error"
          }
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ClaimResponse",
          "path" : "ClaimResponse",
          "short" : "Response to a claim predetermination or preauthorization",
          "definition" : "This resource provides the adjudication details from the processing of a Claim resource.",
          "alias" : ["Remittance Advice"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "ClaimResponse.identifier",
          "path" : "ClaimResponse.identifier",
          "short" : "Business Identifier for a claim response",
          "definition" : "A unique identifier assigned to this claim response.",
          "requirements" : "Allows claim responses to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ClaimResponse.status",
          "path" : "ClaimResponse.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimResponseStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ClaimResponse.type",
          "path" : "ClaimResponse.type",
          "short" : "More granular claim type",
          "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
          "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
          "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimType"
            }],
            "strength" : "extensible",
            "description" : "The type or discipline-style of the claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ClaimResponse.subType",
          "path" : "ClaimResponse.subType",
          "short" : "More granular claim type",
          "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
          "comment" : "This may contain the local bill type codes, for example the US UB-04 bill type code or the CMS bill type.",
          "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimSubType"
            }],
            "strength" : "example",
            "description" : "A more granular claim typecode.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ClaimResponse.use",
          "path" : "ClaimResponse.use",
          "short" : "claim | preauthorization | predetermination",
          "definition" : "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.",
          "requirements" : "This element is required to understand the nature of the request for adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Use"
            }],
            "strength" : "required",
            "description" : "Claim, preauthorization, predetermination.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ClaimResponse.patient",
          "path" : "ClaimResponse.patient",
          "short" : "The recipient of the products and services",
          "definition" : "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.",
          "requirements" : "The patient must be supplied to the insurer so that confirmation of coverage and service hstory may be considered as part of the authorization and/or adjudiction.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ClaimResponse.created",
          "path" : "ClaimResponse.created",
          "short" : "Response creation date",
          "definition" : "The date this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ClaimResponse.insurer",
          "path" : "ClaimResponse.insurer",
          "short" : "Party responsible for reimbursement",
          "definition" : "The party responsible for authorization, adjudication and reimbursement.",
          "requirements" : "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          }]
        },
        {
          "id" : "ClaimResponse.requestor",
          "path" : "ClaimResponse.requestor",
          "short" : "Party responsible for the claim",
          "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "ClaimResponse.request",
          "path" : "ClaimResponse.request",
          "short" : "Id of resource triggering adjudication",
          "definition" : "Original request resource reference.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "ClaimResponse.outcome",
          "path" : "ClaimResponse.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "The outcome of the claim, predetermination, or preauthorization processing.",
          "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
          "requirements" : "To advise the requestor of an overall processing outcome.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            }],
            "strength" : "required",
            "description" : "The result of the claim processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "ClaimResponse.disposition",
          "path" : "ClaimResponse.disposition",
          "short" : "Disposition Message",
          "definition" : "A human readable description of the status of the adjudication.",
          "requirements" : "Provided for user display.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        },
        {
          "id" : "ClaimResponse.preAuthRef",
          "path" : "ClaimResponse.preAuthRef",
          "short" : "Preauthorization reference",
          "definition" : "Reference from the Insurer which is used in later communications which refers to this adjudication.",
          "comment" : "This value is only present on preauthorization adjudications.",
          "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ClaimResponse.preAuthPeriod",
          "path" : "ClaimResponse.preAuthPeriod",
          "short" : "Preauthorization reference effective period",
          "definition" : "The time frame during which this authorization is effective.",
          "requirements" : "To convey to the provider when the authorized products and services must be supplied for the authorized adjudication to apply.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "ClaimResponse.payeeType",
          "path" : "ClaimResponse.payeeType",
          "short" : "Party to be paid any benefits payable",
          "definition" : "Type of Party to be reimbursed: subscriber, provider, other.",
          "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PayeeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "A code for the party to be reimbursed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
          }
        },
        {
          "id" : "ClaimResponse.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Item"
          }],
          "path" : "ClaimResponse.item",
          "short" : "Adjudication for claim line items",
          "definition" : "A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.",
          "requirements" : "The adjudication for items provided on the claim.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.item.itemSequence",
          "path" : "ClaimResponse.item.itemSequence",
          "short" : "Claim item instance identifier",
          "definition" : "A number to uniquely reference the claim item entries.",
          "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim item.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.item.noteNumber",
          "path" : "ClaimResponse.item.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.item.adjudication",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Adjudication"
          }],
          "path" : "ClaimResponse.item.adjudication",
          "short" : "Adjudication details",
          "definition" : "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.",
          "requirements" : "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.item.adjudication.category",
          "path" : "ClaimResponse.item.adjudication.category",
          "short" : "Type of adjudication information",
          "definition" : "A code to indicate the information type of this adjudication record. Information types may include the value submitted, maximum values or percentages allowed or payable under the plan, amounts that: the patient is responsible for in aggregate or pertaining to this item; amounts paid by other coverages; and, the benefit payable for this item.",
          "comment" : "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
          "requirements" : "Needed to enable understanding of the context of the other information in the adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Adjudication"
            }],
            "strength" : "example",
            "description" : "The adjudication codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
          }
        },
        {
          "id" : "ClaimResponse.item.adjudication.reason",
          "path" : "ClaimResponse.item.adjudication.reason",
          "short" : "Explanation of adjudication outcome",
          "definition" : "A code supporting the understanding of the adjudication result and explaining variance from expected amount.",
          "comment" : "For example may indicate that the funds for this benefit type have been exhausted.",
          "requirements" : "To support understanding of variance from adjudication expectations.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjudicationReason"
            }],
            "strength" : "example",
            "description" : "The adjudication reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-reason"
          }
        },
        {
          "id" : "ClaimResponse.item.adjudication.amount",
          "path" : "ClaimResponse.item.adjudication.amount",
          "short" : "Monetary amount",
          "definition" : "Monetary amount associated with the category.",
          "comment" : "For example: amount submitted, eligible amount, co-payment, and benefit payable.",
          "requirements" : "Most adjuciation categories convey a monetary amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ClaimResponse.item.adjudication.value",
          "path" : "ClaimResponse.item.adjudication.value",
          "short" : "Non-monetary value",
          "definition" : "A non-monetary value associated with the category. Mutually exclusive to the amount element above.",
          "comment" : "For example: eligible percentage or co-payment percentage.",
          "requirements" : "Some adjudication categories convey a percentage or a fixed value.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ItemDetail"
          }],
          "path" : "ClaimResponse.item.detail",
          "short" : "Adjudication for claim details",
          "definition" : "A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The adjudication for details provided on the claim.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.detailSequence",
          "path" : "ClaimResponse.item.detail.detailSequence",
          "short" : "Claim detail instance identifier",
          "definition" : "A number to uniquely reference the claim detail entry.",
          "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim detail.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.noteNumber",
          "path" : "ClaimResponse.item.detail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.adjudication",
          "path" : "ClaimResponse.item.detail.adjudication",
          "short" : "Detail level adjudication details",
          "definition" : "The adjudication results.",
          "min" : 1,
          "max" : "*",
          "contentReference" : "#ClaimResponse.item.adjudication"
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SubDetail"
          }],
          "path" : "ClaimResponse.item.detail.subDetail",
          "short" : "Adjudication for claim sub-details",
          "definition" : "A sub-detail adjudication of a simple product or service.",
          "requirements" : "The adjudication for sub-details provided on the claim.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
          "path" : "ClaimResponse.item.detail.subDetail.subDetailSequence",
          "short" : "Claim sub-detail instance identifier",
          "definition" : "A number to uniquely reference the claim sub-detail entry.",
          "requirements" : "Necessary to provide a mechanism to link the adjudication result to the submitted claim sub-detail.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.noteNumber",
          "path" : "ClaimResponse.item.detail.subDetail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.item.detail.subDetail.adjudication",
          "path" : "ClaimResponse.item.detail.subDetail.adjudication",
          "short" : "Subdetail level adjudication details",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ClaimResponse.item.adjudication"
        },
        {
          "id" : "ClaimResponse.addItem",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItem"
          }],
          "path" : "ClaimResponse.addItem",
          "short" : "Insurer added line items",
          "definition" : "The first-tier service adjudications for payor added product or service lines.",
          "requirements" : "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.itemSequence",
          "path" : "ClaimResponse.addItem.itemSequence",
          "short" : "Item sequence number",
          "definition" : "Claim items which this service line is intended to replace.",
          "requirements" : "Provides references to the claim items.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detailSequence",
          "path" : "ClaimResponse.addItem.detailSequence",
          "short" : "Detail sequence number",
          "definition" : "The sequence number of the details within the claim item which this line is intended to replace.",
          "requirements" : "Provides references to the claim details within the claim item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.subdetailSequence",
          "path" : "ClaimResponse.addItem.subdetailSequence",
          "short" : "Subdetail sequence number",
          "definition" : "The sequence number of the sub-details within the details within the claim item which this line is intended to replace.",
          "requirements" : "Provides references to the claim sub-details within the claim detail.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.provider",
          "path" : "ClaimResponse.addItem.provider",
          "short" : "Authorized providers",
          "definition" : "The providers who are authorized for the services rendered to the patient.",
          "requirements" : "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.productOrService",
          "path" : "ClaimResponse.addItem.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ClaimResponse.addItem.modifier",
          "path" : "ClaimResponse.addItem.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.C, 24.D mods"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.programCode",
          "path" : "ClaimResponse.addItem.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.H"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.serviced[x]",
          "path" : "ClaimResponse.addItem.serviced[x]",
          "short" : "Date or dates of service or product delivery",
          "definition" : "The date or dates when the service or product was supplied, performed or completed.",
          "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "24.A"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.location[x]",
          "path" : "ClaimResponse.addItem.location[x]",
          "short" : "Place of service or where product was supplied",
          "definition" : "Where the product or service was provided.",
          "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServicePlace"
            }],
            "strength" : "example",
            "description" : "Place of service: pharmacy, school, prison, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "24.B"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.quantity",
          "path" : "ClaimResponse.addItem.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.G"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.unitPrice",
          "path" : "ClaimResponse.addItem.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.factor",
          "path" : "ClaimResponse.addItem.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.net",
          "path" : "ClaimResponse.addItem.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.F"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.bodySite",
          "path" : "ClaimResponse.addItem.bodySite",
          "short" : "Anatomical location",
          "definition" : "Physical service site on the patient (limb, tooth, etc.).",
          "comment" : "For example: Providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralSites"
            }],
            "strength" : "example",
            "description" : "The code for the teeth, quadrant, sextant and arch.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
          }
        },
        {
          "id" : "ClaimResponse.addItem.subSite",
          "path" : "ClaimResponse.addItem.subSite",
          "short" : "Anatomical sub-location",
          "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Surface"
            }],
            "strength" : "example",
            "description" : "The code for the tooth surface and surface combinations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
          }
        },
        {
          "id" : "ClaimResponse.addItem.noteNumber",
          "path" : "ClaimResponse.addItem.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.adjudication",
          "path" : "ClaimResponse.addItem.adjudication",
          "short" : "Added items adjudication",
          "definition" : "The adjudication results.",
          "min" : 1,
          "max" : "*",
          "contentReference" : "#ClaimResponse.item.adjudication"
        },
        {
          "id" : "ClaimResponse.addItem.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItemDetail"
          }],
          "path" : "ClaimResponse.addItem.detail",
          "short" : "Insurer added line details",
          "definition" : "The second-tier service adjudications for payor added services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.productOrService",
          "path" : "ClaimResponse.addItem.detail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ClaimResponse.addItem.detail.modifier",
          "path" : "ClaimResponse.addItem.detail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.C, 24.D mods"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.quantity",
          "path" : "ClaimResponse.addItem.detail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.G"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.unitPrice",
          "path" : "ClaimResponse.addItem.detail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.factor",
          "path" : "ClaimResponse.addItem.detail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.net",
          "path" : "ClaimResponse.addItem.detail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.F"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.noteNumber",
          "path" : "ClaimResponse.addItem.detail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.adjudication",
          "path" : "ClaimResponse.addItem.detail.adjudication",
          "short" : "Added items detail adjudication",
          "definition" : "The adjudication results.",
          "min" : 1,
          "max" : "*",
          "contentReference" : "#ClaimResponse.item.adjudication"
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItemSubDetail"
          }],
          "path" : "ClaimResponse.addItem.detail.subDetail",
          "short" : "Insurer added line items",
          "definition" : "The third-tier service adjudications for payor added services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.productOrService",
          "path" : "ClaimResponse.addItem.detail.subDetail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.modifier",
          "path" : "ClaimResponse.addItem.detail.subDetail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.C, 24.D mods"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.quantity",
          "path" : "ClaimResponse.addItem.detail.subDetail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.G"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
          "path" : "ClaimResponse.addItem.detail.subDetail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.factor",
          "path" : "ClaimResponse.addItem.detail.subDetail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.net",
          "path" : "ClaimResponse.addItem.detail.subDetail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "24.F"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
          "path" : "ClaimResponse.addItem.detail.subDetail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.addItem.detail.subDetail.adjudication",
          "path" : "ClaimResponse.addItem.detail.subDetail.adjudication",
          "short" : "Added items detail adjudication",
          "definition" : "The adjudication results.",
          "min" : 1,
          "max" : "*",
          "contentReference" : "#ClaimResponse.item.adjudication"
        },
        {
          "id" : "ClaimResponse.adjudication",
          "path" : "ClaimResponse.adjudication",
          "short" : "Header-level adjudication",
          "definition" : "The adjudication results which are presented at the header level rather than at the line-item or add-item levels.",
          "requirements" : "Some insurers will receive line-items but provide the adjudication only at a summary or header-level.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ClaimResponse.item.adjudication"
        },
        {
          "id" : "ClaimResponse.total",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Total"
          }],
          "path" : "ClaimResponse.total",
          "short" : "Adjudication totals",
          "definition" : "Categorized monetary totals for the adjudication.",
          "comment" : "Totals for amounts submitted, co-pays, benefits payable etc.",
          "requirements" : "To provide the requestor with financial totals by category for the adjudication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "ClaimResponse.total.category",
          "path" : "ClaimResponse.total.category",
          "short" : "Type of adjudication information",
          "definition" : "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
          "comment" : "For example codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
          "requirements" : "Needed to convey the type of total provided.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Adjudication"
            }],
            "strength" : "example",
            "description" : "The adjudication codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
          }
        },
        {
          "id" : "ClaimResponse.total.amount",
          "path" : "ClaimResponse.total.amount",
          "short" : "Financial total for the category",
          "definition" : "Monetary total amount associated with the category.",
          "requirements" : "Needed to convey the total monetary amount.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "isSummary" : true
        },
        {
          "id" : "ClaimResponse.payment",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Payment"
          }],
          "path" : "ClaimResponse.payment",
          "short" : "Payment Details",
          "definition" : "Payment details for the adjudication of the claim.",
          "requirements" : "Needed to convey references to the financial instrument that has been used if payment has been made.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.payment.type",
          "path" : "ClaimResponse.payment.type",
          "short" : "Partial or complete payment",
          "definition" : "Whether this represents partial or complete payment of the benefits payable.",
          "requirements" : "To advise the requestor when the insurer believes all payments to have been completed.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentType"
            }],
            "strength" : "example",
            "description" : "The type (partial, complete) of the payment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-paymenttype"
          }
        },
        {
          "id" : "ClaimResponse.payment.adjustment",
          "path" : "ClaimResponse.payment.adjustment",
          "short" : "Payment adjustment for non-claim issues",
          "definition" : "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.",
          "comment" : "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.",
          "requirements" : "To advise the requestor of adjustments applied to the payment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ClaimResponse.payment.adjustmentReason",
          "path" : "ClaimResponse.payment.adjustmentReason",
          "short" : "Explanation for the adjustment",
          "definition" : "Reason for the payment adjustment.",
          "requirements" : "Needed to clarify the monetary adjustment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentAdjustmentReason"
            }],
            "strength" : "example",
            "description" : "Payment Adjustment reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payment-adjustment-reason"
          }
        },
        {
          "id" : "ClaimResponse.payment.date",
          "path" : "ClaimResponse.payment.date",
          "short" : "Expected date of payment",
          "definition" : "Estimated date the payment will be issued or the actual issue date of payment.",
          "requirements" : "To advise the payee when payment can be expected.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }]
        },
        {
          "id" : "ClaimResponse.payment.amount",
          "path" : "ClaimResponse.payment.amount",
          "short" : "Payable amount after adjustment",
          "definition" : "Benefits payable less any payment adjustment.",
          "requirements" : "Needed to provide the actual payment amount.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ClaimResponse.payment.identifier",
          "path" : "ClaimResponse.payment.identifier",
          "short" : "Business identifier for the payment",
          "definition" : "Issuer's unique identifier for the payment instrument.",
          "comment" : "For example: EFT number or check number.",
          "requirements" : "Enable the receiver to reconcile when payment received.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "ClaimResponse.fundsReserve",
          "path" : "ClaimResponse.fundsReserve",
          "short" : "Funds reserved status",
          "definition" : "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.",
          "comment" : "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.",
          "requirements" : "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundsReserve"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
          }
        },
        {
          "id" : "ClaimResponse.formCode",
          "path" : "ClaimResponse.formCode",
          "short" : "Printed form identifier",
          "definition" : "A code for the form to be used for printing the content.",
          "comment" : "May be needed to identify specific jurisdictional forms.",
          "requirements" : "Needed to specify the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Forms"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The forms codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
          }
        },
        {
          "id" : "ClaimResponse.form",
          "path" : "ClaimResponse.form",
          "short" : "Printed reference or actual form",
          "definition" : "The actual form, by reference or inclusion, for printing the content or an EOB.",
          "comment" : "Needed to permit insurers to include the actual form.",
          "requirements" : "Needed to include the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }]
        },
        {
          "id" : "ClaimResponse.processNote",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Note"
          }],
          "path" : "ClaimResponse.processNote",
          "short" : "Note concerning adjudication",
          "definition" : "A note that describes or explains adjudication results in a human readable form.",
          "requirements" : "Provides the insurer specific textual explanations associated with the processing.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.processNote.number",
          "path" : "ClaimResponse.processNote.number",
          "short" : "Note instance identifier",
          "definition" : "A number to uniquely identify a note entry.",
          "requirements" : "Necessary to provide a mechanism to link from adjudications.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.processNote.type",
          "path" : "ClaimResponse.processNote.type",
          "short" : "display | print | printoper",
          "definition" : "The business purpose of the note text.",
          "requirements" : "To convey the expectation for when the text is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NoteType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The presentation types of notes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/note-type|4.0.0"
          }
        },
        {
          "id" : "ClaimResponse.processNote.text",
          "path" : "ClaimResponse.processNote.text",
          "short" : "Note explanatory text",
          "definition" : "The explanation or description associated with the processing.",
          "requirements" : "Required to provide human readable explanation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ClaimResponse.processNote.language",
          "path" : "ClaimResponse.processNote.language",
          "short" : "Language of the text",
          "definition" : "A code to define the language used in the text of the note.",
          "comment" : "Only required if the language is different from the resource language.",
          "requirements" : "Note text may vary from the resource defined language.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ClaimResponse.communicationRequest",
          "path" : "ClaimResponse.communicationRequest",
          "short" : "Request for additional information",
          "definition" : "Request for additional supporting or authorizing information.",
          "comment" : "For example: professional reports, documents, images, clinical resources, or accident reports.",
          "requirements" : "Need to communicate insurer request for additional information required to support the adjudication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CommunicationRequest"]
          }]
        },
        {
          "id" : "ClaimResponse.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "ClaimResponse.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "At least one insurer is required for a claim to be a claim.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Coverage"
          }]
        },
        {
          "id" : "ClaimResponse.insurance.sequence",
          "path" : "ClaimResponse.insurance.sequence",
          "short" : "Insurance instance identifier",
          "definition" : "A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.",
          "requirements" : "To maintain order of the coverages.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.insurance.focal",
          "path" : "ClaimResponse.insurance.focal",
          "short" : "Coverage to be used for adjudication",
          "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
          "comment" : "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.",
          "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "ClaimResponse.insurance.coverage",
          "path" : "ClaimResponse.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }]
        },
        {
          "id" : "ClaimResponse.insurance.businessArrangement",
          "path" : "ClaimResponse.insurance.businessArrangement",
          "short" : "Additional provider contract number",
          "definition" : "A business agreement number established between the provider and the insurer for special business processing purposes.",
          "requirements" : "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ClaimResponse.insurance.claimResponse",
          "path" : "ClaimResponse.insurance.claimResponse",
          "short" : "Adjudication results",
          "definition" : "The result of the adjudication of the line items for the Coverage specified in this insurance.",
          "comment" : "Must not be specified when 'focal=true' for this insurance.",
          "requirements" : "An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }]
        },
        {
          "id" : "ClaimResponse.error",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Error"
          }],
          "path" : "ClaimResponse.error",
          "short" : "Processing errors",
          "definition" : "Errors encountered during the processing of the adjudication.",
          "comment" : "If the request contains errors then an error element should be provided and no adjudication related sections (item, addItem, or payment) should be present.",
          "requirements" : "Need to communicate processing issues to the requestor.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClaimResponse.error.itemSequence",
          "path" : "ClaimResponse.error.itemSequence",
          "short" : "Item sequence number",
          "definition" : "The sequence number of the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
          "requirements" : "Provides references to the claim items.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.error.detailSequence",
          "path" : "ClaimResponse.error.detailSequence",
          "short" : "Detail sequence number",
          "definition" : "The sequence number of the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
          "requirements" : "Provides references to the claim details within the claim item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.error.subDetailSequence",
          "path" : "ClaimResponse.error.subDetailSequence",
          "short" : "Subdetail sequence number",
          "definition" : "The sequence number of the sub-detail within the detail within the line item submitted which contains the error. This value is omitted when the error occurs outside of the item structure.",
          "requirements" : "Provides references to the claim sub-details within the claim detail.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ClaimResponse.error.code",
          "path" : "ClaimResponse.error.code",
          "short" : "Error code detailing processing issues",
          "definition" : "An error code, from a specified code system, which details why the claim could not be adjudicated.",
          "requirements" : "Required to convey processing errors.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjudicationError"
            }],
            "strength" : "example",
            "description" : "The adjudication error codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-error"
          }
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ClinicalImpression",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ClinicalImpression 
TU
DomainResource
A clinical assessment performed when planning treatments and management strategies for a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier
 status 
?!Σ
1..1
code
draft | completed | entered-in-error
Clinical Impression Status (Required)
 statusReason 
0..1
CodeableConcept
Reason for current status
 code 
Σ
0..1
CodeableConcept
Kind of assessment performed
 description 
Σ
0..1
string
Why/how the assessment was performed
 subject 
Σ
1..1
Reference(Patient | Group)
Patient or group assessed
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 effective[x] 
Σ
0..1
Time of assessment
 effectiveDateTime
dateTime
 effectivePeriod
Period
 date 
Σ
0..1
dateTime
When the assessment was documented
 assessor 
Σ
0..1
Reference(Practitioner | PractitionerRole)
The clinician performing the assessment
 previous 
0..1
Reference(ClinicalImpression)
Reference to last assessment
 problem 
Σ
0..*
Reference(Condition | AllergyIntolerance)
Relevant impressions of patient state
 investigation 
0..*
BackboneElement
One or more sets of investigations (signs, symptoms, etc.)
 code 
1..1
CodeableConcept
A name/code for the set
Investigation Type (Example)
 item 
0..*
Reference(Observation | QuestionnaireResponse | FamilyMemberHistory | DiagnosticReport | RiskAssessment | ImagingStudy | Media)
Record of a specific investigation
 protocol 
0..*
uri
Clinical Protocol followed
 summary 
0..1
string
Summary of the assessment
 finding 
0..*
BackboneElement
Possible or likely findings and diagnoses
 itemCodeableConcept 
0..1
CodeableConcept
What was found
Condition/Problem/Diagnosis Codes (Example)
 itemReference 
0..1
Reference(Condition | Observation | Media)
What was found
 basis 
0..1
string
Which investigations support finding
 prognosisCodeableConcept 
0..*
CodeableConcept
Estimate of likely outcome
Clinical Impression Prognosis (Example)
 prognosisReference 
0..*
Reference(RiskAssessment)
RiskAssessment expressing likely outcome
 supportingInfo 
0..*
Reference(Any)
Information supporting the clinical impression
 note 
0..*
Annotation
Comments made about the ClinicalImpression

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Summary"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
      "version" : "4.0.0",
      "name" : "ClinicalImpression",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter,  but this varies greatly depending on the clinical workflow. This resource is called \"ClinicalImpression\" rather than \"ClinicalAssessment\" to avoid confusion with the recording of assessment tools such as Apgar score.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ClinicalImpression",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ClinicalImpression",
          "path" : "ClinicalImpression",
          "short" : "A clinical assessment performed when planning treatments and management strategies for a patient",
          "definition" : "A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter,  but this varies greatly depending on the clinical workflow. This resource is called \"ClinicalImpression\" rather than \"ClinicalAssessment\" to avoid confusion with the recording of assessment tools such as Apgar score.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "Partial mapping for problem evaluation"
          }]
        },
        {
          "id" : "ClinicalImpression.id",
          "path" : "ClinicalImpression.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ClinicalImpression.meta",
          "path" : "ClinicalImpression.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ClinicalImpression.implicitRules",
          "path" : "ClinicalImpression.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ClinicalImpression.language",
          "path" : "ClinicalImpression.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ClinicalImpression.text",
          "path" : "ClinicalImpression.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ClinicalImpression.contained",
          "path" : "ClinicalImpression.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClinicalImpression.extension",
          "path" : "ClinicalImpression.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClinicalImpression.modifierExtension",
          "path" : "ClinicalImpression.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClinicalImpression.identifier",
          "path" : "ClinicalImpression.identifier",
          "short" : "Business identifier",
          "definition" : "Business identifiers assigned to this clinical impression by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          }]
        },
        {
          "id" : "ClinicalImpression.status",
          "path" : "ClinicalImpression.status",
          "short" : "draft | completed | entered-in-error",
          "definition" : "Identifies the workflow status of the assessment.",
          "comment" : "This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClinicalImpressionStatus"
            }],
            "strength" : "required",
            "description" : "The workflow state of a clinical impression.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "PRB-14"
          }]
        },
        {
          "id" : "ClinicalImpression.statusReason",
          "path" : "ClinicalImpression.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the ClinicalImpression.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"cancelled\".\n\n[distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].",
          "alias" : ["Suspended Reason",
          "Cancelled Reason"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClinicalImpressionStatusReason"
            }],
            "strength" : "example",
            "description" : "Codes identifying the reason for the current state of a clinical impression."
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "ClinicalImpression.code",
          "path" : "ClinicalImpression.code",
          "short" : "Kind of assessment performed",
          "definition" : "Categorizes the type of clinical assessment performed.",
          "comment" : "This is present as a place-holder only and may be removed based on feedback/work group opinion.",
          "alias" : ["type"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClinicalImpressionCode"
            }],
            "strength" : "example",
            "description" : "Identifies categories of clinical impressions.  This is a place-holder only.  It may be removed."
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "ClinicalImpression.description",
          "path" : "ClinicalImpression.description",
          "short" : "Why/how the assessment was performed",
          "definition" : "A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ClinicalImpression.subject",
          "path" : "ClinicalImpression.subject",
          "short" : "Patient or group assessed",
          "definition" : "The patient or group of individuals assessed as part of this record.",
          "requirements" : "Group is typically for veterinary and/or public health purposes.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ClinicalImpression.encounter",
          "path" : "ClinicalImpression.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "ClinicalImpression.effective[x]",
          "path" : "ClinicalImpression.effective[x]",
          "short" : "Time of assessment",
          "definition" : "The point in time or period over which the subject was assessed.",
          "comment" : "This SHOULD be accurate to at least the minute, though some assessments only have a known date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.effective[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRB-2"
          }]
        },
        {
          "id" : "ClinicalImpression.date",
          "path" : "ClinicalImpression.date",
          "short" : "When the assessment was documented",
          "definition" : "Indicates when the documentation of the assessment was complete.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ClinicalImpression.assessor",
          "path" : "ClinicalImpression.assessor",
          "short" : "The clinician performing the assessment",
          "definition" : "The clinician performing the assessment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.assessor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ROL-4"
          }]
        },
        {
          "id" : "ClinicalImpression.previous",
          "path" : "ClinicalImpression.previous",
          "short" : "Reference to last assessment",
          "definition" : "A reference to the last assessment that was conducted on this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.",
          "comment" : "It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.previous",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalImpression"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClinicalImpression.problem",
          "path" : "ClinicalImpression.problem",
          "short" : "Relevant impressions of patient state",
          "definition" : "A list of the relevant problems/conditions for a patient.",
          "comment" : "e.g. The patient is a pregnant, has congestive heart failure, has an ‎Adenocarcinoma, and is allergic to penicillin.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.problem",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRB-3 / IAM-7"
          }]
        },
        {
          "id" : "ClinicalImpression.investigation",
          "path" : "ClinicalImpression.investigation",
          "short" : "One or more sets of investigations (signs, symptoms, etc.)",
          "definition" : "One or more sets of investigations (signs, symptoms, etc.). The actual grouping of investigations varies greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.investigation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClinicalImpression.investigation.id",
          "path" : "ClinicalImpression.investigation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClinicalImpression.investigation.extension",
          "path" : "ClinicalImpression.investigation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClinicalImpression.investigation.modifierExtension",
          "path" : "ClinicalImpression.investigation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClinicalImpression.investigation.code",
          "path" : "ClinicalImpression.investigation.code",
          "short" : "A name/code for the set",
          "definition" : "A name/code for the group (\"set\") of investigations. Typically, this will be something like \"signs\", \"symptoms\", \"clinical\", \"diagnostic\", but the list is not constrained, and others such groups such as (exposure|family|travel|nutritional) history may be used.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.investigation.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InvestigationGroupType"
            }],
            "strength" : "example",
            "description" : "A name/code for a set of investigations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/investigation-sets"
          }
        },
        {
          "id" : "ClinicalImpression.investigation.item",
          "path" : "ClinicalImpression.investigation.item",
          "short" : "Record of a specific investigation",
          "definition" : "A record of a specific investigation that was undertaken.",
          "comment" : "Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.investigation.item",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
            "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
            "http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-21"
          }]
        },
        {
          "id" : "ClinicalImpression.protocol",
          "path" : "ClinicalImpression.protocol",
          "short" : "Clinical Protocol followed",
          "definition" : "Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.protocol",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClinicalImpression.summary",
          "path" : "ClinicalImpression.summary",
          "short" : "Summary of the assessment",
          "definition" : "A text summary of the investigations and the diagnosis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.summary",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          }]
        },
        {
          "id" : "ClinicalImpression.finding",
          "path" : "ClinicalImpression.finding",
          "short" : "Possible or likely findings and diagnoses",
          "definition" : "Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.finding",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClinicalImpression.finding.id",
          "path" : "ClinicalImpression.finding.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClinicalImpression.finding.extension",
          "path" : "ClinicalImpression.finding.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ClinicalImpression.finding.modifierExtension",
          "path" : "ClinicalImpression.finding.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ClinicalImpression.finding.itemCodeableConcept",
          "path" : "ClinicalImpression.finding.itemCodeableConcept",
          "short" : "What was found",
          "definition" : "Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.finding.itemCodeableConcept",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionKind"
            }],
            "strength" : "example",
            "description" : "Identification of the Condition or diagnosis.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          }]
        },
        {
          "id" : "ClinicalImpression.finding.itemReference",
          "path" : "ClinicalImpression.finding.itemReference",
          "short" : "What was found",
          "definition" : "Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.finding.itemReference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          }]
        },
        {
          "id" : "ClinicalImpression.finding.basis",
          "path" : "ClinicalImpression.finding.basis",
          "short" : "Which investigations support finding",
          "definition" : "Which investigations support finding or diagnosis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ClinicalImpression.finding.basis",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClinicalImpression.prognosisCodeableConcept",
          "path" : "ClinicalImpression.prognosisCodeableConcept",
          "short" : "Estimate of likely outcome",
          "definition" : "Estimate of likely outcome.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.prognosisCodeableConcept",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClinicalImpressionPrognosis"
            }],
            "strength" : "example",
            "description" : "Prognosis or outlook findings.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRB-22"
          }]
        },
        {
          "id" : "ClinicalImpression.prognosisReference",
          "path" : "ClinicalImpression.prognosisReference",
          "short" : "RiskAssessment expressing likely outcome",
          "definition" : "RiskAssessment expressing likely outcome.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.prognosisReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/RiskAssessment"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClinicalImpression.supportingInfo",
          "path" : "ClinicalImpression.supportingInfo",
          "short" : "Information supporting the clinical impression",
          "definition" : "Information supporting the clinical impression.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.supportingInfo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ClinicalImpression.note",
          "path" : "ClinicalImpression.note",
          "short" : "Comments made about the ClinicalImpression",
          "definition" : "Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.",
          "comment" : "Don't use this element for content that should more properly appear as one of the specific elements of the impression.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ClinicalImpression.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ClinicalImpression",
          "path" : "ClinicalImpression",
          "short" : "A clinical assessment performed when planning treatments and management strategies for a patient",
          "definition" : "A record of a clinical assessment performed to determine what problem(s) may affect the patient and before planning the treatments or management strategies that are best to manage a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter,  but this varies greatly depending on the clinical workflow. This resource is called \"ClinicalImpression\" rather than \"ClinicalAssessment\" to avoid confusion with the recording of assessment tools such as Apgar score.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "Partial mapping for problem evaluation"
          }]
        },
        {
          "id" : "ClinicalImpression.identifier",
          "path" : "ClinicalImpression.identifier",
          "short" : "Business identifier",
          "definition" : "Business identifiers assigned to this clinical impression by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the clinical impression as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          }]
        },
        {
          "id" : "ClinicalImpression.status",
          "path" : "ClinicalImpression.status",
          "short" : "draft | completed | entered-in-error",
          "definition" : "Identifies the workflow status of the assessment.",
          "comment" : "This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClinicalImpressionStatus"
            }],
            "strength" : "required",
            "description" : "The workflow state of a clinical impression.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinicalimpression-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "PRB-14"
          }]
        },
        {
          "id" : "ClinicalImpression.statusReason",
          "path" : "ClinicalImpression.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the ClinicalImpression.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"cancelled\".\n\n[distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].",
          "alias" : ["Suspended Reason",
          "Cancelled Reason"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClinicalImpressionStatusReason"
            }],
            "strength" : "example",
            "description" : "Codes identifying the reason for the current state of a clinical impression."
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "ClinicalImpression.code",
          "path" : "ClinicalImpression.code",
          "short" : "Kind of assessment performed",
          "definition" : "Categorizes the type of clinical assessment performed.",
          "comment" : "This is present as a place-holder only and may be removed based on feedback/work group opinion.",
          "alias" : ["type"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClinicalImpressionCode"
            }],
            "strength" : "example",
            "description" : "Identifies categories of clinical impressions.  This is a place-holder only.  It may be removed."
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "ClinicalImpression.description",
          "path" : "ClinicalImpression.description",
          "short" : "Why/how the assessment was performed",
          "definition" : "A summary of the context and/or cause of the assessment - why / where it was performed, and what patient events/status prompted it.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "ClinicalImpression.subject",
          "path" : "ClinicalImpression.subject",
          "short" : "Patient or group assessed",
          "definition" : "The patient or group of individuals assessed as part of this record.",
          "requirements" : "Group is typically for veterinary and/or public health purposes.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ClinicalImpression.encounter",
          "path" : "ClinicalImpression.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this ClinicalImpression was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "ClinicalImpression.effective[x]",
          "path" : "ClinicalImpression.effective[x]",
          "short" : "Time of assessment",
          "definition" : "The point in time or period over which the subject was assessed.",
          "comment" : "This SHOULD be accurate to at least the minute, though some assessments only have a known date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRB-2"
          }]
        },
        {
          "id" : "ClinicalImpression.date",
          "path" : "ClinicalImpression.date",
          "short" : "When the assessment was documented",
          "definition" : "Indicates when the documentation of the assessment was complete.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ClinicalImpression.assessor",
          "path" : "ClinicalImpression.assessor",
          "short" : "The clinician performing the assessment",
          "definition" : "The clinician performing the assessment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ROL-4"
          }]
        },
        {
          "id" : "ClinicalImpression.previous",
          "path" : "ClinicalImpression.previous",
          "short" : "Reference to last assessment",
          "definition" : "A reference to the last assessment that was conducted on this patient. Assessments are often/usually ongoing in nature; a care provider (practitioner or team) will make new assessments on an ongoing basis as new data arises or the patient's conditions changes.",
          "comment" : "It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalImpression"]
          }]
        },
        {
          "id" : "ClinicalImpression.problem",
          "path" : "ClinicalImpression.problem",
          "short" : "Relevant impressions of patient state",
          "definition" : "A list of the relevant problems/conditions for a patient.",
          "comment" : "e.g. The patient is a pregnant, has congestive heart failure, has an ‎Adenocarcinoma, and is allergic to penicillin.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRB-3 / IAM-7"
          }]
        },
        {
          "id" : "ClinicalImpression.investigation",
          "path" : "ClinicalImpression.investigation",
          "short" : "One or more sets of investigations (signs, symptoms, etc.)",
          "definition" : "One or more sets of investigations (signs, symptoms, etc.). The actual grouping of investigations varies greatly depending on the type and context of the assessment. These investigations may include data generated during the assessment process, or data previously generated and recorded that is pertinent to the outcomes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClinicalImpression.investigation.code",
          "path" : "ClinicalImpression.investigation.code",
          "short" : "A name/code for the set",
          "definition" : "A name/code for the group (\"set\") of investigations. Typically, this will be something like \"signs\", \"symptoms\", \"clinical\", \"diagnostic\", but the list is not constrained, and others such groups such as (exposure|family|travel|nutritional) history may be used.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InvestigationGroupType"
            }],
            "strength" : "example",
            "description" : "A name/code for a set of investigations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/investigation-sets"
          }
        },
        {
          "id" : "ClinicalImpression.investigation.item",
          "path" : "ClinicalImpression.investigation.item",
          "short" : "Record of a specific investigation",
          "definition" : "A record of a specific investigation that was undertaken.",
          "comment" : "Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
            "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
            "http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-21"
          }]
        },
        {
          "id" : "ClinicalImpression.protocol",
          "path" : "ClinicalImpression.protocol",
          "short" : "Clinical Protocol followed",
          "definition" : "Reference to a specific published clinical protocol that was followed during this assessment, and/or that provides evidence in support of the diagnosis.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "ClinicalImpression.summary",
          "path" : "ClinicalImpression.summary",
          "short" : "Summary of the assessment",
          "definition" : "A text summary of the investigations and the diagnosis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          }]
        },
        {
          "id" : "ClinicalImpression.finding",
          "path" : "ClinicalImpression.finding",
          "short" : "Possible or likely findings and diagnoses",
          "definition" : "Specific findings or diagnoses that were considered likely or relevant to ongoing treatment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ClinicalImpression.finding.itemCodeableConcept",
          "path" : "ClinicalImpression.finding.itemCodeableConcept",
          "short" : "What was found",
          "definition" : "Specific text or code for finding or diagnosis, which may include ruled-out or resolved conditions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionKind"
            }],
            "strength" : "example",
            "description" : "Identification of the Condition or diagnosis.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          }]
        },
        {
          "id" : "ClinicalImpression.finding.itemReference",
          "path" : "ClinicalImpression.finding.itemReference",
          "short" : "What was found",
          "definition" : "Specific reference for finding or diagnosis, which may include ruled-out or resolved conditions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          }]
        },
        {
          "id" : "ClinicalImpression.finding.basis",
          "path" : "ClinicalImpression.finding.basis",
          "short" : "Which investigations support finding",
          "definition" : "Which investigations support finding or diagnosis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ClinicalImpression.prognosisCodeableConcept",
          "path" : "ClinicalImpression.prognosisCodeableConcept",
          "short" : "Estimate of likely outcome",
          "definition" : "Estimate of likely outcome.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClinicalImpressionPrognosis"
            }],
            "strength" : "example",
            "description" : "Prognosis or outlook findings.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinicalimpression-prognosis"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRB-22"
          }]
        },
        {
          "id" : "ClinicalImpression.prognosisReference",
          "path" : "ClinicalImpression.prognosisReference",
          "short" : "RiskAssessment expressing likely outcome",
          "definition" : "RiskAssessment expressing likely outcome.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/RiskAssessment"]
          }]
        },
        {
          "id" : "ClinicalImpression.supportingInfo",
          "path" : "ClinicalImpression.supportingInfo",
          "short" : "Information supporting the clinical impression",
          "definition" : "Information supporting the clinical impression.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "ClinicalImpression.note",
          "path" : "ClinicalImpression.note",
          "short" : "Comments made about the ClinicalImpression",
          "definition" : "Commentary about the impression, typically recorded after the impression itself was made, though supplemental notes by the original author could also appear.",
          "comment" : "Don't use this element for content that should more properly appear as one of the specific elements of the impression.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CodeSystem",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CodeSystem",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CodeSystem 
IN
DomainResource
Declares the existence of and describes a code system or code system supplement
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: Within a code system definition, all the codes SHALL be unique
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)
 identifier 
Σ
0..*
Identifier
Additional identifier for the code system (business identifier)
 version 
Σ
0..1
string
Business version of the code system (Coding.version)
 name 
ΣI
0..1
string
Name for this code system (computer friendly)
 title 
Σ
0..1
string
Name for this code system (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the code system
 useContext 
ΣTU
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for code system (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this code system is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 caseSensitive 
Σ
0..1
boolean
If code comparison is case sensitive
 valueSet 
Σ
0..1
canonical(ValueSet)
Canonical reference to the value set with entire code system
 hierarchyMeaning 
Σ
0..1
code
grouped-by | is-a | part-of | classified-with
CodeSystemHierarchyMeaning (Required)
 compositional 
Σ
0..1
boolean
If code system defines a compositional grammar
 versionNeeded 
Σ
0..1
boolean
If definitions are not stable
 content 
Σ
1..1
code
not-present | example | fragment | complete | supplement
CodeSystemContentMode (Required)
 supplements 
Σ
0..1
canonical(CodeSystem)
Canonical URL of Code System this adds designations and properties to
 count 
Σ
0..1
unsignedInt
Total concepts in the code system
 filter 
Σ
0..*
BackboneElement
Filter that can be used in a value set
 code 
Σ
1..1
code
Code that identifies the filter
 description 
Σ
0..1
string
How or why the filter is used
 operator 
Σ
1..*
code
Operators that can be used with filter
FilterOperator (Required)
 value 
Σ
1..1
string
What to use for the value
 property 
Σ
0..*
BackboneElement
Additional information supplied about each concept
 code 
Σ
1..1
code
Identifies the property on the concepts, and when referred to in operations
 uri 
Σ
0..1
uri
Formal identifier for the property
 description 
Σ
0..1
string
Why the property is defined, and/or what it conveys
 type 
Σ
1..1
code
code | Coding | string | integer | boolean | dateTime | decimal
PropertyType (Required)
 concept 
0..*
BackboneElement
Concepts in the code system
 code 
1..1
code
Code that identifies concept
 display 
0..1
string
Text to display to the user
 definition 
0..1
string
Formal definition
 designation 
0..*
BackboneElement
Additional representations for the concept
 language 
0..1
code
Human language of the designation
Common Languages (Preferred but limited to AllLanguages)
 use 
0..1
Coding
Details how this designation would be used
Designation Use (Extensible)
 value 
1..1
string
The text value for this designation
 property 
0..*
BackboneElement
Property value for the concept
 code 
1..1
code
Reference to CodeSystem.property.code
 value[x] 
1..1
Value of the property for this concept
 valueCode
code
 valueCoding
Coding
 valueString
string
 valueInteger
integer
 valueBoolean
boolean
 valueDateTime
dateTime
 valueDecimal
decimal
 concept 
0..*
see concept
Child Concepts (is-a/contains/categorizes)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Terminology"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "vocab"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CodeSystem",
      "version" : "4.0.0",
      "name" : "CodeSystem",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Vocabulary)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/Vocab/index.cfm"
        }]
      }],
      "description" : "The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CodeSystem",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CodeSystem",
          "path" : "CodeSystem",
          "short" : "Declares the existence of and describes a code system or code system supplement",
          "definition" : "The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "csd-1",
            "severity" : "error",
            "human" : "Within a code system definition, all the codes SHALL be unique",
            "expression" : "concept.code.combine($this.descendants().concept.code).isDistinct()",
            "xpath" : "count(distinct-values(descendant::f:concept/f:code/@value))=count(descendant::f:concept)"
          },
          {
            "key" : "csd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.id",
          "path" : "CodeSystem.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.meta",
          "path" : "CodeSystem.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.implicitRules",
          "path" : "CodeSystem.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.language",
          "path" : "CodeSystem.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CodeSystem.text",
          "path" : "CodeSystem.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CodeSystem.contained",
          "path" : "CodeSystem.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.extension",
          "path" : "CodeSystem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.modifierExtension",
          "path" : "CodeSystem.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.url",
          "path" : "CodeSystem.url",
          "short" : "Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)",
          "definition" : "An absolute URI that is used to identify this code system when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this code system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the code system is stored on different servers. This is used in [Coding](datatypes.html#Coding).system.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the code system to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CodeSystem.identifier",
          "path" : "CodeSystem.identifier",
          "short" : "Additional identifier for the code system (business identifier)",
          "definition" : "A formal identifier that is used to identify this code system when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this code system outside of FHIR, where it is not possible to use the logical URI.  Note that HL7 defines at least three identifiers for many of its code systems - the FHIR canonical URL, the OID and the V2 Table 0396 mnemonic code.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CodeSystem.version",
          "path" : "CodeSystem.version",
          "short" : "Business version of the code system (Coding.version)",
          "definition" : "The identifier that is used to identify this version of the code system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the code system author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. This is used in [Coding](datatypes.html#Coding).version.",
          "comment" : "There may be different code system instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the code system with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "CodeSystem.name",
          "path" : "CodeSystem.name",
          "short" : "Name for this code system (computer friendly)",
          "definition" : "A natural language name identifying the code system. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.title",
          "path" : "CodeSystem.title",
          "short" : "Name for this code system (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the code system.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "CodeSystem.status",
          "path" : "CodeSystem.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The date (and optionally time) when the code system resource was created or revised.",
          "comment" : "Allows filtering of code systems that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CodeSystem.experimental",
          "path" : "CodeSystem.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this code system is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of code systems that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level code system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CodeSystem.date",
          "path" : "CodeSystem.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the code system was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the code system changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the code system. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CodeSystem.publisher",
          "path" : "CodeSystem.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the code system.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the code system is the organization or individual primarily responsible for the maintenance and upkeep of the code system. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the code system. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the code system.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "CodeSystem.contact",
          "path" : "CodeSystem.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "CodeSystem.description",
          "path" : "CodeSystem.description",
          "short" : "Natural language description of the code system",
          "definition" : "A free text natural language description of the code system from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the code system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the code system as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the code system is presumed to be the predominant language in the place the code system was created).",
          "alias" : ["Scope",
          "Purpose"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CodeSystem.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate code system instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "CodeSystem.jurisdiction",
          "path" : "CodeSystem.jurisdiction",
          "short" : "Intended jurisdiction for code system (if applicable)",
          "definition" : "A legal or geographic region in which the code system is intended to be used.",
          "comment" : "It may be possible for the code system to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "CodeSystem.purpose",
          "path" : "CodeSystem.purpose",
          "short" : "Why this code system is defined",
          "definition" : "Explanation of why this code system is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the code system. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this code system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CodeSystem.copyright",
          "path" : "CodeSystem.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the code system and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the code system.",
          "comment" : "... Sometimes, the copyright differs between the code system and the codes that are included. The copyright statement should clearly differentiate between these when required.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the code system and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CodeSystem.caseSensitive",
          "path" : "CodeSystem.caseSensitive",
          "short" : "If code comparison is case sensitive",
          "definition" : "If code comparison is case sensitive when codes within this system are compared to each other.",
          "comment" : "If this value is missing, then it is not specified whether a code system is case sensitive or not. When the rule is not known, Postel's law should be followed: produce codes with the correct case, and accept codes in any case. This element is primarily provided to support validation software.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.caseSensitive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.valueSet",
          "path" : "CodeSystem.valueSet",
          "short" : "Canonical reference to the value set with entire code system",
          "definition" : "Canonical reference to the value set that contains the entire code system.",
          "comment" : "The definition of the value set SHALL include all codes from this code system and only codes from this code system, and it SHALL be immutable.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.valueSet",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.hierarchyMeaning",
          "path" : "CodeSystem.hierarchyMeaning",
          "short" : "grouped-by | is-a | part-of | classified-with",
          "definition" : "The meaning of the hierarchy of concepts as represented in this resource.",
          "comment" : "Note that other representations might have a different hierarchy or none at all, and represent the information using properties.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.hierarchyMeaning",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CodeSystemHierarchyMeaning"
            }],
            "strength" : "required",
            "description" : "The meaning of the hierarchy of concepts in a code system.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.0"
          }
        },
        {
          "id" : "CodeSystem.compositional",
          "path" : "CodeSystem.compositional",
          "short" : "If code system defines a compositional grammar",
          "definition" : "The code system defines a compositional (post-coordination) grammar.",
          "comment" : "Note that the code system resource does not define what the compositional grammar is, only whether or not there is one.",
          "alias" : ["grammar"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.compositional",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.versionNeeded",
          "path" : "CodeSystem.versionNeeded",
          "short" : "If definitions are not stable",
          "definition" : "This flag is used to signify that the code system does not commit to concept permanence across versions. If true, a version must be specified when referencing this code system.",
          "comment" : "Best practice is that code systems do not redefine concepts, or that if concepts are redefined, a new code system definition is created. But this is not always possible, so some code systems may be defined as 'versionNeeded'.\n\nMost code systems occasionally refine the displays defined for concepts between versions. Contexts in which the concept display values are validated may require that the version be specified for some code systems irrespective of the value of this property.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.versionNeeded",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.content",
          "path" : "CodeSystem.content",
          "short" : "not-present | example | fragment | complete | supplement",
          "definition" : "The extent of the content of the code system (the concepts and codes it defines) are represented in this resource instance.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.content",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CodeSystemContentMode"
            }],
            "strength" : "required",
            "description" : "The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.0"
          }
        },
        {
          "id" : "CodeSystem.supplements",
          "path" : "CodeSystem.supplements",
          "short" : "Canonical URL of Code System this adds designations and properties to",
          "definition" : "The canonical URL of the code system that this code system supplement is adding designations and properties to.",
          "comment" : "The most common use of a code system supplement is to add additional language support.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.supplements",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CodeSystem"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.count",
          "path" : "CodeSystem.count",
          "short" : "Total concepts in the code system",
          "definition" : "The total number of concepts defined by the code system. Where the code system has a compositional grammar, the basis of this count is defined by the system steward.",
          "comment" : "The count of concepts defined in this resource cannot be more than this value but may be less for several reasons - see the content element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.count",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.filter",
          "path" : "CodeSystem.filter",
          "short" : "Filter that can be used in a value set",
          "definition" : "A filter that can be used in a value set compose statement when selecting concepts using a filter.",
          "comment" : "Note that filters defined in code systems usually require custom code on the part of any terminology engine that will make them available for use in value set filters. For this reason, they are generally only seen in high value published terminologies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.filter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.filter.id",
          "path" : "CodeSystem.filter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.filter.extension",
          "path" : "CodeSystem.filter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.filter.modifierExtension",
          "path" : "CodeSystem.filter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.filter.code",
          "path" : "CodeSystem.filter.code",
          "short" : "Code that identifies the filter",
          "definition" : "The code that identifies this filter when it is used as a filter in [ValueSet](valueset.html#).compose.include.filter.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.filter.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.filter.description",
          "path" : "CodeSystem.filter.description",
          "short" : "How or why the filter is used",
          "definition" : "A description of how or why the filter is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.filter.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.filter.operator",
          "path" : "CodeSystem.filter.operator",
          "short" : "Operators that can be used with filter",
          "definition" : "A list of operators that can be used with the filter.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.filter.operator",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FilterOperator"
            }],
            "strength" : "required",
            "description" : "The kind of operation to perform as a part of a property based filter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/filter-operator|4.0.0"
          }
        },
        {
          "id" : "CodeSystem.filter.value",
          "path" : "CodeSystem.filter.value",
          "short" : "What to use for the value",
          "definition" : "A description of what the value for the filter should be.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.filter.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Property"
          }],
          "path" : "CodeSystem.property",
          "short" : "Additional information supplied about each concept",
          "definition" : "A property defines an additional slot through which additional information can be provided about a concept.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.property",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property.id",
          "path" : "CodeSystem.property.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.property.extension",
          "path" : "CodeSystem.property.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.property.modifierExtension",
          "path" : "CodeSystem.property.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.property.code",
          "path" : "CodeSystem.property.code",
          "short" : "Identifies the property on the concepts, and when referred to in operations",
          "definition" : "A code that is used to identify the property. The code is used internally (in CodeSystem.concept.property.code) and also externally, such as in property filters.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.property.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property.uri",
          "path" : "CodeSystem.property.uri",
          "short" : "Formal identifier for the property",
          "definition" : "Reference to the formal meaning of the property. One possible source of meaning is the [Concept Properties](codesystem-concept-properties.html) code system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.property.uri",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property.description",
          "path" : "CodeSystem.property.description",
          "short" : "Why the property is defined, and/or what it conveys",
          "definition" : "A description of the property- why it is defined, and how its value might be used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.property.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property.type",
          "path" : "CodeSystem.property.type",
          "short" : "code | Coding | string | integer | boolean | dateTime | decimal",
          "definition" : "The type of the property value. Properties of type \"code\" contain a code defined by the code system (e.g. a reference to another defined concept).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.property.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PropertyType"
            }],
            "strength" : "required",
            "description" : "The type of a property value.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/concept-property-type|4.0.0"
          }
        },
        {
          "id" : "CodeSystem.concept",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ConceptDefinition"
          }],
          "path" : "CodeSystem.concept",
          "short" : "Concepts in the code system",
          "definition" : "Concepts that are in the code system. The concept definitions are inherently hierarchical, but the definitions must be consulted to determine what the meanings of the hierarchical relationships are.",
          "comment" : "If this is empty, it means that the code system resource does not represent the content of the code system.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.concept",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.id",
          "path" : "CodeSystem.concept.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.concept.extension",
          "path" : "CodeSystem.concept.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.concept.modifierExtension",
          "path" : "CodeSystem.concept.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.concept.code",
          "path" : "CodeSystem.concept.code",
          "short" : "Code that identifies concept",
          "definition" : "A code - a text symbol - that uniquely identifies the concept within the code system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.concept.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.display",
          "path" : "CodeSystem.concept.display",
          "short" : "Text to display to the user",
          "definition" : "A human readable string that is the recommended default way to present this concept to a user.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.concept.display",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.definition",
          "path" : "CodeSystem.concept.definition",
          "short" : "Formal definition",
          "definition" : "The formal definition of the concept. The code system resource does not make formal definitions required, because of the prevalence of legacy systems. However, they are highly recommended, as without them there is no formal meaning associated with the concept.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.concept.definition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.designation",
          "path" : "CodeSystem.concept.designation",
          "short" : "Additional representations for the concept",
          "definition" : "Additional representations for the concept - other languages, aliases, specialized purposes, used for particular purposes, etc.",
          "comment" : "Concepts have both a ```display``` and an array of ```designation```. The display is equivalent to a special designation with an implied ```designation.use``` of \"primary code\" and a language equal to the [Resource Language](resource.html#language).",
          "requirements" : "Many concept definition systems support multiple representations, in multiple languages, and for multiple purposes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.concept.designation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.designation.id",
          "path" : "CodeSystem.concept.designation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.concept.designation.extension",
          "path" : "CodeSystem.concept.designation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.concept.designation.modifierExtension",
          "path" : "CodeSystem.concept.designation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.concept.designation.language",
          "path" : "CodeSystem.concept.designation.language",
          "short" : "Human language of the designation",
          "definition" : "The language this designation is defined for.",
          "comment" : "In the absence of a language, the resource language applies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.concept.designation.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CodeSystem.concept.designation.use",
          "path" : "CodeSystem.concept.designation.use",
          "short" : "Details how this designation would be used",
          "definition" : "A code that details how this designation would be used.",
          "comment" : "If no use is provided, the designation can be assumed to be suitable for general display to a human user.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.concept.designation.use",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConceptDesignationUse"
            }],
            "strength" : "extensible",
            "description" : "Details of how a designation would be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/designation-use"
          }
        },
        {
          "id" : "CodeSystem.concept.designation.value",
          "path" : "CodeSystem.concept.designation.value",
          "short" : "The text value for this designation",
          "definition" : "The text value for this designation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.concept.designation.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.property",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ConceptProperty"
          }],
          "path" : "CodeSystem.concept.property",
          "short" : "Property value for the concept",
          "definition" : "A property value for this concept.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.concept.property",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.property.id",
          "path" : "CodeSystem.concept.property.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.concept.property.extension",
          "path" : "CodeSystem.concept.property.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CodeSystem.concept.property.modifierExtension",
          "path" : "CodeSystem.concept.property.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.concept.property.code",
          "path" : "CodeSystem.concept.property.code",
          "short" : "Reference to CodeSystem.property.code",
          "definition" : "A code that is a reference to CodeSystem.property.code.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.concept.property.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.property.value[x]",
          "path" : "CodeSystem.concept.property.value[x]",
          "short" : "Value of the property for this concept",
          "definition" : "The value of this property.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CodeSystem.concept.property.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "string"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CodeSystem.concept.concept",
          "path" : "CodeSystem.concept.concept",
          "short" : "Child Concepts (is-a/contains/categorizes)",
          "definition" : "Defines children of a concept to produce a hierarchy of concepts. The nature of the relationships is variable (is-a/contains/categorizes) - see hierarchyMeaning.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CodeSystem.concept.concept",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#CodeSystem.concept",
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CodeSystem",
          "path" : "CodeSystem",
          "short" : "Declares the existence of and describes a code system or code system supplement",
          "definition" : "The CodeSystem resource is used to declare the existence of and describe a code system or code system supplement and its key properties, and optionally define a part or all of its content.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "csd-1",
            "severity" : "error",
            "human" : "Within a code system definition, all the codes SHALL be unique",
            "expression" : "concept.code.combine($this.descendants().concept.code).isDistinct()",
            "xpath" : "count(distinct-values(descendant::f:concept/f:code/@value))=count(descendant::f:concept)"
          },
          {
            "key" : "csd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.url",
          "path" : "CodeSystem.url",
          "short" : "Canonical identifier for this code system, represented as a URI (globally unique) (Coding.system)",
          "definition" : "An absolute URI that is used to identify this code system when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this code system is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the code system is stored on different servers. This is used in [Coding](datatypes.html#Coding).system.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the code system to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CodeSystem.identifier",
          "path" : "CodeSystem.identifier",
          "short" : "Additional identifier for the code system (business identifier)",
          "definition" : "A formal identifier that is used to identify this code system when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this code system outside of FHIR, where it is not possible to use the logical URI.  Note that HL7 defines at least three identifiers for many of its code systems - the FHIR canonical URL, the OID and the V2 Table 0396 mnemonic code.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CodeSystem.version",
          "path" : "CodeSystem.version",
          "short" : "Business version of the code system (Coding.version)",
          "definition" : "The identifier that is used to identify this version of the code system when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the code system author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. This is used in [Coding](datatypes.html#Coding).version.",
          "comment" : "There may be different code system instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the code system with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "CodeSystem.name",
          "path" : "CodeSystem.name",
          "short" : "Name for this code system (computer friendly)",
          "definition" : "A natural language name identifying the code system. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.title",
          "path" : "CodeSystem.title",
          "short" : "Name for this code system (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the code system.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "CodeSystem.status",
          "path" : "CodeSystem.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The date (and optionally time) when the code system resource was created or revised.",
          "comment" : "Allows filtering of code systems that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CodeSystem.experimental",
          "path" : "CodeSystem.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this code system is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of code systems that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level code system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CodeSystem.date",
          "path" : "CodeSystem.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the code system was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the code system changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the code system. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CodeSystem.publisher",
          "path" : "CodeSystem.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the code system.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the code system is the organization or individual primarily responsible for the maintenance and upkeep of the code system. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the code system. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the code system.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "CodeSystem.contact",
          "path" : "CodeSystem.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "CodeSystem.description",
          "path" : "CodeSystem.description",
          "short" : "Natural language description of the code system",
          "definition" : "A free text natural language description of the code system from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the code system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the code system as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the code system is presumed to be the predominant language in the place the code system was created).",
          "alias" : ["Scope",
          "Purpose"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CodeSystem.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "CodeSystem.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate code system instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "CodeSystem.jurisdiction",
          "path" : "CodeSystem.jurisdiction",
          "short" : "Intended jurisdiction for code system (if applicable)",
          "definition" : "A legal or geographic region in which the code system is intended to be used.",
          "comment" : "It may be possible for the code system to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "CodeSystem.purpose",
          "path" : "CodeSystem.purpose",
          "short" : "Why this code system is defined",
          "definition" : "Explanation of why this code system is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the code system. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this code system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CodeSystem.copyright",
          "path" : "CodeSystem.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the code system and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the code system.",
          "comment" : "... Sometimes, the copyright differs between the code system and the codes that are included. The copyright statement should clearly differentiate between these when required.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the code system and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CodeSystem.caseSensitive",
          "path" : "CodeSystem.caseSensitive",
          "short" : "If code comparison is case sensitive",
          "definition" : "If code comparison is case sensitive when codes within this system are compared to each other.",
          "comment" : "If this value is missing, then it is not specified whether a code system is case sensitive or not. When the rule is not known, Postel's law should be followed: produce codes with the correct case, and accept codes in any case. This element is primarily provided to support validation software.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.valueSet",
          "path" : "CodeSystem.valueSet",
          "short" : "Canonical reference to the value set with entire code system",
          "definition" : "Canonical reference to the value set that contains the entire code system.",
          "comment" : "The definition of the value set SHALL include all codes from this code system and only codes from this code system, and it SHALL be immutable.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.hierarchyMeaning",
          "path" : "CodeSystem.hierarchyMeaning",
          "short" : "grouped-by | is-a | part-of | classified-with",
          "definition" : "The meaning of the hierarchy of concepts as represented in this resource.",
          "comment" : "Note that other representations might have a different hierarchy or none at all, and represent the information using properties.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CodeSystemHierarchyMeaning"
            }],
            "strength" : "required",
            "description" : "The meaning of the hierarchy of concepts in a code system.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/codesystem-hierarchy-meaning|4.0.0"
          }
        },
        {
          "id" : "CodeSystem.compositional",
          "path" : "CodeSystem.compositional",
          "short" : "If code system defines a compositional grammar",
          "definition" : "The code system defines a compositional (post-coordination) grammar.",
          "comment" : "Note that the code system resource does not define what the compositional grammar is, only whether or not there is one.",
          "alias" : ["grammar"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.versionNeeded",
          "path" : "CodeSystem.versionNeeded",
          "short" : "If definitions are not stable",
          "definition" : "This flag is used to signify that the code system does not commit to concept permanence across versions. If true, a version must be specified when referencing this code system.",
          "comment" : "Best practice is that code systems do not redefine concepts, or that if concepts are redefined, a new code system definition is created. But this is not always possible, so some code systems may be defined as 'versionNeeded'.\n\nMost code systems occasionally refine the displays defined for concepts between versions. Contexts in which the concept display values are validated may require that the version be specified for some code systems irrespective of the value of this property.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.content",
          "path" : "CodeSystem.content",
          "short" : "not-present | example | fragment | complete | supplement",
          "definition" : "The extent of the content of the code system (the concepts and codes it defines) are represented in this resource instance.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CodeSystemContentMode"
            }],
            "strength" : "required",
            "description" : "The extent of the content of the code system (the concepts and codes it defines) are represented in a code system resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/codesystem-content-mode|4.0.0"
          }
        },
        {
          "id" : "CodeSystem.supplements",
          "path" : "CodeSystem.supplements",
          "short" : "Canonical URL of Code System this adds designations and properties to",
          "definition" : "The canonical URL of the code system that this code system supplement is adding designations and properties to.",
          "comment" : "The most common use of a code system supplement is to add additional language support.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CodeSystem"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.count",
          "path" : "CodeSystem.count",
          "short" : "Total concepts in the code system",
          "definition" : "The total number of concepts defined by the code system. Where the code system has a compositional grammar, the basis of this count is defined by the system steward.",
          "comment" : "The count of concepts defined in this resource cannot be more than this value but may be less for several reasons - see the content element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.filter",
          "path" : "CodeSystem.filter",
          "short" : "Filter that can be used in a value set",
          "definition" : "A filter that can be used in a value set compose statement when selecting concepts using a filter.",
          "comment" : "Note that filters defined in code systems usually require custom code on the part of any terminology engine that will make them available for use in value set filters. For this reason, they are generally only seen in high value published terminologies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.filter.code",
          "path" : "CodeSystem.filter.code",
          "short" : "Code that identifies the filter",
          "definition" : "The code that identifies this filter when it is used as a filter in [ValueSet](valueset.html#).compose.include.filter.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.filter.description",
          "path" : "CodeSystem.filter.description",
          "short" : "How or why the filter is used",
          "definition" : "A description of how or why the filter is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.filter.operator",
          "path" : "CodeSystem.filter.operator",
          "short" : "Operators that can be used with filter",
          "definition" : "A list of operators that can be used with the filter.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FilterOperator"
            }],
            "strength" : "required",
            "description" : "The kind of operation to perform as a part of a property based filter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/filter-operator|4.0.0"
          }
        },
        {
          "id" : "CodeSystem.filter.value",
          "path" : "CodeSystem.filter.value",
          "short" : "What to use for the value",
          "definition" : "A description of what the value for the filter should be.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Property"
          }],
          "path" : "CodeSystem.property",
          "short" : "Additional information supplied about each concept",
          "definition" : "A property defines an additional slot through which additional information can be provided about a concept.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property.code",
          "path" : "CodeSystem.property.code",
          "short" : "Identifies the property on the concepts, and when referred to in operations",
          "definition" : "A code that is used to identify the property. The code is used internally (in CodeSystem.concept.property.code) and also externally, such as in property filters.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property.uri",
          "path" : "CodeSystem.property.uri",
          "short" : "Formal identifier for the property",
          "definition" : "Reference to the formal meaning of the property. One possible source of meaning is the [Concept Properties](codesystem-concept-properties.html) code system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property.description",
          "path" : "CodeSystem.property.description",
          "short" : "Why the property is defined, and/or what it conveys",
          "definition" : "A description of the property- why it is defined, and how its value might be used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CodeSystem.property.type",
          "path" : "CodeSystem.property.type",
          "short" : "code | Coding | string | integer | boolean | dateTime | decimal",
          "definition" : "The type of the property value. Properties of type \"code\" contain a code defined by the code system (e.g. a reference to another defined concept).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PropertyType"
            }],
            "strength" : "required",
            "description" : "The type of a property value.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/concept-property-type|4.0.0"
          }
        },
        {
          "id" : "CodeSystem.concept",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ConceptDefinition"
          }],
          "path" : "CodeSystem.concept",
          "short" : "Concepts in the code system",
          "definition" : "Concepts that are in the code system. The concept definitions are inherently hierarchical, but the definitions must be consulted to determine what the meanings of the hierarchical relationships are.",
          "comment" : "If this is empty, it means that the code system resource does not represent the content of the code system.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CodeSystem.concept.code",
          "path" : "CodeSystem.concept.code",
          "short" : "Code that identifies concept",
          "definition" : "A code - a text symbol - that uniquely identifies the concept within the code system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "CodeSystem.concept.display",
          "path" : "CodeSystem.concept.display",
          "short" : "Text to display to the user",
          "definition" : "A human readable string that is the recommended default way to present this concept to a user.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CodeSystem.concept.definition",
          "path" : "CodeSystem.concept.definition",
          "short" : "Formal definition",
          "definition" : "The formal definition of the concept. The code system resource does not make formal definitions required, because of the prevalence of legacy systems. However, they are highly recommended, as without them there is no formal meaning associated with the concept.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CodeSystem.concept.designation",
          "path" : "CodeSystem.concept.designation",
          "short" : "Additional representations for the concept",
          "definition" : "Additional representations for the concept - other languages, aliases, specialized purposes, used for particular purposes, etc.",
          "comment" : "Concepts have both a ```display``` and an array of ```designation```. The display is equivalent to a special designation with an implied ```designation.use``` of \"primary code\" and a language equal to the [Resource Language](resource.html#language).",
          "requirements" : "Many concept definition systems support multiple representations, in multiple languages, and for multiple purposes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CodeSystem.concept.designation.language",
          "path" : "CodeSystem.concept.designation.language",
          "short" : "Human language of the designation",
          "definition" : "The language this designation is defined for.",
          "comment" : "In the absence of a language, the resource language applies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CodeSystem.concept.designation.use",
          "path" : "CodeSystem.concept.designation.use",
          "short" : "Details how this designation would be used",
          "definition" : "A code that details how this designation would be used.",
          "comment" : "If no use is provided, the designation can be assumed to be suitable for general display to a human user.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConceptDesignationUse"
            }],
            "strength" : "extensible",
            "description" : "Details of how a designation would be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/designation-use"
          }
        },
        {
          "id" : "CodeSystem.concept.designation.value",
          "path" : "CodeSystem.concept.designation.value",
          "short" : "The text value for this designation",
          "definition" : "The text value for this designation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CodeSystem.concept.property",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ConceptProperty"
          }],
          "path" : "CodeSystem.concept.property",
          "short" : "Property value for the concept",
          "definition" : "A property value for this concept.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CodeSystem.concept.property.code",
          "path" : "CodeSystem.concept.property.code",
          "short" : "Reference to CodeSystem.property.code",
          "definition" : "A code that is a reference to CodeSystem.property.code.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "CodeSystem.concept.property.value[x]",
          "path" : "CodeSystem.concept.property.value[x]",
          "short" : "Value of the property for this concept",
          "definition" : "The value of this property.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "string"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          }]
        },
        {
          "id" : "CodeSystem.concept.concept",
          "path" : "CodeSystem.concept.concept",
          "short" : "Child Concepts (is-a/contains/categorizes)",
          "definition" : "Defines children of a concept to produce a hierarchy of concepts. The nature of the relationships is variable (is-a/contains/categorizes) - see hierarchyMeaning.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#CodeSystem.concept"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Communication",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Communication",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Communication 
TU
DomainResource
A record of information transmitted from a sender to a receiver
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique identifier
 instantiatesCanonical 
Σ
0..*
canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 basedOn 
Σ
0..*
Reference(Any)
Request fulfilled by this communication
 partOf 
Σ
0..*
Reference(Any)
Part of this action
 inResponseTo 
0..*
Reference(Communication)
Reply to
 status 
?!Σ
1..1
code
preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error
EventStatus (Required)
 statusReason 
Σ
0..1
CodeableConcept
Reason for current status
CommunicationNotDoneReason (Example)
 category 
0..*
CodeableConcept
Message category
CommunicationCategory (Example)
 priority 
Σ
0..1
code
Message urgency
Request priority (Required)
 medium 
0..*
CodeableConcept
A channel of communication
v3 Code System ParticipationMode (Example)
 subject 
Σ
0..1
Reference(Patient | Group)
Focus of message
 topic 
0..1
CodeableConcept
Description of the purpose/content
CommunicationTopic (Example)
 about 
0..*
Reference(Any)
Resources that pertain to this communication
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 sent 
0..1
dateTime
When sent
 received 
0..1
dateTime
When received
 recipient 
0..*
Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)
Message recipient
 sender 
0..1
Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)
Message sender
 reasonCode 
Σ
0..*
CodeableConcept
Indication for message
SNOMED CT Clinical Findings (Example)
 reasonReference 
Σ
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
Why was communication done?
 payload 
0..*
BackboneElement
Message payload
 content[x] 
1..1
Message part content
 contentString
string
 contentAttachment
Attachment
 contentReference
Reference(Any)
 note 
0..*
Annotation
Comments made about the communication

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Request & Response"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Communication",
      "version" : "4.0.0",
      "name" : "Communication",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Communication",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Communication",
          "path" : "Communication",
          "short" : "A record of information transmitted from a sender to a receiver",
          "definition" : "An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "Communication.id",
          "path" : "Communication.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Communication.meta",
          "path" : "Communication.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Communication.implicitRules",
          "path" : "Communication.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Communication.language",
          "path" : "Communication.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Communication.text",
          "path" : "Communication.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Communication.contained",
          "path" : "Communication.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Communication.extension",
          "path" : "Communication.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Communication.modifierExtension",
          "path" : "Communication.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Communication.identifier",
          "path" : "Communication.identifier",
          "short" : "Unique identifier",
          "definition" : "Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Communication.instantiatesCanonical",
          "path" : "Communication.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Communication.instantiatesUri",
          "path" : "Communication.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Communication.basedOn",
          "path" : "Communication.basedOn",
          "short" : "Request fulfilled by this communication",
          "definition" : "An order, proposal or plan fulfilled in whole or in part by this Communication.",
          "comment" : "This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          }]
        },
        {
          "id" : "Communication.partOf",
          "path" : "Communication.partOf",
          "short" : "Part of this action",
          "definition" : "Part of this action.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          }]
        },
        {
          "id" : "Communication.inResponseTo",
          "path" : "Communication.inResponseTo",
          "short" : "Reply to",
          "definition" : "Prior communication that this communication is in response to.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.inResponseTo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Communication"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Communication.status",
          "path" : "Communication.status",
          "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error",
          "definition" : "The status of the transmission.",
          "comment" : "This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Communication.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationStatus"
            }],
            "strength" : "required",
            "description" : "The status of the communication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/event-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Communication.statusReason",
          "path" : "Communication.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the Communication.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.",
          "alias" : ["Suspended Reason",
          "Cancelled Reason"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Communication.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationNotDoneReason"
            }],
            "strength" : "example",
            "description" : "Codes for the reason why a communication did not happen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/communication-not-done-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          }]
        },
        {
          "id" : "Communication.category",
          "path" : "Communication.category",
          "short" : "Message category",
          "definition" : "The type of message conveyed such as alert, notification, reminder, instruction, etc.",
          "comment" : "There may be multiple axes of categorization and one communication may serve multiple purposes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationCategory"
            }],
            "strength" : "example",
            "description" : "Codes for general categories of communications such as alerts, instructions, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/communication-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Communication.priority",
          "path" : "Communication.priority",
          "short" : "Message urgency",
          "definition" : "Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.",
          "comment" : "Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Communication.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this communication should be treated with normal priority",
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationPriority"
            }],
            "strength" : "required",
            "description" : "Codes indicating the relative importance of a communication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          }]
        },
        {
          "id" : "Communication.medium",
          "path" : "Communication.medium",
          "short" : "A channel of communication",
          "definition" : "A channel that was used for this communication (e.g. email, fax).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.medium",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationMedium"
            }],
            "strength" : "example",
            "description" : "Codes for communication mediums such as phone, fax, email, in person, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode"
          }
        },
        {
          "id" : "Communication.subject",
          "path" : "Communication.subject",
          "short" : "Focus of message",
          "definition" : "The patient or group that was the focus of this communication.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Communication.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Communication.topic",
          "path" : "Communication.topic",
          "short" : "Description of the purpose/content",
          "definition" : "Description of the purpose/content, similar to a subject line in an email.",
          "comment" : "Communication.topic.text can be used without any codings.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Communication.topic",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationTopic"
            }],
            "strength" : "example",
            "description" : "Codes describing the purpose or content of the communication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/communication-topic"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Communication.about",
          "path" : "Communication.about",
          "short" : "Resources that pertain to this communication",
          "definition" : "Other resources that pertain to this communication and to which this communication should be associated.",
          "comment" : "Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.about",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Communication.encounter",
          "path" : "Communication.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this Communication was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Communication.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Communication.sent",
          "path" : "Communication.sent",
          "short" : "When sent",
          "definition" : "The time when this communication was sent.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Communication.sent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x] {Invariant: maps to period.start}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Communication.received",
          "path" : "Communication.received",
          "short" : "When received",
          "definition" : "The time when this communication arrived at the destination.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Communication.received",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x] {Invariant: maps to period.end}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Communication.recipient",
          "path" : "Communication.recipient",
          "short" : "Message recipient",
          "definition" : "The entity (e.g. person, organization, clinical information system, care team or device) which was the target of the communication. If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient.  Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.recipient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "Communication.sender",
          "path" : "Communication.sender",
          "short" : "Message sender",
          "definition" : "The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Communication.sender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "Communication.reasonCode",
          "path" : "Communication.reasonCode",
          "short" : "Indication for message",
          "definition" : "The reason or justification for the communication.",
          "comment" : "Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationReason"
            }],
            "strength" : "example",
            "description" : "Codes for describing reasons for the occurrence of a communication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Communication.reasonReference",
          "path" : "Communication.reasonReference",
          "short" : "Why was communication done?",
          "definition" : "Indicates another resource whose existence justifies this communication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "Communication.payload",
          "path" : "Communication.payload",
          "short" : "Message payload",
          "definition" : "Text, attachment(s), or resource(s) that was communicated to the recipient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.payload",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Communication.payload.id",
          "path" : "Communication.payload.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Communication.payload.extension",
          "path" : "Communication.payload.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Communication.payload.modifierExtension",
          "path" : "Communication.payload.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Communication.payload.content[x]",
          "path" : "Communication.payload.content[x]",
          "short" : "Message part content",
          "definition" : "A communicated content (or for multi-part communications, one portion of the communication).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Communication.payload.content[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Communication.note",
          "path" : "Communication.note",
          "short" : "Comments made about the communication",
          "definition" : "Additional notes or commentary about the communication by the sender, receiver or other interested parties.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Communication.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Communication",
          "path" : "Communication",
          "short" : "A record of information transmitted from a sender to a receiver",
          "definition" : "An occurrence of information being transmitted; e.g. an alert that was sent to a responsible provider, a public health agency that was notified about a reportable condition.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "Communication.identifier",
          "path" : "Communication.identifier",
          "short" : "Unique identifier",
          "definition" : "Business identifiers assigned to this communication by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the communication as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Communication.instantiatesCanonical",
          "path" : "Communication.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Communication.instantiatesUri",
          "path" : "Communication.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Communication.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Communication.basedOn",
          "path" : "Communication.basedOn",
          "short" : "Request fulfilled by this communication",
          "definition" : "An order, proposal or plan fulfilled in whole or in part by this Communication.",
          "comment" : "This must point to some sort of a 'Request' resource, such as CarePlan, CommunicationRequest, ServiceRequest, MedicationRequest, etc.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          }]
        },
        {
          "id" : "Communication.partOf",
          "path" : "Communication.partOf",
          "short" : "Part of this action",
          "definition" : "Part of this action.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          }]
        },
        {
          "id" : "Communication.inResponseTo",
          "path" : "Communication.inResponseTo",
          "short" : "Reply to",
          "definition" : "Prior communication that this communication is in response to.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Communication"]
          }]
        },
        {
          "id" : "Communication.status",
          "path" : "Communication.status",
          "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error",
          "definition" : "The status of the transmission.",
          "comment" : "This element is labeled as a modifier because the status contains the codes aborted and entered-in-error that mark the communication as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationStatus"
            }],
            "strength" : "required",
            "description" : "The status of the communication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/event-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Communication.statusReason",
          "path" : "Communication.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the Communication.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.",
          "alias" : ["Suspended Reason",
          "Cancelled Reason"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationNotDoneReason"
            }],
            "strength" : "example",
            "description" : "Codes for the reason why a communication did not happen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/communication-not-done-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          }]
        },
        {
          "id" : "Communication.category",
          "path" : "Communication.category",
          "short" : "Message category",
          "definition" : "The type of message conveyed such as alert, notification, reminder, instruction, etc.",
          "comment" : "There may be multiple axes of categorization and one communication may serve multiple purposes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationCategory"
            }],
            "strength" : "example",
            "description" : "Codes for general categories of communications such as alerts, instructions, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/communication-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Communication.priority",
          "path" : "Communication.priority",
          "short" : "Message urgency",
          "definition" : "Characterizes how quickly the planned or in progress communication must be addressed. Includes concepts such as stat, urgent, routine.",
          "comment" : "Used to prioritize workflow (such as which communication to read first) when the communication is planned or in progress.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this communication should be treated with normal priority",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationPriority"
            }],
            "strength" : "required",
            "description" : "Codes indicating the relative importance of a communication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          }]
        },
        {
          "id" : "Communication.medium",
          "path" : "Communication.medium",
          "short" : "A channel of communication",
          "definition" : "A channel that was used for this communication (e.g. email, fax).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationMedium"
            }],
            "strength" : "example",
            "description" : "Codes for communication mediums such as phone, fax, email, in person, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode"
          }
        },
        {
          "id" : "Communication.subject",
          "path" : "Communication.subject",
          "short" : "Focus of message",
          "definition" : "The patient or group that was the focus of this communication.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Communication.topic",
          "path" : "Communication.topic",
          "short" : "Description of the purpose/content",
          "definition" : "Description of the purpose/content, similar to a subject line in an email.",
          "comment" : "Communication.topic.text can be used without any codings.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationTopic"
            }],
            "strength" : "example",
            "description" : "Codes describing the purpose or content of the communication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/communication-topic"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Communication.about",
          "path" : "Communication.about",
          "short" : "Resources that pertain to this communication",
          "definition" : "Other resources that pertain to this communication and to which this communication should be associated.",
          "comment" : "Don't use Communication.about element when a more specific element exists, such as basedOn or reasonReference.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Communication.encounter",
          "path" : "Communication.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this Communication was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Communication.sent",
          "path" : "Communication.sent",
          "short" : "When sent",
          "definition" : "The time when this communication was sent.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x] {Invariant: maps to period.start}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Communication.received",
          "path" : "Communication.received",
          "short" : "When received",
          "definition" : "The time when this communication arrived at the destination.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x] {Invariant: maps to period.end}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Communication.recipient",
          "path" : "Communication.recipient",
          "short" : "Message recipient",
          "definition" : "The entity (e.g. person, organization, clinical information system, care team or device) which was the target of the communication. If receipts need to be tracked by an individual, a separate resource instance will need to be created for each recipient.  Multiple recipient communications are intended where either receipts are not tracked (e.g. a mass mail-out) or a receipt is captured in aggregate (all emails confirmed received by a particular time).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "Communication.sender",
          "path" : "Communication.sender",
          "short" : "Message sender",
          "definition" : "The entity (e.g. person, organization, clinical information system, or device) which was the source of the communication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "Communication.reasonCode",
          "path" : "Communication.reasonCode",
          "short" : "Indication for message",
          "definition" : "The reason or justification for the communication.",
          "comment" : "Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationReason"
            }],
            "strength" : "example",
            "description" : "Codes for describing reasons for the occurrence of a communication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Communication.reasonReference",
          "path" : "Communication.reasonReference",
          "short" : "Why was communication done?",
          "definition" : "Indicates another resource whose existence justifies this communication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "Communication.payload",
          "path" : "Communication.payload",
          "short" : "Message payload",
          "definition" : "Text, attachment(s), or resource(s) that was communicated to the recipient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Communication.payload.content[x]",
          "path" : "Communication.payload.content[x]",
          "short" : "Message part content",
          "definition" : "A communicated content (or for multi-part communications, one portion of the communication).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "Communication.note",
          "path" : "Communication.note",
          "short" : "Comments made about the communication",
          "definition" : "Additional notes or commentary about the communication by the sender, receiver or other interested parties.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CommunicationRequest",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CommunicationRequest",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CommunicationRequest 
TU
DomainResource
A request for information to be sent to a receiver
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique identifier
 basedOn 
Σ
0..*
Reference(Any)
Fulfills plan or proposal
 replaces 
Σ
0..*
Reference(CommunicationRequest)
Request(s) replaced by this request
 groupIdentifier 
Σ
0..1
Identifier
Composite request this is part of
 status 
?!Σ
1..1
code
draft | active | suspended | cancelled | completed | entered-in-error | unknown
RequestStatus (Required)
 statusReason 
0..1
CodeableConcept
Reason for current status
 category 
0..*
CodeableConcept
Message category
CommunicationCategory (Example)
 priority 
Σ
0..1
code
Message urgency
Request priority (Required)
 doNotPerform 
?!Σ
0..1
boolean
True if request is prohibiting action
 medium 
0..*
CodeableConcept
A channel of communication
v3 Code System ParticipationMode (Example)
 subject 
0..1
Reference(Patient | Group)
Focus of message
 about 
0..*
Reference(Any)
Resources that pertain to this communication request
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 payload 
0..*
BackboneElement
Message payload
 content[x] 
1..1
Message part content
 contentString
string
 contentAttachment
Attachment
 contentReference
Reference(Any)
 occurrence[x] 
Σ
0..1
When scheduled
 occurrenceDateTime
dateTime
 occurrencePeriod
Period
 authoredOn 
Σ
0..1
dateTime
When request transitioned to being actionable
 requester 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)
Who/what is requesting service
 recipient 
0..*
Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Group | CareTeam | HealthcareService)
Message recipient
 sender 
Σ
0..1
Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | HealthcareService)
Message sender
 reasonCode 
Σ
0..*
CodeableConcept
Why is communication needed?
v3 Code System ActReason (Example)
 reasonReference 
Σ
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
Why is communication needed?
 note 
0..*
Annotation
Comments made about communication request

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Request & Response"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CommunicationRequest",
      "version" : "4.0.0",
      "name" : "CommunicationRequest",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "A request to convey information; e.g. the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CommunicationRequest",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CommunicationRequest",
          "path" : "CommunicationRequest",
          "short" : "A request for information to be sent to a receiver",
          "definition" : "A request to convey information; e.g. the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "CommunicationRequest.id",
          "path" : "CommunicationRequest.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CommunicationRequest.meta",
          "path" : "CommunicationRequest.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CommunicationRequest.implicitRules",
          "path" : "CommunicationRequest.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CommunicationRequest.language",
          "path" : "CommunicationRequest.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CommunicationRequest.text",
          "path" : "CommunicationRequest.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CommunicationRequest.contained",
          "path" : "CommunicationRequest.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CommunicationRequest.extension",
          "path" : "CommunicationRequest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CommunicationRequest.modifierExtension",
          "path" : "CommunicationRequest.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CommunicationRequest.identifier",
          "path" : "CommunicationRequest.identifier",
          "short" : "Unique identifier",
          "definition" : "Business identifiers assigned to this communication request by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the communication request as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CommunicationRequest.basedOn",
          "path" : "CommunicationRequest.basedOn",
          "short" : "Fulfills plan or proposal",
          "definition" : "A plan or proposal that is fulfilled in whole or in part by this request.",
          "requirements" : "Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "CommunicationRequest.replaces",
          "path" : "CommunicationRequest.replaces",
          "short" : "Request(s) replaced by this request",
          "definition" : "Completed or terminated request(s) whose function is taken by this new request.",
          "comment" : "The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.",
          "requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.",
          "alias" : ["supersedes",
          "prior"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.replaces",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CommunicationRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RPLC].target"
          }]
        },
        {
          "id" : "CommunicationRequest.groupIdentifier",
          "path" : "CommunicationRequest.groupIdentifier",
          "short" : "Composite request this is part of",
          "definition" : "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition, prescription or similar form.",
          "comment" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition.  Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
          "alias" : ["grouperId"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.groupIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
          }]
        },
        {
          "id" : "CommunicationRequest.status",
          "path" : "CommunicationRequest.status",
          "short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
          "definition" : "The status of the proposal or order.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationRequestStatus"
            }],
            "strength" : "required",
            "description" : "The status of the communication request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CommunicationRequest.statusReason",
          "path" : "CommunicationRequest.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the CommunicationRequest.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\".  The reason why the CommunicationRequest was created at all is captured in reasonCode, not here.  [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].",
          "alias" : ["Suspended Reason",
          "Cancelled Reason"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationRequestStatusReason"
            }],
            "strength" : "example",
            "description" : "Codes identifying the reason for the current state of a request."
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "CommunicationRequest.category",
          "path" : "CommunicationRequest.category",
          "short" : "Message category",
          "definition" : "The type of message to be sent such as alert, notification, reminder, instruction, etc.",
          "comment" : "There may be multiple axes of categorization and one communication request may serve multiple purposes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationCategory"
            }],
            "strength" : "example",
            "description" : "Codes for general categories of communications such as alerts, instruction, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/communication-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CommunicationRequest.priority",
          "path" : "CommunicationRequest.priority",
          "short" : "Message urgency",
          "definition" : "Characterizes how quickly the proposed act must be initiated. Includes concepts such as stat, urgent, routine.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationPriority"
            }],
            "strength" : "required",
            "description" : "Codes indicating the relative importance of a communication request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          }]
        },
        {
          "id" : "CommunicationRequest.doNotPerform",
          "path" : "CommunicationRequest.doNotPerform",
          "short" : "True if request is prohibiting action",
          "definition" : "If true indicates that the CommunicationRequest is asking for the specified action to *not* occur.",
          "comment" : "The attributes provided with the request qualify what is not to be done.",
          "alias" : ["prohibited"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.doNotPerform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\"",
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For Example,  instead of a request for a communication, it is a request for the communication to not occur.",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.doNotPerform"
          }]
        },
        {
          "id" : "CommunicationRequest.medium",
          "path" : "CommunicationRequest.medium",
          "short" : "A channel of communication",
          "definition" : "A channel that was used for this communication (e.g. email, fax).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.medium",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationMedium"
            }],
            "strength" : "example",
            "description" : "Codes for communication mediums such as phone, fax, email, in person, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode"
          }
        },
        {
          "id" : "CommunicationRequest.subject",
          "path" : "CommunicationRequest.subject",
          "short" : "Focus of message",
          "definition" : "The patient or group that is the focus of this communication request.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CommunicationRequest.about",
          "path" : "CommunicationRequest.about",
          "short" : "Resources that pertain to this communication request",
          "definition" : "Other resources that pertain to this communication request and to which this communication request should be associated.",
          "comment" : "Don't use CommunicationRequest.about element when a more specific element exists, such as basedOn, reasonReference, or replaces.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.about",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "CommunicationRequest.encounter",
          "path" : "CommunicationRequest.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this CommunicationRequest was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "CommunicationRequest.payload",
          "path" : "CommunicationRequest.payload",
          "short" : "Message payload",
          "definition" : "Text, attachment(s), or resource(s) to be communicated to the recipient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.payload",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CommunicationRequest.payload.id",
          "path" : "CommunicationRequest.payload.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CommunicationRequest.payload.extension",
          "path" : "CommunicationRequest.payload.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CommunicationRequest.payload.modifierExtension",
          "path" : "CommunicationRequest.payload.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CommunicationRequest.payload.content[x]",
          "path" : "CommunicationRequest.payload.content[x]",
          "short" : "Message part content",
          "definition" : "The communicated content (or for multi-part communications, one portion of the communication).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.payload.content[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          }]
        },
        {
          "id" : "CommunicationRequest.occurrence[x]",
          "path" : "CommunicationRequest.occurrence[x]",
          "short" : "When scheduled",
          "definition" : "The time when this communication is to occur.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.occurrence[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          }]
        },
        {
          "id" : "CommunicationRequest.authoredOn",
          "path" : "CommunicationRequest.authoredOn",
          "short" : "When request transitioned to being actionable",
          "definition" : "For draft requests, indicates the date of initial creation.  For requests with other statuses, indicates the date of activation.",
          "alias" : ["createdOn"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.authoredOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CommunicationRequest.requester",
          "path" : "CommunicationRequest.requester",
          "short" : "Who/what is requesting service",
          "definition" : "The device, individual, or organization who initiated the request and has responsibility for its activation.",
          "alias" : ["author"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.requester",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "CommunicationRequest.recipient",
          "path" : "CommunicationRequest.recipient",
          "short" : "Message recipient",
          "definition" : "The entity (e.g. person, organization, clinical information system, device, group, or care team) which is the intended target of the communication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.recipient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "CommunicationRequest.sender",
          "path" : "CommunicationRequest.sender",
          "short" : "Message sender",
          "definition" : "The entity (e.g. person, organization, clinical information system, or device) which is to be the source of the communication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CommunicationRequest.sender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "CommunicationRequest.reasonCode",
          "path" : "CommunicationRequest.reasonCode",
          "short" : "Why is communication needed?",
          "definition" : "Describes why the request is being made in coded or textual form.",
          "comment" : "Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationReason"
            }],
            "strength" : "example",
            "description" : "Codes for describing reasons for the occurrence of a communication.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActReason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "CommunicationRequest.reasonReference",
          "path" : "CommunicationRequest.reasonReference",
          "short" : "Why is communication needed?",
          "definition" : "Indicates another resource whose existence justifies this request.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "CommunicationRequest.note",
          "path" : "CommunicationRequest.note",
          "short" : "Comments made about communication request",
          "definition" : "Comments made about the request by the requester, sender, recipient, subject or other participants.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CommunicationRequest.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CommunicationRequest",
          "path" : "CommunicationRequest",
          "short" : "A request for information to be sent to a receiver",
          "definition" : "A request to convey information; e.g. the CDS system proposes that an alert be sent to a responsible provider, the CDS system proposes that the public health agency be notified about a reportable condition.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "CommunicationRequest.identifier",
          "path" : "CommunicationRequest.identifier",
          "short" : "Unique identifier",
          "definition" : "Business identifiers assigned to this communication request by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the communication request as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CommunicationRequest.basedOn",
          "path" : "CommunicationRequest.basedOn",
          "short" : "Fulfills plan or proposal",
          "definition" : "A plan or proposal that is fulfilled in whole or in part by this request.",
          "requirements" : "Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "CommunicationRequest.replaces",
          "path" : "CommunicationRequest.replaces",
          "short" : "Request(s) replaced by this request",
          "definition" : "Completed or terminated request(s) whose function is taken by this new request.",
          "comment" : "The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.",
          "requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.",
          "alias" : ["supersedes",
          "prior"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CommunicationRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RPLC].target"
          }]
        },
        {
          "id" : "CommunicationRequest.groupIdentifier",
          "path" : "CommunicationRequest.groupIdentifier",
          "short" : "Composite request this is part of",
          "definition" : "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition, prescription or similar form.",
          "comment" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition.  Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
          "alias" : ["grouperId"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
          }]
        },
        {
          "id" : "CommunicationRequest.status",
          "path" : "CommunicationRequest.status",
          "short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
          "definition" : "The status of the proposal or order.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationRequestStatus"
            }],
            "strength" : "required",
            "description" : "The status of the communication request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CommunicationRequest.statusReason",
          "path" : "CommunicationRequest.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the CommunicationRequest.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\".  The reason why the CommunicationRequest was created at all is captured in reasonCode, not here.  [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].",
          "alias" : ["Suspended Reason",
          "Cancelled Reason"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationRequestStatusReason"
            }],
            "strength" : "example",
            "description" : "Codes identifying the reason for the current state of a request."
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "CommunicationRequest.category",
          "path" : "CommunicationRequest.category",
          "short" : "Message category",
          "definition" : "The type of message to be sent such as alert, notification, reminder, instruction, etc.",
          "comment" : "There may be multiple axes of categorization and one communication request may serve multiple purposes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationCategory"
            }],
            "strength" : "example",
            "description" : "Codes for general categories of communications such as alerts, instruction, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/communication-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CommunicationRequest.priority",
          "path" : "CommunicationRequest.priority",
          "short" : "Message urgency",
          "definition" : "Characterizes how quickly the proposed act must be initiated. Includes concepts such as stat, urgent, routine.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationPriority"
            }],
            "strength" : "required",
            "description" : "Codes indicating the relative importance of a communication request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          }]
        },
        {
          "id" : "CommunicationRequest.doNotPerform",
          "path" : "CommunicationRequest.doNotPerform",
          "short" : "True if request is prohibiting action",
          "definition" : "If true indicates that the CommunicationRequest is asking for the specified action to *not* occur.",
          "comment" : "The attributes provided with the request qualify what is not to be done.",
          "alias" : ["prohibited"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\"",
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For Example,  instead of a request for a communication, it is a request for the communication to not occur.",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.doNotPerform"
          }]
        },
        {
          "id" : "CommunicationRequest.medium",
          "path" : "CommunicationRequest.medium",
          "short" : "A channel of communication",
          "definition" : "A channel that was used for this communication (e.g. email, fax).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationMedium"
            }],
            "strength" : "example",
            "description" : "Codes for communication mediums such as phone, fax, email, in person, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ParticipationMode"
          }
        },
        {
          "id" : "CommunicationRequest.subject",
          "path" : "CommunicationRequest.subject",
          "short" : "Focus of message",
          "definition" : "The patient or group that is the focus of this communication request.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CommunicationRequest.about",
          "path" : "CommunicationRequest.about",
          "short" : "Resources that pertain to this communication request",
          "definition" : "Other resources that pertain to this communication request and to which this communication request should be associated.",
          "comment" : "Don't use CommunicationRequest.about element when a more specific element exists, such as basedOn, reasonReference, or replaces.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "CommunicationRequest.encounter",
          "path" : "CommunicationRequest.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this CommunicationRequest was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "CommunicationRequest.payload",
          "path" : "CommunicationRequest.payload",
          "short" : "Message payload",
          "definition" : "Text, attachment(s), or resource(s) to be communicated to the recipient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CommunicationRequest.payload.content[x]",
          "path" : "CommunicationRequest.payload.content[x]",
          "short" : "Message part content",
          "definition" : "The communicated content (or for multi-part communications, one portion of the communication).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          }]
        },
        {
          "id" : "CommunicationRequest.occurrence[x]",
          "path" : "CommunicationRequest.occurrence[x]",
          "short" : "When scheduled",
          "definition" : "The time when this communication is to occur.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          }]
        },
        {
          "id" : "CommunicationRequest.authoredOn",
          "path" : "CommunicationRequest.authoredOn",
          "short" : "When request transitioned to being actionable",
          "definition" : "For draft requests, indicates the date of initial creation.  For requests with other statuses, indicates the date of activation.",
          "alias" : ["createdOn"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CommunicationRequest.requester",
          "path" : "CommunicationRequest.requester",
          "short" : "Who/what is requesting service",
          "definition" : "The device, individual, or organization who initiated the request and has responsibility for its activation.",
          "alias" : ["author"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "CommunicationRequest.recipient",
          "path" : "CommunicationRequest.recipient",
          "short" : "Message recipient",
          "definition" : "The entity (e.g. person, organization, clinical information system, device, group, or care team) which is the intended target of the communication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "CommunicationRequest.sender",
          "path" : "CommunicationRequest.sender",
          "short" : "Message sender",
          "definition" : "The entity (e.g. person, organization, clinical information system, or device) which is to be the source of the communication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "CommunicationRequest.reasonCode",
          "path" : "CommunicationRequest.reasonCode",
          "short" : "Why is communication needed?",
          "definition" : "Describes why the request is being made in coded or textual form.",
          "comment" : "Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CommunicationReason"
            }],
            "strength" : "example",
            "description" : "Codes for describing reasons for the occurrence of a communication.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActReason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "CommunicationRequest.reasonReference",
          "path" : "CommunicationRequest.reasonReference",
          "short" : "Why is communication needed?",
          "definition" : "Indicates another resource whose existence justifies this request.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "CommunicationRequest.note",
          "path" : "CommunicationRequest.note",
          "short" : "Comments made about communication request",
          "definition" : "Comments made about the request by the requester, sender, recipient, subject or other participants.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CompartmentDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CompartmentDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CompartmentDefinition 
ITU
DomainResource
Compartment Definition for a resource
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
1..1
uri
Canonical identifier for this compartment definition, represented as a URI (globally unique)
 version 
Σ
0..1
string
Business version of the compartment definition
 name 
ΣI
1..1
string
Name for this compartment definition (computer friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the compartment definition
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 purpose 
0..1
markdown
Why this compartment definition is defined
 code 
Σ
1..1
code
Patient | Encounter | RelatedPerson | Practitioner | Device
CompartmentType (Required)
 search 
Σ
1..1
boolean
Whether the search syntax is supported
 resource 
Σ
0..*
BackboneElement
How a resource is related to the compartment
 code 
Σ
1..1
code
Name of resource type
ResourceType (Required)
 param 
Σ
0..*
string
Search Parameter Name, or chained parameters
 documentation 
0..1
string
Additional documentation about the resource and compartment

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CompartmentDefinition",
      "version" : "4.0.0",
      "name" : "CompartmentDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A compartment definition that defines how resources are accessed on a server.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CompartmentDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CompartmentDefinition",
          "path" : "CompartmentDefinition",
          "short" : "Compartment Definition for a resource",
          "definition" : "A compartment definition that defines how resources are accessed on a server.",
          "comment" : "In FHIR, search is not performed directly on a resource (by XML or JSON path), but on a named parameter that maps into the resource content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CompartmentDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "cpd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CompartmentDefinition.id",
          "path" : "CompartmentDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.meta",
          "path" : "CompartmentDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.implicitRules",
          "path" : "CompartmentDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.language",
          "path" : "CompartmentDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CompartmentDefinition.text",
          "path" : "CompartmentDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CompartmentDefinition.contained",
          "path" : "CompartmentDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CompartmentDefinition.extension",
          "path" : "CompartmentDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CompartmentDefinition.modifierExtension",
          "path" : "CompartmentDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CompartmentDefinition.url",
          "path" : "CompartmentDefinition.url",
          "short" : "Canonical identifier for this compartment definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this compartment definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this compartment definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the compartment definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the compartment definition to be referenced by a single globally unique identifier.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CompartmentDefinition.version",
          "path" : "CompartmentDefinition.version",
          "short" : "Business version of the compartment definition",
          "definition" : "The identifier that is used to identify this version of the compartment definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the compartment definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different compartment definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the compartment definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "CompartmentDefinition.name",
          "path" : "CompartmentDefinition.name",
          "short" : "Name for this compartment definition (computer friendly)",
          "definition" : "A natural language name identifying the compartment definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.This is often the same as the code for the parameter, but does not need to be.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.status",
          "path" : "CompartmentDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this compartment definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of compartment definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CompartmentDefinition.experimental",
          "path" : "CompartmentDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this compartment definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of compartment definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level compartment definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CompartmentDefinition.date",
          "path" : "CompartmentDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the compartment definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the compartment definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the compartment definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CompartmentDefinition.publisher",
          "path" : "CompartmentDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the compartment definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the compartment definition is the organization or individual primarily responsible for the maintenance and upkeep of the compartment definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the compartment definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the compartment definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "CompartmentDefinition.contact",
          "path" : "CompartmentDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CompartmentDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "CompartmentDefinition.description",
          "path" : "CompartmentDefinition.description",
          "short" : "Natural language description of the compartment definition",
          "definition" : "A free text natural language description of the compartment definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the compartment definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the compartment definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the compartment definition is presumed to be the predominant language in the place the compartment definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "CompartmentDefinition.useContext",
          "path" : "CompartmentDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate compartment definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CompartmentDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "CompartmentDefinition.purpose",
          "path" : "CompartmentDefinition.purpose",
          "short" : "Why this compartment definition is defined",
          "definition" : "Explanation of why this compartment definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the compartment definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this compartment definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CompartmentDefinition.code",
          "path" : "CompartmentDefinition.code",
          "short" : "Patient | Encounter | RelatedPerson | Practitioner | Device",
          "definition" : "Which compartment this definition describes.",
          "comment" : "Only the specification can define the compartments that can exist. Servers can choose to support them.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompartmentType"
            }],
            "strength" : "required",
            "description" : "Which type a compartment definition describes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/compartment-type|4.0.0"
          }
        },
        {
          "id" : "CompartmentDefinition.search",
          "path" : "CompartmentDefinition.search",
          "short" : "Whether the search syntax is supported",
          "definition" : "Whether the search syntax is supported,.",
          "comment" : "Servers may define and use compartments to manage logical access without implementing the compartment related syntax.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.search",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.resource",
          "path" : "CompartmentDefinition.resource",
          "short" : "How a resource is related to the compartment",
          "definition" : "Information about how a resource is related to the compartment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CompartmentDefinition.resource",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.resource.id",
          "path" : "CompartmentDefinition.resource.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CompartmentDefinition.resource.extension",
          "path" : "CompartmentDefinition.resource.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CompartmentDefinition.resource.modifierExtension",
          "path" : "CompartmentDefinition.resource.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CompartmentDefinition.resource.code",
          "path" : "CompartmentDefinition.resource.code",
          "short" : "Name of resource type",
          "definition" : "The name of a resource supported by the server.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.resource.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "CompartmentDefinition.resource.param",
          "path" : "CompartmentDefinition.resource.param",
          "short" : "Search Parameter Name, or chained parameters",
          "definition" : "The name of a search parameter that represents the link to the compartment. More than one may be listed because a resource may be linked to a compartment in more than one way,.",
          "comment" : "If no search parameters are listed, then the resource is not linked to the compartment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CompartmentDefinition.resource.param",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.resource.documentation",
          "path" : "CompartmentDefinition.resource.documentation",
          "short" : "Additional documentation about the resource and compartment",
          "definition" : "Additional documentation about the resource and compartment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CompartmentDefinition.resource.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CompartmentDefinition",
          "path" : "CompartmentDefinition",
          "short" : "Compartment Definition for a resource",
          "definition" : "A compartment definition that defines how resources are accessed on a server.",
          "comment" : "In FHIR, search is not performed directly on a resource (by XML or JSON path), but on a named parameter that maps into the resource content.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "cpd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CompartmentDefinition.url",
          "path" : "CompartmentDefinition.url",
          "short" : "Canonical identifier for this compartment definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this compartment definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this compartment definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the compartment definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the compartment definition to be referenced by a single globally unique identifier.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CompartmentDefinition.version",
          "path" : "CompartmentDefinition.version",
          "short" : "Business version of the compartment definition",
          "definition" : "The identifier that is used to identify this version of the compartment definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the compartment definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different compartment definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the compartment definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "CompartmentDefinition.name",
          "path" : "CompartmentDefinition.name",
          "short" : "Name for this compartment definition (computer friendly)",
          "definition" : "A natural language name identifying the compartment definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.This is often the same as the code for the parameter, but does not need to be.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.status",
          "path" : "CompartmentDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this compartment definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of compartment definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CompartmentDefinition.experimental",
          "path" : "CompartmentDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this compartment definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of compartment definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level compartment definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CompartmentDefinition.date",
          "path" : "CompartmentDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the compartment definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the compartment definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the compartment definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CompartmentDefinition.publisher",
          "path" : "CompartmentDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the compartment definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the compartment definition is the organization or individual primarily responsible for the maintenance and upkeep of the compartment definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the compartment definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the compartment definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "CompartmentDefinition.contact",
          "path" : "CompartmentDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "CompartmentDefinition.description",
          "path" : "CompartmentDefinition.description",
          "short" : "Natural language description of the compartment definition",
          "definition" : "A free text natural language description of the compartment definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the compartment definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the compartment definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the compartment definition is presumed to be the predominant language in the place the compartment definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "CompartmentDefinition.useContext",
          "path" : "CompartmentDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate compartment definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "CompartmentDefinition.purpose",
          "path" : "CompartmentDefinition.purpose",
          "short" : "Why this compartment definition is defined",
          "definition" : "Explanation of why this compartment definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the compartment definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this compartment definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "CompartmentDefinition.code",
          "path" : "CompartmentDefinition.code",
          "short" : "Patient | Encounter | RelatedPerson | Practitioner | Device",
          "definition" : "Which compartment this definition describes.",
          "comment" : "Only the specification can define the compartments that can exist. Servers can choose to support them.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompartmentType"
            }],
            "strength" : "required",
            "description" : "Which type a compartment definition describes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/compartment-type|4.0.0"
          }
        },
        {
          "id" : "CompartmentDefinition.search",
          "path" : "CompartmentDefinition.search",
          "short" : "Whether the search syntax is supported",
          "definition" : "Whether the search syntax is supported,.",
          "comment" : "Servers may define and use compartments to manage logical access without implementing the compartment related syntax.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.resource",
          "path" : "CompartmentDefinition.resource",
          "short" : "How a resource is related to the compartment",
          "definition" : "Information about how a resource is related to the compartment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.resource.code",
          "path" : "CompartmentDefinition.resource.code",
          "short" : "Name of resource type",
          "definition" : "The name of a resource supported by the server.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "CompartmentDefinition.resource.param",
          "path" : "CompartmentDefinition.resource.param",
          "short" : "Search Parameter Name, or chained parameters",
          "definition" : "The name of a search parameter that represents the link to the compartment. More than one may be listed because a resource may be linked to a compartment in more than one way,.",
          "comment" : "If no search parameters are listed, then the resource is not linked to the compartment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "CompartmentDefinition.resource.documentation",
          "path" : "CompartmentDefinition.resource.documentation",
          "short" : "Additional documentation about the resource and compartment",
          "definition" : "Additional documentation about the resource and compartment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Composition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Composition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Composition 
TU
DomainResource
A set of resources composed into a single coherent clinical statement with clinical attestation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..1
Identifier
Version-independent identifier for the Composition
 status 
?!Σ
1..1
code
preliminary | final | amended | entered-in-error
CompositionStatus (Required)
 type 
Σ
1..1
CodeableConcept
Kind of composition (LOINC if possible)
FHIR Document Type Codes (Preferred)
 category 
Σ
0..*
CodeableConcept
Categorization of Composition
Document Class Value Set (Example)
 subject 
Σ
0..1
Reference(Any)
Who and/or what the composition is about
 encounter 
Σ
0..1
Reference(Encounter)
Context of the Composition
 date 
Σ
1..1
dateTime
Composition editing time
 author 
Σ
1..*
Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)
Who and/or what authored the composition
 title 
Σ
1..1
string
Human Readable name/title
 confidentiality 
Σ
0..1
code
As defined by affinity domain
V3 Value SetConfidentialityClassification (Required)
 attester 
0..*
BackboneElement
Attests to accuracy of composition
 mode 
1..1
code
personal | professional | legal | official
CompositionAttestationMode (Required)
 time 
0..1
dateTime
When the composition was attested
 party 
0..1
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization)
Who attested the composition
 custodian 
Σ
0..1
Reference(Organization)
Organization which maintains the composition
 relatesTo 
0..*
BackboneElement
Relationships to other compositions/documents
 code 
1..1
code
replaces | transforms | signs | appends
DocumentRelationshipType (Required)
 target[x] 
1..1
Target of the relationship
 targetIdentifier
Identifier
 targetReference
Reference(Composition)
 event 
Σ
0..*
BackboneElement
The clinical service(s) being documented
 code 
Σ
0..*
CodeableConcept
Code(s) that apply to the event being documented
v3 Code System ActCode (Example)
 period 
Σ
0..1
Period
The period covered by the documentation
 detail 
Σ
0..*
Reference(Any)
The event(s) being documented
 section 
I
0..*
BackboneElement
Composition is broken into sections
+ Rule: A section must contain at least one of text, entries, or sub-sections
+ Rule: A section can only have an emptyReason if it is empty
 title 
0..1
string
Label for section (e.g. for ToC)
 code 
0..1
CodeableConcept
Classification of section (recommended)
Document Section Codes (Example)
 author 
0..*
Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization)
Who and/or what authored the section
 focus 
0..1
Reference(Any)
Who/what the section is about, when it is not about the subject of composition
 text 
I
0..1
Narrative
Text summary of the section, for human interpretation
 mode 
0..1
code
working | snapshot | changes
ListMode (Required)
 orderedBy 
0..1
CodeableConcept
Order of section entries
List Order Codes (Preferred)
 entry 
I
0..*
Reference(Any)
A reference to data that supports this section
 emptyReason 
I
0..1
CodeableConcept
Why the section is empty
List Empty Reasons (Preferred)
 section 
I
0..*
see section
Nested Section

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Documents"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "sd"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Composition",
      "version" : "4.0.0",
      "name" : "Composition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Structured Documents)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/structure/index.cfm"
        }]
      }],
      "description" : "A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).",
      "purpose" : "To support documents, and also to capture the EN13606 notion of an attested commit to the patient EHR, and to allow a set of disparate resources at the information/engineering level to be gathered into a clinical statement.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "cda",
        "uri" : "http://hl7.org/v3/cda",
        "name" : "CDA (R2)"
      },
      {
        "identity" : "fhirdocumentreference",
        "uri" : "http://hl7.org/fhir/documentreference",
        "name" : "FHIR DocumentReference"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Composition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Composition",
          "path" : "Composition",
          "short" : "A set of resources composed into a single coherent clinical statement with clinical attestation",
          "definition" : "A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).",
          "comment" : "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "when described by DocumentReference"
          }]
        },
        {
          "id" : "Composition.id",
          "path" : "Composition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Composition.meta",
          "path" : "Composition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Composition.implicitRules",
          "path" : "Composition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Composition.language",
          "path" : "Composition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Composition.text",
          "path" : "Composition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Composition.contained",
          "path" : "Composition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Composition.extension",
          "path" : "Composition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Composition.modifierExtension",
          "path" : "Composition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Composition.identifier",
          "path" : "Composition.identifier",
          "short" : "Version-independent identifier for the Composition",
          "definition" : "A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.",
          "comment" : "Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "Document.id / Document.setId"
          },
          {
            "identity" : "cda",
            "map" : ".setId"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.masterIdentifier"
          }]
        },
        {
          "id" : "Composition.status",
          "path" : "Composition.status",
          "short" : "preliminary | final | amended | entered-in-error",
          "definition" : "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.",
          "comment" : "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"entered-in-error\" is why this element is labeled as a modifier of other elements.   \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
          "requirements" : "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Composition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionStatus"
            }],
            "strength" : "required",
            "description" : "The workflow/clinical status of the composition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/composition-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\""
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.status"
          }]
        },
        {
          "id" : "Composition.type",
          "path" : "Composition.type",
          "short" : "Kind of composition (LOINC if possible)",
          "definition" : "Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.",
          "comment" : "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.",
          "requirements" : "Key metadata element describing the composition, used in searching/filtering.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Composition.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentType"
            }],
            "strength" : "preferred",
            "description" : "Type of a composition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/doc-typecodes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.type"
          }]
        },
        {
          "id" : "Composition.category",
          "path" : "Composition.category",
          "short" : "Categorization of Composition",
          "definition" : "A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.",
          "comment" : "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
          "requirements" : "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentCategory"
            }],
            "strength" : "example",
            "description" : "High-level kind of a clinical document at a macro level.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-classcodes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumenttReference.category"
          }]
        },
        {
          "id" : "Composition.subject",
          "path" : "Composition.subject",
          "short" : "Who and/or what the composition is about",
          "definition" : "Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).",
          "comment" : "For clinical documents, this is usually the patient.",
          "requirements" : "Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
          },
          {
            "identity" : "cda",
            "map" : ".recordTarget"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Composition.encounter",
          "path" : "Composition.encounter",
          "short" : "Context of the Composition",
          "definition" : "Describes the clinical encounter or type of care this documentation is associated with.",
          "requirements" : "Provides context for the composition and supports searching.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
          },
          {
            "identity" : "cda",
            "map" : ".componentOf.encompassingEncounter"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.context.encounter"
          }]
        },
        {
          "id" : "Composition.date",
          "path" : "Composition.date",
          "short" : "Composition editing time",
          "definition" : "The composition editing time, when the composition was last logically changed by the author.",
          "comment" : "The Last Modified Date on the composition may be after the date of the document was attested without being changed.",
          "requirements" : "dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](bundle-definitions.html#Bundle.timestamp) is the date of packaging.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Composition.date",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime[type=\"TS\"]"
          },
          {
            "identity" : "cda",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.content.attachment.date, DocumentReference.created"
          }]
        },
        {
          "id" : "Composition.author",
          "path" : "Composition.author",
          "short" : "Who and/or what authored the composition",
          "definition" : "Identifies who is responsible for the information in the composition, not necessarily who typed it in.",
          "requirements" : "Identifies who is responsible for the content.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Composition.author",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.agent"
          }]
        },
        {
          "id" : "Composition.title",
          "path" : "Composition.title",
          "short" : "Human Readable name/title",
          "definition" : "Official human-readable label for the composition.",
          "comment" : "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Composition.title",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.description, DocumentReference.content.attachment.title"
          }]
        },
        {
          "id" : "Composition.confidentiality",
          "path" : "Composition.confidentiality",
          "short" : "As defined by affinity domain",
          "definition" : "The code specifying the level of confidentiality of the Composition.",
          "comment" : "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).  This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.confidentiality",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentConfidentiality"
            }],
            "strength" : "required",
            "description" : "Codes specifying the level of confidentiality of the composition.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".confidentialityCode"
          },
          {
            "identity" : "cda",
            "map" : ".confidentialityCode"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.securityLabel"
          }]
        },
        {
          "id" : "Composition.attester",
          "path" : "Composition.attester",
          "short" : "Attests to accuracy of composition",
          "definition" : "A participant who has attested to the accuracy of the composition/document.",
          "comment" : "Only list each attester once.",
          "requirements" : "Identifies responsibility for the accuracy of the composition content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.attester",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".authenticator/.legalAuthenticator"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.authenticator"
          }]
        },
        {
          "id" : "Composition.attester.id",
          "path" : "Composition.attester.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.attester.extension",
          "path" : "Composition.attester.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.attester.modifierExtension",
          "path" : "Composition.attester.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Composition.attester.mode",
          "path" : "Composition.attester.mode",
          "short" : "personal | professional | legal | official",
          "definition" : "The type of attestation the authenticator offers.",
          "requirements" : "Indicates the level of authority of the attestation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Composition.attester.mode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionAttestationMode"
            }],
            "strength" : "required",
            "description" : "The way in which a person authenticated a composition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "unique(./modeCode)"
          },
          {
            "identity" : "cda",
            "map" : "implied by .authenticator/.legalAuthenticator"
          }]
        },
        {
          "id" : "Composition.attester.time",
          "path" : "Composition.attester.time",
          "short" : "When the composition was attested",
          "definition" : "When the composition was attested by the party.",
          "requirements" : "Identifies when the information in the composition was deemed accurate.  (Things may have changed since then.).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.attester.time",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./time[type=\"TS\" and isNormalDatatype()]"
          },
          {
            "identity" : "cda",
            "map" : ".authenticator.time"
          }]
        },
        {
          "id" : "Composition.attester.party",
          "path" : "Composition.attester.party",
          "short" : "Who attested the composition",
          "definition" : "Who attested the composition in the specified way.",
          "requirements" : "Identifies who has taken on the responsibility for accuracy of the composition content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.attester.party",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]"
          },
          {
            "identity" : "cda",
            "map" : ".authenticator.assignedEnttty"
          }]
        },
        {
          "id" : "Composition.custodian",
          "path" : "Composition.custodian",
          "short" : "Organization which maintains the composition",
          "definition" : "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.",
          "comment" : "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.",
          "requirements" : "Identifies where to go to find the current version, where to report issues, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.custodian",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"
          },
          {
            "identity" : "cda",
            "map" : ".custodian.assignedCustodian"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.custodian"
          }]
        },
        {
          "id" : "Composition.relatesTo",
          "path" : "Composition.relatesTo",
          "short" : "Relationships to other compositions/documents",
          "definition" : "Relationships that this composition has with other compositions or documents that already exist.",
          "comment" : "A document is a version specific composition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.relatesTo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship"
          },
          {
            "identity" : "cda",
            "map" : ".relatedDocument"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.relatesTo"
          }]
        },
        {
          "id" : "Composition.relatesTo.id",
          "path" : "Composition.relatesTo.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.relatesTo.extension",
          "path" : "Composition.relatesTo.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.relatesTo.modifierExtension",
          "path" : "Composition.relatesTo.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Composition.relatesTo.code",
          "path" : "Composition.relatesTo.code",
          "short" : "replaces | transforms | signs | appends",
          "definition" : "The type of relationship that this composition has with anther composition or document.",
          "comment" : "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Composition.relatesTo.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentRelationshipType"
            }],
            "strength" : "required",
            "description" : "The type of relationship between documents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship.typeCode"
          },
          {
            "identity" : "cda",
            "map" : ".relatedDocument.typeCode"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.relatesTo.code"
          }]
        },
        {
          "id" : "Composition.relatesTo.target[x]",
          "path" : "Composition.relatesTo.target[x]",
          "short" : "Target of the relationship",
          "definition" : "The target composition/document of this relationship.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Composition.relatesTo.target[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Composition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".target[classCode=\"DOC\", moodCode=\"EVN\"].id"
          },
          {
            "identity" : "cda",
            "map" : ".relatedDocument.id"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.relatesTo.target"
          }]
        },
        {
          "id" : "Composition.event",
          "path" : "Composition.event",
          "short" : "The clinical service(s) being documented",
          "definition" : "The clinical service, such as a colonoscopy or an appendectomy, being documented.",
          "comment" : "The event needs to be consistent with the type element, though can provide further information if desired.",
          "requirements" : "Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.event",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"
          },
          {
            "identity" : "cda",
            "map" : ".documentationOf.serviceEvent"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.event"
          }]
        },
        {
          "id" : "Composition.event.id",
          "path" : "Composition.event.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.event.extension",
          "path" : "Composition.event.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.event.modifierExtension",
          "path" : "Composition.event.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Composition.event.code",
          "path" : "Composition.event.code",
          "short" : "Code(s) that apply to the event being documented",
          "definition" : "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
          "comment" : "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.event.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentEventType"
            }],
            "strength" : "example",
            "description" : "This list of codes represents the main clinical acts being documented.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.event.code"
          }]
        },
        {
          "id" : "Composition.event.period",
          "path" : "Composition.event.period",
          "short" : "The period covered by the documentation",
          "definition" : "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.event.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "cda",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "fhirdocumentreference",
            "map" : "DocumentReference.event.period"
          }]
        },
        {
          "id" : "Composition.event.detail",
          "path" : "Composition.event.detail",
          "short" : "The event(s) being documented",
          "definition" : "The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.event.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].target"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.section",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Section"
          }],
          "path" : "Composition.section",
          "short" : "Composition is broken into sections",
          "definition" : "The root of the sections that make up the composition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.section",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "cmp-1",
            "severity" : "error",
            "human" : "A section must contain at least one of text, entries, or sub-sections",
            "expression" : "text.exists() or entry.exists() or section.exists()",
            "xpath" : "exists(f:text) or exists(f:entry) or exists(f:section)"
          },
          {
            "key" : "cmp-2",
            "severity" : "error",
            "human" : "A section can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
          },
          {
            "identity" : "cda",
            "map" : ".component.structuredBody.component.section"
          }]
        },
        {
          "id" : "Composition.section.id",
          "path" : "Composition.section.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.section.extension",
          "path" : "Composition.section.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.section.modifierExtension",
          "path" : "Composition.section.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Composition.section.title",
          "path" : "Composition.section.title",
          "short" : "Label for section (e.g. for ToC)",
          "definition" : "The label for this particular section.  This will be part of the rendered content for the document, and is often used to build a table of contents.",
          "comment" : "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title,  or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
          "requirements" : "Section headings are often standardized for different types of documents.  They give guidance to humans on how the document is organized.",
          "alias" : ["header",
          "label",
          "caption"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.section.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./title"
          },
          {
            "identity" : "cda",
            "map" : ".title"
          }]
        },
        {
          "id" : "Composition.section.code",
          "path" : "Composition.section.code",
          "short" : "Classification of section (recommended)",
          "definition" : "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
          "comment" : "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.   \n\nIf the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
          "requirements" : "Provides computable standardized labels to topics within the document.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.section.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositionSectionType"
            }],
            "strength" : "example",
            "description" : "Classification of a section of a composition/document.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/doc-section-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "cda",
            "map" : ".code"
          }]
        },
        {
          "id" : "Composition.section.author",
          "path" : "Composition.section.author",
          "short" : "Who and/or what authored the section",
          "definition" : "Identifies who is responsible for the information in this section, not necessarily who typed it in.",
          "requirements" : "Identifies who is responsible for the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.section.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "cda",
            "map" : ".author.assignedAuthor"
          }]
        },
        {
          "id" : "Composition.section.focus",
          "path" : "Composition.section.focus",
          "short" : "Who/what the section is about, when it is not about the subject of composition",
          "definition" : "The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).",
          "comment" : "Typically, sections in a doument are about the subject of the document, whether that is a  patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are  a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.section.focus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "cda",
            "map" : ".subject? (CDA did not differentiate between subject and focus)"
          }]
        },
        {
          "id" : "Composition.section.text",
          "path" : "Composition.section.text",
          "short" : "Text summary of the section, for human interpretation",
          "definition" : "A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative.",
          "comment" : "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.section.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "condition" : ["cmp-1"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "cda",
            "map" : ".text"
          }]
        },
        {
          "id" : "Composition.section.mode",
          "path" : "Composition.section.mode",
          "short" : "working | snapshot | changes",
          "definition" : "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
          "comment" : "This element is labeled as a modifier because a change list must not be misunderstood as a complete list.",
          "requirements" : "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.section.mode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionMode"
            }],
            "strength" : "required",
            "description" : "The processing mode that applies to this section.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/list-mode|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.section.orderedBy",
          "path" : "Composition.section.orderedBy",
          "short" : "Order of section entries",
          "definition" : "Specifies the order applied to the items in the section entries.",
          "comment" : "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
          "requirements" : "Important for presentation and rendering.  Lists may be sorted to place more important information first or to group related entries.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.section.orderedBy",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEntryOrder"
            }],
            "strength" : "preferred",
            "description" : "What order applies to the items in the entry.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/list-order"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.section.entry",
          "path" : "Composition.section.entry",
          "short" : "A reference to data that supports this section",
          "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
          "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Composition.section.entry",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "condition" : ["cmp-2"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }]
        },
        {
          "id" : "Composition.section.emptyReason",
          "path" : "Composition.section.emptyReason",
          "short" : "Why the section is empty",
          "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
          "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
          "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Composition.section.emptyReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["cmp-2"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }],
            "strength" : "preferred",
            "description" : "If a section is empty, why it is empty.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code 1"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Composition.section.entry",
          "path" : "Composition.section.entry",
          "short" : "A reference to data that supports this section",
          "definition" : "A reference to the actual resource from which the narrative in the section is derived.",
          "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "condition" : ["cmp-2"],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          },
          {
            "identity" : "cda",
            "map" : ".entry"
          }]
        },
        {
          "id" : "Composition.section.emptyReason",
          "path" : "Composition.section.emptyReason",
          "short" : "Why the section is empty",
          "definition" : "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
          "comment" : "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
          "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["cmp-2"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SectionEmptyReason"
            }],
            "strength" : "preferred",
            "description" : "If a section is empty, why it is empty.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ConceptMap 
ITU
DomainResource
A map from one set of concepts to one or more other concepts
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this concept map, represented as a URI (globally unique)
 identifier 
Σ
0..1
Identifier
Additional identifier for the concept map
 version 
Σ
0..1
string
Business version of the concept map
 name 
ΣI
0..1
string
Name for this concept map (computer friendly)
 title 
Σ
0..1
string
Name for this concept map (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the concept map
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for concept map (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this concept map is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 source[x] 
Σ
0..1
The source value set that contains the concepts that are being mapped
 sourceUri
uri
 sourceCanonical
canonical(ValueSet)
 target[x] 
Σ
0..1
The target value set which provides context for the mappings
 targetUri
uri
 targetCanonical
canonical(ValueSet)
 group 
0..*
BackboneElement
Same source and target systems
 source 
0..1
uri
Source system where concepts to be mapped are defined
 sourceVersion 
0..1
string
Specific version of the  code system
 target 
0..1
uri
Target system that the concepts are to be mapped to
 targetVersion 
0..1
string
Specific version of the  code system
 element 
1..*
BackboneElement
Mappings for a concept from the source set
 code 
0..1
code
Identifies element being mapped
 display 
0..1
string
Display for the code
 target 
I
0..*
BackboneElement
Concept in target system for element
+ Rule: If the map is narrower or inexact, there SHALL be some comments
 code 
0..1
code
Code that identifies the target element
 display 
0..1
string
Display for the code
 equivalence 
?!
1..1
code
relatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint
ConceptMapEquivalence (Required)
 comment 
I
0..1
string
Description of status/issues in mapping
 dependsOn 
0..*
BackboneElement
Other elements required for this mapping (from context)
 property 
1..1
uri
Reference to property mapping depends on
 system 
0..1
canonical(CodeSystem)
Code System (if necessary)
 value 
1..1
string
Value of the referenced element
 display 
0..1
string
Display for the code (if value is a code)
 product 
0..*
see dependsOn
Other concepts that this mapping also produces
 unmapped 
I
0..1
BackboneElement
What to do when there is no mapping for the source concept
+ Rule: If the mode is 'fixed', a code must be provided
+ Rule: If the mode is 'other-map', a url must be provided
 mode 
1..1
code
provided | fixed | other-map
ConceptMapGroupUnmappedMode (Required)
 code 
0..1
code
Fixed code when mode = fixed
 display 
0..1
string
Display for the code
 url 
0..1
canonical(ConceptMap)
canonical reference to an additional ConceptMap to use for mapping if the source concept is unmapped

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Terminology"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "vocab"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ConceptMap",
      "version" : "4.0.0",
      "name" : "ConceptMap",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Vocabulary)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/Vocab/index.cfm"
        }]
      }],
      "description" : "A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ConceptMap",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ConceptMap",
          "path" : "ConceptMap",
          "short" : "A map from one set of concepts to one or more other concepts",
          "definition" : "A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "cmd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.id",
          "path" : "ConceptMap.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.meta",
          "path" : "ConceptMap.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.implicitRules",
          "path" : "ConceptMap.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.language",
          "path" : "ConceptMap.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ConceptMap.text",
          "path" : "ConceptMap.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ConceptMap.contained",
          "path" : "ConceptMap.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.extension",
          "path" : "ConceptMap.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.modifierExtension",
          "path" : "ConceptMap.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.url",
          "path" : "ConceptMap.url",
          "short" : "Canonical identifier for this concept map, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this concept map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this concept map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the concept map is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the concept map to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ConceptMap.identifier",
          "path" : "ConceptMap.identifier",
          "short" : "Additional identifier for the concept map",
          "definition" : "A formal identifier that is used to identify this concept map when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ConceptMap.version",
          "path" : "ConceptMap.version",
          "short" : "Business version of the concept map",
          "definition" : "The identifier that is used to identify this version of the concept map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the concept map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different concept map instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ConceptMap.name",
          "path" : "ConceptMap.name",
          "short" : "Name for this concept map (computer friendly)",
          "definition" : "A natural language name identifying the concept map. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.title",
          "path" : "ConceptMap.title",
          "short" : "Name for this concept map (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the concept map.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ConceptMap.status",
          "path" : "ConceptMap.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this concept map. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of concept maps that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ConceptMap.experimental",
          "path" : "ConceptMap.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this concept map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of concept maps that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level concept map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ConceptMap.date",
          "path" : "ConceptMap.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the concept map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the concept map changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ConceptMap.publisher",
          "path" : "ConceptMap.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the concept map.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the concept map.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ConceptMap.contact",
          "path" : "ConceptMap.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ConceptMap.description",
          "path" : "ConceptMap.description",
          "short" : "Natural language description of the concept map",
          "definition" : "A free text natural language description of the concept map from a consumer's perspective.",
          "comment" : "The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.useContext",
          "path" : "ConceptMap.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate concept map instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ConceptMap.jurisdiction",
          "path" : "ConceptMap.jurisdiction",
          "short" : "Intended jurisdiction for concept map (if applicable)",
          "definition" : "A legal or geographic region in which the concept map is intended to be used.",
          "comment" : "It may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ConceptMap.purpose",
          "path" : "ConceptMap.purpose",
          "short" : "Why this concept map is defined",
          "definition" : "Explanation of why this concept map is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this concept map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ConceptMap.copyright",
          "path" : "ConceptMap.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the concept map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the concept map.",
          "comment" : "Frequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the concept map and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ConceptMap.source[x]",
          "path" : "ConceptMap.source[x]",
          "short" : "The source value set that contains the concepts that are being mapped",
          "definition" : "Identifier for the source value set that contains the concepts that are being mapped and provides context for the mappings.",
          "comment" : "Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, there is no specified context for the map (not recommended).  The source value set may select codes from either an explicit (standard or local) or implicit code system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.source[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.target[x]",
          "path" : "ConceptMap.target[x]",
          "short" : "The target value set which provides context for the mappings",
          "definition" : "The target value set provides context for the mappings. Note that the mapping is made between concepts, not between value sets, but the value set provides important context about how the concept mapping choices are made.",
          "comment" : "Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.target[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.group",
          "path" : "ConceptMap.group",
          "short" : "Same source and target systems",
          "definition" : "A group of mappings that all have the same source and target system.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap.group",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.id",
          "path" : "ConceptMap.group.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.extension",
          "path" : "ConceptMap.group.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.modifierExtension",
          "path" : "ConceptMap.group.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.group.source",
          "path" : "ConceptMap.group.source",
          "short" : "Source system where concepts to be mapped are defined",
          "definition" : "An absolute URI that identifies the source system where the concepts to be mapped are defined.",
          "comment" : "This is not needed if the source value set is specified and it contains concepts from only a single system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.source",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.sourceVersion",
          "path" : "ConceptMap.group.sourceVersion",
          "short" : "Specific version of the  code system",
          "definition" : "The specific version of the code system, as determined by the code system authority.",
          "comment" : "The specification of a particular code system version may be required for code systems which lack concept permanence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.sourceVersion",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.target",
          "path" : "ConceptMap.group.target",
          "short" : "Target system that the concepts are to be mapped to",
          "definition" : "An absolute URI that identifies the target system that the concepts will be mapped to.",
          "comment" : "This is not needed if the target value set is specified and it contains concepts from only a single system. The group target may also be omitted if all of the target element equivalence values are 'unmatched'.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.target",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.targetVersion",
          "path" : "ConceptMap.group.targetVersion",
          "short" : "Specific version of the  code system",
          "definition" : "The specific version of the code system, as determined by the code system authority.",
          "comment" : "The specification of a particular code system version may be required for code systems which lack concept permanence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.targetVersion",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SourceElement"
          }],
          "path" : "ConceptMap.group.element",
          "short" : "Mappings for a concept from the source set",
          "definition" : "Mappings for an individual concept in the source to one or more concepts in the target.",
          "comment" : "Generally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies.",
          "alias" : ["code",
          "concept",
          "item"],
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap.group.element",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.id",
          "path" : "ConceptMap.group.element.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.element.extension",
          "path" : "ConceptMap.group.element.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.element.modifierExtension",
          "path" : "ConceptMap.group.element.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.group.element.code",
          "path" : "ConceptMap.group.element.code",
          "short" : "Identifies element being mapped",
          "definition" : "Identity (code or path) or the element/item being mapped.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.display",
          "path" : "ConceptMap.group.element.display",
          "short" : "Display for the code",
          "definition" : "The display for the code. The display is only provided to help editors when editing the concept map.",
          "comment" : "The display is ignored when processing the map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.display",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TargetElement"
          }],
          "path" : "ConceptMap.group.element.target",
          "short" : "Concept in target system for element",
          "definition" : "A concept from the target value set that this concept maps to.",
          "comment" : "Ideally there would only be one map, with equal or equivalent mapping. But multiple maps are allowed for several narrower options, or to assert that other concepts are unmatched.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap.group.element.target",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "cmd-1",
            "severity" : "error",
            "human" : "If the map is narrower or inexact, there SHALL be some comments",
            "expression" : "comment.exists() or equivalence.empty() or ((equivalence != 'narrower') and (equivalence != 'inexact'))",
            "xpath" : "exists(f:comment) or not(exists(f:equivalence)) or ((f:equivalence/@value != 'narrower') and (f:equivalence/@value != 'inexact'))"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.id",
          "path" : "ConceptMap.group.element.target.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.extension",
          "path" : "ConceptMap.group.element.target.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.modifierExtension",
          "path" : "ConceptMap.group.element.target.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.code",
          "path" : "ConceptMap.group.element.target.code",
          "short" : "Code that identifies the target element",
          "definition" : "Identity (code or path) or the element/item that the map refers to.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.target.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.display",
          "path" : "ConceptMap.group.element.target.display",
          "short" : "Display for the code",
          "definition" : "The display for the code. The display is only provided to help editors when editing the concept map.",
          "comment" : "The display is ignored when processing the map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.target.display",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.equivalence",
          "path" : "ConceptMap.group.element.target.equivalence",
          "short" : "relatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint",
          "definition" : "The equivalence between the source and target concepts (counting for the dependencies and products). The equivalence is read from target to source (e.g. the target is 'wider' than the source).",
          "comment" : "This element is labeled as a modifier because it may indicate that a target does not apply.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.target.equivalence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "Some of the values mean that there is no mapping from the source to the target, particularly 'disjoint', and the mapping cannot be interpreted without knowing this value as it could mean the elements are equivalent, totally mismatched or anything in between",
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConceptMapEquivalence"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The degree of equivalence between concepts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.0"
          }
        },
        {
          "id" : "ConceptMap.group.element.target.comment",
          "path" : "ConceptMap.group.element.target.comment",
          "short" : "Description of status/issues in mapping",
          "definition" : "A description of status/issues in mapping that conveys additional information not represented in  the structured data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.target.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["cmd-1"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "OtherElement"
          }],
          "path" : "ConceptMap.group.element.target.dependsOn",
          "short" : "Other elements required for this mapping (from context)",
          "definition" : "A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap.group.element.target.dependsOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.id",
          "path" : "ConceptMap.group.element.target.dependsOn.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.extension",
          "path" : "ConceptMap.group.element.target.dependsOn.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.modifierExtension",
          "path" : "ConceptMap.group.element.target.dependsOn.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.property",
          "path" : "ConceptMap.group.element.target.dependsOn.property",
          "short" : "Reference to property mapping depends on",
          "definition" : "A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.target.dependsOn.property",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.system",
          "path" : "ConceptMap.group.element.target.dependsOn.system",
          "short" : "Code System (if necessary)",
          "definition" : "An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.target.dependsOn.system",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CodeSystem"]
          }],
          "meaningWhenMissing" : "The code is in the source (dependsOn) or target (product) system",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.value",
          "path" : "ConceptMap.group.element.target.dependsOn.value",
          "short" : "Value of the referenced element",
          "definition" : "Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.target.dependsOn.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.display",
          "path" : "ConceptMap.group.element.target.dependsOn.display",
          "short" : "Display for the code (if value is a code)",
          "definition" : "The display for the code. The display is only provided to help editors when editing the concept map.",
          "comment" : "The display is ignored when processing the map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.element.target.dependsOn.display",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.element.target.product",
          "path" : "ConceptMap.group.element.target.product",
          "short" : "Other concepts that this mapping also produces",
          "definition" : "A set of additional outcomes from this mapping to other elements. To properly execute this mapping, the specified element must be mapped to some data element or source that is in context. The mapping may still be useful without a place for the additional data elements, but the equivalence cannot be relied on.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ConceptMap.group.element.target.product",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ConceptMap.group.element.target.dependsOn",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.unmapped",
          "path" : "ConceptMap.group.unmapped",
          "short" : "What to do when there is no mapping for the source concept",
          "definition" : "What to do when there is no mapping for the source concept. \"Unmapped\" does not include codes that are unmatched, and the unmapped element is ignored in a code is specified to have equivalence = unmatched.",
          "comment" : "This only applies if the source code has a system value that matches the system defined for the group.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.unmapped",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "cmd-3",
            "severity" : "error",
            "human" : "If the mode is 'other-map', a url must be provided",
            "expression" : "(mode = 'other-map') implies url.exists()",
            "xpath" : "(f:mode/@value != 'other-map') or exists(f:url)"
          },
          {
            "key" : "cmd-2",
            "severity" : "error",
            "human" : "If the mode is 'fixed', a code must be provided",
            "expression" : "(mode = 'fixed') implies code.exists()",
            "xpath" : "(f:mode/@value != 'fixed') or exists(f:code)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.unmapped.id",
          "path" : "ConceptMap.group.unmapped.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.unmapped.extension",
          "path" : "ConceptMap.group.unmapped.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ConceptMap.group.unmapped.modifierExtension",
          "path" : "ConceptMap.group.unmapped.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.group.unmapped.mode",
          "path" : "ConceptMap.group.unmapped.mode",
          "short" : "provided | fixed | other-map",
          "definition" : "Defines which action to take if there is no match for the source concept in the target system designated for the group. One of 3 actions are possible: use the unmapped code (this is useful when doing a mapping between versions, and only a few codes have changed), use a fixed code (a default code), or alternatively, a reference to a different concept map can be provided (by canonical URL).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.unmapped.mode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConceptMapGroupUnmappedMode"
            }],
            "strength" : "required",
            "description" : "Defines which action to take if there is no match in the group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.0"
          }
        },
        {
          "id" : "ConceptMap.group.unmapped.code",
          "path" : "ConceptMap.group.unmapped.code",
          "short" : "Fixed code when mode = fixed",
          "definition" : "The fixed code to use when the mode = 'fixed'  - all unmapped codes are mapped to a single fixed code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.unmapped.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.unmapped.display",
          "path" : "ConceptMap.group.unmapped.display",
          "short" : "Display for the code",
          "definition" : "The display for the code. The display is only provided to help editors when editing the concept map.",
          "comment" : "The display is ignored when processing the map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.unmapped.display",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ConceptMap.group.unmapped.url",
          "path" : "ConceptMap.group.unmapped.url",
          "short" : "canonical reference to an additional ConceptMap to use for mapping if the source concept is unmapped",
          "definition" : "The canonical reference to an additional ConceptMap resource instance to use for mapping if this ConceptMap resource contains no matching mapping for the source concept.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ConceptMap.group.unmapped.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ConceptMap"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ConceptMap",
          "path" : "ConceptMap",
          "short" : "A map from one set of concepts to one or more other concepts",
          "definition" : "A statement of relationships from one set of concepts to one or more other concepts - either concepts in code systems, or data element/data element concepts, or classes in class models.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "cmd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.url",
          "path" : "ConceptMap.url",
          "short" : "Canonical identifier for this concept map, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this concept map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this concept map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the concept map is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the concept map to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ConceptMap.identifier",
          "path" : "ConceptMap.identifier",
          "short" : "Additional identifier for the concept map",
          "definition" : "A formal identifier that is used to identify this concept map when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this concept map outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ConceptMap.version",
          "path" : "ConceptMap.version",
          "short" : "Business version of the concept map",
          "definition" : "The identifier that is used to identify this version of the concept map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the concept map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different concept map instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the concept map with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ConceptMap.name",
          "path" : "ConceptMap.name",
          "short" : "Name for this concept map (computer friendly)",
          "definition" : "A natural language name identifying the concept map. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.title",
          "path" : "ConceptMap.title",
          "short" : "Name for this concept map (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the concept map.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ConceptMap.status",
          "path" : "ConceptMap.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this concept map. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of concept maps that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ConceptMap.experimental",
          "path" : "ConceptMap.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this concept map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of concept maps that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level concept map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ConceptMap.date",
          "path" : "ConceptMap.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the concept map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the concept map changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the concept map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ConceptMap.publisher",
          "path" : "ConceptMap.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the concept map.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the concept map is the organization or individual primarily responsible for the maintenance and upkeep of the concept map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the concept map. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the concept map.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ConceptMap.contact",
          "path" : "ConceptMap.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ConceptMap.description",
          "path" : "ConceptMap.description",
          "short" : "Natural language description of the concept map",
          "definition" : "A free text natural language description of the concept map from a consumer's perspective.",
          "comment" : "The description is not intended to describe the semantics of the concept map. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ConceptMap.useContext",
          "path" : "ConceptMap.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate concept map instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ConceptMap.jurisdiction",
          "path" : "ConceptMap.jurisdiction",
          "short" : "Intended jurisdiction for concept map (if applicable)",
          "definition" : "A legal or geographic region in which the concept map is intended to be used.",
          "comment" : "It may be possible for the concept map to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ConceptMap.purpose",
          "path" : "ConceptMap.purpose",
          "short" : "Why this concept map is defined",
          "definition" : "Explanation of why this concept map is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the concept map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this concept map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ConceptMap.copyright",
          "path" : "ConceptMap.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the concept map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the concept map.",
          "comment" : "Frequently the copyright differs between the concept map and codes that are included. The copyright statement should clearly differentiate between these when required.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the concept map and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ConceptMap.source[x]",
          "path" : "ConceptMap.source[x]",
          "short" : "The source value set that contains the concepts that are being mapped",
          "definition" : "Identifier for the source value set that contains the concepts that are being mapped and provides context for the mappings.",
          "comment" : "Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, there is no specified context for the map (not recommended).  The source value set may select codes from either an explicit (standard or local) or implicit code system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.target[x]",
          "path" : "ConceptMap.target[x]",
          "short" : "The target value set which provides context for the mappings",
          "definition" : "The target value set provides context for the mappings. Note that the mapping is made between concepts, not between value sets, but the value set provides important context about how the concept mapping choices are made.",
          "comment" : "Should be a version specific reference. URIs SHOULD be absolute. If there is no source or target value set, the is no specified context for the map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ConceptMap.group",
          "path" : "ConceptMap.group",
          "short" : "Same source and target systems",
          "definition" : "A group of mappings that all have the same source and target system.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ConceptMap.group.source",
          "path" : "ConceptMap.group.source",
          "short" : "Source system where concepts to be mapped are defined",
          "definition" : "An absolute URI that identifies the source system where the concepts to be mapped are defined.",
          "comment" : "This is not needed if the source value set is specified and it contains concepts from only a single system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "ConceptMap.group.sourceVersion",
          "path" : "ConceptMap.group.sourceVersion",
          "short" : "Specific version of the  code system",
          "definition" : "The specific version of the code system, as determined by the code system authority.",
          "comment" : "The specification of a particular code system version may be required for code systems which lack concept permanence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ConceptMap.group.target",
          "path" : "ConceptMap.group.target",
          "short" : "Target system that the concepts are to be mapped to",
          "definition" : "An absolute URI that identifies the target system that the concepts will be mapped to.",
          "comment" : "This is not needed if the target value set is specified and it contains concepts from only a single system. The group target may also be omitted if all of the target element equivalence values are 'unmatched'.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "ConceptMap.group.targetVersion",
          "path" : "ConceptMap.group.targetVersion",
          "short" : "Specific version of the  code system",
          "definition" : "The specific version of the code system, as determined by the code system authority.",
          "comment" : "The specification of a particular code system version may be required for code systems which lack concept permanence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ConceptMap.group.element",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SourceElement"
          }],
          "path" : "ConceptMap.group.element",
          "short" : "Mappings for a concept from the source set",
          "definition" : "Mappings for an individual concept in the source to one or more concepts in the target.",
          "comment" : "Generally, the ideal is that there would only be one mapping for each concept in the source value set, but a given concept may be mapped multiple times with different comments or dependencies.",
          "alias" : ["code",
          "concept",
          "item"],
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ConceptMap.group.element.code",
          "path" : "ConceptMap.group.element.code",
          "short" : "Identifies element being mapped",
          "definition" : "Identity (code or path) or the element/item being mapped.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "ConceptMap.group.element.display",
          "path" : "ConceptMap.group.element.display",
          "short" : "Display for the code",
          "definition" : "The display for the code. The display is only provided to help editors when editing the concept map.",
          "comment" : "The display is ignored when processing the map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TargetElement"
          }],
          "path" : "ConceptMap.group.element.target",
          "short" : "Concept in target system for element",
          "definition" : "A concept from the target value set that this concept maps to.",
          "comment" : "Ideally there would only be one map, with equal or equivalent mapping. But multiple maps are allowed for several narrower options, or to assert that other concepts are unmatched.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "cmd-1",
            "severity" : "error",
            "human" : "If the map is narrower or inexact, there SHALL be some comments",
            "expression" : "comment.exists() or equivalence.empty() or ((equivalence != 'narrower') and (equivalence != 'inexact'))",
            "xpath" : "exists(f:comment) or not(exists(f:equivalence)) or ((f:equivalence/@value != 'narrower') and (f:equivalence/@value != 'inexact'))"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.code",
          "path" : "ConceptMap.group.element.target.code",
          "short" : "Code that identifies the target element",
          "definition" : "Identity (code or path) or the element/item that the map refers to.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.display",
          "path" : "ConceptMap.group.element.target.display",
          "short" : "Display for the code",
          "definition" : "The display for the code. The display is only provided to help editors when editing the concept map.",
          "comment" : "The display is ignored when processing the map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.equivalence",
          "path" : "ConceptMap.group.element.target.equivalence",
          "short" : "relatedto | equivalent | equal | wider | subsumes | narrower | specializes | inexact | unmatched | disjoint",
          "definition" : "The equivalence between the source and target concepts (counting for the dependencies and products). The equivalence is read from target to source (e.g. the target is 'wider' than the source).",
          "comment" : "This element is labeled as a modifier because it may indicate that a target does not apply.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "Some of the values mean that there is no mapping from the source to the target, particularly 'disjoint', and the mapping cannot be interpreted without knowing this value as it could mean the elements are equivalent, totally mismatched or anything in between",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConceptMapEquivalence"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The degree of equivalence between concepts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/concept-map-equivalence|4.0.0"
          }
        },
        {
          "id" : "ConceptMap.group.element.target.comment",
          "path" : "ConceptMap.group.element.target.comment",
          "short" : "Description of status/issues in mapping",
          "definition" : "A description of status/issues in mapping that conveys additional information not represented in  the structured data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["cmd-1"]
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "OtherElement"
          }],
          "path" : "ConceptMap.group.element.target.dependsOn",
          "short" : "Other elements required for this mapping (from context)",
          "definition" : "A set of additional dependencies for this mapping to hold. This mapping is only applicable if the specified element can be resolved, and it has the specified value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.property",
          "path" : "ConceptMap.group.element.target.dependsOn.property",
          "short" : "Reference to property mapping depends on",
          "definition" : "A reference to an element that holds a coded value that corresponds to a code system property. The idea is that the information model carries an element somewhere that is labeled to correspond with a code system property.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.system",
          "path" : "ConceptMap.group.element.target.dependsOn.system",
          "short" : "Code System (if necessary)",
          "definition" : "An absolute URI that identifies the code system of the dependency code (if the source/dependency is a value set that crosses code systems).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CodeSystem"]
          }],
          "meaningWhenMissing" : "The code is in the source (dependsOn) or target (product) system"
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.value",
          "path" : "ConceptMap.group.element.target.dependsOn.value",
          "short" : "Value of the referenced element",
          "definition" : "Identity (code or path) or the element/item/ValueSet/text that the map depends on / refers to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.dependsOn.display",
          "path" : "ConceptMap.group.element.target.dependsOn.display",
          "short" : "Display for the code (if value is a code)",
          "definition" : "The display for the code. The display is only provided to help editors when editing the concept map.",
          "comment" : "The display is ignored when processing the map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ConceptMap.group.element.target.product",
          "path" : "ConceptMap.group.element.target.product",
          "short" : "Other concepts that this mapping also produces",
          "definition" : "A set of additional outcomes from this mapping to other elements. To properly execute this mapping, the specified element must be mapped to some data element or source that is in context. The mapping may still be useful without a place for the additional data elements, but the equivalence cannot be relied on.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ConceptMap.group.element.target.dependsOn"
        },
        {
          "id" : "ConceptMap.group.unmapped",
          "path" : "ConceptMap.group.unmapped",
          "short" : "What to do when there is no mapping for the source concept",
          "definition" : "What to do when there is no mapping for the source concept. \"Unmapped\" does not include codes that are unmatched, and the unmapped element is ignored in a code is specified to have equivalence = unmatched.",
          "comment" : "This only applies if the source code has a system value that matches the system defined for the group.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "cmd-3",
            "severity" : "error",
            "human" : "If the mode is 'other-map', a url must be provided",
            "expression" : "(mode = 'other-map') implies url.exists()",
            "xpath" : "(f:mode/@value != 'other-map') or exists(f:url)"
          },
          {
            "key" : "cmd-2",
            "severity" : "error",
            "human" : "If the mode is 'fixed', a code must be provided",
            "expression" : "(mode = 'fixed') implies code.exists()",
            "xpath" : "(f:mode/@value != 'fixed') or exists(f:code)"
          }]
        },
        {
          "id" : "ConceptMap.group.unmapped.mode",
          "path" : "ConceptMap.group.unmapped.mode",
          "short" : "provided | fixed | other-map",
          "definition" : "Defines which action to take if there is no match for the source concept in the target system designated for the group. One of 3 actions are possible: use the unmapped code (this is useful when doing a mapping between versions, and only a few codes have changed), use a fixed code (a default code), or alternatively, a reference to a different concept map can be provided (by canonical URL).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConceptMapGroupUnmappedMode"
            }],
            "strength" : "required",
            "description" : "Defines which action to take if there is no match in the group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/conceptmap-unmapped-mode|4.0.0"
          }
        },
        {
          "id" : "ConceptMap.group.unmapped.code",
          "path" : "ConceptMap.group.unmapped.code",
          "short" : "Fixed code when mode = fixed",
          "definition" : "The fixed code to use when the mode = 'fixed'  - all unmapped codes are mapped to a single fixed code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "ConceptMap.group.unmapped.display",
          "path" : "ConceptMap.group.unmapped.display",
          "short" : "Display for the code",
          "definition" : "The display for the code. The display is only provided to help editors when editing the concept map.",
          "comment" : "The display is ignored when processing the map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ConceptMap.group.unmapped.url",
          "path" : "ConceptMap.group.unmapped.url",
          "short" : "canonical reference to an additional ConceptMap to use for mapping if the source concept is unmapped",
          "definition" : "The canonical reference to an additional ConceptMap resource instance to use for mapping if this ConceptMap resource contains no matching mapping for the source concept.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ConceptMap"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Condition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Condition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Condition 
ITU
DomainResource
Detailed information about conditions, problems or diagnoses
+ Guideline: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item
+ Rule: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission
+ Rule: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Ids for this condition
 clinicalStatus 
?!ΣI
0..1
CodeableConcept
active | recurrence | relapse | inactive | remission | resolved
Condition Clinical Status Codes (Required)
 verificationStatus 
?!ΣI
0..1
CodeableConcept
unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
ConditionVerificationStatus (Required)
 category 
0..*
CodeableConcept
problem-list-item | encounter-diagnosis
Condition Category Codes (Extensible)
 severity 
0..1
CodeableConcept
Subjective severity of condition
Condition/Diagnosis Severity (Preferred)
 code 
Σ
0..1
CodeableConcept
Identification of the condition, problem or diagnosis
Condition/Problem/Diagnosis Codes (Example)
 bodySite 
Σ
0..*
CodeableConcept
Anatomical location, if relevant
SNOMED CT Body Structures (Example)
 subject 
Σ
1..1
Reference(Patient | Group)
Who has the condition?
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 onset[x] 
Σ
0..1
Estimated or actual date,  date-time, or age
 onsetDateTime
dateTime
 onsetAge
Age
 onsetPeriod
Period
 onsetRange
Range
 onsetString
string
 abatement[x] 
I
0..1
When in resolution/remission
 abatementDateTime
dateTime
 abatementAge
Age
 abatementPeriod
Period
 abatementRange
Range
 abatementString
string
 recordedDate 
Σ
0..1
dateTime
Date record was first recorded
 recorder 
Σ
0..1
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
Who recorded the condition
 asserter 
Σ
0..1
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)
Person who asserts this condition
 stage 
I
0..*
BackboneElement
Stage/grade, usually assessed formally
+ Rule: Stage SHALL have summary or assessment
 summary 
I
0..1
CodeableConcept
Simple summary (disease specific)
Condition Stage (Example)
 assessment 
I
0..*
Reference(ClinicalImpression | DiagnosticReport | Observation)
Formal record of assessment
 type 
0..1
CodeableConcept
Kind of staging
Condition Stage Type (Example)
 evidence 
I
0..*
BackboneElement
Supporting evidence
+ Rule: evidence SHALL have code or details
 code 
ΣI
0..*
CodeableConcept
Manifestation/symptom
Manifestation and Symptom Codes (Example)
 detail 
ΣI
0..*
Reference(Any)
Supporting information found elsewhere
 note 
0..*
Annotation
Additional information about the Condition

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Summary"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Condition",
      "version" : "4.0.0",
      "name" : "Condition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "sct-concept",
        "uri" : "http://snomed.info/conceptdomain",
        "name" : "SNOMED CT Concept Domain Binding"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "sct-attr",
        "uri" : "http://snomed.org/attributebinding",
        "name" : "SNOMED CT Attribute Binding"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Condition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Condition",
          "path" : "Condition",
          "short" : "Detailed information about conditions, problems or diagnoses",
          "definition" : "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Condition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "con-5",
            "severity" : "error",
            "human" : "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
            "expression" : "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()",
            "xpath" : "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))"
          },
          {
            "key" : "con-4",
            "severity" : "error",
            "human" : "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
            "expression" : "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()",
            "xpath" : "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
            }],
            "key" : "con-3",
            "severity" : "warning",
            "human" : "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item",
            "expression" : "clinicalStatus.exists() or verificationStatus='entered-in-error' or category.select($this='problem-list-item').empty()",
            "xpath" : "exists(f:clinicalStatus) or f:verificationStatus/@value='entered-in-error' or not(exists(category[@value='problem-list-item']))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"
          },
          {
            "identity" : "v2",
            "map" : "PPR message"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "con-1",
            "severity" : "error",
            "human" : "Stage SHALL have summary or assessment",
            "expression" : "summary.exists() or assessment.exists()",
            "xpath" : "exists(f:summary) or exists(f:assessment)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage/grade\"]"
          }]
        },
        {
          "id" : "Condition.stage.id",
          "path" : "Condition.stage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Condition.stage.extension",
          "path" : "Condition.stage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Condition.stage.modifierExtension",
          "path" : "Condition.stage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Condition.stage.summary",
          "path" : "Condition.stage.summary",
          "short" : "Simple summary (disease specific)",
          "definition" : "A simple summary of the stage such as \"Stage 3\". The determination of the stage is disease-specific.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Condition.stage.summary",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["con-1"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionStage"
            }],
            "strength" : "example",
            "description" : "Codes describing condition stages (e.g. Cancer stages).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 254291000 |Staging and scales|"
          },
          {
            "identity" : "v2",
            "map" : "PRB-14"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          }]
        },
        {
          "id" : "Condition.stage.assessment",
          "path" : "Condition.stage.assessment",
          "short" : "Formal record of assessment",
          "definition" : "Reference to a formal record of the evidence on which the staging assessment is based.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Condition.stage.assessment",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClinicalImpression",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "condition" : ["con-1"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".self"
          }]
        },
        {
          "id" : "Condition.stage.type",
          "path" : "Condition.stage.type",
          "short" : "Kind of staging",
          "definition" : "The kind of staging, such as pathological or clinical staging.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Condition.stage.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionStageType"
            }],
            "strength" : "example",
            "description" : "Codes describing the kind of condition staging (e.g. clinical or pathological).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-stage-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"stage type\"]"
          }]
        },
        {
          "id" : "Condition.evidence",
          "path" : "Condition.evidence",
          "short" : "Supporting evidence",
          "definition" : "Supporting evidence / manifestations that are the basis of the Condition's verification status, such as evidence that confirmed or refuted the condition.",
          "comment" : "The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Condition.evidence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "con-2",
            "severity" : "error",
            "human" : "evidence SHALL have code or details",
            "expression" : "code.exists() or detail.exists()",
            "xpath" : "exists(f:code) or exists(f:detail)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Condition.evidence.id",
          "path" : "Condition.evidence.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Condition.evidence.extension",
          "path" : "Condition.evidence.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Condition.evidence.modifierExtension",
          "path" : "Condition.evidence.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Condition.evidence.code",
          "path" : "Condition.evidence.code",
          "short" : "Manifestation/symptom",
          "definition" : "A manifestation or symptom that led to the recording of this condition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Condition.evidence.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["con-2"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ManifestationOrSymptom"
            }],
            "strength" : "example",
            "description" : "Codes that describe the manifestation or symptoms of a condition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 404684003 |Clinical finding|"
          },
          {
            "identity" : "rim",
            "map" : "[code=\"diagnosis\"].value"
          }]
        },
        {
          "id" : "Condition.evidence.detail",
          "path" : "Condition.evidence.detail",
          "short" : "Supporting information found elsewhere",
          "definition" : "Links to other relevant information, including pathology reports.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Condition.evidence.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "condition" : ["con-2"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".self"
          }]
        },
        {
          "id" : "Condition.note",
          "path" : "Condition.note",
          "short" : "Additional information about the Condition",
          "definition" : "Additional information about the Condition. This is a general notes/comments entry  for description of the Condition, its diagnosis and prognosis.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Condition.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE child of PRB"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Condition",
          "path" : "Condition",
          "short" : "Detailed information about conditions, problems or diagnoses",
          "definition" : "A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical concept that has risen to a level of concern.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "con-5",
            "severity" : "error",
            "human" : "Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error",
            "expression" : "verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()",
            "xpath" : "not(exists(f:verificationStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-ver-status' and f:code/@value='entered-in-error'])) or not(exists(f:clinicalStatus))"
          },
          {
            "key" : "con-4",
            "severity" : "error",
            "human" : "If condition is abated, then clinicalStatus must be either inactive, resolved, or remission",
            "expression" : "abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()",
            "xpath" : "not(exists(*[starts-with(local-name(.), 'abatement')])) or exists(f:clinicalStatus/f:coding[f:system/@value='http://terminology.hl7.org/CodeSystem/condition-clinical' and f:code/@value=('resolved', 'remission', 'inactive')])"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "Most systems will expect a clinicalStatus to be valued for problem-list-items that are managed over time, but might not need a clinicalStatus for point in time encounter-diagnosis."
            }],
            "key" : "con-3",
            "severity" : "warning",
            "human" : "Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item",
            "expression" : "clinicalStatus.exists() or verificationStatus='entered-in-error' or category.select($this='problem-list-item').empty()",
            "xpath" : "exists(f:clinicalStatus) or f:verificationStatus/@value='entered-in-error' or not(exists(category[@value='problem-list-item']))"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)"
          },
          {
            "identity" : "v2",
            "map" : "PPR message"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Consent 
ITU
DomainResource
A healthcare consumer's  choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
+ Rule: Either a Policy or PolicyRule
+ Rule: IF Scope=privacy, there must be a patient
+ Rule: IF Scope=research, there must be a patient
+ Rule: IF Scope=adr, there must be a patient
+ Rule: IF Scope=treatment, there must be a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Identifier for this record (external references)
 status 
?!Σ
1..1
code
draft | proposed | active | rejected | inactive | entered-in-error
ConsentState (Required)
 scope 
?!Σ
1..1
CodeableConcept
Which of the four areas this resource covers (extensible)
Consent Scope Codes (Extensible)
 category 
Σ
1..*
CodeableConcept
Classification of the consent statement - for indexing/retrieval
Consent Category Codes (Extensible)
 patient 
Σ
0..1
Reference(Patient)
Who the consent applies to
 dateTime 
Σ
0..1
dateTime
When this Consent was created or indexed
 performer 
Σ
0..*
Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)
Who is agreeing to the policy and rules
 organization 
Σ
0..*
Reference(Organization)
Custodian of the consent
 source[x] 
Σ
0..1
Source from which this consent is taken
 sourceAttachment
Attachment
 sourceReference
Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
 policy 
0..*
BackboneElement
Policies covered by this consent
 authority 
I
0..1
uri
Enforcement source for policy
 uri 
I
0..1
uri
Specific policy covered by this consent
 policyRule 
ΣI
0..1
CodeableConcept
Regulation that this consents to
Consent PolicyRule Codes (Extensible)
 verification 
Σ
0..*
BackboneElement
Consent Verified by patient or family
 verified 
Σ
1..1
boolean
Has been verified
 verifiedWith 
0..1
Reference(Patient | RelatedPerson)
Person who verified
 verificationDate 
0..1
dateTime
When consent verified
 provision 
Σ
0..1
BackboneElement
Constraints to the base Consent.policyRule
 type 
Σ
0..1
code
deny | permit
ConsentProvisionType (Required)
 period 
Σ
0..1
Period
Timeframe for this rule
 actor 
0..*
BackboneElement
Who|what controlled by this rule (or group, by role)
 role 
1..1
CodeableConcept
How the actor is involved
SecurityRoleType (Extensible)
 reference 
1..1
Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)
Resource for the actor (or group, by role)
 action 
Σ
0..*
CodeableConcept
Actions controlled by this rule
Consent Action Codes (Example)
 securityLabel 
Σ
0..*
Coding
Security Labels that define affected resources
SecurityLabels (Extensible)
 purpose 
Σ
0..*
Coding
Context of activities covered by this rule
V3 Value SetPurposeOfUse (Extensible)
 class 
Σ
0..*
Coding
e.g. Resource Type, Profile, CDA, etc.
Consent Content Class (Extensible)
 code 
Σ
0..*
CodeableConcept
e.g. LOINC or SNOMED CT code, etc. in the content
Consent Content Codes (Example)
 dataPeriod 
Σ
0..1
Period
Timeframe for data controlled by this rule
 data 
Σ
0..*
BackboneElement
Data controlled by this rule
 meaning 
Σ
1..1
code
instance | related | dependents | authoredby
ConsentDataMeaning (Required)
 reference 
Σ
1..1
Reference(Any)
The actual data reference
 provision 
0..*
see provision
Nested Exception Rules

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Security"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cbcc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Consent",
      "version" : "4.0.0",
      "name" : "Consent",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Community Based Collaborative Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/homehealth/index.cfm"
        }]
      }],
      "description" : "A record of a healthcare consumer’s  choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Consent",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Consent",
          "path" : "Consent",
          "short" : "A healthcare consumer's  choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time",
          "definition" : "A record of a healthcare consumer’s  choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.",
          "comment" : "Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "ppc-4",
            "severity" : "error",
            "human" : "IF Scope=adr, there must be a patient",
            "expression" : "patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()",
            "xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='adr'])))"
          },
          {
            "key" : "ppc-5",
            "severity" : "error",
            "human" : "IF Scope=treatment, there must be a patient",
            "expression" : "patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()",
            "xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='treatment'])))"
          },
          {
            "key" : "ppc-2",
            "severity" : "error",
            "human" : "IF Scope=privacy, there must be a patient",
            "expression" : "patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()",
            "xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='patient-privacy'])))"
          },
          {
            "key" : "ppc-3",
            "severity" : "error",
            "human" : "IF Scope=research, there must be a patient",
            "expression" : "patient.exists() or scope.coding.where(system='something' and code='research').exists().not()",
            "xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='research'])))"
          },
          {
            "key" : "ppc-1",
            "severity" : "error",
            "human" : "Either a Policy or PolicyRule",
            "expression" : "policy.exists() or policyRule.exists()",
            "xpath" : "exists(f:policy) or exists(f:policyRule)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "CON"
          },
          {
            "identity" : "rim",
            "map" : "FinancialConsent"
          }]
        },
        {
          "id" : "Consent.id",
          "path" : "Consent.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Consent.meta",
          "path" : "Consent.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Consent.implicitRules",
          "path" : "Consent.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Consent.language",
          "path" : "Consent.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Consent.text",
          "path" : "Consent.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Consent.contained",
          "path" : "Consent.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Consent.extension",
          "path" : "Consent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Consent.modifierExtension",
          "path" : "Consent.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Consent.identifier",
          "path" : "Consent.identifier",
          "short" : "Identifier for this record (external references)",
          "definition" : "Unique identifier for this copy of the Consent Statement.",
          "comment" : "This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "example" : [{
            "label" : "General",
            "valueIdentifier" : {
              "system" : "urn:ietf:rfc:3986",
              "value" : "Local eCMS identifier"
            }
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Consent.status",
          "path" : "Consent.status",
          "short" : "draft | proposed | active | rejected | inactive | entered-in-error",
          "definition" : "Indicates the current state of this consent.",
          "comment" : "This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.",
          "requirements" : "The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Consent.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentState"
            }],
            "strength" : "required",
            "description" : "Indicates the state of the consent.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "HL7 Table 0498 - Consent Status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Consent.scope",
          "path" : "Consent.scope",
          "short" : "Which of the four areas this resource covers (extensible)",
          "definition" : "A selector of the type of consent being presented: ADR, Privacy, Treatment, Research.  This list is now extensible.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Consent.scope",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : true,
          "isModifierReason" : "Allows changes to codes based on scope selection",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentScope"
            }],
            "strength" : "extensible",
            "description" : "The four anticipated uses for the Consent Resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-scope"
          }
        },
        {
          "id" : "Consent.category",
          "path" : "Consent.category",
          "short" : "Classification of the consent statement - for indexing/retrieval",
          "definition" : "A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Consent.category",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentCategory"
            }],
            "strength" : "extensible",
            "description" : "A classification of the type of consents found in a consent statement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-category"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "HL7 Table 0497 - Consent Type"
          },
          {
            "identity" : "rim",
            "map" : "CNTRCT"
          }]
        },
        {
          "id" : "Consent.patient",
          "path" : "Consent.patient",
          "short" : "Who the consent applies to",
          "definition" : "The patient/healthcare consumer to whom this consent applies.",
          "comment" : "Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.patient",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "Role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Consent.dateTime",
          "path" : "Consent.dateTime",
          "short" : "When this Consent was created or indexed",
          "definition" : "When this  Consent was issued / created / indexed.",
          "comment" : "This is not the time of the original consent, but the time that this statement was made or derived.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.dateTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "Field 13/ Consent Decision Date"
          },
          {
            "identity" : "rim",
            "map" : "FinancialConsent effectiveTime"
          }]
        },
        {
          "id" : "Consent.performer",
          "path" : "Consent.performer",
          "short" : "Who is agreeing to the policy and rules",
          "definition" : "Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.",
          "comment" : "Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.",
          "alias" : ["consentor"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "Field 24/ ConsenterID"
          }]
        },
        {
          "id" : "Consent.organization",
          "path" : "Consent.organization",
          "short" : "Custodian of the consent",
          "definition" : "The organization that manages the consent, and the framework within which it is executed.",
          "alias" : ["custodian"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.organization",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "Consent.source[x]",
          "path" : "Consent.source[x]",
          "short" : "Source from which this consent is taken",
          "definition" : "The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.",
          "comment" : "The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.source[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Consent",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Contract",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Field 19 Informational Material Supplied Indicator"
          }]
        },
        {
          "id" : "Consent.policy",
          "path" : "Consent.policy",
          "short" : "Policies covered by this consent",
          "definition" : "The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.policy",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Consent.policy.id",
          "path" : "Consent.policy.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.policy.extension",
          "path" : "Consent.policy.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.policy.modifierExtension",
          "path" : "Consent.policy.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Consent.policy.authority",
          "path" : "Consent.policy.authority",
          "short" : "Enforcement source for policy",
          "definition" : "Entity or Organization having regulatory jurisdiction or accountability for  enforcing policies pertaining to Consent Directives.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.policy.authority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["ppc-1"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Consent.policy.uri",
          "path" : "Consent.policy.uri",
          "short" : "Specific policy covered by this consent",
          "definition" : "The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.",
          "comment" : "This element is for discoverability / documentation and does not modify or qualify the policy rules.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.policy.uri",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["ppc-1"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Consent.policyRule",
          "path" : "Consent.policyRule",
          "short" : "Regulation that this consents to",
          "definition" : "A reference to the specific base computable regulation or policy.",
          "comment" : "If the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource.",
          "requirements" : "Might be a unique identifier of a policy set in XACML, or other rules engine.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.policyRule",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["ppc-1"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentPolicyRule"
            }],
            "strength" : "extensible",
            "description" : "Regulatory policy examples.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-policy"
          }
        },
        {
          "id" : "Consent.verification",
          "path" : "Consent.verification",
          "short" : "Consent Verified by patient or family",
          "definition" : "Whether a treatment instruction (e.g. artificial respiration yes or no) was verified with the patient, his/her family or another authorized person.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.verification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Consent.verification.id",
          "path" : "Consent.verification.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.verification.extension",
          "path" : "Consent.verification.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.verification.modifierExtension",
          "path" : "Consent.verification.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Consent.verification.verified",
          "path" : "Consent.verification.verified",
          "short" : "Has been verified",
          "definition" : "Has the instruction been verified.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Consent.verification.verified",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Consent.verification.verifiedWith",
          "path" : "Consent.verification.verifiedWith",
          "short" : "Person who verified",
          "definition" : "Who verified the instruction (Patient, Relative or other Authorized Person).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.verification.verifiedWith",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Consent.verification.verificationDate",
          "path" : "Consent.verification.verificationDate",
          "short" : "When consent verified",
          "definition" : "Date verification was collected.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.verification.verificationDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Consent.provision",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "provision"
          }],
          "path" : "Consent.provision",
          "short" : "Constraints to the base Consent.policyRule",
          "definition" : "An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.provision",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Consent.provision.id",
          "path" : "Consent.provision.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.provision.extension",
          "path" : "Consent.provision.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.provision.modifierExtension",
          "path" : "Consent.provision.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Consent.provision.type",
          "path" : "Consent.provision.type",
          "short" : "deny | permit",
          "definition" : "Action  to take - permit or deny - when the rule conditions are met.  Not permitted in root rule, required in all nested rules.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.provision.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentProvisionType"
            }],
            "strength" : "required",
            "description" : "How a rule statement is applied, such as adding additional consent or removing consent.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.0"
          }
        },
        {
          "id" : "Consent.provision.period",
          "path" : "Consent.provision.period",
          "short" : "Timeframe for this rule",
          "definition" : "The timeframe in this rule is valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.provision.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Consent.provision.actor",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "provisionActor"
          }],
          "path" : "Consent.provision.actor",
          "short" : "Who|what controlled by this rule (or group, by role)",
          "definition" : "Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.provision.actor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "meaningWhenMissing" : "There is no specific actor associated with the exception",
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Consent.provision.actor.id",
          "path" : "Consent.provision.actor.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.provision.actor.extension",
          "path" : "Consent.provision.actor.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.provision.actor.modifierExtension",
          "path" : "Consent.provision.actor.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Consent.provision.actor.role",
          "path" : "Consent.provision.actor.role",
          "short" : "How the actor is involved",
          "definition" : "How the individual is involved in the resources content that is described in the exception.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Consent.provision.actor.role",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentActorRole"
            }],
            "strength" : "extensible",
            "description" : "How an actor is involved in the consent considerations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-role-type"
          }
        },
        {
          "id" : "Consent.provision.actor.reference",
          "path" : "Consent.provision.actor.reference",
          "short" : "Resource for the actor (or group, by role)",
          "definition" : "The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Consent.provision.actor.reference",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Consent.provision.action",
          "path" : "Consent.provision.action",
          "short" : "Actions controlled by this rule",
          "definition" : "Actions controlled by this Rule.",
          "comment" : "Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.provision.action",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "meaningWhenMissing" : "all actions",
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentAction"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the consent action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-action"
          }
        },
        {
          "id" : "Consent.provision.securityLabel",
          "path" : "Consent.provision.securityLabel",
          "short" : "Security Labels that define affected resources",
          "definition" : "A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.",
          "comment" : "If the consent specifies a security label of \"R\" then it applies to all resources that are labeled \"R\" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.provision.securityLabel",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SecurityLabels"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
          }
        },
        {
          "id" : "Consent.provision.purpose",
          "path" : "Consent.provision.purpose",
          "short" : "Context of activities covered by this rule",
          "definition" : "The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.",
          "comment" : "When the purpose of use tag is on the data, access request purpose of use shall not conflict.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.provision.purpose",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PurposeOfUse"
            }],
            "strength" : "extensible",
            "description" : "What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          }
        },
        {
          "id" : "Consent.provision.class",
          "path" : "Consent.provision.class",
          "short" : "e.g. Resource Type, Profile, CDA, etc.",
          "definition" : "The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.",
          "comment" : "Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.provision.class",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentContentClass"
            }],
            "strength" : "extensible",
            "description" : "The class (type) of information a consent rule covers.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-content-class"
          }
        },
        {
          "id" : "Consent.provision.code",
          "path" : "Consent.provision.code",
          "short" : "e.g. LOINC or SNOMED CT code, etc. in the content",
          "definition" : "If this code is found in an instance, then the rule applies.",
          "comment" : "Typical use of this is a Document code with class = CDA.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.provision.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentContentCode"
            }],
            "strength" : "example",
            "description" : "If this code is found in an instance, then the exception applies.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-content-code"
          }
        },
        {
          "id" : "Consent.provision.dataPeriod",
          "path" : "Consent.provision.dataPeriod",
          "short" : "Timeframe for data controlled by this rule",
          "definition" : "Clinical or Operational Relevant period of time that bounds the data controlled by this rule.",
          "comment" : "This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Consent.provision.dataPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Consent.provision.data",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "provisionData"
          }],
          "path" : "Consent.provision.data",
          "short" : "Data controlled by this rule",
          "definition" : "The resources controlled by this rule if specific resources are referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.provision.data",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "meaningWhenMissing" : "all data",
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role"
          }]
        },
        {
          "id" : "Consent.provision.data.id",
          "path" : "Consent.provision.data.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.provision.data.extension",
          "path" : "Consent.provision.data.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Consent.provision.data.modifierExtension",
          "path" : "Consent.provision.data.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Consent.provision.data.meaning",
          "path" : "Consent.provision.data.meaning",
          "short" : "instance | related | dependents | authoredby",
          "definition" : "How the resource reference is interpreted when testing consent restrictions.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Consent.provision.data.meaning",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentDataMeaning"
            }],
            "strength" : "required",
            "description" : "How a resource reference is interpreted when testing consent restrictions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.0"
          }
        },
        {
          "id" : "Consent.provision.data.reference",
          "path" : "Consent.provision.data.reference",
          "short" : "The actual data reference",
          "definition" : "A reference to a specific resource that defines which resources are covered by this consent.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Consent.provision.data.reference",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Consent.provision.provision",
          "path" : "Consent.provision.provision",
          "short" : "Nested Exception Rules",
          "definition" : "Rules which provide exceptions to the base rule or subrules.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Consent.provision.provision",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Consent.provision",
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Consent",
          "path" : "Consent",
          "short" : "A healthcare consumer's  choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time",
          "definition" : "A record of a healthcare consumer’s  choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.",
          "comment" : "Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "ppc-4",
            "severity" : "error",
            "human" : "IF Scope=adr, there must be a patient",
            "expression" : "patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()",
            "xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='adr'])))"
          },
          {
            "key" : "ppc-5",
            "severity" : "error",
            "human" : "IF Scope=treatment, there must be a patient",
            "expression" : "patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()",
            "xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='treatment'])))"
          },
          {
            "key" : "ppc-2",
            "severity" : "error",
            "human" : "IF Scope=privacy, there must be a patient",
            "expression" : "patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()",
            "xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='patient-privacy'])))"
          },
          {
            "key" : "ppc-3",
            "severity" : "error",
            "human" : "IF Scope=research, there must be a patient",
            "expression" : "patient.exists() or scope.coding.where(system='something' and code='research').exists().not()",
            "xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='research'])))"
          },
          {
            "key" : "ppc-1",
            "severity" : "error",
            "human" : "Either a Policy or PolicyRule",
            "expression" : "policy.exists() or policyRule.exists()",
            "xpath" : "exists(f:policy) or exists(f:policyRule)"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "CON"
          },
          {
            "identity" : "rim",
            "map" : "FinancialConsent"
          }]
        },
        {
          "id" : "Consent.identifier",
          "path" : "Consent.identifier",
          "short" : "Identifier for this record (external references)",
          "definition" : "Unique identifier for this copy of the Consent Statement.",
          "comment" : "This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "example" : [{
            "label" : "General",
            "valueIdentifier" : {
              "system" : "urn:ietf:rfc:3986",
              "value" : "Local eCMS identifier"
            }
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Consent.status",
          "path" : "Consent.status",
          "short" : "draft | proposed | active | rejected | inactive | entered-in-error",
          "definition" : "Indicates the current state of this consent.",
          "comment" : "This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.",
          "requirements" : "The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentState"
            }],
            "strength" : "required",
            "description" : "Indicates the state of the consent.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "HL7 Table 0498 - Consent Status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Consent.scope",
          "path" : "Consent.scope",
          "short" : "Which of the four areas this resource covers (extensible)",
          "definition" : "A selector of the type of consent being presented: ADR, Privacy, Treatment, Research.  This list is now extensible.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : true,
          "isModifierReason" : "Allows changes to codes based on scope selection",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentScope"
            }],
            "strength" : "extensible",
            "description" : "The four anticipated uses for the Consent Resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-scope"
          }
        },
        {
          "id" : "Consent.category",
          "path" : "Consent.category",
          "short" : "Classification of the consent statement - for indexing/retrieval",
          "definition" : "A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentCategory"
            }],
            "strength" : "extensible",
            "description" : "A classification of the type of consents found in a consent statement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-category"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "HL7 Table 0497 - Consent Type"
          },
          {
            "identity" : "rim",
            "map" : "CNTRCT"
          }]
        },
        {
          "id" : "Consent.patient",
          "path" : "Consent.patient",
          "short" : "Who the consent applies to",
          "definition" : "The patient/healthcare consumer to whom this consent applies.",
          "comment" : "Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "Role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Consent.dateTime",
          "path" : "Consent.dateTime",
          "short" : "When this Consent was created or indexed",
          "definition" : "When this  Consent was issued / created / indexed.",
          "comment" : "This is not the time of the original consent, but the time that this statement was made or derived.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "Field 13/ Consent Decision Date"
          },
          {
            "identity" : "rim",
            "map" : "FinancialConsent effectiveTime"
          }]
        },
        {
          "id" : "Consent.performer",
          "path" : "Consent.performer",
          "short" : "Who is agreeing to the policy and rules",
          "definition" : "Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.",
          "comment" : "Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.",
          "alias" : ["consentor"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "Field 24/ ConsenterID"
          }]
        },
        {
          "id" : "Consent.organization",
          "path" : "Consent.organization",
          "short" : "Custodian of the consent",
          "definition" : "The organization that manages the consent, and the framework within which it is executed.",
          "alias" : ["custodian"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "Consent.source[x]",
          "path" : "Consent.source[x]",
          "short" : "Source from which this consent is taken",
          "definition" : "The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.",
          "comment" : "The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Consent",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Contract",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Field 19 Informational Material Supplied Indicator"
          }]
        },
        {
          "id" : "Consent.policy",
          "path" : "Consent.policy",
          "short" : "Policies covered by this consent",
          "definition" : "The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Consent.policy.authority",
          "path" : "Consent.policy.authority",
          "short" : "Enforcement source for policy",
          "definition" : "Entity or Organization having regulatory jurisdiction or accountability for  enforcing policies pertaining to Consent Directives.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["ppc-1"]
        },
        {
          "id" : "Consent.policy.uri",
          "path" : "Consent.policy.uri",
          "short" : "Specific policy covered by this consent",
          "definition" : "The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.",
          "comment" : "This element is for discoverability / documentation and does not modify or qualify the policy rules.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["ppc-1"]
        },
        {
          "id" : "Consent.policyRule",
          "path" : "Consent.policyRule",
          "short" : "Regulation that this consents to",
          "definition" : "A reference to the specific base computable regulation or policy.",
          "comment" : "If the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource.",
          "requirements" : "Might be a unique identifier of a policy set in XACML, or other rules engine.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["ppc-1"],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentPolicyRule"
            }],
            "strength" : "extensible",
            "description" : "Regulatory policy examples.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-policy"
          }
        },
        {
          "id" : "Consent.verification",
          "path" : "Consent.verification",
          "short" : "Consent Verified by patient or family",
          "definition" : "Whether a treatment instruction (e.g. artificial respiration yes or no) was verified with the patient, his/her family or another authorized person.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "Consent.verification.verified",
          "path" : "Consent.verification.verified",
          "short" : "Has been verified",
          "definition" : "Has the instruction been verified.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "Consent.verification.verifiedWith",
          "path" : "Consent.verification.verifiedWith",
          "short" : "Person who verified",
          "definition" : "Who verified the instruction (Patient, Relative or other Authorized Person).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }]
        },
        {
          "id" : "Consent.verification.verificationDate",
          "path" : "Consent.verification.verificationDate",
          "short" : "When consent verified",
          "definition" : "Date verification was collected.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "Consent.provision",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "provision"
          }],
          "path" : "Consent.provision",
          "short" : "Constraints to the base Consent.policyRule",
          "definition" : "An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "Consent.provision.type",
          "path" : "Consent.provision.type",
          "short" : "deny | permit",
          "definition" : "Action  to take - permit or deny - when the rule conditions are met.  Not permitted in root rule, required in all nested rules.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentProvisionType"
            }],
            "strength" : "required",
            "description" : "How a rule statement is applied, such as adding additional consent or removing consent.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.0"
          }
        },
        {
          "id" : "Consent.provision.period",
          "path" : "Consent.provision.period",
          "short" : "Timeframe for this rule",
          "definition" : "The timeframe in this rule is valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true
        },
        {
          "id" : "Consent.provision.actor",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "provisionActor"
          }],
          "path" : "Consent.provision.actor",
          "short" : "Who|what controlled by this rule (or group, by role)",
          "definition" : "Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "meaningWhenMissing" : "There is no specific actor associated with the exception"
        },
        {
          "id" : "Consent.provision.actor.role",
          "path" : "Consent.provision.actor.role",
          "short" : "How the actor is involved",
          "definition" : "How the individual is involved in the resources content that is described in the exception.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentActorRole"
            }],
            "strength" : "extensible",
            "description" : "How an actor is involved in the consent considerations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-role-type"
          }
        },
        {
          "id" : "Consent.provision.actor.reference",
          "path" : "Consent.provision.actor.reference",
          "short" : "Resource for the actor (or group, by role)",
          "definition" : "The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }]
        },
        {
          "id" : "Consent.provision.action",
          "path" : "Consent.provision.action",
          "short" : "Actions controlled by this rule",
          "definition" : "Actions controlled by this Rule.",
          "comment" : "Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "meaningWhenMissing" : "all actions",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentAction"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the consent action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-action"
          }
        },
        {
          "id" : "Consent.provision.securityLabel",
          "path" : "Consent.provision.securityLabel",
          "short" : "Security Labels that define affected resources",
          "definition" : "A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.",
          "comment" : "If the consent specifies a security label of \"R\" then it applies to all resources that are labeled \"R\" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SecurityLabels"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
          }
        },
        {
          "id" : "Consent.provision.purpose",
          "path" : "Consent.provision.purpose",
          "short" : "Context of activities covered by this rule",
          "definition" : "The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.",
          "comment" : "When the purpose of use tag is on the data, access request purpose of use shall not conflict.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PurposeOfUse"
            }],
            "strength" : "extensible",
            "description" : "What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          }
        },
        {
          "id" : "Consent.provision.class",
          "path" : "Consent.provision.class",
          "short" : "e.g. Resource Type, Profile, CDA, etc.",
          "definition" : "The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.",
          "comment" : "Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentContentClass"
            }],
            "strength" : "extensible",
            "description" : "The class (type) of information a consent rule covers.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-content-class"
          }
        },
        {
          "id" : "Consent.provision.code",
          "path" : "Consent.provision.code",
          "short" : "e.g. LOINC or SNOMED CT code, etc. in the content",
          "definition" : "If this code is found in an instance, then the rule applies.",
          "comment" : "Typical use of this is a Document code with class = CDA.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentContentCode"
            }],
            "strength" : "example",
            "description" : "If this code is found in an instance, then the exception applies.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-content-code"
          }
        },
        {
          "id" : "Consent.provision.dataPeriod",
          "path" : "Consent.provision.dataPeriod",
          "short" : "Timeframe for data controlled by this rule",
          "definition" : "Clinical or Operational Relevant period of time that bounds the data controlled by this rule.",
          "comment" : "This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true
        },
        {
          "id" : "Consent.provision.data",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "provisionData"
          }],
          "path" : "Consent.provision.data",
          "short" : "Data controlled by this rule",
          "definition" : "The resources controlled by this rule if specific resources are referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "meaningWhenMissing" : "all data",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role"
          }]
        },
        {
          "id" : "Consent.provision.data.meaning",
          "path" : "Consent.provision.data.meaning",
          "short" : "instance | related | dependents | authoredby",
          "definition" : "How the resource reference is interpreted when testing consent restrictions.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentDataMeaning"
            }],
            "strength" : "required",
            "description" : "How a resource reference is interpreted when testing consent restrictions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.0"
          }
        },
        {
          "id" : "Consent.provision.data.reference",
          "path" : "Consent.provision.data.reference",
          "short" : "The actual data reference",
          "definition" : "A reference to a specific resource that defines which resources are covered by this consent.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true
        },
        {
          "id" : "Consent.provision.provision",
          "path" : "Consent.provision.provision",
          "short" : "Nested Exception Rules",
          "definition" : "Rules which provide exceptions to the base rule or subrules.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Consent.provision"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Contract",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Contract",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Contract 
TU
DomainResource
Legal Agreement
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Contract number
 url 
0..1
uri
Basal definition
 version 
Σ
0..1
string
Business edition
 status 
?!Σ
0..1
code
draft | active | suspended | cancelled | completed | entered-in-error | unknown
Contract Resource Status Codes (Required)
 legalState 
0..1
CodeableConcept
Negotiation status
Contract Resource Legal State codes (Extensible)
 instantiatesCanonical 
0..1
Reference(Contract)
Source Contract Definition
 instantiatesUri 
0..1
uri
External Contract Definition
 contentDerivative 
0..1
CodeableConcept
Content derived from the basal information
Contract Content Derivation Codes (Example)
 issued 
Σ
0..1
dateTime
When this Contract was issued
 applies 
Σ
0..1
Period
Effective time
 expirationType 
0..1
CodeableConcept
Contract cessation cause
Contract Resource Expiration Type codes (Example)
 subject 
Σ
0..*
Reference(Any)
Contract Target Entity
 authority 
0..*
Reference(Organization)
Authority under which this Contract has standing
 domain 
0..*
Reference(Location)
A sphere of control governed by an authoritative jurisdiction, organization, or person
 site 
0..*
Reference(Location)
Specific Location
 name 
Σ
0..1
string
Computer friendly designation
 title 
Σ
0..1
string
Human Friendly name
 subtitle 
0..1
string
Subordinate Friendly name
 alias 
0..*
string
Acronym or short name
 author 
0..1
Reference(Patient | Practitioner | PractitionerRole | Organization)
Source of Contract
 scope 
0..1
CodeableConcept
Range of Legal Concerns
Contract Resource Scope codes (Example)
 topic[x] 
0..1
Focus of contract interest
 topicCodeableConcept
CodeableConcept
 topicReference
Reference(Any)
 type 
Σ
0..1
CodeableConcept
Legal instrument category
Contract Type Codes (Example)
 subType 
Σ
0..*
CodeableConcept
Subtype within the context of type
Contract Subtype Codes (Example)
 contentDefinition 
0..1
BackboneElement
Contract precursor content
 type 
1..1
CodeableConcept
Content structure and use
Contract Resource Definition Type codes (Example)
 subType 
0..1
CodeableConcept
Detailed Content Type Definition
Contract Resource Definition Subtype codes (Example)
 publisher 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Publisher Entity
 publicationDate 
0..1
dateTime
When published
 publicationStatus 
1..1
code
draft | active | retired | unknown
Contract Resource Publication Status codes (Required)
 copyright 
0..1
markdown
Publication Ownership
 term 
0..*
BackboneElement
Contract Term List
 identifier 
Σ
0..1
Identifier
Contract Term Number
 issued 
Σ
0..1
dateTime
Contract Term Issue Date Time
 applies 
Σ
0..1
Period
Contract Term Effective Time
 topic[x] 
0..1
Term Concern
 topicCodeableConcept
CodeableConcept
 topicReference
Reference(Any)
 type 
0..1
CodeableConcept
Contract Term Type or Form
Contract Term Type Codes (Example)
 subType 
0..1
CodeableConcept
Contract Term Type specific classification
Contract Term Subtype Codes (Example)
 text 
Σ
0..1
string
Term Statement
 securityLabel 
0..*
BackboneElement
Protection for the Term
 number 
0..*
unsignedInt
Link to Security Labels
 classification 
1..1
Coding
Confidentiality Protection
Contract Resource Scope codes (Example)
 category 
0..*
Coding
Applicable Policy
Contract Resource Scope codes (Example)
 control 
0..*
Coding
Handling Instructions
Contract Resource Security Control codes (Example)
 offer 
1..1
BackboneElement
Context of the Contract term
 identifier 
0..*
Identifier
Offer business ID
 party 
0..*
BackboneElement
Offer Recipient
 reference 
1..*
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization)
Referenced entity
 role 
1..1
CodeableConcept
Participant engagement type
Contract Resource Party Role codes (Example)
 topic 
Σ
0..1
Reference(Any)
Negotiable offer asset
 type 
0..1
CodeableConcept
Contract Offer Type or Form
Contract Term Type Codes (Example)
 decision 
0..1
CodeableConcept
Accepting party choice
V3 Value SetActConsentDirective (Extensible)
 decisionMode 
0..*
CodeableConcept
How decision is conveyed
Contract Resource Decision Mode codes (Example)
 answer 
0..*
BackboneElement
Response to offer text
 value[x] 
1..1
The actual answer response
 valueBoolean
boolean
 valueDecimal
decimal
 valueInteger
integer
 valueDate
date
 valueDateTime
dateTime
 valueTime
time
 valueString
string
 valueUri
uri
 valueAttachment
Attachment
 valueCoding
Coding
 valueQuantity
Quantity
 valueReference
Reference(Any)
 text 
0..1
string
Human readable offer text
 linkId 
0..*
string
Pointer to text
 securityLabelNumber 
0..*
unsignedInt
Offer restriction numbers
 asset 
0..*
BackboneElement
Contract Term Asset List
 scope 
0..1
CodeableConcept
Range of asset
Contract Resource Asset Scope codes (Example)
 type 
0..*
CodeableConcept
Asset category
Contract Resource Asset Type codes (Example)
 typeReference 
0..*
Reference(Any)
Associated entities
 subtype 
0..*
CodeableConcept
Asset sub-category
Contract Resource Asset Sub-Type codes (Example)
 relationship 
0..1
Coding
Kinship of the asset
Consent Content Class (Extensible)
 context 
0..*
BackboneElement
Circumstance of the asset
 reference 
0..1
Reference(Any)
Creator,custodian or owner
 code 
0..*
CodeableConcept
Codeable asset context
Contract Resource Asset Context codes (Example)
 text 
0..1
string
Context description
 condition 
0..1
string
Quality desctiption of asset
 periodType 
0..*
CodeableConcept
Asset availability types
Contract Resource Asset Availiability codes (Example)
 period 
0..*
Period
Time period of the asset
 usePeriod 
0..*
Period
Time period
 text 
0..1
string
Asset clause or question text
 linkId 
0..*
string
Pointer to asset text
 answer 
0..*
see answer
Response to assets
 securityLabelNumber 
0..*
unsignedInt
Asset restriction numbers
 valuedItem 
0..*
BackboneElement
Contract Valued Item List
 entity[x] 
0..1
Contract Valued Item Type
 entityCodeableConcept
CodeableConcept
 entityReference
Reference(Any)
 identifier 
0..1
Identifier
Contract Valued Item Number
 effectiveTime 
0..1
dateTime
Contract Valued Item Effective Tiem
 quantity 
0..1
SimpleQuantity
Count of Contract Valued Items
 unitPrice 
0..1
Money
Contract Valued Item fee, charge, or cost
 factor 
0..1
decimal
Contract Valued Item Price Scaling Factor
 points 
0..1
decimal
Contract Valued Item Difficulty Scaling Factor
 net 
0..1
Money
Total Contract Valued Item Value
 payment 
0..1
string
Terms of valuation
 paymentDate 
0..1
dateTime
When payment is due
 responsible 
0..1
Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)
Who will make payment
 recipient 
0..1
Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)
Who will receive payment
 linkId 
0..*
string
Pointer to specific item
 securityLabelNumber 
0..*
unsignedInt
Security Labels that define affected terms
 action 
0..*
BackboneElement
Entity being ascribed responsibility
 doNotPerform 
?!
0..1
boolean
True if the term prohibits the  action
 type 
1..1
CodeableConcept
Type or form of the action
Contract Action Codes (Example)
 subject 
0..*
BackboneElement
Entity of the action
 reference 
1..*
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization)
Entity of the action
 role 
0..1
CodeableConcept
Role type of the agent
Contract Actor Role Codes (Example)
 intent 
1..1
CodeableConcept
Purpose for the Contract Term Action
V3 Value SetPurposeOfUse (Example)
 linkId 
0..*
string
Pointer to specific item
 status 
1..1
CodeableConcept
State of the action
Contract Resource Action Status codes (Example)
 context 
0..1
Reference(Encounter | EpisodeOfCare)
Episode associated with action
 contextLinkId 
0..*
string
Pointer to specific item
 occurrence[x] 
0..1
When action happens
 occurrenceDateTime
dateTime
 occurrencePeriod
Period
 occurrenceTiming
Timing
 requester 
0..*
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Device | Group | Organization)
Who asked for action
 requesterLinkId 
0..*
string
Pointer to specific item
 performerType 
0..*
CodeableConcept
Kind of service performer
Provenance participant type (Example)
 performerRole 
0..1
CodeableConcept
Competency of the performer
Provenance participant role (Example)
 performer 
0..1
Reference(RelatedPerson | Patient | Practitioner | PractitionerRole | CareTeam | Device | Substance | Organization | Location)
Actor that wil execute (or not) the action
 performerLinkId 
0..*
string
Pointer to specific item
 reasonCode 
0..*
CodeableConcept
Why is action (not) needed?
V3 Value SetPurposeOfUse (Example)
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference | Questionnaire | QuestionnaireResponse)
Why is action (not) needed?
 reason 
0..*
string
Why action is to be performed
 reasonLinkId 
0..*
string
Pointer to specific item
 note 
0..*
Annotation
Comments about the action
 securityLabelNumber 
0..*
unsignedInt
Action restriction numbers
 group 
0..*
see term
Nested Contract Term Group
 supportingInfo 
0..*
Reference(Any)
Extra Information
 relevantHistory 
0..*
Reference(Provenance)
Key event in Contract History
 signer 
0..*
BackboneElement
Contract Signatory
 type 
1..1
Coding
Contract Signatory Role
Contract Signer Type Codes (Preferred)
 party 
1..1
Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)
Contract Signatory Party
 signature 
1..*
Signature
Contract Documentation Signature
 friendly 
0..*
BackboneElement
Contract Friendly Language
 content[x] 
1..1
Easily comprehended representation of this Contract
 contentAttachment
Attachment
 contentReference
Reference(Composition | DocumentReference | QuestionnaireResponse)
 legal 
0..*
BackboneElement
Contract Legal Language
 content[x] 
1..1
Contract Legal Text
 contentAttachment
Attachment
 contentReference
Reference(Composition | DocumentReference | QuestionnaireResponse)
 rule 
0..*
BackboneElement
Computable Contract Language
 content[x] 
1..1
Computable Contract Rules
 contentAttachment
Attachment
 contentReference
Reference(DocumentReference)
 legallyBinding[x] 
0..1
Binding Contract
 legallyBindingAttachment
Attachment
 legallyBindingReference
Reference(Composition | DocumentReference | QuestionnaireResponse | Contract)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.General"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Contract",
      "version" : "4.0.0",
      "name" : "Contract",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Contract",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Contract",
          "path" : "Contract",
          "short" : "Legal Agreement",
          "definition" : "Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "FinancialContract"
          }]
        },
        {
          "id" : "Contract.id",
          "path" : "Contract.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Contract.meta",
          "path" : "Contract.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Contract.implicitRules",
          "path" : "Contract.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Contract.language",
          "path" : "Contract.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Contract.text",
          "path" : "Contract.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Contract.contained",
          "path" : "Contract.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.extension",
          "path" : "Contract.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.modifierExtension",
          "path" : "Contract.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.identifier",
          "path" : "Contract.identifier",
          "short" : "Contract number",
          "definition" : "Unique identifier for this Contract or a derivative that references a Source Contract.",
          "requirements" : "This is the business identifier of the contract content conveyed.  It may be a derivative of the legally binding contract, in which case, the identifier of the basal contract is  contained in the Contract.binding referenced Contract.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "rim",
            "map" : "FinancialContract id"
          }]
        },
        {
          "id" : "Contract.url",
          "path" : "Contract.url",
          "short" : "Basal definition",
          "definition" : "Canonical identifier for this contract, represented as a URI (globally unique).",
          "comment" : "Used in a domain that uses a supplied contract repository.",
          "requirements" : "An absolute URI that is used to identify this contract when it is referenced in a specification, model, design, instance or a contract derivative; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which this plan definition is (or will be) published.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.version",
          "path" : "Contract.version",
          "short" : "Business edition",
          "definition" : "An edition identifier used for business purposes to label business significant variants.",
          "comment" : "Note -  This is a business versionId, not a resource version id (see discussion http://build.fhir.org/resource.html#versions) \rComments - There may be different contract instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version].",
          "requirements" : "The identifier that is used to identify this version of the contract when it is referenced in a specification, model, design, instance, or contract derivative. This is an arbitrary value managed by the contract author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Contract.status",
          "path" : "Contract.status",
          "short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the contract as not currently valid or active.",
          "requirements" : "This is the Contract Business Workflow Status.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Act.status"
          }]
        },
        {
          "id" : "Contract.legalState",
          "path" : "Contract.legalState",
          "short" : "Negotiation status",
          "definition" : "Legal states of the formation of a legal instrument, which is a formally executed written document that can be formally attributed to its author, records and formally expresses a legally enforceable act, process, or contractual duty, obligation, or right, and therefore evidences that act, process, or agreement.",
          "requirements" : "The legal state of a contract follows a prescribed flow as defined by the legal community and these state may be indepenedent of the workflow state.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.legalState",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractLegalState"
            }],
            "strength" : "extensible",
            "description" : "Detailed codes for the legal state of a contract.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-legalstate"
          }
        },
        {
          "id" : "Contract.instantiatesCanonical",
          "path" : "Contract.instantiatesCanonical",
          "short" : "Source Contract Definition",
          "definition" : "The URL pointing to a FHIR-defined Contract Definition that is adhered to in whole or part by this Contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.instantiatesCanonical",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Contract"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.instantiatesUri",
          "path" : "Contract.instantiatesUri",
          "short" : "External Contract Definition",
          "definition" : "The URL pointing to an externally maintained definition that is adhered to in whole or in part by this Contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.instantiatesUri",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.contentDerivative",
          "path" : "Contract.contentDerivative",
          "short" : "Content derived from the basal information",
          "definition" : "The minimal content derived from the basal information source at a specific stage in its lifecycle.",
          "requirements" : "In the context of a contract, the information source of the content derivative shall be the information referenced by the contract.binding.\rThe Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form.  For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. \rHowever, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values.  In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire.  If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource.\rIf the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy.  Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.contentDerivative",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractContentDerivative"
            }],
            "strength" : "example",
            "description" : "This is an example set of Content Derivative type codes, which represent the minimal content derived from the basal information source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-content-derivative"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Maps partially to several v3 codes: ActClass: REG (registration) Description: Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment.\rThe registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system. Observation: VERIF (Verification) Description: An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details. TRFR (transfer) Description: The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD. _ActDetectedIssueManagementCode [abstract term] Description: Codes dealing with the management of Detected Issue observations. _ActInformationAccessContextCode [abstract term] Description: Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information. _ActListCode [abstract term]vDescription: Provides codes associated with ActClass value of LIST (working list). RefusalReasonCode [abstract term] Description:\rDescription: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action."
          }]
        },
        {
          "id" : "Contract.issued",
          "path" : "Contract.issued",
          "short" : "When this Contract was issued",
          "definition" : "When this  Contract was issued.",
          "requirements" : "The Contract issuance dateTime often precedes the Contract effective dateTime.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.issued",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "rim",
            "map" : "Act.availabilityTime.  Definition: A time expression specifying when an Observation, Procedure, or other Act occurs, or, depending on the mood, is supposed to occur, scheduled to occur, etc. The activityTime includes the times of component actions (such as preparation and clean-up). For Procedures and SubstanceAdministrations, the activityTime can provide a needed administrative function by providing a more inclusive time to be anticipated in scheduling. UsageNotes:The activityTime is primarily of administrative rather than clinical use. The clinically relevant time is the effectiveTime. When an observation of a prior symptom is made, the activityTime describes the time the observation is made, as opposed to effectiveTime which is the time the symptom is reported to have occurred. Thus the activityTime may be entirely different from the effectiveTime of the same Act. However, even apart from clinical use cases, designers should first consider effectiveTime as the primary relevant time for an Act. ActivityTime indicates when an Act occurs, not when it is recorded."
          }]
        },
        {
          "id" : "Contract.applies",
          "path" : "Contract.applies",
          "short" : "Effective time",
          "definition" : "Relevant time or time-period when this Contract is applicable.",
          "requirements" : "The dateTime upon which the Contract is binding.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.applies",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "rim",
            "map" : "Act.effectiveTime Definition: The clinically or operationally relevant time of an act, exclusive of administrative activity."
          }]
        },
        {
          "id" : "Contract.expirationType",
          "path" : "Contract.expirationType",
          "short" : "Contract cessation cause",
          "definition" : "Event resulting in discontinuation or termination of this Contract instance by one or more parties to the contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.expirationType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractExpiration"
            }],
            "strength" : "example",
            "description" : "Codes for the Cessation of Contracts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-expiration-type"
          }
        },
        {
          "id" : "Contract.subject",
          "path" : "Contract.subject",
          "short" : "Contract Target Entity",
          "definition" : "The target entity impacted by or of interest to parties to the agreement.",
          "comment" : "The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. \rIn many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.",
          "requirements" : "The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason.  In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.",
          "alias" : ["Patient"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.subject",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "rim",
            "map" : "RoleClass, RoleCode"
          }]
        },
        {
          "id" : "Contract.authority",
          "path" : "Contract.authority",
          "short" : "Authority under which this Contract has standing",
          "definition" : "A formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies.",
          "requirements" : "The governance framework responsible for ensuring compliance with or enforcement of the contract or policy.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.authority",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Organization Role.  CONCEPT DOMAIN: OrganizationEntityType Description: Further classifies entities of EntityClass ORG."
          }]
        },
        {
          "id" : "Contract.domain",
          "path" : "Contract.domain",
          "short" : "A sphere of control governed by an authoritative jurisdiction, organization, or person",
          "definition" : "Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to resources.",
          "requirements" : "The entities bound by governance to comply with the enforcement of contracts or policies by a recognized authority.",
          "alias" : ["scope of governance jurisdiction"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.domain",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "TERR (territory of authority) Description: Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory \"Region 4 of Alberta\" (player) in matters of health.\rEntity Class = Place? A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place might or might not be constant.\rCONCEPT DOMAIN: TerritoryEntityType Description: A territorial entity that may be cited as the body over which an agency exercises jurisdiction, or which defines a sphere in which a party has a particular responsibility. CONCEPT DOMAIN: OrganizationEntityType\rDescription: Further classifies entities of EntityClass ORG."
          }]
        },
        {
          "id" : "Contract.site",
          "path" : "Contract.site",
          "short" : "Specific Location",
          "definition" : "Sites in which the contract is complied with,  exercised, or in force.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.site",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.name",
          "path" : "Contract.name",
          "short" : "Computer friendly designation",
          "definition" : "A natural language name identifying this Contract definition, derivative, or instance in any legal state. Provides additional information about its content. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Contract.title",
          "path" : "Contract.title",
          "short" : "Human Friendly name",
          "definition" : "A short, descriptive, user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Contract.subtitle",
          "path" : "Contract.subtitle",
          "short" : "Subordinate Friendly name",
          "definition" : "An explanatory or alternate user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.alias",
          "path" : "Contract.alias",
          "short" : "Acronym or short name",
          "definition" : "Alternative representation of the title for this Contract definition, derivative, or instance in any legal state., e.g., a domain specific contract number related to legislation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.alias",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.author",
          "path" : "Contract.author",
          "short" : "Source of Contract",
          "definition" : "The individual or organization that authored the Contract definition, derivative, or instance in any legal state.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.scope",
          "path" : "Contract.scope",
          "short" : "Range of Legal Concerns",
          "definition" : "A selector of legal concerns for this Contract definition, derivative, or instance in any legal state.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.scope",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractScope"
            }],
            "strength" : "example",
            "description" : "Codes for the range of legal concerns.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-scope"
          }
        },
        {
          "id" : "Contract.topic[x]",
          "path" : "Contract.topic[x]",
          "short" : "Focus of contract interest",
          "definition" : "Narrows the range of legal concerns to focus on the achievement of specific contractual objectives.",
          "requirements" : "Requirement:  May be used to focus the topic of a Contract definition, derivative, or instance in any legal state.\rComment: Contractual areas of concern are very broad. This element supports narrowing the area of concern to more specific term topics within this Contract. Given the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. The same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts. \rOne way to determine the Contract.topic is to answer the question: “What is the overall objective of this legal instrument. The Contract.topic is described with more detail by the terms of the Contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.topic[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.type",
          "path" : "Contract.type",
          "short" : "Legal instrument category",
          "definition" : "A high-level category for the legal instrument, whether constructed as a Contract definition, derivative, or instance in any legal state.  Provides additional information about its content within the context of the Contract's scope to distinguish the kinds of systems that would be interested in the contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractType"
            }],
            "strength" : "example",
            "description" : "List of overall contract codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Maps to multiple ActClass and ActCode Concept Domains and Code Systems such as the following:   In the ActClass Concept Domain: ActClassPolicy. In the ActCode Concept Domain:   ActContractType, which generalizes ActFinancialContractType, ActCoverageType, ActBillingArrangementType.  ActConsentType, which generalizes ActDataConsentType; ActFinancialParticipationConsentType; ActInformationAccessCode; AdvanceBeneficiaryNoticeType.  ActPolicyType, which generalizes: ActPrivacyPolicyType, ActSensitivityPrivacyPolicyType, ActSecurityPolicyType.  In the ActClass Code System:  CNTRCT (contract) Description: An agreement of obligation between two or more parties that is subject to contractual law and enforcement, lwhich generalizes FCNTRCT (financial contract) and COV (coverage).  POLICY (policy) - Description: A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: The activity of another party; the behavior of another party; or the manner in which an act is executed. LEAF CONCEPTS: JURISPOL (jurisdictional policy) Description:A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: The activity of another party; the behavior of another party; or the manner in which an act is executed.Examples:A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.ORGPOL (organizational policy)Examples:A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.SCOPOL (scope of practice policy)Description:An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications.Examples:An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide. STDPOL (standard of practice policy) Examples:A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.  CONS (consent)Description: The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc.  The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The \"signatures\" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of \"performer\", the healthcare provider informing the patient, and \"consenter\", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public."
          }]
        },
        {
          "id" : "Contract.subType",
          "path" : "Contract.subType",
          "short" : "Subtype within the context of type",
          "definition" : "Sub-category for the Contract that distinguishes the kinds of systems that would be interested in the Contract within the context of the Contract's scope.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.subType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSubtype"
            }],
            "strength" : "example",
            "description" : "Detailed codes within the above.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Examples of Contract or Policy subtypes in ActCodes:_ActCoverageTypeCode Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties. Generalizes:  _ActInsurancePolicyCode;  _ActInsuranceTypeCode; ActProgramTypeCode.  _ActPolicyType  Description:Types of policies that further specify the ActClassPolicy value set. Generalizes: _ActPrivacyPolicy; _ActPrivacyLaw; _InformationSensitivityPolicy; ActTrustPolicyType;  SecurityPolicy.  _ActInvoiceAdjudicationPaymentGroupCode  Description: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc., e.g. RECOV (recovery) Description: Retroactive adjustment such as fee rate adjustment due to contract negotiations."
          }]
        },
        {
          "id" : "Contract.contentDefinition",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ContentDefinition"
          }],
          "path" : "Contract.contentDefinition",
          "short" : "Contract precursor content",
          "definition" : "Precusory content developed with a focus and intent of supporting the formation a Contract instance, which may be associated with and transformable into a Contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.contentDefinition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.contentDefinition.id",
          "path" : "Contract.contentDefinition.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.contentDefinition.extension",
          "path" : "Contract.contentDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.contentDefinition.modifierExtension",
          "path" : "Contract.contentDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.contentDefinition.type",
          "path" : "Contract.contentDefinition.type",
          "short" : "Content structure and use",
          "definition" : "Precusory content structure and use, i.e., a boilerplate, template, application for a contract such as an insurance policy or benefits under a program, e.g., workers compensation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.contentDefinition.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractDefinitionType"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the definition of contracts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-definition-type"
          }
        },
        {
          "id" : "Contract.contentDefinition.subType",
          "path" : "Contract.contentDefinition.subType",
          "short" : "Detailed Content Type Definition",
          "definition" : "Detailed Precusory content type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.contentDefinition.subType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractDefinitionSubtype"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the additional definition of contracts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-definition-subtype"
          }
        },
        {
          "id" : "Contract.contentDefinition.publisher",
          "path" : "Contract.contentDefinition.publisher",
          "short" : "Publisher Entity",
          "definition" : "The  individual or organization that published the Contract precursor content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.contentDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.contentDefinition.publicationDate",
          "path" : "Contract.contentDefinition.publicationDate",
          "short" : "When published",
          "definition" : "The date (and optionally time) when the contract was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the contract changes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.contentDefinition.publicationDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.contentDefinition.publicationStatus",
          "path" : "Contract.contentDefinition.publicationStatus",
          "short" : "draft | active | retired | unknown",
          "definition" : "draft | active | retired | unknown.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.contentDefinition.publicationStatus",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractPublicationStatus"
            }],
            "strength" : "required",
            "description" : "Status of the publication of contract content.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.0.0"
          }
        },
        {
          "id" : "Contract.contentDefinition.copyright",
          "path" : "Contract.contentDefinition.copyright",
          "short" : "Publication Ownership",
          "definition" : "A copyright statement relating to Contract precursor content. Copyright statements are generally legal restrictions on the use and publishing of the Contract precursor content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.contentDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Term"
          }],
          "path" : "Contract.term",
          "short" : "Contract Term List",
          "definition" : "One or more Contract Provisions, which may be related and conveyed as a group, and may contain nested groups.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "RIM mechanism for grouping or nesting rules, which are likely Acts and Observations."
          }]
        },
        {
          "id" : "Contract.term.id",
          "path" : "Contract.term.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.extension",
          "path" : "Contract.term.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.modifierExtension",
          "path" : "Contract.term.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.identifier",
          "path" : "Contract.term.identifier",
          "short" : "Contract Term Number",
          "definition" : "Unique identifier for this particular Contract Provision.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "rim",
            "map" : "Act or Observation identifier."
          }]
        },
        {
          "id" : "Contract.term.issued",
          "path" : "Contract.term.issued",
          "short" : "Contract Term Issue Date Time",
          "definition" : "When this Contract Provision was issued.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.issued",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "Act availabilityTime"
          }]
        },
        {
          "id" : "Contract.term.applies",
          "path" : "Contract.term.applies",
          "short" : "Contract Term Effective Time",
          "definition" : "Relevant time or time-period when this Contract Provision is applicable.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.applies",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "Act effectiveTime"
          }]
        },
        {
          "id" : "Contract.term.topic[x]",
          "path" : "Contract.term.topic[x]",
          "short" : "Term Concern",
          "definition" : "The entity that the term applies to.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.topic[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.type",
          "path" : "Contract.term.type",
          "short" : "Contract Term Type or Form",
          "definition" : "A legal clause or condition contained within a contract that requires one or both parties to perform a particular requirement by some specified time or prevents one or both parties from performing a particular requirement by some specified time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractTermType"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the types of contract provisions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-term-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "See Contract.term mapping."
          }]
        },
        {
          "id" : "Contract.term.subType",
          "path" : "Contract.term.subType",
          "short" : "Contract Term Type specific classification",
          "definition" : "A specialized legal clause or condition based on overarching contract type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.subType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractTermSubType"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the subtypes of contract provisions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-term-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "See Contract.topic mapping."
          }]
        },
        {
          "id" : "Contract.term.text",
          "path" : "Contract.term.text",
          "short" : "Term Statement",
          "definition" : "Statement of a provision in a policy or a contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Contract.term.securityLabel",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SecurityLabel"
          }],
          "path" : "Contract.term.securityLabel",
          "short" : "Protection for the Term",
          "definition" : "Security labels that protect the handling of information about the term and its elements, which may be specifically identified..",
          "requirements" : "Requirement -  Within a Contract, a security label may apply to the one to many nested group of terms or to a term, whether inside a group or a singleton.  This security label protects the term and its contained provision elements.  The security label on the entire set of term provision elements may be different from the security labels on a contained offer, asset, valuedItem, or data such as sensitive information, and must be the high water mark of all security labels within the term. Rationale is that a labelled term, which may be disaggregated from the Contract, and must persist the label on the term and on contained elements within other contexts. \rRequirement - If more than one policy dictates a level of confidentiality of the term, then each applicable policy may be represented by a security label specific to its requirements.\rComment - A Security Label is comprised of 1..1 confidentiality code and 0..* other security label codes (aka \"privacy tags\". A Security Label is metadata assigned (aka \"tagged\") to Resources and Resource elements, which specify the confidentiality and sensitivity of the Resource or element and their related attributes, the purposes for which tagged items may be collected, access, used or disclosed, any limitation on the type of entities authorized to engage in permitted purposes, and handling instructions that obligate or prohibit certain actions on the tagged items.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.securityLabel",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.securityLabel.id",
          "path" : "Contract.term.securityLabel.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.securityLabel.extension",
          "path" : "Contract.term.securityLabel.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.securityLabel.modifierExtension",
          "path" : "Contract.term.securityLabel.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.securityLabel.number",
          "path" : "Contract.term.securityLabel.number",
          "short" : "Link to Security Labels",
          "definition" : "Number used to link this term or term element to the applicable Security Label.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.securityLabel.number",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.securityLabel.classification",
          "path" : "Contract.term.securityLabel.classification",
          "short" : "Confidentiality Protection",
          "definition" : "Security label privacy tag that species the level of confidentiality protection required for this term and/or term elements.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.securityLabel.classification",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSecurityClassification"
            }],
            "strength" : "example",
            "description" : "Codes for confidentiality protection.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-security-classification"
          }
        },
        {
          "id" : "Contract.term.securityLabel.category",
          "path" : "Contract.term.securityLabel.category",
          "short" : "Applicable Policy",
          "definition" : "Security label privacy tag that species the applicable privacy and security policies governing this term and/or term elements.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.securityLabel.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSecurityCategory"
            }],
            "strength" : "example",
            "description" : "Codes for policy category.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-security-category"
          }
        },
        {
          "id" : "Contract.term.securityLabel.control",
          "path" : "Contract.term.securityLabel.control",
          "short" : "Handling Instructions",
          "definition" : "Security label privacy tag that species the manner in which term and/or term elements are to be protected.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.securityLabel.control",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSecurityControl"
            }],
            "strength" : "example",
            "description" : "Codes for handling instructions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-security-control"
          }
        },
        {
          "id" : "Contract.term.offer",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ContractOffer"
          }],
          "path" : "Contract.term.offer",
          "short" : "Context of the Contract term",
          "definition" : "The matter of concern in the context of this provision of the agrement.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.offer",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Document"
          }]
        },
        {
          "id" : "Contract.term.offer.id",
          "path" : "Contract.term.offer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.offer.extension",
          "path" : "Contract.term.offer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.offer.modifierExtension",
          "path" : "Contract.term.offer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.offer.identifier",
          "path" : "Contract.term.offer.identifier",
          "short" : "Offer business ID",
          "definition" : "Unique identifier for this particular Contract Provision.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.offer.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.offer.party",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ContractParty"
          }],
          "path" : "Contract.term.offer.party",
          "short" : "Offer Recipient",
          "definition" : "Offer Recipient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.offer.party",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.offer.party.id",
          "path" : "Contract.term.offer.party.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.offer.party.extension",
          "path" : "Contract.term.offer.party.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.offer.party.modifierExtension",
          "path" : "Contract.term.offer.party.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.offer.party.reference",
          "path" : "Contract.term.offer.party.reference",
          "short" : "Referenced entity",
          "definition" : "Participant in the offer.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.offer.party.reference",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.offer.party.role",
          "path" : "Contract.term.offer.party.role",
          "short" : "Participant engagement type",
          "definition" : "How the party participates in the offer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.offer.party.role",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractPartyRole"
            }],
            "strength" : "example",
            "description" : "Codes for offer participant roles.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-party-role"
          }
        },
        {
          "id" : "Contract.term.offer.topic",
          "path" : "Contract.term.offer.topic",
          "short" : "Negotiable offer asset",
          "definition" : "The owner of an asset has the residual control rights over the asset: the right to decide all usages of the asset in any way not inconsistent with a prior contract, custom, or law (Hart, 1995, p. 30).",
          "comment" : "The Contract.topic may be an application for or offer of a policy or service (e.g., uri to a consent directive form or a health insurance policy), which becomes the Contract once accepted by both the grantor and grantee. \rThe Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form.  For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. \rHowever, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values.  In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire.  If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource.\rIf the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy.  Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.",
          "requirements" : "In the context of a contract, the topic is the matter under consideration in regards to which specific rights, privileges, obligations, restrictions, and prohibitions are binding on any grantor and grantee parties upon the execution of the contract. \rGiven the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. \rThe same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts. \rOne way to determine the Contract.topic is to answer the question: “What is the object of negotiation?”\rAnswer: The Contract.topic, which may be described with more detail in the [0..*]Contract.valuedItem @ [0..1] Contract.valuedItem.entity[x] Definition: Specific type of Contract Valued Item that may be priced. CodeableConcept|Reference(Any)\rContract.topic is “the what” that a grantor is exchanging with a grantee in return for some benefit. \rContract.topic is “the what” to which any Contract.action is being applied for any stipulated Contract.action.reason. \rAContract.topic is “the what” governed by the execution of the contract to which any party’s rights, privileges, obligations, restrictions, and prohibitions apply.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.offer.topic",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "rim",
            "map" : "Includes many ActClass, ActCode, RoleClass, RoleCode, EntityClass, EntityCode, ParticipationType codes from HL7 concept domains and code systems. For example, RoleCode: HLD (held entity) Description: Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner. MANU (manufactured product) Description: Scoped by the manufacturer. OWN (owned entity) Description: An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own. This entitles the scoper to make decisions about the disposition of that material. WRTE (warranted product) Description:\rA role a product plays when a guarantee is given to the purchaser by the seller (scoping entity) stating that the product is reliable and free from known defects and that the seller will repair or replace defective parts within a given time limit and under certain conditions."
          }]
        },
        {
          "id" : "Contract.term.offer.type",
          "path" : "Contract.term.offer.type",
          "short" : "Contract Offer Type or Form",
          "definition" : "Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.offer.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractTermType"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the types of contract provisions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-term-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "See Contract.term mapping."
          }]
        },
        {
          "id" : "Contract.term.offer.decision",
          "path" : "Contract.term.offer.decision",
          "short" : "Accepting party choice",
          "definition" : "Type of choice made by accepting party with respect to an offer made by an offeror/ grantee.",
          "requirements" : "In some policy or contract contexts, the \"offer\" is made by an offeror wishing to be the \"grantee\" of the offer topic by the grantor.  From this perspective, the grantor is the \"offeree\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.offer.decision",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractDecisionType"
            }],
            "strength" : "extensible",
            "description" : "The type of decision made by a grantor with respect to an offer made by a grantee.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActConsentDirective"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "ActCode: _ActConsentDirective [abstract term] Description: Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated. Usage Note: Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective."
          }]
        },
        {
          "id" : "Contract.term.offer.decisionMode",
          "path" : "Contract.term.offer.decisionMode",
          "short" : "How decision is conveyed",
          "definition" : "How the decision about a Contract was conveyed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.offer.decisionMode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractDecisionMode"
            }],
            "strength" : "example",
            "description" : "Codes for conveying a decision.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-decision-mode"
          }
        },
        {
          "id" : "Contract.term.offer.answer",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Answer"
          }],
          "path" : "Contract.term.offer.answer",
          "short" : "Response to offer text",
          "definition" : "Response to offer text.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.offer.answer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.offer.answer.id",
          "path" : "Contract.term.offer.answer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.offer.answer.extension",
          "path" : "Contract.term.offer.answer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.offer.answer.modifierExtension",
          "path" : "Contract.term.offer.answer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.offer.answer.value[x]",
          "path" : "Contract.term.offer.answer.value[x]",
          "short" : "The actual answer response",
          "definition" : "Response to an offer clause or question text,  which enables selection of values to be agreed to, e.g., the period of participation, the date of occupancy of a rental, warrently duration, or whether biospecimen may be used for further research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.offer.answer.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.offer.text",
          "path" : "Contract.term.offer.text",
          "short" : "Human readable offer text",
          "definition" : "Human readable form of this Contract Offer.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.offer.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Document.text"
          }]
        },
        {
          "id" : "Contract.term.offer.linkId",
          "path" : "Contract.term.offer.linkId",
          "short" : "Pointer to text",
          "definition" : "The id of the clause or question text of the offer in the referenced questionnaire/response.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.offer.linkId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }]
        },
        {
          "id" : "Contract.term.offer.securityLabelNumber",
          "path" : "Contract.term.offer.securityLabelNumber",
          "short" : "Offer restriction numbers",
          "definition" : "Security labels that protects the offer.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.offer.securityLabelNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ContractAsset"
          }],
          "path" : "Contract.term.asset",
          "short" : "Contract Term Asset List",
          "definition" : "Contract Term Asset List.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.paymentTermsCode"
          }]
        },
        {
          "id" : "Contract.term.asset.id",
          "path" : "Contract.term.asset.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.asset.extension",
          "path" : "Contract.term.asset.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.asset.modifierExtension",
          "path" : "Contract.term.asset.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.asset.scope",
          "path" : "Contract.term.asset.scope",
          "short" : "Range of asset",
          "definition" : "Differentiates the kind of the asset .",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.scope",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAssetScope"
            }],
            "strength" : "example",
            "description" : "Codes for scoping an asset.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-assetscope"
          }
        },
        {
          "id" : "Contract.term.asset.type",
          "path" : "Contract.term.asset.type",
          "short" : "Asset category",
          "definition" : "Target entity type about which the term may be concerned.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAssetType"
            }],
            "strength" : "example",
            "description" : "Condes for the type of an asset.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-assettype"
          }
        },
        {
          "id" : "Contract.term.asset.typeReference",
          "path" : "Contract.term.asset.typeReference",
          "short" : "Associated entities",
          "definition" : "Associated entities.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.typeReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.subtype",
          "path" : "Contract.term.asset.subtype",
          "short" : "Asset sub-category",
          "definition" : "May be a subtype or part of an offered asset.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.subtype",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAssetSubtype"
            }],
            "strength" : "example",
            "description" : "Condes for the sub-type of an asset.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-assetsubtype"
          }
        },
        {
          "id" : "Contract.term.asset.relationship",
          "path" : "Contract.term.asset.relationship",
          "short" : "Kinship of the asset",
          "definition" : "Specifies the applicability of the term to an asset resource instance, and instances it refers to orinstances that refer to it, and/or are owned by the offeree.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.relationship",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentContentClass"
            }],
            "strength" : "extensible",
            "description" : "The class (type) of information a consent rule covers.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-content-class"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.code"
          }]
        },
        {
          "id" : "Contract.term.asset.context",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AssetContext"
          }],
          "path" : "Contract.term.asset.context",
          "short" : "Circumstance of the asset",
          "definition" : "Circumstance of the asset.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.context",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.context.id",
          "path" : "Contract.term.asset.context.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.asset.context.extension",
          "path" : "Contract.term.asset.context.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.asset.context.modifierExtension",
          "path" : "Contract.term.asset.context.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.asset.context.reference",
          "path" : "Contract.term.asset.context.reference",
          "short" : "Creator,custodian or owner",
          "definition" : "Asset context reference may include the creator, custodian, or owning Person or Organization (e.g., bank, repository),  location held, e.g., building,  jurisdiction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.context.reference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.context.code",
          "path" : "Contract.term.asset.context.code",
          "short" : "Codeable asset context",
          "definition" : "Coded representation of the context generally or of the Referenced entity, such as the asset holder type or location.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.context.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAssetContext"
            }],
            "strength" : "example",
            "description" : "Codes for the context of the asset.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-assetcontext"
          }
        },
        {
          "id" : "Contract.term.asset.context.text",
          "path" : "Contract.term.asset.context.text",
          "short" : "Context description",
          "definition" : "Context description.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.context.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.condition",
          "path" : "Contract.term.asset.condition",
          "short" : "Quality desctiption of asset",
          "definition" : "Description of the quality and completeness of the asset that imay be a factor in its valuation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.condition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.periodType",
          "path" : "Contract.term.asset.periodType",
          "short" : "Asset availability types",
          "definition" : "Type of Asset availability for use or ownership.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.periodType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AssetAvailabilityType"
            }],
            "strength" : "example",
            "description" : "Codes for asset availability.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/asset-availability"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.code"
          }]
        },
        {
          "id" : "Contract.term.asset.period",
          "path" : "Contract.term.asset.period",
          "short" : "Time period of the asset",
          "definition" : "Asset relevant contractual time period.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.period",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.activityTime"
          }]
        },
        {
          "id" : "Contract.term.asset.usePeriod",
          "path" : "Contract.term.asset.usePeriod",
          "short" : "Time period",
          "definition" : "Time period of asset use.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.usePeriod",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.effectiveTime"
          }]
        },
        {
          "id" : "Contract.term.asset.text",
          "path" : "Contract.term.asset.text",
          "short" : "Asset clause or question text",
          "definition" : "Clause or question text (Prose Object) concerning the asset in a linked form, such as a QuestionnaireResponse used in the formation of the contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.linkId",
          "path" : "Contract.term.asset.linkId",
          "short" : "Pointer to asset text",
          "definition" : "Id [identifier??] of the clause or question text about the asset in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.linkId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.answer",
          "path" : "Contract.term.asset.answer",
          "short" : "Response to assets",
          "definition" : "Response to assets.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.answer",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Contract.term.offer.answer",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.securityLabelNumber",
          "path" : "Contract.term.asset.securityLabelNumber",
          "short" : "Asset restriction numbers",
          "definition" : "Security labels that protects the asset.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.securityLabelNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.valuedItem",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ValuedItem"
          }],
          "path" : "Contract.term.asset.valuedItem",
          "short" : "Contract Valued Item List",
          "definition" : "Contract Valued Item List.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.valuedItem",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem classCode INVE"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.id",
          "path" : "Contract.term.asset.valuedItem.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.extension",
          "path" : "Contract.term.asset.valuedItem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.modifierExtension",
          "path" : "Contract.term.asset.valuedItem.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.entity[x]",
          "path" : "Contract.term.asset.valuedItem.entity[x]",
          "short" : "Contract Valued Item Type",
          "definition" : "Specific type of Contract Valued Item that may be priced.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.entity[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem code"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.identifier",
          "path" : "Contract.term.asset.valuedItem.identifier",
          "short" : "Contract Valued Item Number",
          "definition" : "Identifies a Contract Valued Item instance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem id"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.effectiveTime",
          "path" : "Contract.term.asset.valuedItem.effectiveTime",
          "short" : "Contract Valued Item Effective Tiem",
          "definition" : "Indicates the time during which this Contract ValuedItem information is effective.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.effectiveTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem effectiveTime"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.quantity",
          "path" : "Contract.term.asset.valuedItem.quantity",
          "short" : "Count of Contract Valued Items",
          "definition" : "Specifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem unitQuantity"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.unitPrice",
          "path" : "Contract.term.asset.valuedItem.unitPrice",
          "short" : "Contract Valued Item fee, charge, or cost",
          "definition" : "A Contract Valued Item unit valuation measure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem unitPriceAmt"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.factor",
          "path" : "Contract.term.asset.valuedItem.factor",
          "short" : "Contract Valued Item Price Scaling Factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem factorNumber"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.points",
          "path" : "Contract.term.asset.valuedItem.points",
          "short" : "Contract Valued Item Difficulty Scaling Factor",
          "definition" : "An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.points",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem pointNumber"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.net",
          "path" : "Contract.term.asset.valuedItem.net",
          "short" : "Total Contract Valued Item Value",
          "definition" : "Expresses the product of the Contract Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem netAmt"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.payment",
          "path" : "Contract.term.asset.valuedItem.payment",
          "short" : "Terms of valuation",
          "definition" : "Terms of valuation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.payment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.valuedItem.paymentDate",
          "path" : "Contract.term.asset.valuedItem.paymentDate",
          "short" : "When payment is due",
          "definition" : "When payment is due.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.paymentDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.valuedItem.responsible",
          "path" : "Contract.term.asset.valuedItem.responsible",
          "short" : "Who will make payment",
          "definition" : "Who will make payment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.responsible",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.valuedItem.recipient",
          "path" : "Contract.term.asset.valuedItem.recipient",
          "short" : "Who will receive payment",
          "definition" : "Who will receive payment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.recipient",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.valuedItem.linkId",
          "path" : "Contract.term.asset.valuedItem.linkId",
          "short" : "Pointer to specific item",
          "definition" : "Id  of the clause or question text related to the context of this valuedItem in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.linkId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.asset.valuedItem.securityLabelNumber",
          "path" : "Contract.term.asset.valuedItem.securityLabelNumber",
          "short" : "Security Labels that define affected terms",
          "definition" : "A set of security labels that define which terms are controlled by this condition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.asset.valuedItem.securityLabelNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Action"
          }],
          "path" : "Contract.term.action",
          "short" : "Entity being ascribed responsibility",
          "definition" : "An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.",
          "comment" : "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.\rFor example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.",
          "requirements" : "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Participation"
          }]
        },
        {
          "id" : "Contract.term.action.id",
          "path" : "Contract.term.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.action.extension",
          "path" : "Contract.term.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.action.modifierExtension",
          "path" : "Contract.term.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.action.doNotPerform",
          "path" : "Contract.term.action.doNotPerform",
          "short" : "True if the term prohibits the  action",
          "definition" : "True if the term prohibits the  action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.doNotPerform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For Example, instead of a dictate to perform an action, it is a dictate not to perform the action.",
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.type",
          "path" : "Contract.term.action.type",
          "short" : "Type or form of the action",
          "definition" : "Activity or service obligation to be done or not done, performed or not performed, effectuated or not by this Contract term.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAction"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the contract action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-action"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "rim",
            "map" : "RIM Role, Participation Type classes"
          }]
        },
        {
          "id" : "Contract.term.action.subject",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ActionSubject"
          }],
          "path" : "Contract.term.action.subject",
          "short" : "Entity of the action",
          "definition" : "Entity of the action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.subject",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.subject.id",
          "path" : "Contract.term.action.subject.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.action.subject.extension",
          "path" : "Contract.term.action.subject.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.term.action.subject.modifierExtension",
          "path" : "Contract.term.action.subject.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.term.action.subject.reference",
          "path" : "Contract.term.action.subject.reference",
          "short" : "Entity of the action",
          "definition" : "The entity the action is performed or not performed on or for.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.subject.reference",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.subject.role",
          "path" : "Contract.term.action.subject.role",
          "short" : "Role type of the agent",
          "definition" : "Role type of agent assigned roles in this Contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.subject.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActorRole"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the contract actor role.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-actorrole"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "RoleClass, RoleCode, ParticipationType, ParticipationFunction codes"
          }]
        },
        {
          "id" : "Contract.term.action.intent",
          "path" : "Contract.term.action.intent",
          "short" : "Purpose for the Contract Term Action",
          "definition" : "Reason or purpose for the action stipulated by this Contract Provision.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.intent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionReason"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the contract action reason.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "Examples from ActReason Concept Domains: ActCoverageReason Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties. ActInformationPrivacyReason Description: The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order. ClinicalResearchObservationReason Definition: Specifies the reason that a test was performed or observation collected in a clinical research study. SafetyInvestigationReportReasonType Description: Possible reasons generating a report providing information developed during the investigation of an adverse event or a product problem. ControlActReason Description: Indicates the motivation, cause or rationale of an Act which results in a trigger event.  NonPerformanceReasonCode Description: The reason the action was not performed, e.g. why the medication was not taken. If an action was not performed, it is often clinically important to know why the action was not taken. RefusalReasonCode Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.\r\r\r\r\r\r\r\rExamples from HL7 ActReason Code System: QUALIMP (quality improvement) Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service. _PatientProfileQueryReasonCode Description: A collection of concepts identifying why the patient's profile is being queried. _ActInformationManagementReason Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy. _ActInvalidReason (ActInvalidReason) Description: Types of reasons why a substance is invalid for use. _NonPerformanceReasonCode Description: The reason the action wasn't performed, e.g. why the medication was not taken. If an action wasn\"t performed, it is often clinically important to know why the action wasn\"t taken."
          }]
        },
        {
          "id" : "Contract.term.action.linkId",
          "path" : "Contract.term.action.linkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to this action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.linkId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.status",
          "path" : "Contract.term.action.status",
          "short" : "State of the action",
          "definition" : "Current state of the term action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionStatus"
            }],
            "strength" : "example",
            "description" : "Codes for the status of an term action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-actionstatus"
          }
        },
        {
          "id" : "Contract.term.action.context",
          "path" : "Contract.term.action.context",
          "short" : "Episode associated with action",
          "definition" : "Encounter or Episode with primary association to specified term activity.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.context",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.contextLinkId",
          "path" : "Contract.term.action.contextLinkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.contextLinkId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.occurrence[x]",
          "path" : "Contract.term.action.occurrence[x]",
          "short" : "When action happens",
          "definition" : "When action happens.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.occurrence[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.requester",
          "path" : "Contract.term.action.requester",
          "short" : "Who asked for action",
          "definition" : "Who or what initiated the action and has responsibility for its activation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.requester",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.requesterLinkId",
          "path" : "Contract.term.action.requesterLinkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.requesterLinkId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.performerType",
          "path" : "Contract.term.action.performerType",
          "short" : "Kind of service performer",
          "definition" : "The type of individual that is desired or required to perform or not perform the action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.performerType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionPerformerType"
            }],
            "strength" : "example",
            "description" : "Codes for the types of action perfomer.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-agent-type"
          }
        },
        {
          "id" : "Contract.term.action.performerRole",
          "path" : "Contract.term.action.performerRole",
          "short" : "Competency of the performer",
          "definition" : "The type of role or competency of an individual desired or required to perform or not perform the action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.performerRole",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionPerformerRole"
            }],
            "strength" : "example",
            "description" : "Codes for the role of the action performer.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-agent-role"
          }
        },
        {
          "id" : "Contract.term.action.performer",
          "path" : "Contract.term.action.performer",
          "short" : "Actor that wil execute (or not) the action",
          "definition" : "Indicates who or what is being asked to perform (or not perform) the ction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.term.action.performer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.performerLinkId",
          "path" : "Contract.term.action.performerLinkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to the reason type or reference of this  action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.performerLinkId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.reasonCode",
          "path" : "Contract.term.action.reasonCode",
          "short" : "Why is action (not) needed?",
          "definition" : "Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionReason"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the contract action reason.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          }
        },
        {
          "id" : "Contract.term.action.reasonReference",
          "path" : "Contract.term.action.reasonReference",
          "short" : "Why is action (not) needed?",
          "definition" : "Indicates another resource whose existence justifies permitting or not permitting this action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.reason",
          "path" : "Contract.term.action.reason",
          "short" : "Why action is to be performed",
          "definition" : "Describes why the action is to be performed or not performed in textual form.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.reason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.reasonLinkId",
          "path" : "Contract.term.action.reasonLinkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to the reason type or reference of this  action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.reasonLinkId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.note",
          "path" : "Contract.term.action.note",
          "short" : "Comments about the action",
          "definition" : "Comments made about the term action made by the requester, performer, subject or other participants.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.action.securityLabelNumber",
          "path" : "Contract.term.action.securityLabelNumber",
          "short" : "Action restriction numbers",
          "definition" : "Security labels that protects the action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.action.securityLabelNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.term.group",
          "path" : "Contract.term.group",
          "short" : "Nested Contract Term Group",
          "definition" : "Nested group of Contract Provisions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.term.group",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Contract.term",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "RIM Grouping or Nesting mechanisms"
          }]
        },
        {
          "id" : "Contract.supportingInfo",
          "path" : "Contract.supportingInfo",
          "short" : "Extra Information",
          "definition" : "Information that may be needed by/relevant to the performer in their execution of this term action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.supportingInfo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.relevantHistory",
          "path" : "Contract.relevantHistory",
          "short" : "Key event in Contract History",
          "definition" : "Links to Provenance records for past versions of this Contract definition, derivative, or instance, which identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the Contract.  The Provence.entity indicates the target that was changed in the update. http://build.fhir.org/provenance-definitions.html#Provenance.entity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.relevantHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Contract.signer",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Signatory"
          }],
          "path" : "Contract.signer",
          "short" : "Contract Signatory",
          "definition" : "Parties with legal standing in the Contract, including the principal parties, the grantor(s) and grantee(s), which are any person or organization bound by the contract, and any ancillary parties, which facilitate the execution of the contract such as a notary or witness.",
          "comment" : "Signers who are principal parties to the contract are bound by the Contract.activity related to the Contract.topic, and the Contract.term(s), which either extend or restrict the overall action on the topic by, for example, stipulating specific policies or obligations constraining actions, action reason, or agents with respect to some or all of the topic.\rFor example, specifying how policies or obligations shall constrain actions and action reasons permitted or denied on all or a subset of the Contract.topic (e.g., all or a portion of property being transferred by the contract), agents (e.g., who can resell, assign interests, or alter the property being transferred by the contract), actions, and action reasons; or with respect to Contract.terms, stipulating, extending, or limiting the Contract.period of applicability or valuation of items under consideration.",
          "requirements" : "The Contract.signer applies a signature to the Contract.binding referenced resource, which is the documentation that is the legal \"source of truth\". The Contract.signer may delegate, such as a legally recognized personal representative, or have a delegate assigned e.g., by a court of law, to actually sign the Contract, such as a trustee in the case of incompetence.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.signer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Participation"
          }]
        },
        {
          "id" : "Contract.signer.id",
          "path" : "Contract.signer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.signer.extension",
          "path" : "Contract.signer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.signer.modifierExtension",
          "path" : "Contract.signer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.signer.type",
          "path" : "Contract.signer.type",
          "short" : "Contract Signatory Role",
          "definition" : "Role of this Contract signer, e.g. notary, grantee.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.signer.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSignerType"
            }],
            "strength" : "preferred",
            "description" : "List of parties who may be signing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-signer-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : "RoleClass, RoleCode, ParticipationType, ParticipationFunction class codes."
          }]
        },
        {
          "id" : "Contract.signer.party",
          "path" : "Contract.signer.party",
          "short" : "Contract Signatory Party",
          "definition" : "Party which is a signator to this Contract.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.signer.party",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : "Role Class"
          }]
        },
        {
          "id" : "Contract.signer.signature",
          "path" : "Contract.signer.signature",
          "short" : "Contract Documentation Signature",
          "definition" : "Legally binding Contract DSIG signature contents in Base64.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Contract.signer.signature",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Signature"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : "Participation.signatureCode :: CD (0..1) Definition: Whether the participant has attested participation through a signature, or whether such a signature is needed. Examples: A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants; The participant intends to provide a signature.  Participation.signatureText :: ED (0..1) Definition: A textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. UsageNotes: The signature can be represented either inline or by reference according to the ED data type. Typical cases are \r1) Paper-based signatures: the ED data type may refer to a document or other resource that can be retrieved through an electronic interface to a hardcopy archive. 2) Electronic signature: this attribute can represent virtually any electronic signature scheme. 3) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. Examples: 1) An \"author\" participant assumes accountability for the truth of the Act statement to the best of his knowledge. 2) An information recipient only attests to the fact that he or she has received the information."
          }]
        },
        {
          "id" : "Contract.friendly",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "FriendlyLanguage"
          }],
          "path" : "Contract.friendly",
          "short" : "Contract Friendly Language",
          "definition" : "The \"patient friendly language\" versionof the Contract in whole or in parts. \"Patient friendly language\" means the representation of the Contract and Contract Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.friendly",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "LanguageCommunication"
          }]
        },
        {
          "id" : "Contract.friendly.id",
          "path" : "Contract.friendly.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.friendly.extension",
          "path" : "Contract.friendly.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.friendly.modifierExtension",
          "path" : "Contract.friendly.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.friendly.content[x]",
          "path" : "Contract.friendly.content[x]",
          "short" : "Easily comprehended representation of this Contract",
          "definition" : "Human readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.friendly.content[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Composition",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Act.text Definition: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act."
          }]
        },
        {
          "id" : "Contract.legal",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "LegalLanguage"
          }],
          "path" : "Contract.legal",
          "short" : "Contract Legal Language",
          "definition" : "List of Legal expressions or representations of this Contract.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.legal",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "LanguageCommunication"
          }]
        },
        {
          "id" : "Contract.legal.id",
          "path" : "Contract.legal.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.legal.extension",
          "path" : "Contract.legal.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.legal.modifierExtension",
          "path" : "Contract.legal.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.legal.content[x]",
          "path" : "Contract.legal.content[x]",
          "short" : "Contract Legal Text",
          "definition" : "Contract legal text in human renderable form.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.legal.content[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Composition",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Example: Act.text of an Act coded as with ActPrivacyLaw, ActPolicy code"
          }]
        },
        {
          "id" : "Contract.rule",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ComputableLanguage"
          }],
          "path" : "Contract.rule",
          "short" : "Computable Contract Language",
          "definition" : "List of Computable Policy Rule Language Representations of this Contract.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Contract.rule",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "LanguageCommunication"
          }]
        },
        {
          "id" : "Contract.rule.id",
          "path" : "Contract.rule.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.rule.extension",
          "path" : "Contract.rule.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Contract.rule.modifierExtension",
          "path" : "Contract.rule.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Contract.rule.content[x]",
          "path" : "Contract.rule.content[x]",
          "short" : "Computable Contract Rules",
          "definition" : "Computable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Contract.rule.content[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Computable Policy Consent [Observation: templateId 2.16.840.1.113883.3.445.16] This template is used to represent an alternative representation of the Privacy Consent Directive (e.g.,ODRL, XrML, XACML) as a computer-readable set of rules. An implementation may use any appropriate representations of the privacy consent in addition to the \"ConsentDirectiveStructuredDefinition\" which uses the Clinical Template structure to express the elements of a consent directive in an interoperable way.\r1. SHALL contain exactly one [1..1] templateId ( CONF-CD-16 ) such that it\ra. SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.3.445.16\"\r2. SHALL contain exactly one [1..1] @moodCode=\"DEF\" (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:14912)\r3. SHALL contain exactly one [1..1] code (CONF:9139)/@code=\"57016-8\" Privacy Policy Acknowledgement Document (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:9138)\rIt specifies the LOINC code corresponding to \"Privacy Policy Acknowledgement Document\", it is fixed at this value.\r4. SHOULD contain zero or more [0..*] value with @xsi:type=\"ANY\" (CONF:9140) The value contains the computable representation of the policy. This may be a standard-based access control or attribute control based policy (See\r\"References\"). Computable Policy Consent example\r\r\r\r\r ... \r\r"
          }]
        },
        {
          "id" : "Contract.legallyBinding[x]",
          "path" : "Contract.legallyBinding[x]",
          "short" : "Binding Contract",
          "definition" : "Legally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the \"source of truth\" and which would be the basis for legal action related to enforcement of this Contract.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Contract.legallyBinding[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Composition",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/Contract"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "DocumentCompletion code system AU (authenticated) Description: A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual."
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Contract",
          "path" : "Contract",
          "short" : "Legal Agreement",
          "definition" : "Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy or agreement.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "FinancialContract"
          }]
        },
        {
          "id" : "Contract.identifier",
          "path" : "Contract.identifier",
          "short" : "Contract number",
          "definition" : "Unique identifier for this Contract or a derivative that references a Source Contract.",
          "requirements" : "This is the business identifier of the contract content conveyed.  It may be a derivative of the legally binding contract, in which case, the identifier of the basal contract is  contained in the Contract.binding referenced Contract.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "rim",
            "map" : "FinancialContract id"
          }]
        },
        {
          "id" : "Contract.url",
          "path" : "Contract.url",
          "short" : "Basal definition",
          "definition" : "Canonical identifier for this contract, represented as a URI (globally unique).",
          "comment" : "Used in a domain that uses a supplied contract repository.",
          "requirements" : "An absolute URI that is used to identify this contract when it is referenced in a specification, model, design, instance or a contract derivative; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which this plan definition is (or will be) published.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "Contract.version",
          "path" : "Contract.version",
          "short" : "Business edition",
          "definition" : "An edition identifier used for business purposes to label business significant variants.",
          "comment" : "Note -  This is a business versionId, not a resource version id (see discussion http://build.fhir.org/resource.html#versions) \rComments - There may be different contract instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version].",
          "requirements" : "The identifier that is used to identify this version of the contract when it is referenced in a specification, model, design, instance, or contract derivative. This is an arbitrary value managed by the contract author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Contract.status",
          "path" : "Contract.status",
          "short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the contract as not currently valid or active.",
          "requirements" : "This is the Contract Business Workflow Status.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Act.status"
          }]
        },
        {
          "id" : "Contract.legalState",
          "path" : "Contract.legalState",
          "short" : "Negotiation status",
          "definition" : "Legal states of the formation of a legal instrument, which is a formally executed written document that can be formally attributed to its author, records and formally expresses a legally enforceable act, process, or contractual duty, obligation, or right, and therefore evidences that act, process, or agreement.",
          "requirements" : "The legal state of a contract follows a prescribed flow as defined by the legal community and these state may be indepenedent of the workflow state.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractLegalState"
            }],
            "strength" : "extensible",
            "description" : "Detailed codes for the legal state of a contract.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-legalstate"
          }
        },
        {
          "id" : "Contract.instantiatesCanonical",
          "path" : "Contract.instantiatesCanonical",
          "short" : "Source Contract Definition",
          "definition" : "The URL pointing to a FHIR-defined Contract Definition that is adhered to in whole or part by this Contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Contract"]
          }]
        },
        {
          "id" : "Contract.instantiatesUri",
          "path" : "Contract.instantiatesUri",
          "short" : "External Contract Definition",
          "definition" : "The URL pointing to an externally maintained definition that is adhered to in whole or in part by this Contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "Contract.contentDerivative",
          "path" : "Contract.contentDerivative",
          "short" : "Content derived from the basal information",
          "definition" : "The minimal content derived from the basal information source at a specific stage in its lifecycle.",
          "requirements" : "In the context of a contract, the information source of the content derivative shall be the information referenced by the contract.binding.\rThe Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form.  For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. \rHowever, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values.  In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire.  If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource.\rIf the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy.  Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractContentDerivative"
            }],
            "strength" : "example",
            "description" : "This is an example set of Content Derivative type codes, which represent the minimal content derived from the basal information source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-content-derivative"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Maps partially to several v3 codes: ActClass: REG (registration) Description: Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment.\rThe registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system. Observation: VERIF (Verification) Description: An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details. TRFR (transfer) Description: The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD. _ActDetectedIssueManagementCode [abstract term] Description: Codes dealing with the management of Detected Issue observations. _ActInformationAccessContextCode [abstract term] Description: Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information. _ActListCode [abstract term]vDescription: Provides codes associated with ActClass value of LIST (working list). RefusalReasonCode [abstract term] Description:\rDescription: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action."
          }]
        },
        {
          "id" : "Contract.issued",
          "path" : "Contract.issued",
          "short" : "When this Contract was issued",
          "definition" : "When this  Contract was issued.",
          "requirements" : "The Contract issuance dateTime often precedes the Contract effective dateTime.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "rim",
            "map" : "Act.availabilityTime.  Definition: A time expression specifying when an Observation, Procedure, or other Act occurs, or, depending on the mood, is supposed to occur, scheduled to occur, etc. The activityTime includes the times of component actions (such as preparation and clean-up). For Procedures and SubstanceAdministrations, the activityTime can provide a needed administrative function by providing a more inclusive time to be anticipated in scheduling. UsageNotes:The activityTime is primarily of administrative rather than clinical use. The clinically relevant time is the effectiveTime. When an observation of a prior symptom is made, the activityTime describes the time the observation is made, as opposed to effectiveTime which is the time the symptom is reported to have occurred. Thus the activityTime may be entirely different from the effectiveTime of the same Act. However, even apart from clinical use cases, designers should first consider effectiveTime as the primary relevant time for an Act. ActivityTime indicates when an Act occurs, not when it is recorded."
          }]
        },
        {
          "id" : "Contract.applies",
          "path" : "Contract.applies",
          "short" : "Effective time",
          "definition" : "Relevant time or time-period when this Contract is applicable.",
          "requirements" : "The dateTime upon which the Contract is binding.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "rim",
            "map" : "Act.effectiveTime Definition: The clinically or operationally relevant time of an act, exclusive of administrative activity."
          }]
        },
        {
          "id" : "Contract.expirationType",
          "path" : "Contract.expirationType",
          "short" : "Contract cessation cause",
          "definition" : "Event resulting in discontinuation or termination of this Contract instance by one or more parties to the contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractExpiration"
            }],
            "strength" : "example",
            "description" : "Codes for the Cessation of Contracts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-expiration-type"
          }
        },
        {
          "id" : "Contract.subject",
          "path" : "Contract.subject",
          "short" : "Contract Target Entity",
          "definition" : "The target entity impacted by or of interest to parties to the agreement.",
          "comment" : "The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. \rIn many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.",
          "requirements" : "The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason.  In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.",
          "alias" : ["Patient"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "rim",
            "map" : "RoleClass, RoleCode"
          }]
        },
        {
          "id" : "Contract.authority",
          "path" : "Contract.authority",
          "short" : "Authority under which this Contract has standing",
          "definition" : "A formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies.",
          "requirements" : "The governance framework responsible for ensuring compliance with or enforcement of the contract or policy.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Organization Role.  CONCEPT DOMAIN: OrganizationEntityType Description: Further classifies entities of EntityClass ORG."
          }]
        },
        {
          "id" : "Contract.domain",
          "path" : "Contract.domain",
          "short" : "A sphere of control governed by an authoritative jurisdiction, organization, or person",
          "definition" : "Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to resources.",
          "requirements" : "The entities bound by governance to comply with the enforcement of contracts or policies by a recognized authority.",
          "alias" : ["scope of governance jurisdiction"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "TERR (territory of authority) Description: Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory \"Region 4 of Alberta\" (player) in matters of health.\rEntity Class = Place? A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place might or might not be constant.\rCONCEPT DOMAIN: TerritoryEntityType Description: A territorial entity that may be cited as the body over which an agency exercises jurisdiction, or which defines a sphere in which a party has a particular responsibility. CONCEPT DOMAIN: OrganizationEntityType\rDescription: Further classifies entities of EntityClass ORG."
          }]
        },
        {
          "id" : "Contract.site",
          "path" : "Contract.site",
          "short" : "Specific Location",
          "definition" : "Sites in which the contract is complied with,  exercised, or in force.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }]
        },
        {
          "id" : "Contract.name",
          "path" : "Contract.name",
          "short" : "Computer friendly designation",
          "definition" : "A natural language name identifying this Contract definition, derivative, or instance in any legal state. Provides additional information about its content. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Contract.title",
          "path" : "Contract.title",
          "short" : "Human Friendly name",
          "definition" : "A short, descriptive, user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Contract.subtitle",
          "path" : "Contract.subtitle",
          "short" : "Subordinate Friendly name",
          "definition" : "An explanatory or alternate user-friendly title for this Contract definition, derivative, or instance in any legal state.t giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.alias",
          "path" : "Contract.alias",
          "short" : "Acronym or short name",
          "definition" : "Alternative representation of the title for this Contract definition, derivative, or instance in any legal state., e.g., a domain specific contract number related to legislation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.author",
          "path" : "Contract.author",
          "short" : "Source of Contract",
          "definition" : "The individual or organization that authored the Contract definition, derivative, or instance in any legal state.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "Contract.scope",
          "path" : "Contract.scope",
          "short" : "Range of Legal Concerns",
          "definition" : "A selector of legal concerns for this Contract definition, derivative, or instance in any legal state.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractScope"
            }],
            "strength" : "example",
            "description" : "Codes for the range of legal concerns.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-scope"
          }
        },
        {
          "id" : "Contract.topic[x]",
          "path" : "Contract.topic[x]",
          "short" : "Focus of contract interest",
          "definition" : "Narrows the range of legal concerns to focus on the achievement of specific contractual objectives.",
          "requirements" : "Requirement:  May be used to focus the topic of a Contract definition, derivative, or instance in any legal state.\rComment: Contractual areas of concern are very broad. This element supports narrowing the area of concern to more specific term topics within this Contract. Given the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. The same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts. \rOne way to determine the Contract.topic is to answer the question: “What is the overall objective of this legal instrument. The Contract.topic is described with more detail by the terms of the Contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "Contract.type",
          "path" : "Contract.type",
          "short" : "Legal instrument category",
          "definition" : "A high-level category for the legal instrument, whether constructed as a Contract definition, derivative, or instance in any legal state.  Provides additional information about its content within the context of the Contract's scope to distinguish the kinds of systems that would be interested in the contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractType"
            }],
            "strength" : "example",
            "description" : "List of overall contract codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Maps to multiple ActClass and ActCode Concept Domains and Code Systems such as the following:   In the ActClass Concept Domain: ActClassPolicy. In the ActCode Concept Domain:   ActContractType, which generalizes ActFinancialContractType, ActCoverageType, ActBillingArrangementType.  ActConsentType, which generalizes ActDataConsentType; ActFinancialParticipationConsentType; ActInformationAccessCode; AdvanceBeneficiaryNoticeType.  ActPolicyType, which generalizes: ActPrivacyPolicyType, ActSensitivityPrivacyPolicyType, ActSecurityPolicyType.  In the ActClass Code System:  CNTRCT (contract) Description: An agreement of obligation between two or more parties that is subject to contractual law and enforcement, lwhich generalizes FCNTRCT (financial contract) and COV (coverage).  POLICY (policy) - Description: A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: The activity of another party; the behavior of another party; or the manner in which an act is executed. LEAF CONCEPTS: JURISPOL (jurisdictional policy) Description:A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: The activity of another party; the behavior of another party; or the manner in which an act is executed.Examples:A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.ORGPOL (organizational policy)Examples:A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.SCOPOL (scope of practice policy)Description:An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications.Examples:An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide. STDPOL (standard of practice policy) Examples:A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.  CONS (consent)Description: The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc.  The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The \"signatures\" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of \"performer\", the healthcare provider informing the patient, and \"consenter\", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public."
          }]
        },
        {
          "id" : "Contract.subType",
          "path" : "Contract.subType",
          "short" : "Subtype within the context of type",
          "definition" : "Sub-category for the Contract that distinguishes the kinds of systems that would be interested in the Contract within the context of the Contract's scope.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSubtype"
            }],
            "strength" : "example",
            "description" : "Detailed codes within the above.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Examples of Contract or Policy subtypes in ActCodes:_ActCoverageTypeCode Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties. Generalizes:  _ActInsurancePolicyCode;  _ActInsuranceTypeCode; ActProgramTypeCode.  _ActPolicyType  Description:Types of policies that further specify the ActClassPolicy value set. Generalizes: _ActPrivacyPolicy; _ActPrivacyLaw; _InformationSensitivityPolicy; ActTrustPolicyType;  SecurityPolicy.  _ActInvoiceAdjudicationPaymentGroupCode  Description: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc., e.g. RECOV (recovery) Description: Retroactive adjustment such as fee rate adjustment due to contract negotiations."
          }]
        },
        {
          "id" : "Contract.contentDefinition",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ContentDefinition"
          }],
          "path" : "Contract.contentDefinition",
          "short" : "Contract precursor content",
          "definition" : "Precusory content developed with a focus and intent of supporting the formation a Contract instance, which may be associated with and transformable into a Contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Contract.contentDefinition.type",
          "path" : "Contract.contentDefinition.type",
          "short" : "Content structure and use",
          "definition" : "Precusory content structure and use, i.e., a boilerplate, template, application for a contract such as an insurance policy or benefits under a program, e.g., workers compensation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractDefinitionType"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the definition of contracts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-definition-type"
          }
        },
        {
          "id" : "Contract.contentDefinition.subType",
          "path" : "Contract.contentDefinition.subType",
          "short" : "Detailed Content Type Definition",
          "definition" : "Detailed Precusory content type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractDefinitionSubtype"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the additional definition of contracts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-definition-subtype"
          }
        },
        {
          "id" : "Contract.contentDefinition.publisher",
          "path" : "Contract.contentDefinition.publisher",
          "short" : "Publisher Entity",
          "definition" : "The  individual or organization that published the Contract precursor content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "Contract.contentDefinition.publicationDate",
          "path" : "Contract.contentDefinition.publicationDate",
          "short" : "When published",
          "definition" : "The date (and optionally time) when the contract was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the contract changes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "Contract.contentDefinition.publicationStatus",
          "path" : "Contract.contentDefinition.publicationStatus",
          "short" : "draft | active | retired | unknown",
          "definition" : "draft | active | retired | unknown.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractPublicationStatus"
            }],
            "strength" : "required",
            "description" : "Status of the publication of contract content.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-publicationstatus|4.0.0"
          }
        },
        {
          "id" : "Contract.contentDefinition.copyright",
          "path" : "Contract.contentDefinition.copyright",
          "short" : "Publication Ownership",
          "definition" : "A copyright statement relating to Contract precursor content. Copyright statements are generally legal restrictions on the use and publishing of the Contract precursor content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "Contract.term",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Term"
          }],
          "path" : "Contract.term",
          "short" : "Contract Term List",
          "definition" : "One or more Contract Provisions, which may be related and conveyed as a group, and may contain nested groups.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "RIM mechanism for grouping or nesting rules, which are likely Acts and Observations."
          }]
        },
        {
          "id" : "Contract.term.identifier",
          "path" : "Contract.term.identifier",
          "short" : "Contract Term Number",
          "definition" : "Unique identifier for this particular Contract Provision.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "rim",
            "map" : "Act or Observation identifier."
          }]
        },
        {
          "id" : "Contract.term.issued",
          "path" : "Contract.term.issued",
          "short" : "Contract Term Issue Date Time",
          "definition" : "When this Contract Provision was issued.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "Act availabilityTime"
          }]
        },
        {
          "id" : "Contract.term.applies",
          "path" : "Contract.term.applies",
          "short" : "Contract Term Effective Time",
          "definition" : "Relevant time or time-period when this Contract Provision is applicable.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "Act effectiveTime"
          }]
        },
        {
          "id" : "Contract.term.topic[x]",
          "path" : "Contract.term.topic[x]",
          "short" : "Term Concern",
          "definition" : "The entity that the term applies to.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "Contract.term.type",
          "path" : "Contract.term.type",
          "short" : "Contract Term Type or Form",
          "definition" : "A legal clause or condition contained within a contract that requires one or both parties to perform a particular requirement by some specified time or prevents one or both parties from performing a particular requirement by some specified time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractTermType"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the types of contract provisions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-term-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "See Contract.term mapping."
          }]
        },
        {
          "id" : "Contract.term.subType",
          "path" : "Contract.term.subType",
          "short" : "Contract Term Type specific classification",
          "definition" : "A specialized legal clause or condition based on overarching contract type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractTermSubType"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the subtypes of contract provisions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-term-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "See Contract.topic mapping."
          }]
        },
        {
          "id" : "Contract.term.text",
          "path" : "Contract.term.text",
          "short" : "Term Statement",
          "definition" : "Statement of a provision in a policy or a contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Contract.term.securityLabel",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SecurityLabel"
          }],
          "path" : "Contract.term.securityLabel",
          "short" : "Protection for the Term",
          "definition" : "Security labels that protect the handling of information about the term and its elements, which may be specifically identified..",
          "requirements" : "Requirement -  Within a Contract, a security label may apply to the one to many nested group of terms or to a term, whether inside a group or a singleton.  This security label protects the term and its contained provision elements.  The security label on the entire set of term provision elements may be different from the security labels on a contained offer, asset, valuedItem, or data such as sensitive information, and must be the high water mark of all security labels within the term. Rationale is that a labelled term, which may be disaggregated from the Contract, and must persist the label on the term and on contained elements within other contexts. \rRequirement - If more than one policy dictates a level of confidentiality of the term, then each applicable policy may be represented by a security label specific to its requirements.\rComment - A Security Label is comprised of 1..1 confidentiality code and 0..* other security label codes (aka \"privacy tags\". A Security Label is metadata assigned (aka \"tagged\") to Resources and Resource elements, which specify the confidentiality and sensitivity of the Resource or element and their related attributes, the purposes for which tagged items may be collected, access, used or disclosed, any limitation on the type of entities authorized to engage in permitted purposes, and handling instructions that obligate or prohibit certain actions on the tagged items.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Contract.term.securityLabel.number",
          "path" : "Contract.term.securityLabel.number",
          "short" : "Link to Security Labels",
          "definition" : "Number used to link this term or term element to the applicable Security Label.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "unsignedInt"
          }]
        },
        {
          "id" : "Contract.term.securityLabel.classification",
          "path" : "Contract.term.securityLabel.classification",
          "short" : "Confidentiality Protection",
          "definition" : "Security label privacy tag that species the level of confidentiality protection required for this term and/or term elements.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSecurityClassification"
            }],
            "strength" : "example",
            "description" : "Codes for confidentiality protection.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-security-classification"
          }
        },
        {
          "id" : "Contract.term.securityLabel.category",
          "path" : "Contract.term.securityLabel.category",
          "short" : "Applicable Policy",
          "definition" : "Security label privacy tag that species the applicable privacy and security policies governing this term and/or term elements.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSecurityCategory"
            }],
            "strength" : "example",
            "description" : "Codes for policy category.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-security-category"
          }
        },
        {
          "id" : "Contract.term.securityLabel.control",
          "path" : "Contract.term.securityLabel.control",
          "short" : "Handling Instructions",
          "definition" : "Security label privacy tag that species the manner in which term and/or term elements are to be protected.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSecurityControl"
            }],
            "strength" : "example",
            "description" : "Codes for handling instructions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-security-control"
          }
        },
        {
          "id" : "Contract.term.offer",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ContractOffer"
          }],
          "path" : "Contract.term.offer",
          "short" : "Context of the Contract term",
          "definition" : "The matter of concern in the context of this provision of the agrement.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Document"
          }]
        },
        {
          "id" : "Contract.term.offer.identifier",
          "path" : "Contract.term.offer.identifier",
          "short" : "Offer business ID",
          "definition" : "Unique identifier for this particular Contract Provision.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "Contract.term.offer.party",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ContractParty"
          }],
          "path" : "Contract.term.offer.party",
          "short" : "Offer Recipient",
          "definition" : "Offer Recipient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Contract.term.offer.party.reference",
          "path" : "Contract.term.offer.party.reference",
          "short" : "Referenced entity",
          "definition" : "Participant in the offer.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "Contract.term.offer.party.role",
          "path" : "Contract.term.offer.party.role",
          "short" : "Participant engagement type",
          "definition" : "How the party participates in the offer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractPartyRole"
            }],
            "strength" : "example",
            "description" : "Codes for offer participant roles.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-party-role"
          }
        },
        {
          "id" : "Contract.term.offer.topic",
          "path" : "Contract.term.offer.topic",
          "short" : "Negotiable offer asset",
          "definition" : "The owner of an asset has the residual control rights over the asset: the right to decide all usages of the asset in any way not inconsistent with a prior contract, custom, or law (Hart, 1995, p. 30).",
          "comment" : "The Contract.topic may be an application for or offer of a policy or service (e.g., uri to a consent directive form or a health insurance policy), which becomes the Contract once accepted by both the grantor and grantee. \rThe Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form.  For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. \rHowever, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values.  In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire.  If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource.\rIf the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy.  Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.",
          "requirements" : "In the context of a contract, the topic is the matter under consideration in regards to which specific rights, privileges, obligations, restrictions, and prohibitions are binding on any grantor and grantee parties upon the execution of the contract. \rGiven the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. \rThe same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts. \rOne way to determine the Contract.topic is to answer the question: “What is the object of negotiation?”\rAnswer: The Contract.topic, which may be described with more detail in the [0..*]Contract.valuedItem @ [0..1] Contract.valuedItem.entity[x] Definition: Specific type of Contract Valued Item that may be priced. CodeableConcept|Reference(Any)\rContract.topic is “the what” that a grantor is exchanging with a grantee in return for some benefit. \rContract.topic is “the what” to which any Contract.action is being applied for any stipulated Contract.action.reason. \rAContract.topic is “the what” governed by the execution of the contract to which any party’s rights, privileges, obligations, restrictions, and prohibitions apply.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "rim",
            "map" : "Includes many ActClass, ActCode, RoleClass, RoleCode, EntityClass, EntityCode, ParticipationType codes from HL7 concept domains and code systems. For example, RoleCode: HLD (held entity) Description: Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner. MANU (manufactured product) Description: Scoped by the manufacturer. OWN (owned entity) Description: An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own. This entitles the scoper to make decisions about the disposition of that material. WRTE (warranted product) Description:\rA role a product plays when a guarantee is given to the purchaser by the seller (scoping entity) stating that the product is reliable and free from known defects and that the seller will repair or replace defective parts within a given time limit and under certain conditions."
          }]
        },
        {
          "id" : "Contract.term.offer.type",
          "path" : "Contract.term.offer.type",
          "short" : "Contract Offer Type or Form",
          "definition" : "Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractTermType"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the types of contract provisions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-term-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "See Contract.term mapping."
          }]
        },
        {
          "id" : "Contract.term.offer.decision",
          "path" : "Contract.term.offer.decision",
          "short" : "Accepting party choice",
          "definition" : "Type of choice made by accepting party with respect to an offer made by an offeror/ grantee.",
          "requirements" : "In some policy or contract contexts, the \"offer\" is made by an offeror wishing to be the \"grantee\" of the offer topic by the grantor.  From this perspective, the grantor is the \"offeree\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractDecisionType"
            }],
            "strength" : "extensible",
            "description" : "The type of decision made by a grantor with respect to an offer made by a grantee.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActConsentDirective"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "ActCode: _ActConsentDirective [abstract term] Description: Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated. Usage Note: Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective."
          }]
        },
        {
          "id" : "Contract.term.offer.decisionMode",
          "path" : "Contract.term.offer.decisionMode",
          "short" : "How decision is conveyed",
          "definition" : "How the decision about a Contract was conveyed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractDecisionMode"
            }],
            "strength" : "example",
            "description" : "Codes for conveying a decision.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-decision-mode"
          }
        },
        {
          "id" : "Contract.term.offer.answer",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Answer"
          }],
          "path" : "Contract.term.offer.answer",
          "short" : "Response to offer text",
          "definition" : "Response to offer text.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Contract.term.offer.answer.value[x]",
          "path" : "Contract.term.offer.answer.value[x]",
          "short" : "The actual answer response",
          "definition" : "Response to an offer clause or question text,  which enables selection of values to be agreed to, e.g., the period of participation, the date of occupancy of a rental, warrently duration, or whether biospecimen may be used for further research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "Contract.term.offer.text",
          "path" : "Contract.term.offer.text",
          "short" : "Human readable offer text",
          "definition" : "Human readable form of this Contract Offer.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Document.text"
          }]
        },
        {
          "id" : "Contract.term.offer.linkId",
          "path" : "Contract.term.offer.linkId",
          "short" : "Pointer to text",
          "definition" : "The id of the clause or question text of the offer in the referenced questionnaire/response.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }]
        },
        {
          "id" : "Contract.term.offer.securityLabelNumber",
          "path" : "Contract.term.offer.securityLabelNumber",
          "short" : "Offer restriction numbers",
          "definition" : "Security labels that protects the offer.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "unsignedInt"
          }]
        },
        {
          "id" : "Contract.term.asset",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ContractAsset"
          }],
          "path" : "Contract.term.asset",
          "short" : "Contract Term Asset List",
          "definition" : "Contract Term Asset List.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.paymentTermsCode"
          }]
        },
        {
          "id" : "Contract.term.asset.scope",
          "path" : "Contract.term.asset.scope",
          "short" : "Range of asset",
          "definition" : "Differentiates the kind of the asset .",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAssetScope"
            }],
            "strength" : "example",
            "description" : "Codes for scoping an asset.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-assetscope"
          }
        },
        {
          "id" : "Contract.term.asset.type",
          "path" : "Contract.term.asset.type",
          "short" : "Asset category",
          "definition" : "Target entity type about which the term may be concerned.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAssetType"
            }],
            "strength" : "example",
            "description" : "Condes for the type of an asset.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-assettype"
          }
        },
        {
          "id" : "Contract.term.asset.typeReference",
          "path" : "Contract.term.asset.typeReference",
          "short" : "Associated entities",
          "definition" : "Associated entities.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "Contract.term.asset.subtype",
          "path" : "Contract.term.asset.subtype",
          "short" : "Asset sub-category",
          "definition" : "May be a subtype or part of an offered asset.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAssetSubtype"
            }],
            "strength" : "example",
            "description" : "Condes for the sub-type of an asset.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-assetsubtype"
          }
        },
        {
          "id" : "Contract.term.asset.relationship",
          "path" : "Contract.term.asset.relationship",
          "short" : "Kinship of the asset",
          "definition" : "Specifies the applicability of the term to an asset resource instance, and instances it refers to orinstances that refer to it, and/or are owned by the offeree.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConsentContentClass"
            }],
            "strength" : "extensible",
            "description" : "The class (type) of information a consent rule covers.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consent-content-class"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.code"
          }]
        },
        {
          "id" : "Contract.term.asset.context",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AssetContext"
          }],
          "path" : "Contract.term.asset.context",
          "short" : "Circumstance of the asset",
          "definition" : "Circumstance of the asset.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Contract.term.asset.context.reference",
          "path" : "Contract.term.asset.context.reference",
          "short" : "Creator,custodian or owner",
          "definition" : "Asset context reference may include the creator, custodian, or owning Person or Organization (e.g., bank, repository),  location held, e.g., building,  jurisdiction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "Contract.term.asset.context.code",
          "path" : "Contract.term.asset.context.code",
          "short" : "Codeable asset context",
          "definition" : "Coded representation of the context generally or of the Referenced entity, such as the asset holder type or location.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAssetContext"
            }],
            "strength" : "example",
            "description" : "Codes for the context of the asset.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-assetcontext"
          }
        },
        {
          "id" : "Contract.term.asset.context.text",
          "path" : "Contract.term.asset.context.text",
          "short" : "Context description",
          "definition" : "Context description.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.asset.condition",
          "path" : "Contract.term.asset.condition",
          "short" : "Quality desctiption of asset",
          "definition" : "Description of the quality and completeness of the asset that imay be a factor in its valuation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.asset.periodType",
          "path" : "Contract.term.asset.periodType",
          "short" : "Asset availability types",
          "definition" : "Type of Asset availability for use or ownership.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AssetAvailabilityType"
            }],
            "strength" : "example",
            "description" : "Codes for asset availability.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/asset-availability"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.code"
          }]
        },
        {
          "id" : "Contract.term.asset.period",
          "path" : "Contract.term.asset.period",
          "short" : "Time period of the asset",
          "definition" : "Asset relevant contractual time period.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.activityTime"
          }]
        },
        {
          "id" : "Contract.term.asset.usePeriod",
          "path" : "Contract.term.asset.usePeriod",
          "short" : "Time period",
          "definition" : "Time period of asset use.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "FinancialContract.effectiveTime"
          }]
        },
        {
          "id" : "Contract.term.asset.text",
          "path" : "Contract.term.asset.text",
          "short" : "Asset clause or question text",
          "definition" : "Clause or question text (Prose Object) concerning the asset in a linked form, such as a QuestionnaireResponse used in the formation of the contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.asset.linkId",
          "path" : "Contract.term.asset.linkId",
          "short" : "Pointer to asset text",
          "definition" : "Id [identifier??] of the clause or question text about the asset in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.asset.answer",
          "path" : "Contract.term.asset.answer",
          "short" : "Response to assets",
          "definition" : "Response to assets.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Contract.term.offer.answer"
        },
        {
          "id" : "Contract.term.asset.securityLabelNumber",
          "path" : "Contract.term.asset.securityLabelNumber",
          "short" : "Asset restriction numbers",
          "definition" : "Security labels that protects the asset.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "unsignedInt"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ValuedItem"
          }],
          "path" : "Contract.term.asset.valuedItem",
          "short" : "Contract Valued Item List",
          "definition" : "Contract Valued Item List.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem classCode INVE"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.entity[x]",
          "path" : "Contract.term.asset.valuedItem.entity[x]",
          "short" : "Contract Valued Item Type",
          "definition" : "Specific type of Contract Valued Item that may be priced.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem code"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.identifier",
          "path" : "Contract.term.asset.valuedItem.identifier",
          "short" : "Contract Valued Item Number",
          "definition" : "Identifies a Contract Valued Item instance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem id"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.effectiveTime",
          "path" : "Contract.term.asset.valuedItem.effectiveTime",
          "short" : "Contract Valued Item Effective Tiem",
          "definition" : "Indicates the time during which this Contract ValuedItem information is effective.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem effectiveTime"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.quantity",
          "path" : "Contract.term.asset.valuedItem.quantity",
          "short" : "Count of Contract Valued Items",
          "definition" : "Specifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem unitQuantity"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.unitPrice",
          "path" : "Contract.term.asset.valuedItem.unitPrice",
          "short" : "Contract Valued Item fee, charge, or cost",
          "definition" : "A Contract Valued Item unit valuation measure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem unitPriceAmt"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.factor",
          "path" : "Contract.term.asset.valuedItem.factor",
          "short" : "Contract Valued Item Price Scaling Factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem factorNumber"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.points",
          "path" : "Contract.term.asset.valuedItem.points",
          "short" : "Contract Valued Item Difficulty Scaling Factor",
          "definition" : "An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem pointNumber"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.net",
          "path" : "Contract.term.asset.valuedItem.net",
          "short" : "Total Contract Valued Item Value",
          "definition" : "Expresses the product of the Contract Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number  * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "COCT_RM440000UV09 ValuedItem netAmt"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.payment",
          "path" : "Contract.term.asset.valuedItem.payment",
          "short" : "Terms of valuation",
          "definition" : "Terms of valuation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.paymentDate",
          "path" : "Contract.term.asset.valuedItem.paymentDate",
          "short" : "When payment is due",
          "definition" : "When payment is due.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.responsible",
          "path" : "Contract.term.asset.valuedItem.responsible",
          "short" : "Who will make payment",
          "definition" : "Who will make payment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.recipient",
          "path" : "Contract.term.asset.valuedItem.recipient",
          "short" : "Who will receive payment",
          "definition" : "Who will receive payment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.linkId",
          "path" : "Contract.term.asset.valuedItem.linkId",
          "short" : "Pointer to specific item",
          "definition" : "Id  of the clause or question text related to the context of this valuedItem in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.asset.valuedItem.securityLabelNumber",
          "path" : "Contract.term.asset.valuedItem.securityLabelNumber",
          "short" : "Security Labels that define affected terms",
          "definition" : "A set of security labels that define which terms are controlled by this condition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "unsignedInt"
          }]
        },
        {
          "id" : "Contract.term.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Action"
          }],
          "path" : "Contract.term.action",
          "short" : "Entity being ascribed responsibility",
          "definition" : "An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.",
          "comment" : "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.\rFor example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.",
          "requirements" : "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Participation"
          }]
        },
        {
          "id" : "Contract.term.action.doNotPerform",
          "path" : "Contract.term.action.doNotPerform",
          "short" : "True if the term prohibits the  action",
          "definition" : "True if the term prohibits the  action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For Example, instead of a dictate to perform an action, it is a dictate not to perform the action."
        },
        {
          "id" : "Contract.term.action.type",
          "path" : "Contract.term.action.type",
          "short" : "Type or form of the action",
          "definition" : "Activity or service obligation to be done or not done, performed or not performed, effectuated or not by this Contract term.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractAction"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the contract action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-action"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "rim",
            "map" : "RIM Role, Participation Type classes"
          }]
        },
        {
          "id" : "Contract.term.action.subject",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ActionSubject"
          }],
          "path" : "Contract.term.action.subject",
          "short" : "Entity of the action",
          "definition" : "Entity of the action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Contract.term.action.subject.reference",
          "path" : "Contract.term.action.subject.reference",
          "short" : "Entity of the action",
          "definition" : "The entity the action is performed or not performed on or for.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "Contract.term.action.subject.role",
          "path" : "Contract.term.action.subject.role",
          "short" : "Role type of the agent",
          "definition" : "Role type of agent assigned roles in this Contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActorRole"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the contract actor role.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-actorrole"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "RoleClass, RoleCode, ParticipationType, ParticipationFunction codes"
          }]
        },
        {
          "id" : "Contract.term.action.intent",
          "path" : "Contract.term.action.intent",
          "short" : "Purpose for the Contract Term Action",
          "definition" : "Reason or purpose for the action stipulated by this Contract Provision.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionReason"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the contract action reason.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "Examples from ActReason Concept Domains: ActCoverageReason Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties. ActInformationPrivacyReason Description: The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order. ClinicalResearchObservationReason Definition: Specifies the reason that a test was performed or observation collected in a clinical research study. SafetyInvestigationReportReasonType Description: Possible reasons generating a report providing information developed during the investigation of an adverse event or a product problem. ControlActReason Description: Indicates the motivation, cause or rationale of an Act which results in a trigger event.  NonPerformanceReasonCode Description: The reason the action was not performed, e.g. why the medication was not taken. If an action was not performed, it is often clinically important to know why the action was not taken. RefusalReasonCode Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.\r\r\r\r\r\r\r\rExamples from HL7 ActReason Code System: QUALIMP (quality improvement) Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service. _PatientProfileQueryReasonCode Description: A collection of concepts identifying why the patient's profile is being queried. _ActInformationManagementReason Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy. _ActInvalidReason (ActInvalidReason) Description: Types of reasons why a substance is invalid for use. _NonPerformanceReasonCode Description: The reason the action wasn't performed, e.g. why the medication was not taken. If an action wasn\"t performed, it is often clinically important to know why the action wasn\"t taken."
          }]
        },
        {
          "id" : "Contract.term.action.linkId",
          "path" : "Contract.term.action.linkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to this action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.action.status",
          "path" : "Contract.term.action.status",
          "short" : "State of the action",
          "definition" : "Current state of the term action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionStatus"
            }],
            "strength" : "example",
            "description" : "Codes for the status of an term action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-actionstatus"
          }
        },
        {
          "id" : "Contract.term.action.context",
          "path" : "Contract.term.action.context",
          "short" : "Episode associated with action",
          "definition" : "Encounter or Episode with primary association to specified term activity.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }]
        },
        {
          "id" : "Contract.term.action.contextLinkId",
          "path" : "Contract.term.action.contextLinkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.action.occurrence[x]",
          "path" : "Contract.term.action.occurrence[x]",
          "short" : "When action happens",
          "definition" : "When action happens.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }]
        },
        {
          "id" : "Contract.term.action.requester",
          "path" : "Contract.term.action.requester",
          "short" : "Who asked for action",
          "definition" : "Who or what initiated the action and has responsibility for its activation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "Contract.term.action.requesterLinkId",
          "path" : "Contract.term.action.requesterLinkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to the requester of this action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.action.performerType",
          "path" : "Contract.term.action.performerType",
          "short" : "Kind of service performer",
          "definition" : "The type of individual that is desired or required to perform or not perform the action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionPerformerType"
            }],
            "strength" : "example",
            "description" : "Codes for the types of action perfomer.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-agent-type"
          }
        },
        {
          "id" : "Contract.term.action.performerRole",
          "path" : "Contract.term.action.performerRole",
          "short" : "Competency of the performer",
          "definition" : "The type of role or competency of an individual desired or required to perform or not perform the action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionPerformerRole"
            }],
            "strength" : "example",
            "description" : "Codes for the role of the action performer.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-agent-role"
          }
        },
        {
          "id" : "Contract.term.action.performer",
          "path" : "Contract.term.action.performer",
          "short" : "Actor that wil execute (or not) the action",
          "definition" : "Indicates who or what is being asked to perform (or not perform) the ction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }]
        },
        {
          "id" : "Contract.term.action.performerLinkId",
          "path" : "Contract.term.action.performerLinkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to the reason type or reference of this  action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.action.reasonCode",
          "path" : "Contract.term.action.reasonCode",
          "short" : "Why is action (not) needed?",
          "definition" : "Rationale for the action to be performed or not performed. Describes why the action is permitted or prohibited.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractActionReason"
            }],
            "strength" : "example",
            "description" : "Detailed codes for the contract action reason.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          }
        },
        {
          "id" : "Contract.term.action.reasonReference",
          "path" : "Contract.term.action.reasonReference",
          "short" : "Why is action (not) needed?",
          "definition" : "Indicates another resource whose existence justifies permitting or not permitting this action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"]
          }]
        },
        {
          "id" : "Contract.term.action.reason",
          "path" : "Contract.term.action.reason",
          "short" : "Why action is to be performed",
          "definition" : "Describes why the action is to be performed or not performed in textual form.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.action.reasonLinkId",
          "path" : "Contract.term.action.reasonLinkId",
          "short" : "Pointer to specific item",
          "definition" : "Id [identifier??] of the clause or question text related to the reason type or reference of this  action in the referenced form or QuestionnaireResponse.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Contract.term.action.note",
          "path" : "Contract.term.action.note",
          "short" : "Comments about the action",
          "definition" : "Comments made about the term action made by the requester, performer, subject or other participants.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        },
        {
          "id" : "Contract.term.action.securityLabelNumber",
          "path" : "Contract.term.action.securityLabelNumber",
          "short" : "Action restriction numbers",
          "definition" : "Security labels that protects the action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "unsignedInt"
          }]
        },
        {
          "id" : "Contract.term.group",
          "path" : "Contract.term.group",
          "short" : "Nested Contract Term Group",
          "definition" : "Nested group of Contract Provisions.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Contract.term",
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "RIM Grouping or Nesting mechanisms"
          }]
        },
        {
          "id" : "Contract.supportingInfo",
          "path" : "Contract.supportingInfo",
          "short" : "Extra Information",
          "definition" : "Information that may be needed by/relevant to the performer in their execution of this term action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "Contract.relevantHistory",
          "path" : "Contract.relevantHistory",
          "short" : "Key event in Contract History",
          "definition" : "Links to Provenance records for past versions of this Contract definition, derivative, or instance, which identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the Contract.  The Provence.entity indicates the target that was changed in the update. http://build.fhir.org/provenance-definitions.html#Provenance.entity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }]
        },
        {
          "id" : "Contract.signer",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Signatory"
          }],
          "path" : "Contract.signer",
          "short" : "Contract Signatory",
          "definition" : "Parties with legal standing in the Contract, including the principal parties, the grantor(s) and grantee(s), which are any person or organization bound by the contract, and any ancillary parties, which facilitate the execution of the contract such as a notary or witness.",
          "comment" : "Signers who are principal parties to the contract are bound by the Contract.activity related to the Contract.topic, and the Contract.term(s), which either extend or restrict the overall action on the topic by, for example, stipulating specific policies or obligations constraining actions, action reason, or agents with respect to some or all of the topic.\rFor example, specifying how policies or obligations shall constrain actions and action reasons permitted or denied on all or a subset of the Contract.topic (e.g., all or a portion of property being transferred by the contract), agents (e.g., who can resell, assign interests, or alter the property being transferred by the contract), actions, and action reasons; or with respect to Contract.terms, stipulating, extending, or limiting the Contract.period of applicability or valuation of items under consideration.",
          "requirements" : "The Contract.signer applies a signature to the Contract.binding referenced resource, which is the documentation that is the legal \"source of truth\". The Contract.signer may delegate, such as a legally recognized personal representative, or have a delegate assigned e.g., by a court of law, to actually sign the Contract, such as a trustee in the case of incompetence.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Participation"
          }]
        },
        {
          "id" : "Contract.signer.type",
          "path" : "Contract.signer.type",
          "short" : "Contract Signatory Role",
          "definition" : "Role of this Contract signer, e.g. notary, grantee.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContractSignerType"
            }],
            "strength" : "preferred",
            "description" : "List of parties who may be signing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contract-signer-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : "RoleClass, RoleCode, ParticipationType, ParticipationFunction class codes."
          }]
        },
        {
          "id" : "Contract.signer.party",
          "path" : "Contract.signer.party",
          "short" : "Contract Signatory Party",
          "definition" : "Party which is a signator to this Contract.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : "Role Class"
          }]
        },
        {
          "id" : "Contract.signer.signature",
          "path" : "Contract.signer.signature",
          "short" : "Contract Documentation Signature",
          "definition" : "Legally binding Contract DSIG signature contents in Base64.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Signature"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : "Participation.signatureCode :: CD (0..1) Definition: Whether the participant has attested participation through a signature, or whether such a signature is needed. Examples: A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants; The participant intends to provide a signature.  Participation.signatureText :: ED (0..1) Definition: A textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. UsageNotes: The signature can be represented either inline or by reference according to the ED data type. Typical cases are \r1) Paper-based signatures: the ED data type may refer to a document or other resource that can be retrieved through an electronic interface to a hardcopy archive. 2) Electronic signature: this attribute can represent virtually any electronic signature scheme. 3) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. Examples: 1) An \"author\" participant assumes accountability for the truth of the Act statement to the best of his knowledge. 2) An information recipient only attests to the fact that he or she has received the information."
          }]
        },
        {
          "id" : "Contract.friendly",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "FriendlyLanguage"
          }],
          "path" : "Contract.friendly",
          "short" : "Contract Friendly Language",
          "definition" : "The \"patient friendly language\" versionof the Contract in whole or in parts. \"Patient friendly language\" means the representation of the Contract and Contract Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "LanguageCommunication"
          }]
        },
        {
          "id" : "Contract.friendly.content[x]",
          "path" : "Contract.friendly.content[x]",
          "short" : "Easily comprehended representation of this Contract",
          "definition" : "Human readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Composition",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Act.text Definition: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act."
          }]
        },
        {
          "id" : "Contract.legal",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "LegalLanguage"
          }],
          "path" : "Contract.legal",
          "short" : "Contract Legal Language",
          "definition" : "List of Legal expressions or representations of this Contract.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "LanguageCommunication"
          }]
        },
        {
          "id" : "Contract.legal.content[x]",
          "path" : "Contract.legal.content[x]",
          "short" : "Contract Legal Text",
          "definition" : "Contract legal text in human renderable form.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Composition",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Example: Act.text of an Act coded as with ActPrivacyLaw, ActPolicy code"
          }]
        },
        {
          "id" : "Contract.rule",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ComputableLanguage"
          }],
          "path" : "Contract.rule",
          "short" : "Computable Contract Language",
          "definition" : "List of Computable Policy Rule Language Representations of this Contract.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "LanguageCommunication"
          }]
        },
        {
          "id" : "Contract.rule.content[x]",
          "path" : "Contract.rule.content[x]",
          "short" : "Computable Contract Rules",
          "definition" : "Computable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Computable Policy Consent [Observation: templateId 2.16.840.1.113883.3.445.16] This template is used to represent an alternative representation of the Privacy Consent Directive (e.g.,ODRL, XrML, XACML) as a computer-readable set of rules. An implementation may use any appropriate representations of the privacy consent in addition to the \"ConsentDirectiveStructuredDefinition\" which uses the Clinical Template structure to express the elements of a consent directive in an interoperable way.\r1. SHALL contain exactly one [1..1] templateId ( CONF-CD-16 ) such that it\ra. SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.3.445.16\"\r2. SHALL contain exactly one [1..1] @moodCode=\"DEF\" (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:14912)\r3. SHALL contain exactly one [1..1] code (CONF:9139)/@code=\"57016-8\" Privacy Policy Acknowledgement Document (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:9138)\rIt specifies the LOINC code corresponding to \"Privacy Policy Acknowledgement Document\", it is fixed at this value.\r4. SHOULD contain zero or more [0..*] value with @xsi:type=\"ANY\" (CONF:9140) The value contains the computable representation of the policy. This may be a standard-based access control or attribute control based policy (See\r\"References\"). Computable Policy Consent example\r\r\r\r\r ... \r\r"
          }]
        },
        {
          "id" : "Contract.legallyBinding[x]",
          "path" : "Contract.legallyBinding[x]",
          "short" : "Binding Contract",
          "definition" : "Legally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the \"source of truth\" and which would be the basis for legal action related to enforcement of this Contract.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Composition",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/Contract"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "DocumentCompletion code system AU (authenticated) Description: A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual."
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Coverage",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Coverage",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Coverage 
TU
DomainResource
Insurance or medical plan or a payment agreement
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business Identifier for the coverage
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 type 
Σ
0..1
CodeableConcept
Coverage category such as medical or accident
Coverage Type and Self-Pay Codes (Preferred)
 policyHolder 
Σ
0..1
Reference(Patient | RelatedPerson | Organization)
Owner of the policy
 subscriber 
Σ
0..1
Reference(Patient | RelatedPerson)
Subscriber to the policy
 subscriberId 
Σ
0..1
string
ID assigned to the subscriber
 beneficiary 
Σ
1..1
Reference(Patient)
Plan beneficiary
 dependent 
Σ
0..1
string
Dependent number
 relationship 
0..1
CodeableConcept
Beneficiary relationship to the subscriber
SubscriberPolicyholder Relationship Codes (Extensible)
 period 
Σ
0..1
Period
Coverage start and end dates
 payor 
Σ
1..*
Reference(Organization | Patient | RelatedPerson)
Issuer of the policy
 class 
0..*
BackboneElement
Additional coverage classifications
 type 
Σ
1..1
CodeableConcept
Type of class such as 'group' or 'plan'
Coverage Class Codes (Extensible)
 value 
Σ
1..1
string
Value associated with the type
 name 
Σ
0..1
string
Human readable description of the type and value
 order 
Σ
0..1
positiveInt
Relative order of the coverage
 network 
Σ
0..1
string
Insurer network
 costToBeneficiary 
0..*
BackboneElement
Patient payments for services/products
 type 
Σ
0..1
CodeableConcept
Cost category
Coverage Copay Type Codes (Extensible)
 value[x] 
Σ
1..1
The amount or percentage due from the beneficiary
 valueQuantity
SimpleQuantity
 valueMoney
Money
 exception 
0..*
BackboneElement
Exceptions for patient payments
 type 
Σ
1..1
CodeableConcept
Exception category
Example Coverage Financial Exception Codes (Example)
 period 
Σ
0..1
Period
The effective period of the exception
 subrogation 
0..1
boolean
Reimbursement to insurer
 contract 
0..*
Reference(Contract)
Contract details

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Support"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Coverage",
      "version" : "4.0.0",
      "name" : "Coverage",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.",
      "purpose" : "Coverage provides a link between covered parties (patients) and the payors of their healthcare costs (both insurance and self-pay).",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "cdanetv4",
        "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
        "name" : "Canadian Dental Association eclaims standard"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "cpha3pharm",
        "uri" : "http://www.pharmacists.ca/",
        "name" : "Canadian Pharmacy Associaiton eclaims standard"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Coverage",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Coverage",
          "path" : "Coverage",
          "short" : "Insurance or medical plan or a payment agreement",
          "definition" : "Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.",
          "comment" : "The Coverage resource contains the insurance card level information, which is customary to provide on claims and other communications between providers and insurers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Coverage",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Coverage"
          }]
        },
        {
          "id" : "Coverage.id",
          "path" : "Coverage.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Coverage.meta",
          "path" : "Coverage.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Coverage.implicitRules",
          "path" : "Coverage.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Coverage.language",
          "path" : "Coverage.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Coverage.text",
          "path" : "Coverage.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Coverage.contained",
          "path" : "Coverage.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Coverage.extension",
          "path" : "Coverage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Coverage.modifierExtension",
          "path" : "Coverage.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Coverage.identifier",
          "path" : "Coverage.identifier",
          "short" : "Business Identifier for the coverage",
          "definition" : "A unique identifier assigned to this coverage.",
          "comment" : "The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatenation of the Coverage.SubscriberID and the Coverage.dependant.",
          "requirements" : "Allows coverages to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Coverage.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "cdanetv4",
            "map" : "C02"
          },
          {
            "identity" : "v2",
            "map" : "IN1-2"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.32, C.33, C.39"
          }]
        },
        {
          "id" : "Coverage.status",
          "path" : "Coverage.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains the code entered-in-error that marks the coverage as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Coverage.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CoverageStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Act.status"
          }]
        },
        {
          "id" : "Coverage.type",
          "path" : "Coverage.type",
          "short" : "Coverage category such as medical or accident",
          "definition" : "The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.",
          "requirements" : "The order of application of coverages is dependent on the types of coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CoverageType"
            }],
            "strength" : "preferred",
            "description" : "The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "IN1-15"
          }]
        },
        {
          "id" : "Coverage.policyHolder",
          "path" : "Coverage.policyHolder",
          "short" : "Owner of the policy",
          "definition" : "The party who 'owns' the insurance policy.",
          "comment" : "For example: may be an individual, corporation or the subscriber's employer.",
          "requirements" : "This provides employer information in the case of Worker's Compensation and other policies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.policyHolder",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19-name of insured, address, date of birth"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Coverage.subscriber",
          "path" : "Coverage.subscriber",
          "short" : "Subscriber to the policy",
          "definition" : "The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.",
          "comment" : "May be self or a parent in the case of dependants.",
          "requirements" : "This is the party who is entitled to the benfits under the policy.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.subscriber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19-name of insured, address, date of birth"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Coverage.subscriberId",
          "path" : "Coverage.subscriberId",
          "short" : "ID assigned to the subscriber",
          "definition" : "The insurer assigned ID for the Subscriber.",
          "requirements" : "The insurer requires this identifier on correspondance and claims (digital and otherwise).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.subscriberId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19-name of insured, address, date of birth"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Coverage.beneficiary",
          "path" : "Coverage.beneficiary",
          "short" : "Plan beneficiary",
          "definition" : "The party who benefits from the insurance coverage; the patient when products and/or services are provided.",
          "requirements" : "This is the party who receives treatment for which the costs are reimbursed under the coverage.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Coverage.beneficiary",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19-name of insured, address, date of birth"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Coverage.dependent",
          "path" : "Coverage.dependent",
          "short" : "Dependent number",
          "definition" : "A unique identifier for a dependent under the coverage.",
          "comment" : "Periodically the member number is constructed from the subscriberId and the dependant number.",
          "requirements" : "For some coverages a single identifier is issued to the Subscriber and then a unique dependent number is issued to each beneficiary.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.dependent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C17"
          },
          {
            "identity" : "v2",
            "map" : "- No exact HL7 v2 equivalent concept seems to exist;"
          }]
        },
        {
          "id" : "Coverage.relationship",
          "path" : "Coverage.relationship",
          "short" : "Beneficiary relationship to the subscriber",
          "definition" : "The relationship of beneficiary (patient) to the subscriber.",
          "comment" : "Typically, an individual uses policies which are theirs (relationship='self') before policies owned by others.",
          "requirements" : "To determine relationship between the patient and the subscriber to determine coordination of benefits.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.relationship",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Relationship"
            }],
            "strength" : "extensible",
            "description" : "The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subscriber-relationship"
          },
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C03"
          }]
        },
        {
          "id" : "Coverage.period",
          "path" : "Coverage.period",
          "short" : "Coverage start and end dates",
          "definition" : "Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.",
          "requirements" : "Some insurers require the submission of the coverage term.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "IN1-12 / IN1-13"
          },
          {
            "identity" : "rim",
            "map" : "Act.effectiveTime"
          }]
        },
        {
          "id" : "Coverage.payor",
          "path" : "Coverage.payor",
          "short" : "Issuer of the policy",
          "definition" : "The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.",
          "comment" : "May provide multiple identifiers such as insurance company identifier or business identifier (BIN number).\nFor selfpay it may provide multiple paying persons and/or organizations.",
          "requirements" : "Need to identify the issuer to target for claim processing and for coordination of benefit processing.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Coverage.payor",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "cdanetv4",
            "map" : "A05"
          },
          {
            "identity" : "v2",
            "map" : "IN1-3"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.30"
          }]
        },
        {
          "id" : "Coverage.class",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Class"
          }],
          "path" : "Coverage.class",
          "short" : "Additional coverage classifications",
          "definition" : "A suite of underwriter specific classifiers.",
          "comment" : "For example may be used to identify a class of coverage or employer group, Policy, Plan.",
          "requirements" : "The codes provided on the health card which identify or confirm the specific policy for the insurer.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Coverage.class",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Coverage.class.id",
          "path" : "Coverage.class.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Coverage.class.extension",
          "path" : "Coverage.class.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Coverage.class.modifierExtension",
          "path" : "Coverage.class.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Coverage.class.type",
          "path" : "Coverage.class.type",
          "short" : "Type of class such as 'group' or 'plan'",
          "definition" : "The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan.",
          "requirements" : "The insurer issued label for a specific health card value.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Coverage.class.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CoverageClass"
            }],
            "strength" : "extensible",
            "description" : "The policy classifications, eg. Group, Plan, Class, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-class"
          }
        },
        {
          "id" : "Coverage.class.value",
          "path" : "Coverage.class.value",
          "short" : "Value associated with the type",
          "definition" : "The alphanumeric string value associated with the insurer issued label.",
          "comment" : "For example, the Group or Plan number.",
          "requirements" : "The insurer issued label and value are necessary to identify the specific policy.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Coverage.class.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C11 (Division,Section)"
          },
          {
            "identity" : "v2",
            "map" : "IN1-8"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.31"
          }]
        },
        {
          "id" : "Coverage.class.name",
          "path" : "Coverage.class.name",
          "short" : "Human readable description of the type and value",
          "definition" : "A short description for the class.",
          "requirements" : "Used to provide a meaningful description in correspondence to the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.class.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C11 (Division,Section)"
          },
          {
            "identity" : "v2",
            "map" : "IN1-8"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.31"
          }]
        },
        {
          "id" : "Coverage.order",
          "path" : "Coverage.order",
          "short" : "Relative order of the coverage",
          "definition" : "The order of applicability of this coverage relative to other coverages which are currently in force. Note, there may be gaps in the numbering and this does not imply primary, secondary etc. as the specific positioning of coverages depends upon the episode of care.",
          "requirements" : "Used in managing the coordination of benefits.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.order",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "- No exact HL7 v2 equivalent concept seems to exist;"
          }]
        },
        {
          "id" : "Coverage.network",
          "path" : "Coverage.network",
          "short" : "Insurer network",
          "definition" : "The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply.",
          "requirements" : "Used in referral for treatment and in claims processing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.network",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "D10"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "CostToBeneficiary"
          }],
          "path" : "Coverage.costToBeneficiary",
          "short" : "Patient payments for services/products",
          "definition" : "A suite of codes indicating the cost category and associated amount which have been detailed in the policy and may have been  included on the health card.",
          "comment" : "For example by knowing the patient visit co-pay, the provider can collect the amount prior to undertaking treatment.",
          "requirements" : "Required by providers to manage financial transaction with the patient.",
          "alias" : ["CoPay",
          "Deductible",
          "Exceptions"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Coverage.costToBeneficiary",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Coverage.costToBeneficiary.id",
          "path" : "Coverage.costToBeneficiary.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.extension",
          "path" : "Coverage.costToBeneficiary.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.modifierExtension",
          "path" : "Coverage.costToBeneficiary.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.type",
          "path" : "Coverage.costToBeneficiary.type",
          "short" : "Cost category",
          "definition" : "The category of patient centric costs associated with treatment.",
          "comment" : "For example visit, specialist visits, emergency, inpatient care, etc.",
          "requirements" : "Needed to identify the category associated with the amount for the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.costToBeneficiary.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CopayTypes"
            }],
            "strength" : "extensible",
            "description" : "The types of services to which patient copayments are specified.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-copay-type"
          }
        },
        {
          "id" : "Coverage.costToBeneficiary.value[x]",
          "path" : "Coverage.costToBeneficiary.value[x]",
          "short" : "The amount or percentage due from the beneficiary",
          "definition" : "The amount due from the patient for the cost category.",
          "comment" : "Amount may be expressed as a percentage of the service/product cost or a fixed amount of currency.",
          "requirements" : "Needed to identify the amount for the patient associated with the category.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Coverage.costToBeneficiary.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          },
          {
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C11 (Division,Section)"
          },
          {
            "identity" : "v2",
            "map" : "IN1-8"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.31"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.exception",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Exemption"
          }],
          "path" : "Coverage.costToBeneficiary.exception",
          "short" : "Exceptions for patient payments",
          "definition" : "A suite of codes indicating exceptions or reductions to patient costs and their effective periods.",
          "requirements" : "Required by providers to manage financial transaction with the patient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Coverage.costToBeneficiary.exception",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Coverage.costToBeneficiary.exception.id",
          "path" : "Coverage.costToBeneficiary.exception.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.exception.extension",
          "path" : "Coverage.costToBeneficiary.exception.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.exception.modifierExtension",
          "path" : "Coverage.costToBeneficiary.exception.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.exception.type",
          "path" : "Coverage.costToBeneficiary.exception.type",
          "short" : "Exception category",
          "definition" : "The code for the specific exception.",
          "requirements" : "Needed to identify the exception associated with the amount for the patient.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Coverage.costToBeneficiary.exception.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CoverageFinancialException"
            }],
            "strength" : "example",
            "description" : "The types of exceptions from the part or full value of financial obligations such as copays.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-financial-exception"
          }
        },
        {
          "id" : "Coverage.costToBeneficiary.exception.period",
          "path" : "Coverage.costToBeneficiary.exception.period",
          "short" : "The effective period of the exception",
          "definition" : "The timeframe during when the exception is in force.",
          "requirements" : "Needed to identify the applicable timeframe for the exception for the correct calculation of patient costs.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.costToBeneficiary.exception.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Coverage.subrogation",
          "path" : "Coverage.subrogation",
          "short" : "Reimbursement to insurer",
          "definition" : "When 'subrogation=true' this insurance instance has been included not for adjudication but to provide insurers with the details to recover costs.",
          "comment" : "Typically, automotive and worker's compensation policies would be flagged with 'subrogation=true' to enable healthcare payors to collect against accident claims.",
          "requirements" : "See definition for when to be used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Coverage.subrogation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Coverage.contract",
          "path" : "Coverage.contract",
          "short" : "Contract details",
          "definition" : "The policy(s) which constitute this insurance coverage.",
          "requirements" : "To reference the legally binding contract between the policy holder and the insurer.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Coverage.contract",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Contract"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Coverage",
          "path" : "Coverage",
          "short" : "Insurance or medical plan or a payment agreement",
          "definition" : "Financial instrument which may be used to reimburse or pay for health care products and services. Includes both insurance and self-payment.",
          "comment" : "The Coverage resource contains the insurance card level information, which is customary to provide on claims and other communications between providers and insurers.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Coverage"
          }]
        },
        {
          "id" : "Coverage.identifier",
          "path" : "Coverage.identifier",
          "short" : "Business Identifier for the coverage",
          "definition" : "A unique identifier assigned to this coverage.",
          "comment" : "The main (and possibly only) identifier for the coverage - often referred to as a Member Id, Certificate number, Personal Health Number or Case ID. May be constructed as the concatenation of the Coverage.SubscriberID and the Coverage.dependant.",
          "requirements" : "Allows coverages to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "cdanetv4",
            "map" : "C02"
          },
          {
            "identity" : "v2",
            "map" : "IN1-2"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.32, C.33, C.39"
          }]
        },
        {
          "id" : "Coverage.status",
          "path" : "Coverage.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains the code entered-in-error that marks the coverage as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CoverageStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Act.status"
          }]
        },
        {
          "id" : "Coverage.type",
          "path" : "Coverage.type",
          "short" : "Coverage category such as medical or accident",
          "definition" : "The type of coverage: social program, medical plan, accident coverage (workers compensation, auto), group health or payment by an individual or organization.",
          "requirements" : "The order of application of coverages is dependent on the types of coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CoverageType"
            }],
            "strength" : "preferred",
            "description" : "The type of insurance: public health, worker compensation; private accident, auto, private health, etc.) or a direct payment by an individual or organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "IN1-15"
          }]
        },
        {
          "id" : "Coverage.policyHolder",
          "path" : "Coverage.policyHolder",
          "short" : "Owner of the policy",
          "definition" : "The party who 'owns' the insurance policy.",
          "comment" : "For example: may be an individual, corporation or the subscriber's employer.",
          "requirements" : "This provides employer information in the case of Worker's Compensation and other policies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19-name of insured, address, date of birth"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Coverage.subscriber",
          "path" : "Coverage.subscriber",
          "short" : "Subscriber to the policy",
          "definition" : "The party who has signed-up for or 'owns' the contractual relationship to the policy or to whom the benefit of the policy for services rendered to them or their family is due.",
          "comment" : "May be self or a parent in the case of dependants.",
          "requirements" : "This is the party who is entitled to the benfits under the policy.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19-name of insured, address, date of birth"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Coverage.subscriberId",
          "path" : "Coverage.subscriberId",
          "short" : "ID assigned to the subscriber",
          "definition" : "The insurer assigned ID for the Subscriber.",
          "requirements" : "The insurer requires this identifier on correspondance and claims (digital and otherwise).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19-name of insured, address, date of birth"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Coverage.beneficiary",
          "path" : "Coverage.beneficiary",
          "short" : "Plan beneficiary",
          "definition" : "The party who benefits from the insurance coverage; the patient when products and/or services are provided.",
          "requirements" : "This is the party who receives treatment for which the costs are reimbursed under the coverage.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19-name of insured, address, date of birth"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Coverage.dependent",
          "path" : "Coverage.dependent",
          "short" : "Dependent number",
          "definition" : "A unique identifier for a dependent under the coverage.",
          "comment" : "Periodically the member number is constructed from the subscriberId and the dependant number.",
          "requirements" : "For some coverages a single identifier is issued to the Subscriber and then a unique dependent number is issued to each beneficiary.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C17"
          },
          {
            "identity" : "v2",
            "map" : "- No exact HL7 v2 equivalent concept seems to exist;"
          }]
        },
        {
          "id" : "Coverage.relationship",
          "path" : "Coverage.relationship",
          "short" : "Beneficiary relationship to the subscriber",
          "definition" : "The relationship of beneficiary (patient) to the subscriber.",
          "comment" : "Typically, an individual uses policies which are theirs (relationship='self') before policies owned by others.",
          "requirements" : "To determine relationship between the patient and the subscriber to determine coordination of benefits.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Relationship"
            }],
            "strength" : "extensible",
            "description" : "The relationship between the Subscriber and the Beneficiary (insured/covered party/patient).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subscriber-relationship"
          },
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C03"
          }]
        },
        {
          "id" : "Coverage.period",
          "path" : "Coverage.period",
          "short" : "Coverage start and end dates",
          "definition" : "Time period during which the coverage is in force. A missing start date indicates the start date isn't known, a missing end date means the coverage is continuing to be in force.",
          "requirements" : "Some insurers require the submission of the coverage term.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "IN1-12 / IN1-13"
          },
          {
            "identity" : "rim",
            "map" : "Act.effectiveTime"
          }]
        },
        {
          "id" : "Coverage.payor",
          "path" : "Coverage.payor",
          "short" : "Issuer of the policy",
          "definition" : "The program or plan underwriter or payor including both insurance and non-insurance agreements, such as patient-pay agreements.",
          "comment" : "May provide multiple identifiers such as insurance company identifier or business identifier (BIN number).\nFor selfpay it may provide multiple paying persons and/or organizations.",
          "requirements" : "Need to identify the issuer to target for claim processing and for coordination of benefit processing.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "cdanetv4",
            "map" : "A05"
          },
          {
            "identity" : "v2",
            "map" : "IN1-3"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.30"
          }]
        },
        {
          "id" : "Coverage.class",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Class"
          }],
          "path" : "Coverage.class",
          "short" : "Additional coverage classifications",
          "definition" : "A suite of underwriter specific classifiers.",
          "comment" : "For example may be used to identify a class of coverage or employer group, Policy, Plan.",
          "requirements" : "The codes provided on the health card which identify or confirm the specific policy for the insurer.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Coverage.class.type",
          "path" : "Coverage.class.type",
          "short" : "Type of class such as 'group' or 'plan'",
          "definition" : "The type of classification for which an insurer-specific class label or number and optional name is provided, for example may be used to identify a class of coverage or employer group, Policy, Plan.",
          "requirements" : "The insurer issued label for a specific health card value.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CoverageClass"
            }],
            "strength" : "extensible",
            "description" : "The policy classifications, eg. Group, Plan, Class, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-class"
          }
        },
        {
          "id" : "Coverage.class.value",
          "path" : "Coverage.class.value",
          "short" : "Value associated with the type",
          "definition" : "The alphanumeric string value associated with the insurer issued label.",
          "comment" : "For example, the Group or Plan number.",
          "requirements" : "The insurer issued label and value are necessary to identify the specific policy.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C11 (Division,Section)"
          },
          {
            "identity" : "v2",
            "map" : "IN1-8"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.31"
          }]
        },
        {
          "id" : "Coverage.class.name",
          "path" : "Coverage.class.name",
          "short" : "Human readable description of the type and value",
          "definition" : "A short description for the class.",
          "requirements" : "Used to provide a meaningful description in correspondence to the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C11 (Division,Section)"
          },
          {
            "identity" : "v2",
            "map" : "IN1-8"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.31"
          }]
        },
        {
          "id" : "Coverage.order",
          "path" : "Coverage.order",
          "short" : "Relative order of the coverage",
          "definition" : "The order of applicability of this coverage relative to other coverages which are currently in force. Note, there may be gaps in the numbering and this does not imply primary, secondary etc. as the specific positioning of coverages depends upon the episode of care.",
          "requirements" : "Used in managing the coordination of benefits.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "- No exact HL7 v2 equivalent concept seems to exist;"
          }]
        },
        {
          "id" : "Coverage.network",
          "path" : "Coverage.network",
          "short" : "Insurer network",
          "definition" : "The insurer-specific identifier for the insurer-defined network of providers to which the beneficiary may seek treatment which will be covered at the 'in-network' rate, otherwise 'out of network' terms and conditions apply.",
          "requirements" : "Used in referral for treatment and in claims processing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "D10"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "CostToBeneficiary"
          }],
          "path" : "Coverage.costToBeneficiary",
          "short" : "Patient payments for services/products",
          "definition" : "A suite of codes indicating the cost category and associated amount which have been detailed in the policy and may have been  included on the health card.",
          "comment" : "For example by knowing the patient visit co-pay, the provider can collect the amount prior to undertaking treatment.",
          "requirements" : "Required by providers to manage financial transaction with the patient.",
          "alias" : ["CoPay",
          "Deductible",
          "Exceptions"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.type",
          "path" : "Coverage.costToBeneficiary.type",
          "short" : "Cost category",
          "definition" : "The category of patient centric costs associated with treatment.",
          "comment" : "For example visit, specialist visits, emergency, inpatient care, etc.",
          "requirements" : "Needed to identify the category associated with the amount for the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CopayTypes"
            }],
            "strength" : "extensible",
            "description" : "The types of services to which patient copayments are specified.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-copay-type"
          }
        },
        {
          "id" : "Coverage.costToBeneficiary.value[x]",
          "path" : "Coverage.costToBeneficiary.value[x]",
          "short" : "The amount or percentage due from the beneficiary",
          "definition" : "The amount due from the patient for the cost category.",
          "comment" : "Amount may be expressed as a percentage of the service/product cost or a fixed amount of currency.",
          "requirements" : "Needed to identify the amount for the patient associated with the category.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          },
          {
            "code" : "Money"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "C11 (Division,Section)"
          },
          {
            "identity" : "v2",
            "map" : "IN1-8"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.31"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.exception",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Exemption"
          }],
          "path" : "Coverage.costToBeneficiary.exception",
          "short" : "Exceptions for patient payments",
          "definition" : "A suite of codes indicating exceptions or reductions to patient costs and their effective periods.",
          "requirements" : "Required by providers to manage financial transaction with the patient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Coverage.costToBeneficiary.exception.type",
          "path" : "Coverage.costToBeneficiary.exception.type",
          "short" : "Exception category",
          "definition" : "The code for the specific exception.",
          "requirements" : "Needed to identify the exception associated with the amount for the patient.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CoverageFinancialException"
            }],
            "strength" : "example",
            "description" : "The types of exceptions from the part or full value of financial obligations such as copays.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverage-financial-exception"
          }
        },
        {
          "id" : "Coverage.costToBeneficiary.exception.period",
          "path" : "Coverage.costToBeneficiary.exception.period",
          "short" : "The effective period of the exception",
          "definition" : "The timeframe during when the exception is in force.",
          "requirements" : "Needed to identify the applicable timeframe for the exception for the correct calculation of patient costs.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true
        },
        {
          "id" : "Coverage.subrogation",
          "path" : "Coverage.subrogation",
          "short" : "Reimbursement to insurer",
          "definition" : "When 'subrogation=true' this insurance instance has been included not for adjudication but to provide insurers with the details to recover costs.",
          "comment" : "Typically, automotive and worker's compensation policies would be flagged with 'subrogation=true' to enable healthcare payors to collect against accident claims.",
          "requirements" : "See definition for when to be used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "Coverage.contract",
          "path" : "Coverage.contract",
          "short" : "Contract details",
          "definition" : "The policy(s) which constitute this insurance coverage.",
          "requirements" : "To reference the legally binding contract between the policy holder and the insurer.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Contract"]
          }],
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "D01 through D09"
          },
          {
            "identity" : "v2",
            "map" : "IN1-16, 18,  19"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "cpha3pharm",
            "map" : "C.35"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CoverageEligibilityRequest",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CoverageEligibilityRequest 
TU
DomainResource
CoverageEligibilityRequest resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier for coverage eligiblity request
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 priority 
0..1
CodeableConcept
Desired processing priority
Process Priority Codes (Example)
 purpose 
Σ
1..*
code
auth-requirements | benefits | discovery | validation
EligibilityRequestPurpose (Required)
 patient 
Σ
1..1
Reference(Patient)
Intended recipient of products and services
 serviced[x] 
0..1
Estimated date or dates of service
 servicedDate
date
 servicedPeriod
Period
 created 
Σ
1..1
dateTime
Creation date
 enterer 
0..1
Reference(Practitioner | PractitionerRole)
Author
 provider 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Party responsible for the request
 insurer 
Σ
1..1
Reference(Organization)
Coverage issuer
 facility 
0..1
Reference(Location)
Servicing facility
 supportingInfo 
0..*
BackboneElement
Supporting information
 sequence 
1..1
positiveInt
Information instance identifier
 information 
1..1
Reference(Any)
Data to be provided
 appliesToAll 
0..1
boolean
Applies to all items
 insurance 
0..*
BackboneElement
Patient insurance information
 focal 
0..1
boolean
Applicable coverage
 coverage 
1..1
Reference(Coverage)
Insurance information
 businessArrangement 
0..1
string
Additional provider contract number
 item 
0..*
BackboneElement
Item to be evaluated for eligibiity
 supportingInfoSequence 
0..*
positiveInt
Applicable exception or supporting information
 category 
0..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 productOrService 
0..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Product or service billing modifiers
Modifier type Codes (Example)
 provider 
0..1
Reference(Practitioner | PractitionerRole)
Perfoming practitioner
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 facility 
0..1
Reference(Location | Organization)
Servicing facility
 diagnosis 
0..*
BackboneElement
Applicable diagnosis
 diagnosis[x] 
0..1
Nature of illness or problem
ICD-10 Codes (Example)
 diagnosisCodeableConcept
CodeableConcept
 diagnosisReference
Reference(Condition)
 detail 
0..*
Reference(Any)
Product or service details

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Support"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest",
      "version" : "4.0.0",
      "name" : "CoverageEligibilityRequest",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CoverageEligibilityRequest",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CoverageEligibilityRequest",
          "path" : "CoverageEligibilityRequest",
          "short" : "CoverageEligibilityRequest resource",
          "definition" : "The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.id",
          "path" : "CoverageEligibilityRequest.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityRequest.meta",
          "path" : "CoverageEligibilityRequest.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityRequest.implicitRules",
          "path" : "CoverageEligibilityRequest.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityRequest.language",
          "path" : "CoverageEligibilityRequest.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.text",
          "path" : "CoverageEligibilityRequest.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.contained",
          "path" : "CoverageEligibilityRequest.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.extension",
          "path" : "CoverageEligibilityRequest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.modifierExtension",
          "path" : "CoverageEligibilityRequest.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.identifier",
          "path" : "CoverageEligibilityRequest.identifier",
          "short" : "Business Identifier for coverage eligiblity request",
          "definition" : "A unique identifier assigned to this coverage eligiblity request.",
          "requirements" : "Allows coverage eligibility requests to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.status",
          "path" : "CoverageEligibilityRequest.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EligibilityRequestStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.priority",
          "path" : "CoverageEligibilityRequest.priority",
          "short" : "Desired processing priority",
          "definition" : "When the requestor expects the processor to complete processing.",
          "requirements" : "Needed to advise the prossesor on the urgency of the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcessPriority"
            }],
            "strength" : "example",
            "description" : "The timeliness with which processing is required: STAT, normal, Deferred.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/process-priority"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.purpose",
          "path" : "CoverageEligibilityRequest.purpose",
          "short" : "auth-requirements | benefits | discovery | validation",
          "definition" : "Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified.",
          "requirements" : "To indicate the processing actions requested.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.purpose",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EligibilityRequestPurpose"
            }],
            "strength" : "required",
            "description" : "A code specifying the types of information being requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.patient",
          "path" : "CoverageEligibilityRequest.patient",
          "short" : "Intended recipient of products and services",
          "definition" : "The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.",
          "comment" : "1..1.",
          "requirements" : "Required to provide context and coverage validation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.serviced[x]",
          "path" : "CoverageEligibilityRequest.serviced[x]",
          "short" : "Estimated date or dates of service",
          "definition" : "The date or dates when the enclosed suite of services were performed or completed.",
          "requirements" : "Required to provide time context for the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.serviced[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.created",
          "path" : "CoverageEligibilityRequest.created",
          "short" : "Creation date",
          "definition" : "The date when this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.created",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.enterer",
          "path" : "CoverageEligibilityRequest.enterer",
          "short" : "Author",
          "definition" : "Person who created the request.",
          "requirements" : "Some jurisdictions require the contact information for personnel completing eligibility requests.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.enterer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.provider",
          "path" : "CoverageEligibilityRequest.provider",
          "short" : "Party responsible for the request",
          "definition" : "The provider which is responsible for the request.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the eligibility request but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "requirements" : "Needed to identify the requestor.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.provider",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurer",
          "path" : "CoverageEligibilityRequest.insurer",
          "short" : "Coverage issuer",
          "definition" : "The Insurer who issued the coverage in question and is the recipient of the request.",
          "requirements" : "Need to identify the recipient.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.insurer",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.facility",
          "path" : "CoverageEligibilityRequest.facility",
          "short" : "Servicing facility",
          "definition" : "Facility where the services are intended to be provided.",
          "requirements" : "Insurance adjudication can be dependant on where services were delivered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.facility",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SupportingInformation"
          }],
          "path" : "CoverageEligibilityRequest.supportingInfo",
          "short" : "Supporting information",
          "definition" : "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.",
          "comment" : "Often there are multiple jurisdiction specific valuesets which are required.",
          "requirements" : "Typically these information codes are required to support the services rendered or the adjudication of the services rendered.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.supportingInfo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.id",
          "path" : "CoverageEligibilityRequest.supportingInfo.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.extension",
          "path" : "CoverageEligibilityRequest.supportingInfo.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.modifierExtension",
          "path" : "CoverageEligibilityRequest.supportingInfo.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.sequence",
          "path" : "CoverageEligibilityRequest.supportingInfo.sequence",
          "short" : "Information instance identifier",
          "definition" : "A number to uniquely identify supporting information entries.",
          "requirements" : "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.supportingInfo.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.information",
          "path" : "CoverageEligibilityRequest.supportingInfo.information",
          "short" : "Data to be provided",
          "definition" : "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.",
          "comment" : "Could be used to provide references to other resources, document. For example could contain a PDF in an Attachment of the Police Report for an Accident.",
          "requirements" : "To convey the data content to be provided when the information is more than a simple code or period.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.supportingInfo.information",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.appliesToAll",
          "path" : "CoverageEligibilityRequest.supportingInfo.appliesToAll",
          "short" : "Applies to all items",
          "definition" : "The supporting materials are applicable for all detail items, product/servce categories and specific billing codes.",
          "requirements" : "Needed to convey that the information is universal to the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.supportingInfo.appliesToAll",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "CoverageEligibilityRequest.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "There must be at least one coverage for which eligibility is requested.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.insurance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.id",
          "path" : "CoverageEligibilityRequest.insurance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.extension",
          "path" : "CoverageEligibilityRequest.insurance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.modifierExtension",
          "path" : "CoverageEligibilityRequest.insurance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.focal",
          "path" : "CoverageEligibilityRequest.insurance.focal",
          "short" : "Applicable coverage",
          "definition" : "A flag to indicate that this Coverage is to be used for evaluation of this request when set to true.",
          "comment" : "A patient may (will) have multiple insurance policies which provide reimburement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for evaluating this request. Other requests would be created to request evaluation against the other listed policies.",
          "requirements" : "To identify which coverage in the list is being used to evaluate this request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.insurance.focal",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.coverage",
          "path" : "CoverageEligibilityRequest.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.insurance.coverage",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.businessArrangement",
          "path" : "CoverageEligibilityRequest.insurance.businessArrangement",
          "short" : "Additional provider contract number",
          "definition" : "A business agreement number established between the provider and the insurer for special business processing purposes.",
          "requirements" : "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.insurance.businessArrangement",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Details"
          }],
          "path" : "CoverageEligibilityRequest.item",
          "short" : "Item to be evaluated for eligibiity",
          "definition" : "Service categories or billable services for which benefit details and/or an authorization prior to service delivery may be required by the payor.",
          "requirements" : "The items to be processed for the request.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.item",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.item.id",
          "path" : "CoverageEligibilityRequest.item.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.extension",
          "path" : "CoverageEligibilityRequest.item.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.modifierExtension",
          "path" : "CoverageEligibilityRequest.item.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.supportingInfoSequence",
          "path" : "CoverageEligibilityRequest.item.supportingInfoSequence",
          "short" : "Applicable exception or supporting information",
          "definition" : "Exceptions, special conditions and supporting information applicable for this service or product line.",
          "requirements" : "Needed to support or inform the consideration for eligibility.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.supportingInfoSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.item.category",
          "path" : "CoverageEligibilityRequest.item.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed to convey the category of service or product for which eligibility is sought.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.item.productOrService",
          "path" : "CoverageEligibilityRequest.item.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "This contains the product, service, drug or other billing code for the item.",
          "comment" : "Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).",
          "requirements" : "Needed to convey the actual service or product for which eligibility is sought.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.productOrService",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.item.modifier",
          "path" : "CoverageEligibilityRequest.item.modifier",
          "short" : "Product or service billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support provision of the item or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.item.provider",
          "path" : "CoverageEligibilityRequest.item.provider",
          "short" : "Perfoming practitioner",
          "definition" : "The practitioner who is responsible for the product or service to be rendered to the patient.",
          "requirements" : "Needed to support the evaluation of the eligibility.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.provider",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.quantity",
          "path" : "CoverageEligibilityRequest.item.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.item.unitPrice",
          "path" : "CoverageEligibilityRequest.item.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "The amount charged to the patient by the provider for a single unit.",
          "requirements" : "Needed to support the evaluation of the eligibility.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.item.facility",
          "path" : "CoverageEligibilityRequest.item.facility",
          "short" : "Servicing facility",
          "definition" : "Facility where the services will be provided.",
          "requirements" : "Needed to support the evaluation of the eligibility.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.facility",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityRequest.item.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "CoverageEligibilityRequest.item.diagnosis",
          "short" : "Applicable diagnosis",
          "definition" : "Patient diagnosis for which care is sought.",
          "requirements" : "Needed to support the evaluation of the eligibility.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.diagnosis",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Request.reasonReference"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.diagnosis.id",
          "path" : "CoverageEligibilityRequest.item.diagnosis.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.diagnosis.extension",
          "path" : "CoverageEligibilityRequest.item.diagnosis.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.diagnosis.modifierExtension",
          "path" : "CoverageEligibilityRequest.item.diagnosis.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]",
          "path" : "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]",
          "short" : "Nature of illness or problem",
          "definition" : "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
          "requirements" : "Provides health context for the evaluation of the products and/or services.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10"
            }],
            "strength" : "example",
            "description" : "ICD10 Diagnostic codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.item.detail",
          "path" : "CoverageEligibilityRequest.item.detail",
          "short" : "Product or service details",
          "definition" : "The plan/proposal/order describing the proposed service in detail.",
          "requirements" : "Needed to provide complex service proposal such as a Device or a plan.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityRequest.item.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CoverageEligibilityRequest",
          "path" : "CoverageEligibilityRequest",
          "short" : "CoverageEligibilityRequest resource",
          "definition" : "The CoverageEligibilityRequest provides patient and insurance coverage information to an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information regarding whether the stated coverage is valid and in-force and optionally to provide the insurance details of the policy.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.identifier",
          "path" : "CoverageEligibilityRequest.identifier",
          "short" : "Business Identifier for coverage eligiblity request",
          "definition" : "A unique identifier assigned to this coverage eligiblity request.",
          "requirements" : "Allows coverage eligibility requests to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.status",
          "path" : "CoverageEligibilityRequest.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EligibilityRequestStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.priority",
          "path" : "CoverageEligibilityRequest.priority",
          "short" : "Desired processing priority",
          "definition" : "When the requestor expects the processor to complete processing.",
          "requirements" : "Needed to advise the prossesor on the urgency of the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcessPriority"
            }],
            "strength" : "example",
            "description" : "The timeliness with which processing is required: STAT, normal, Deferred.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/process-priority"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.purpose",
          "path" : "CoverageEligibilityRequest.purpose",
          "short" : "auth-requirements | benefits | discovery | validation",
          "definition" : "Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified.",
          "requirements" : "To indicate the processing actions requested.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EligibilityRequestPurpose"
            }],
            "strength" : "required",
            "description" : "A code specifying the types of information being requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/eligibilityrequest-purpose|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.patient",
          "path" : "CoverageEligibilityRequest.patient",
          "short" : "Intended recipient of products and services",
          "definition" : "The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.",
          "comment" : "1..1.",
          "requirements" : "Required to provide context and coverage validation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.serviced[x]",
          "path" : "CoverageEligibilityRequest.serviced[x]",
          "short" : "Estimated date or dates of service",
          "definition" : "The date or dates when the enclosed suite of services were performed or completed.",
          "requirements" : "Required to provide time context for the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.created",
          "path" : "CoverageEligibilityRequest.created",
          "short" : "Creation date",
          "definition" : "The date when this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.enterer",
          "path" : "CoverageEligibilityRequest.enterer",
          "short" : "Author",
          "definition" : "Person who created the request.",
          "requirements" : "Some jurisdictions require the contact information for personnel completing eligibility requests.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.provider",
          "path" : "CoverageEligibilityRequest.provider",
          "short" : "Party responsible for the request",
          "definition" : "The provider which is responsible for the request.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the eligibility request but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "requirements" : "Needed to identify the requestor.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurer",
          "path" : "CoverageEligibilityRequest.insurer",
          "short" : "Coverage issuer",
          "definition" : "The Insurer who issued the coverage in question and is the recipient of the request.",
          "requirements" : "Need to identify the recipient.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.facility",
          "path" : "CoverageEligibilityRequest.facility",
          "short" : "Servicing facility",
          "definition" : "Facility where the services are intended to be provided.",
          "requirements" : "Insurance adjudication can be dependant on where services were delivered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SupportingInformation"
          }],
          "path" : "CoverageEligibilityRequest.supportingInfo",
          "short" : "Supporting information",
          "definition" : "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.",
          "comment" : "Often there are multiple jurisdiction specific valuesets which are required.",
          "requirements" : "Typically these information codes are required to support the services rendered or the adjudication of the services rendered.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.sequence",
          "path" : "CoverageEligibilityRequest.supportingInfo.sequence",
          "short" : "Information instance identifier",
          "definition" : "A number to uniquely identify supporting information entries.",
          "requirements" : "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.information",
          "path" : "CoverageEligibilityRequest.supportingInfo.information",
          "short" : "Data to be provided",
          "definition" : "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.",
          "comment" : "Could be used to provide references to other resources, document. For example could contain a PDF in an Attachment of the Police Report for an Accident.",
          "requirements" : "To convey the data content to be provided when the information is more than a simple code or period.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.supportingInfo.appliesToAll",
          "path" : "CoverageEligibilityRequest.supportingInfo.appliesToAll",
          "short" : "Applies to all items",
          "definition" : "The supporting materials are applicable for all detail items, product/servce categories and specific billing codes.",
          "requirements" : "Needed to convey that the information is universal to the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "CoverageEligibilityRequest.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "There must be at least one coverage for which eligibility is requested.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.focal",
          "path" : "CoverageEligibilityRequest.insurance.focal",
          "short" : "Applicable coverage",
          "definition" : "A flag to indicate that this Coverage is to be used for evaluation of this request when set to true.",
          "comment" : "A patient may (will) have multiple insurance policies which provide reimburement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for evaluating this request. Other requests would be created to request evaluation against the other listed policies.",
          "requirements" : "To identify which coverage in the list is being used to evaluate this request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.coverage",
          "path" : "CoverageEligibilityRequest.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.insurance.businessArrangement",
          "path" : "CoverageEligibilityRequest.insurance.businessArrangement",
          "short" : "Additional provider contract number",
          "definition" : "A business agreement number established between the provider and the insurer for special business processing purposes.",
          "requirements" : "Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Details"
          }],
          "path" : "CoverageEligibilityRequest.item",
          "short" : "Item to be evaluated for eligibiity",
          "definition" : "Service categories or billable services for which benefit details and/or an authorization prior to service delivery may be required by the payor.",
          "requirements" : "The items to be processed for the request.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.supportingInfoSequence",
          "path" : "CoverageEligibilityRequest.item.supportingInfoSequence",
          "short" : "Applicable exception or supporting information",
          "definition" : "Exceptions, special conditions and supporting information applicable for this service or product line.",
          "requirements" : "Needed to support or inform the consideration for eligibility.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.category",
          "path" : "CoverageEligibilityRequest.item.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed to convey the category of service or product for which eligibility is sought.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.item.productOrService",
          "path" : "CoverageEligibilityRequest.item.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "This contains the product, service, drug or other billing code for the item.",
          "comment" : "Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).",
          "requirements" : "Needed to convey the actual service or product for which eligibility is sought.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.item.modifier",
          "path" : "CoverageEligibilityRequest.item.modifier",
          "short" : "Product or service billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support provision of the item or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.item.provider",
          "path" : "CoverageEligibilityRequest.item.provider",
          "short" : "Perfoming practitioner",
          "definition" : "The practitioner who is responsible for the product or service to be rendered to the patient.",
          "requirements" : "Needed to support the evaluation of the eligibility.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.quantity",
          "path" : "CoverageEligibilityRequest.item.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.unitPrice",
          "path" : "CoverageEligibilityRequest.item.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "The amount charged to the patient by the provider for a single unit.",
          "requirements" : "Needed to support the evaluation of the eligibility.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.facility",
          "path" : "CoverageEligibilityRequest.item.facility",
          "short" : "Servicing facility",
          "definition" : "Facility where the services will be provided.",
          "requirements" : "Needed to support the evaluation of the eligibility.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "CoverageEligibilityRequest.item.diagnosis",
          "short" : "Applicable diagnosis",
          "definition" : "Patient diagnosis for which care is sought.",
          "requirements" : "Needed to support the evaluation of the eligibility.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "Request.reasonReference"
          }]
        },
        {
          "id" : "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]",
          "path" : "CoverageEligibilityRequest.item.diagnosis.diagnosis[x]",
          "short" : "Nature of illness or problem",
          "definition" : "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
          "requirements" : "Provides health context for the evaluation of the products and/or services.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10"
            }],
            "strength" : "example",
            "description" : "ICD10 Diagnostic codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
          }
        },
        {
          "id" : "CoverageEligibilityRequest.item.detail",
          "path" : "CoverageEligibilityRequest.item.detail",
          "short" : "Product or service details",
          "definition" : "The plan/proposal/order describing the proposed service in detail.",
          "requirements" : "Needed to provide complex service proposal such as a Device or a plan.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "CoverageEligibilityResponse",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 CoverageEligibilityResponse 
TU
DomainResource
CoverageEligibilityResponse resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier for coverage eligiblity request
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 purpose 
Σ
1..*
code
auth-requirements | benefits | discovery | validation
EligibilityResponsePurpose (Required)
 patient 
Σ
1..1
Reference(Patient)
Intended recipient of products and services
 serviced[x] 
0..1
Estimated date or dates of service
 servicedDate
date
 servicedPeriod
Period
 created 
Σ
1..1
dateTime
Response creation date
 requestor 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Party responsible for the request
 request 
Σ
1..1
Reference(CoverageEligibilityRequest)
Eligibility request reference
 outcome 
Σ
1..1
code
queued | complete | error | partial
RemittanceOutcome (Required)
 disposition 
0..1
string
Disposition Message
 insurer 
Σ
1..1
Reference(Organization)
Coverage issuer
 insurance 
0..*
BackboneElement
Patient insurance information
 coverage 
Σ
1..1
Reference(Coverage)
Insurance information
 inforce 
0..1
boolean
Coverage inforce indicator
 benefitPeriod 
0..1
Period
When the benefits are applicable
 item 
I
0..*
BackboneElement
Benefits and authorization details
+ Rule: SHALL contain a category or a billcode but not both.
 category 
0..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 productOrService 
0..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Product or service billing modifiers
Modifier type Codes (Example)
 provider 
0..1
Reference(Practitioner | PractitionerRole)
Performing practitioner
 excluded 
0..1
boolean
Excluded from the plan
 name 
0..1
string
Short name for the benefit
 description 
0..1
string
Description of the benefit or services covered
 network 
0..1
CodeableConcept
In or out of network
Network Type Codes (Example)
 unit 
0..1
CodeableConcept
Individual or family
Unit Type Codes (Example)
 term 
0..1
CodeableConcept
Annual or lifetime
Benefit Term Codes (Example)
 benefit 
0..*
BackboneElement
Benefit Summary
 type 
1..1
CodeableConcept
Benefit classification
Benefit Type Codes (Example)
 allowed[x] 
0..1
Benefits allowed
 allowedUnsignedInt
unsignedInt
 allowedString
string
 allowedMoney
Money
 used[x] 
0..1
Benefits used
 usedUnsignedInt
unsignedInt
 usedString
string
 usedMoney
Money
 authorizationRequired 
0..1
boolean
Authorization required flag
 authorizationSupporting 
0..*
CodeableConcept
Type of required supporting materials
CoverageEligibilityResponse Auth Support Codes (Example)
 authorizationUrl 
0..1
uri
Preauthorization requirements endpoint
 preAuthRef 
0..1
string
Preauthorization reference
 form 
0..1
CodeableConcept
Printed form identifier
Forms (Example)
 error 
0..*
BackboneElement
Processing errors
 code 
1..1
CodeableConcept
Error code detailing processing issues
AdjudicationError (Example)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Support"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse",
      "version" : "4.0.0",
      "name" : "CoverageEligibilityResponse",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "cdanetv4",
        "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
        "name" : "Canadian Dental Association eclaims standard"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "CoverageEligibilityResponse",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "CoverageEligibilityResponse",
          "path" : "CoverageEligibilityResponse",
          "short" : "CoverageEligibilityResponse resource",
          "definition" : "This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.id",
          "path" : "CoverageEligibilityResponse.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityResponse.meta",
          "path" : "CoverageEligibilityResponse.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityResponse.implicitRules",
          "path" : "CoverageEligibilityResponse.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityResponse.language",
          "path" : "CoverageEligibilityResponse.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.text",
          "path" : "CoverageEligibilityResponse.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.contained",
          "path" : "CoverageEligibilityResponse.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.extension",
          "path" : "CoverageEligibilityResponse.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.modifierExtension",
          "path" : "CoverageEligibilityResponse.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.identifier",
          "path" : "CoverageEligibilityResponse.identifier",
          "short" : "Business Identifier for coverage eligiblity request",
          "definition" : "A unique identifier assigned to this coverage eligiblity request.",
          "requirements" : "Allows coverage eligibility requests to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.status",
          "path" : "CoverageEligibilityResponse.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EligibilityResponseStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.purpose",
          "path" : "CoverageEligibilityResponse.purpose",
          "short" : "auth-requirements | benefits | discovery | validation",
          "definition" : "Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified.",
          "requirements" : "To indicate the processing actions requested.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse.purpose",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EligibilityResponsePurpose"
            }],
            "strength" : "required",
            "description" : "A code specifying the types of information being requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.patient",
          "path" : "CoverageEligibilityResponse.patient",
          "short" : "Intended recipient of products and services",
          "definition" : "The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.",
          "requirements" : "Required to provide context and coverage validation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "C06,C07,C08, C05, C04"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.serviced[x]",
          "path" : "CoverageEligibilityResponse.serviced[x]",
          "short" : "Estimated date or dates of service",
          "definition" : "The date or dates when the enclosed suite of services were performed or completed.",
          "requirements" : "Required to provide time context for the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.serviced[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "F09"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.created",
          "path" : "CoverageEligibilityResponse.created",
          "short" : "Response creation date",
          "definition" : "The date this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.created",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.requestor",
          "path" : "CoverageEligibilityResponse.requestor",
          "short" : "Party responsible for the request",
          "definition" : "The provider which is responsible for the request.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.requestor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.request",
          "path" : "CoverageEligibilityResponse.request",
          "short" : "Eligibility request reference",
          "definition" : "Reference to the original request resource.",
          "requirements" : "Needed to allow the response to be linked to the request.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.request",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "A02|G01"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.outcome",
          "path" : "CoverageEligibilityResponse.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "The outcome of the request processing.",
          "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
          "requirements" : "To advise the requestor of an overall processing outcome.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.outcome",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The outcome of the processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.disposition",
          "path" : "CoverageEligibilityResponse.disposition",
          "short" : "Disposition Message",
          "definition" : "A human readable description of the status of the adjudication.",
          "requirements" : "Provided for user display.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.disposition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurer",
          "path" : "CoverageEligibilityResponse.insurer",
          "short" : "Coverage issuer",
          "definition" : "The Insurer who issued the coverage in question and is the author of the response.",
          "requirements" : "Need to identify the author.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurer",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityResponse.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "380;0"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "CoverageEligibilityResponse.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "There must be at least one coverage for which eligibility is requested.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.id",
          "path" : "CoverageEligibilityResponse.insurance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.extension",
          "path" : "CoverageEligibilityResponse.insurance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.modifierExtension",
          "path" : "CoverageEligibilityResponse.insurance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.coverage",
          "path" : "CoverageEligibilityResponse.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.coverage",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.inforce",
          "path" : "CoverageEligibilityResponse.insurance.inforce",
          "short" : "Coverage inforce indicator",
          "definition" : "Flag indicating if the coverage provided is inforce currently if no service date(s) specified or for the whole duration of the service dates.",
          "requirements" : "Needed to convey the answer to the eligibility validation request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.inforce",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.benefitPeriod",
          "path" : "CoverageEligibilityResponse.insurance.benefitPeriod",
          "short" : "When the benefits are applicable",
          "definition" : "The term of the benefits documented in this response.",
          "requirements" : "Needed as coverages may be multi-year while benefits tend to be annual therefore a separate expression of the benefit period is needed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.benefitPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "340;120"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Items"
          }],
          "path" : "CoverageEligibilityResponse.insurance.item",
          "short" : "Benefits and authorization details",
          "definition" : "Benefits and optionally current balances, and authorization details by category or service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "ces-1",
            "severity" : "error",
            "human" : "SHALL contain a category or a billcode but not both.",
            "expression" : "category.exists() xor productOrService.exists()",
            "xpath" : "exists(f:category) or exists(f:productOrService)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.id",
          "path" : "CoverageEligibilityResponse.insurance.item.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.extension",
          "path" : "CoverageEligibilityResponse.insurance.item.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.modifierExtension",
          "path" : "CoverageEligibilityResponse.insurance.item.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.category",
          "path" : "CoverageEligibilityResponse.insurance.item.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed to convey the category of service or product for which eligibility is sought.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.productOrService",
          "path" : "CoverageEligibilityResponse.insurance.item.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "This contains the product, service, drug or other billing code for the item.",
          "comment" : "Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).",
          "requirements" : "Needed to convey the actual service or product for which eligibility is sought.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.productOrService",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.modifier",
          "path" : "CoverageEligibilityResponse.insurance.item.modifier",
          "short" : "Product or service billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support provision of the item or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.provider",
          "path" : "CoverageEligibilityResponse.insurance.item.provider",
          "short" : "Performing practitioner",
          "definition" : "The practitioner who is eligible for the provision of the product or service.",
          "requirements" : "Needed to convey the eligible provider.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.provider",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.excluded",
          "path" : "CoverageEligibilityResponse.insurance.item.excluded",
          "short" : "Excluded from the plan",
          "definition" : "True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.",
          "requirements" : "Needed to identify items that are specifically excluded from the coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.excluded",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.name",
          "path" : "CoverageEligibilityResponse.insurance.item.name",
          "short" : "Short name for the benefit",
          "definition" : "A short name or tag for the benefit.",
          "comment" : "For example: MED01, or DENT2.",
          "requirements" : "Required to align with other plan names.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.description",
          "path" : "CoverageEligibilityResponse.insurance.item.description",
          "short" : "Description of the benefit or services covered",
          "definition" : "A richer description of the benefit or services covered.",
          "comment" : "For example 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.",
          "requirements" : "Needed for human readable reference.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.network",
          "path" : "CoverageEligibilityResponse.insurance.item.network",
          "short" : "In or out of network",
          "definition" : "Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.",
          "requirements" : "Needed as in or out of network providers are treated differently under the coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.network",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitNetwork"
            }],
            "strength" : "example",
            "description" : "Code to classify in or out of network services.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-network"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.unit",
          "path" : "CoverageEligibilityResponse.insurance.item.unit",
          "short" : "Individual or family",
          "definition" : "Indicates if the benefits apply to an individual or to the family.",
          "requirements" : "Needed for the understanding of the benefits.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.unit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitUnit"
            }],
            "strength" : "example",
            "description" : "Unit covered/serviced - individual or family.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-unit"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.term",
          "path" : "CoverageEligibilityResponse.insurance.item.term",
          "short" : "Annual or lifetime",
          "definition" : "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.",
          "requirements" : "Needed for the understanding of the benefits.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.term",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitTerm"
            }],
            "strength" : "example",
            "description" : "Coverage unit - annual, lifetime.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-term"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "340;320"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Benefit"
          }],
          "path" : "CoverageEligibilityResponse.insurance.item.benefit",
          "short" : "Benefit Summary",
          "definition" : "Benefits used to date.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.benefit",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.id",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.extension",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.modifierExtension",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.type",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.type",
          "short" : "Benefit classification",
          "definition" : "Classification of benefit being provided.",
          "comment" : "For example: deductible, visits, benefit amount.",
          "requirements" : "Needed to convey the nature of the benefit.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.benefit.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitType"
            }],
            "strength" : "example",
            "description" : "Deductable, visits, co-pay, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-type"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
          "short" : "Benefits allowed",
          "definition" : "The quantity of the benefit which is permitted under the coverage.",
          "requirements" : "Needed to convey the benefits offered under the coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
          "short" : "Benefits used",
          "definition" : "The quantity of the benefit which have been consumed to date.",
          "requirements" : "Needed to convey the benefits consumed to date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.authorizationRequired",
          "path" : "CoverageEligibilityResponse.insurance.item.authorizationRequired",
          "short" : "Authorization required flag",
          "definition" : "A boolean flag indicating whether a preauthorization is required prior to actual service delivery.",
          "requirements" : "Needed to convey that preauthorization is required.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.authorizationRequired",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
          "path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
          "short" : "Type of required supporting materials",
          "definition" : "Codes or comments regarding information or actions associated with the preauthorization.",
          "requirements" : "Needed to inform the provider of collateral materials or actions needed for preauthorization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuthSupporting"
            }],
            "strength" : "example",
            "description" : "Type of supporting information to provide with a preauthorization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverageeligibilityresponse-ex-auth-support"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.authorizationUrl",
          "path" : "CoverageEligibilityResponse.insurance.item.authorizationUrl",
          "short" : "Preauthorization requirements endpoint",
          "definition" : "A web location for obtaining requirements or descriptive information regarding the preauthorization.",
          "requirements" : "Needed to enable insurers to advise providers of informative information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.insurance.item.authorizationUrl",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.preAuthRef",
          "path" : "CoverageEligibilityResponse.preAuthRef",
          "short" : "Preauthorization reference",
          "definition" : "A reference from the Insurer to which these services pertain to be used on further communication and as proof that the request occurred.",
          "requirements" : "To provide any preauthorization reference for provider use.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.preAuthRef",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "F03"
          },
          {
            "identity" : "rim",
            "map" : "23"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.form",
          "path" : "CoverageEligibilityResponse.form",
          "short" : "Printed form identifier",
          "definition" : "A code for the form to be used for printing the content.",
          "comment" : "May be needed to identify specific jurisdictional forms.",
          "requirements" : "Needed to specify the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.form",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Forms"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The forms codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
          },
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "G42"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.error",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Errors"
          }],
          "path" : "CoverageEligibilityResponse.error",
          "short" : "Processing errors",
          "definition" : "Errors encountered during the processing of the request.",
          "requirements" : "Need to communicate processing issues to the requestor.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "CoverageEligibilityResponse.error",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "CoverageEligibilityResponse.error.id",
          "path" : "CoverageEligibilityResponse.error.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.error.extension",
          "path" : "CoverageEligibilityResponse.error.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.error.modifierExtension",
          "path" : "CoverageEligibilityResponse.error.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.error.code",
          "path" : "CoverageEligibilityResponse.error.code",
          "short" : "Error code detailing processing issues",
          "definition" : "An error code,from a specified code system, which details why the eligibility check could not be performed.",
          "requirements" : "Required to convey processing errors.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "CoverageEligibilityResponse.error.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjudicationError"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The error codes for adjudication processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-error"
          }
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "CoverageEligibilityResponse",
          "path" : "CoverageEligibilityResponse",
          "short" : "CoverageEligibilityResponse resource",
          "definition" : "This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.identifier",
          "path" : "CoverageEligibilityResponse.identifier",
          "short" : "Business Identifier for coverage eligiblity request",
          "definition" : "A unique identifier assigned to this coverage eligiblity request.",
          "requirements" : "Allows coverage eligibility requests to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.status",
          "path" : "CoverageEligibilityResponse.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EligibilityResponseStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.purpose",
          "path" : "CoverageEligibilityResponse.purpose",
          "short" : "auth-requirements | benefits | discovery | validation",
          "definition" : "Code to specify whether requesting: prior authorization requirements for some service categories or billing codes; benefits for coverages specified or discovered; discovery and return of coverages for the patient; and/or validation that the specified coverage is in-force at the date/period specified or 'now' if not specified.",
          "requirements" : "To indicate the processing actions requested.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EligibilityResponsePurpose"
            }],
            "strength" : "required",
            "description" : "A code specifying the types of information being requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/eligibilityresponse-purpose|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.patient",
          "path" : "CoverageEligibilityResponse.patient",
          "short" : "Intended recipient of products and services",
          "definition" : "The party who is the beneficiary of the supplied coverage and for whom eligibility is sought.",
          "requirements" : "Required to provide context and coverage validation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "C06,C07,C08, C05, C04"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.serviced[x]",
          "path" : "CoverageEligibilityResponse.serviced[x]",
          "short" : "Estimated date or dates of service",
          "definition" : "The date or dates when the enclosed suite of services were performed or completed.",
          "requirements" : "Required to provide time context for the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "F09"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.created",
          "path" : "CoverageEligibilityResponse.created",
          "short" : "Response creation date",
          "definition" : "The date this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.requestor",
          "path" : "CoverageEligibilityResponse.requestor",
          "short" : "Party responsible for the request",
          "definition" : "The provider which is responsible for the request.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.request",
          "path" : "CoverageEligibilityResponse.request",
          "short" : "Eligibility request reference",
          "definition" : "Reference to the original request resource.",
          "requirements" : "Needed to allow the response to be linked to the request.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CoverageEligibilityRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "A02|G01"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.outcome",
          "path" : "CoverageEligibilityResponse.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "The outcome of the request processing.",
          "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
          "requirements" : "To advise the requestor of an overall processing outcome.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The outcome of the processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.disposition",
          "path" : "CoverageEligibilityResponse.disposition",
          "short" : "Disposition Message",
          "definition" : "A human readable description of the status of the adjudication.",
          "requirements" : "Provided for user display.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurer",
          "path" : "CoverageEligibilityResponse.insurer",
          "short" : "Coverage issuer",
          "definition" : "The Insurer who issued the coverage in question and is the author of the response.",
          "requirements" : "Need to identify the author.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityResponse.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "380;0"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "CoverageEligibilityResponse.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "There must be at least one coverage for which eligibility is requested.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.coverage",
          "path" : "CoverageEligibilityResponse.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isSummary" : true
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.inforce",
          "path" : "CoverageEligibilityResponse.insurance.inforce",
          "short" : "Coverage inforce indicator",
          "definition" : "Flag indicating if the coverage provided is inforce currently if no service date(s) specified or for the whole duration of the service dates.",
          "requirements" : "Needed to convey the answer to the eligibility validation request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.benefitPeriod",
          "path" : "CoverageEligibilityResponse.insurance.benefitPeriod",
          "short" : "When the benefits are applicable",
          "definition" : "The term of the benefits documented in this response.",
          "requirements" : "Needed as coverages may be multi-year while benefits tend to be annual therefore a separate expression of the benefit period is needed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "340;120"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Items"
          }],
          "path" : "CoverageEligibilityResponse.insurance.item",
          "short" : "Benefits and authorization details",
          "definition" : "Benefits and optionally current balances, and authorization details by category or service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ces-1",
            "severity" : "error",
            "human" : "SHALL contain a category or a billcode but not both.",
            "expression" : "category.exists() xor productOrService.exists()",
            "xpath" : "exists(f:category) or exists(f:productOrService)"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.category",
          "path" : "CoverageEligibilityResponse.insurance.item.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed to convey the category of service or product for which eligibility is sought.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.productOrService",
          "path" : "CoverageEligibilityResponse.insurance.item.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "This contains the product, service, drug or other billing code for the item.",
          "comment" : "Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).",
          "requirements" : "Needed to convey the actual service or product for which eligibility is sought.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.modifier",
          "path" : "CoverageEligibilityResponse.insurance.item.modifier",
          "short" : "Product or service billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support provision of the item or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.provider",
          "path" : "CoverageEligibilityResponse.insurance.item.provider",
          "short" : "Performing practitioner",
          "definition" : "The practitioner who is eligible for the provision of the product or service.",
          "requirements" : "Needed to convey the eligible provider.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.excluded",
          "path" : "CoverageEligibilityResponse.insurance.item.excluded",
          "short" : "Excluded from the plan",
          "definition" : "True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.",
          "requirements" : "Needed to identify items that are specifically excluded from the coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.name",
          "path" : "CoverageEligibilityResponse.insurance.item.name",
          "short" : "Short name for the benefit",
          "definition" : "A short name or tag for the benefit.",
          "comment" : "For example: MED01, or DENT2.",
          "requirements" : "Required to align with other plan names.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.description",
          "path" : "CoverageEligibilityResponse.insurance.item.description",
          "short" : "Description of the benefit or services covered",
          "definition" : "A richer description of the benefit or services covered.",
          "comment" : "For example 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.",
          "requirements" : "Needed for human readable reference.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.network",
          "path" : "CoverageEligibilityResponse.insurance.item.network",
          "short" : "In or out of network",
          "definition" : "Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.",
          "requirements" : "Needed as in or out of network providers are treated differently under the coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitNetwork"
            }],
            "strength" : "example",
            "description" : "Code to classify in or out of network services.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-network"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.unit",
          "path" : "CoverageEligibilityResponse.insurance.item.unit",
          "short" : "Individual or family",
          "definition" : "Indicates if the benefits apply to an individual or to the family.",
          "requirements" : "Needed for the understanding of the benefits.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitUnit"
            }],
            "strength" : "example",
            "description" : "Unit covered/serviced - individual or family.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-unit"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.term",
          "path" : "CoverageEligibilityResponse.insurance.item.term",
          "short" : "Annual or lifetime",
          "definition" : "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.",
          "requirements" : "Needed for the understanding of the benefits.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitTerm"
            }],
            "strength" : "example",
            "description" : "Coverage unit - annual, lifetime.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-term"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "340;320"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Benefit"
          }],
          "path" : "CoverageEligibilityResponse.insurance.item.benefit",
          "short" : "Benefit Summary",
          "definition" : "Benefits used to date.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.type",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.type",
          "short" : "Benefit classification",
          "definition" : "Classification of benefit being provided.",
          "comment" : "For example: deductible, visits, benefit amount.",
          "requirements" : "Needed to convey the nature of the benefit.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitType"
            }],
            "strength" : "example",
            "description" : "Deductable, visits, co-pay, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-type"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.allowed[x]",
          "short" : "Benefits allowed",
          "definition" : "The quantity of the benefit which is permitted under the coverage.",
          "requirements" : "Needed to convey the benefits offered under the coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Money"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
          "path" : "CoverageEligibilityResponse.insurance.item.benefit.used[x]",
          "short" : "Benefits used",
          "definition" : "The quantity of the benefit which have been consumed to date.",
          "requirements" : "Needed to convey the benefits consumed to date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Money"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.authorizationRequired",
          "path" : "CoverageEligibilityResponse.insurance.item.authorizationRequired",
          "short" : "Authorization required flag",
          "definition" : "A boolean flag indicating whether a preauthorization is required prior to actual service delivery.",
          "requirements" : "Needed to convey that preauthorization is required.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
          "path" : "CoverageEligibilityResponse.insurance.item.authorizationSupporting",
          "short" : "Type of required supporting materials",
          "definition" : "Codes or comments regarding information or actions associated with the preauthorization.",
          "requirements" : "Needed to inform the provider of collateral materials or actions needed for preauthorization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AuthSupporting"
            }],
            "strength" : "example",
            "description" : "Type of supporting information to provide with a preauthorization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/coverageeligibilityresponse-ex-auth-support"
          }
        },
        {
          "id" : "CoverageEligibilityResponse.insurance.item.authorizationUrl",
          "path" : "CoverageEligibilityResponse.insurance.item.authorizationUrl",
          "short" : "Preauthorization requirements endpoint",
          "definition" : "A web location for obtaining requirements or descriptive information regarding the preauthorization.",
          "requirements" : "Needed to enable insurers to advise providers of informative information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.preAuthRef",
          "path" : "CoverageEligibilityResponse.preAuthRef",
          "short" : "Preauthorization reference",
          "definition" : "A reference from the Insurer to which these services pertain to be used on further communication and as proof that the request occurred.",
          "requirements" : "To provide any preauthorization reference for provider use.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "F03"
          },
          {
            "identity" : "rim",
            "map" : "23"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.form",
          "path" : "CoverageEligibilityResponse.form",
          "short" : "Printed form identifier",
          "definition" : "A code for the form to be used for printing the content.",
          "comment" : "May be needed to identify specific jurisdictional forms.",
          "requirements" : "Needed to specify the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Forms"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The forms codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
          },
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "G42"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.error",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Errors"
          }],
          "path" : "CoverageEligibilityResponse.error",
          "short" : "Processing errors",
          "definition" : "Errors encountered during the processing of the request.",
          "requirements" : "Need to communicate processing issues to the requestor.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "CoverageEligibilityResponse.error.code",
          "path" : "CoverageEligibilityResponse.error.code",
          "short" : "Error code detailing processing issues",
          "definition" : "An error code,from a specified code system, which details why the eligibility check could not be performed.",
          "requirements" : "Required to convey processing errors.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjudicationError"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The error codes for adjudication processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-error"
          }
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DetectedIssue",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DetectedIssue",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DetectedIssue 
TU
DomainResource
Clinical issue with action
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique id for the detected issue
 status 
?!Σ
1..1
code
registered | preliminary | final | amended +
ObservationStatus (Required)
 code 
Σ
0..1
CodeableConcept
Issue Category, e.g. drug-drug, duplicate therapy, etc.
Detected Issue Category (Preferred)
 severity 
Σ
0..1
code
high | moderate | low
DetectedIssueSeverity (Required)
 patient 
Σ
0..1
Reference(Patient)
Associated patient
 identified[x] 
Σ
0..1
When identified
 identifiedDateTime
dateTime
 identifiedPeriod
Period
 author 
Σ
0..1
Reference(Practitioner | PractitionerRole | Device)
The provider or device that identified the issue
 implicated 
Σ
0..*
Reference(Any)
Problem resource
 evidence 
0..*
BackboneElement
Supporting evidence
 code 
0..*
CodeableConcept
Manifestation
Manifestation and Symptom Codes (Example)
 detail 
0..*
Reference(Any)
Supporting information
 detail 
0..1
string
Description and context
 reference 
0..1
uri
Authority for issue
 mitigation 
0..*
BackboneElement
Step taken to address
 action 
1..1
CodeableConcept
What mitigation?
Detected Issue Mitigation Action (Preferred)
 date 
0..1
dateTime
Date committed
 author 
0..1
Reference(Practitioner | PractitionerRole)
Who is committing?

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Summary"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DetectedIssue",
      "version" : "4.0.0",
      "name" : "DetectedIssue",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "DetectedIssue",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DetectedIssue",
          "path" : "DetectedIssue",
          "short" : "Clinical issue with action",
          "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc.",
          "alias" : ["DDI",
          "drug-drug interaction",
          "Contraindication",
          "Alert"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DetectedIssue",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "Partial mapping from messages containing the AL1 or IAM segment, such as the ADT^A01, ADT^A08, and ADT^A60."
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=ALRT, moodCode=EVN)"
          }]
        },
        {
          "id" : "DetectedIssue.id",
          "path" : "DetectedIssue.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DetectedIssue.meta",
          "path" : "DetectedIssue.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DetectedIssue.implicitRules",
          "path" : "DetectedIssue.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DetectedIssue.language",
          "path" : "DetectedIssue.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DetectedIssue.text",
          "path" : "DetectedIssue.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DetectedIssue.contained",
          "path" : "DetectedIssue.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DetectedIssue.extension",
          "path" : "DetectedIssue.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DetectedIssue.modifierExtension",
          "path" : "DetectedIssue.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DetectedIssue.identifier",
          "path" : "DetectedIssue.identifier",
          "short" : "Unique id for the detected issue",
          "definition" : "Business identifier associated with the detected issue record.",
          "requirements" : "Allows linking instances of the same detected issue found on different servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DetectedIssue.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "DetectedIssue.status",
          "path" : "DetectedIssue.status",
          "short" : "registered | preliminary | final | amended +",
          "definition" : "Indicates the status of the detected issue.",
          "comment" : "This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the issue as not currently valid.",
          "alias" : ["status"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueStatus"
            }],
            "strength" : "required",
            "description" : "Indicates the status of the identified issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "DetectedIssue.code",
          "path" : "DetectedIssue.code",
          "short" : "Issue Category, e.g. drug-drug, duplicate therapy, etc.",
          "definition" : "Identifies the general type of issue identified.",
          "alias" : ["type"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueCategory"
            }],
            "strength" : "preferred",
            "description" : "Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-category"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "AL1-2 / IAM-9"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "DetectedIssue.severity",
          "path" : "DetectedIssue.severity",
          "short" : "high | moderate | low",
          "definition" : "Indicates the degree of importance associated with the identified issue based on the potential impact on the patient.",
          "alias" : ["severity"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.severity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueSeverity"
            }],
            "strength" : "required",
            "description" : "Indicates the potential degree of impact of the identified issue on the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "AL1-4/ IAR-2"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV].value"
          }]
        },
        {
          "id" : "DetectedIssue.patient",
          "path" : "DetectedIssue.patient",
          "short" : "Associated patient",
          "definition" : "Indicates the patient whose record the detected issue is associated with.",
          "requirements" : "While the subject could be inferred by tracing the subject of the implicated resources, it's useful to have a direct link for query purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.patient",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DetectedIssue.identified[x]",
          "path" : "DetectedIssue.identified[x]",
          "short" : "When identified",
          "definition" : "The date or period when the detected issue was initially identified.",
          "requirements" : "No-one can be responsible for mitigation prior to the issue being identified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.identified[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ALI-6 / IAM-11"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "DetectedIssue.author",
          "path" : "DetectedIssue.author",
          "short" : "The provider or device that identified the issue",
          "definition" : "Individual or device responsible for the issue being raised.  For example, a decision support application or a pharmacist conducting a medication review.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "IAM-14 / IAM-16"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role[classCode=ASSIGNED]"
          }]
        },
        {
          "id" : "DetectedIssue.implicated",
          "path" : "DetectedIssue.implicated",
          "short" : "Problem resource",
          "definition" : "Indicates the resource representing the current activity or proposed activity that is potentially problematic.",
          "comment" : "There's an implicit constraint on the number of implicated resources based on DetectedIssue.type; e.g. For drug-drug, there would be more than one.  For timing, there would typically only be one.",
          "alias" : ["cause"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DetectedIssue.implicated",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target[moodCode=EVN, INT]"
          }]
        },
        {
          "id" : "DetectedIssue.evidence",
          "path" : "DetectedIssue.evidence",
          "short" : "Supporting evidence",
          "definition" : "Supporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DetectedIssue.evidence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "DetectedIssue.evidence.id",
          "path" : "DetectedIssue.evidence.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DetectedIssue.evidence.extension",
          "path" : "DetectedIssue.evidence.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DetectedIssue.evidence.modifierExtension",
          "path" : "DetectedIssue.evidence.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DetectedIssue.evidence.code",
          "path" : "DetectedIssue.evidence.code",
          "short" : "Manifestation",
          "definition" : "A manifestation that led to the recording of this detected issue.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DetectedIssue.evidence.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueEvidenceCode"
            }],
            "strength" : "example",
            "description" : "Codes that describes the types of evidence for a detected issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "DetectedIssue.evidence.detail",
          "path" : "DetectedIssue.evidence.detail",
          "short" : "Supporting information",
          "definition" : "Links to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DetectedIssue.evidence.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "DetectedIssue.detail",
          "path" : "DetectedIssue.detail",
          "short" : "Description and context",
          "definition" : "A textual explanation of the detected issue.",
          "comment" : "Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.detail",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "AL1-5 / IAM-8"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "DetectedIssue.reference",
          "path" : "DetectedIssue.reference",
          "short" : "Authority for issue",
          "definition" : "The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.reference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=INST].target[classCode=ALRT, moodCode=DEFN].text.uri"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation",
          "path" : "DetectedIssue.mitigation",
          "short" : "Step taken to address",
          "definition" : "Indicates an action that has been taken or is committed to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting.  Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DetectedIssue.mitigation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=MITG].target[classCode=ACT, moodCode=EVN]"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.id",
          "path" : "DetectedIssue.mitigation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.extension",
          "path" : "DetectedIssue.mitigation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.modifierExtension",
          "path" : "DetectedIssue.mitigation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.action",
          "path" : "DetectedIssue.mitigation.action",
          "short" : "What mitigation?",
          "definition" : "Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue.",
          "comment" : "The \"text\" component can be used for detail or when no appropriate code exists.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.mitigation.action",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueMitigationAction"
            }],
            "strength" : "preferred",
            "description" : "Codes describing steps taken to resolve the issue or other circumstances that mitigate the risk associated with the issue; e.g. 'added concurrent therapy', 'prior therapy documented', etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.date",
          "path" : "DetectedIssue.mitigation.date",
          "short" : "Date committed",
          "definition" : "Indicates when the mitigating action was documented.",
          "comment" : "This might not be the same as when the mitigating step was actually taken.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.mitigation.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.author",
          "path" : "DetectedIssue.mitigation.author",
          "short" : "Who is committing?",
          "definition" : "Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DetectedIssue.mitigation.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role[classCode=ASSIGNED]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DetectedIssue",
          "path" : "DetectedIssue",
          "short" : "Clinical issue with action",
          "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment frequency, Procedure-condition conflict, etc.",
          "alias" : ["DDI",
          "drug-drug interaction",
          "Contraindication",
          "Alert"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "Partial mapping from messages containing the AL1 or IAM segment, such as the ADT^A01, ADT^A08, and ADT^A60."
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=ALRT, moodCode=EVN)"
          }]
        },
        {
          "id" : "DetectedIssue.identifier",
          "path" : "DetectedIssue.identifier",
          "short" : "Unique id for the detected issue",
          "definition" : "Business identifier associated with the detected issue record.",
          "requirements" : "Allows linking instances of the same detected issue found on different servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "IAM-7"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "DetectedIssue.status",
          "path" : "DetectedIssue.status",
          "short" : "registered | preliminary | final | amended +",
          "definition" : "Indicates the status of the detected issue.",
          "comment" : "This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the issue as not currently valid.",
          "alias" : ["status"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueStatus"
            }],
            "strength" : "required",
            "description" : "Indicates the status of the identified issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "DetectedIssue.code",
          "path" : "DetectedIssue.code",
          "short" : "Issue Category, e.g. drug-drug, duplicate therapy, etc.",
          "definition" : "Identifies the general type of issue identified.",
          "alias" : ["type"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueCategory"
            }],
            "strength" : "preferred",
            "description" : "Codes identifying the general type of detected issue; e.g. Drug-drug interaction, Timing issue, Duplicate therapy, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-category"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "AL1-2 / IAM-9"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "DetectedIssue.severity",
          "path" : "DetectedIssue.severity",
          "short" : "high | moderate | low",
          "definition" : "Indicates the degree of importance associated with the identified issue based on the potential impact on the patient.",
          "alias" : ["severity"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueSeverity"
            }],
            "strength" : "required",
            "description" : "Indicates the potential degree of impact of the identified issue on the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-severity|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "AL1-4/ IAR-2"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV].value"
          }]
        },
        {
          "id" : "DetectedIssue.patient",
          "path" : "DetectedIssue.patient",
          "short" : "Associated patient",
          "definition" : "Indicates the patient whose record the detected issue is associated with.",
          "requirements" : "While the subject could be inferred by tracing the subject of the implicated resources, it's useful to have a direct link for query purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DetectedIssue.identified[x]",
          "path" : "DetectedIssue.identified[x]",
          "short" : "When identified",
          "definition" : "The date or period when the detected issue was initially identified.",
          "requirements" : "No-one can be responsible for mitigation prior to the issue being identified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ALI-6 / IAM-11"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "DetectedIssue.author",
          "path" : "DetectedIssue.author",
          "short" : "The provider or device that identified the issue",
          "definition" : "Individual or device responsible for the issue being raised.  For example, a decision support application or a pharmacist conducting a medication review.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "IAM-14 / IAM-16"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role[classCode=ASSIGNED]"
          }]
        },
        {
          "id" : "DetectedIssue.implicated",
          "path" : "DetectedIssue.implicated",
          "short" : "Problem resource",
          "definition" : "Indicates the resource representing the current activity or proposed activity that is potentially problematic.",
          "comment" : "There's an implicit constraint on the number of implicated resources based on DetectedIssue.type; e.g. For drug-drug, there would be more than one.  For timing, there would typically only be one.",
          "alias" : ["cause"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target[moodCode=EVN, INT]"
          }]
        },
        {
          "id" : "DetectedIssue.evidence",
          "path" : "DetectedIssue.evidence",
          "short" : "Supporting evidence",
          "definition" : "Supporting evidence or manifestations that provide the basis for identifying the detected issue such as a GuidanceResponse or MeasureReport.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "DetectedIssue.evidence.code",
          "path" : "DetectedIssue.evidence.code",
          "short" : "Manifestation",
          "definition" : "A manifestation that led to the recording of this detected issue.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueEvidenceCode"
            }],
            "strength" : "example",
            "description" : "Codes that describes the types of evidence for a detected issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/manifestation-or-symptom"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "DetectedIssue.evidence.detail",
          "path" : "DetectedIssue.evidence.detail",
          "short" : "Supporting information",
          "definition" : "Links to resources that constitute evidence for the detected issue such as a GuidanceResponse or MeasureReport.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "DetectedIssue.detail",
          "path" : "DetectedIssue.detail",
          "short" : "Description and context",
          "definition" : "A textual explanation of the detected issue.",
          "comment" : "Should focus on information not covered elsewhere as discrete data - no need to duplicate the narrative.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "AL1-5 / IAM-8"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "DetectedIssue.reference",
          "path" : "DetectedIssue.reference",
          "short" : "Authority for issue",
          "definition" : "The literature, knowledge-base or similar reference that describes the propensity for the detected issue identified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=INST].target[classCode=ALRT, moodCode=DEFN].text.uri"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation",
          "path" : "DetectedIssue.mitigation",
          "short" : "Step taken to address",
          "definition" : "Indicates an action that has been taken or is committed to reduce or eliminate the likelihood of the risk identified by the detected issue from manifesting.  Can also reflect an observation of known mitigating factors that may reduce/eliminate the need for any action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=MITG].target[classCode=ACT, moodCode=EVN]"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.action",
          "path" : "DetectedIssue.mitigation.action",
          "short" : "What mitigation?",
          "definition" : "Describes the action that was taken or the observation that was made that reduces/eliminates the risk associated with the identified issue.",
          "comment" : "The \"text\" component can be used for detail or when no appropriate code exists.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DetectedIssueMitigationAction"
            }],
            "strength" : "preferred",
            "description" : "Codes describing steps taken to resolve the issue or other circumstances that mitigate the risk associated with the issue; e.g. 'added concurrent therapy', 'prior therapy documented', etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/detectedissue-mitigation-action"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.date",
          "path" : "DetectedIssue.mitigation.date",
          "short" : "Date committed",
          "definition" : "Indicates when the mitigating action was documented.",
          "comment" : "This might not be the same as when the mitigating step was actually taken.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "DetectedIssue.mitigation.author",
          "path" : "DetectedIssue.mitigation.author",
          "short" : "Who is committing?",
          "definition" : "Identifies the practitioner who determined the mitigation and takes responsibility for the mitigation step occurring.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role[classCode=ASSIGNED]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Device",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Device",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Device 
TU
DomainResource
Item used in healthcare
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Instance identifier
 definition 
0..1
Reference(DeviceDefinition)
The reference to the definition for the device
 udiCarrier 
Σ
0..*
BackboneElement
Unique Device Identifier (UDI) Barcode string
 deviceIdentifier 
Σ
0..1
string
Mandatory fixed portion of UDI
 issuer 
0..1
uri
UDI Issuing Organization
 jurisdiction 
0..1
uri
Regional UDI authority
 carrierAIDC 
Σ
0..1
base64Binary
UDI Machine Readable Barcode String
 carrierHRF 
Σ
0..1
string
UDI Human Readable Barcode String
 entryType 
0..1
code
barcode | rfid | manual +
UDIEntryType (Required)
 status 
?!Σ
0..1
code
active | inactive | entered-in-error | unknown
FHIRDeviceStatus (Required)
 statusReason 
0..*
CodeableConcept
online | paused | standby | offline | not-ready | transduc-discon | hw-discon | off
FHIRDeviceStatusReason (Extensible)
 distinctIdentifier 
0..1
string
The distinct identification string
 manufacturer 
0..1
string
Name of device manufacturer
 manufactureDate 
0..1
dateTime
Date when the device was made
 expirationDate 
0..1
dateTime
Date and time of expiry of this device (if applicable)
 lotNumber 
0..1
string
Lot number of manufacture
 serialNumber 
0..1
string
Serial number assigned by the manufacturer
 deviceName 
0..*
BackboneElement
The name of the device as given by the manufacturer
 name 
1..1
string
The name of the device
 type 
1..1
code
udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other
DeviceNameType (Required)
 modelNumber 
0..1
string
The model number for the device
 partNumber 
0..1
string
The part number of the device
 type 
0..1
CodeableConcept
The kind or type of device
Device Type (Example)
 specialization 
0..*
BackboneElement
The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication
 systemType 
1..1
CodeableConcept
The standard that is used to operate and communicate
 version 
0..1
string
The version of the standard that is used to operate and communicate
 version 
0..*
BackboneElement
The actual design of the device or software version running on the device
 type 
0..1
CodeableConcept
The type of the device version
 component 
0..1
Identifier
A single component of the device version
 value 
1..1
string
The version text
 property 
0..*
BackboneElement
The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties
 type 
1..1
CodeableConcept
Code that specifies the property DeviceDefinitionPropetyCode (Extensible)
 valueQuantity 
0..*
Quantity
Property value as a quantity
 valueCode 
0..*
CodeableConcept
Property value as a code, e.g., NTP4 (synced to NTP)
 patient 
0..1
Reference(Patient)
Patient to whom Device is affixed
 owner 
0..1
Reference(Organization)
Organization responsible for device
 contact 
0..*
ContactPoint
Details for human/organization for support
 location 
0..1
Reference(Location)
Where the device is found
 url 
0..1
uri
Network address to contact device
 note 
0..*
Annotation
Device notes and comments
 safety 
Σ
0..*
CodeableConcept
Safety Characteristics of Device
 parent 
0..1
Reference(Device)
The parent device

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Device",
      "version" : "4.0.0",
      "name" : "Device",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.",
      "purpose" : "Allows institutions to track their devices.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "udi",
        "uri" : "http://fda.gov/UDI",
        "name" : "UDI Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Device",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Device",
          "path" : "Device",
          "short" : "Item used in healthcare",
          "definition" : "A type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Device"
          }]
        },
        {
          "id" : "Device.id",
          "path" : "Device.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Device.meta",
          "path" : "Device.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Device.implicitRules",
          "path" : "Device.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Device.language",
          "path" : "Device.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Device.text",
          "path" : "Device.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Device.contained",
          "path" : "Device.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.extension",
          "path" : "Device.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.modifierExtension",
          "path" : "Device.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.identifier",
          "path" : "Device.identifier",
          "short" : "Instance identifier",
          "definition" : "Unique instance identifiers assigned to a device by manufacturers other organizations or owners.",
          "comment" : "The barcode string from a barcode present on a device label or package may identify the instance, include names given to the device in local usage, or may identify the type of device. If the identifier identifies the type of device, Device.type element should be used.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "udi",
            "map" : "The serial number which is a component of the production identifier (PI), a conditional, variable portion of a UDI.   The identifier.type code should be set to “SNO”(Serial Number) and the system left empty."
          }]
        },
        {
          "id" : "Device.definition",
          "path" : "Device.definition",
          "short" : "The reference to the definition for the device",
          "definition" : "The reference to the definition for the device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.definition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.udiCarrier",
          "path" : "Device.udiCarrier",
          "short" : "Unique Device Identifier (UDI) Barcode string",
          "definition" : "Unique device identifier (UDI) assigned to device label or package.  Note that the Device may include multiple udiCarriers as it either may include just the udiCarrier for the jurisdiction it is sold, or for multiple jurisdictions it could have been sold.",
          "comment" : "UDI may identify an unique instance of a device, or it may only identify the type of the device.  See [UDI mappings](device-mappings.html#udi) for a complete mapping of UDI parts to Device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.udiCarrier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id and .code"
          }]
        },
        {
          "id" : "Device.udiCarrier.id",
          "path" : "Device.udiCarrier.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.udiCarrier.extension",
          "path" : "Device.udiCarrier.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.udiCarrier.modifierExtension",
          "path" : "Device.udiCarrier.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.udiCarrier.deviceIdentifier",
          "path" : "Device.udiCarrier.deviceIdentifier",
          "short" : "Mandatory fixed portion of UDI",
          "definition" : "The device identifier (DI) is a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device.",
          "alias" : ["DI"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.udiCarrier.deviceIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Role.id.extension"
          },
          {
            "identity" : "udi",
            "map" : "The device identifier (DI), a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device."
          }]
        },
        {
          "id" : "Device.udiCarrier.issuer",
          "path" : "Device.udiCarrier.issuer",
          "short" : "UDI Issuing Organization",
          "definition" : "Organization that is charged with issuing UDIs for devices.  For example, the US FDA issuers include :\n1) GS1: \nhttp://hl7.org/fhir/NamingSystem/gs1-di, \n2) HIBCC:\nhttp://hl7.org/fhir/NamingSystem/hibcc-dI, \n3) ICCBBA for blood containers:\nhttp://hl7.org/fhir/NamingSystem/iccbba-blood-di, \n4) ICCBA for other devices:\nhttp://hl7.org/fhir/NamingSystem/iccbba-other-di.",
          "alias" : ["Barcode System"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.udiCarrier.issuer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role.id.root"
          },
          {
            "identity" : "udi",
            "map" : "All UDIs are to be issued under a system operated by an Jurisdiction-accredited issuing agency.\nGS1 DIs: \n http://hl7.org/fhir/NamingSystem/gs1\nHIBCC DIs:\n http://hl7.org/fhir/NamingSystem/hibcc\nICCBBA DIs for blood containers:\n http://hl7.org/fhir/NamingSystem/iccbba-blood\nICCBA DIs for other devices:\n http://hl7.org/fhir/NamingSystem/iccbba-other"
          }]
        },
        {
          "id" : "Device.udiCarrier.jurisdiction",
          "path" : "Device.udiCarrier.jurisdiction",
          "short" : "Regional UDI authority",
          "definition" : "The identity of the authoritative source for UDI generation within a  jurisdiction.  All UDIs are globally unique within a single namespace with the appropriate repository uri as the system.  For example,  UDIs of devices managed in the U.S. by the FDA, the value is  http://hl7.org/fhir/NamingSystem/fda-udi.",
          "requirements" : "Allows a recipient of a UDI to know which database will contain the UDI-associated metadata.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.udiCarrier.jurisdiction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role.scoper"
          }]
        },
        {
          "id" : "Device.udiCarrier.carrierAIDC",
          "path" : "Device.udiCarrier.carrierAIDC",
          "short" : "UDI Machine Readable Barcode String",
          "definition" : "The full UDI carrier of the Automatic Identification and Data Capture (AIDC) technology representation of the barcode string as printed on the packaging of the device - e.g., a barcode or RFID.   Because of limitations on character sets in XML and the need to round-trip JSON data through XML, AIDC Formats *SHALL* be base64 encoded.",
          "comment" : "The AIDC form of UDIs should be scanned or otherwise used for the identification of the device whenever possible to minimize errors in records resulting from manual transcriptions. If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.",
          "alias" : ["Automatic Identification and Data Capture"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.udiCarrier.carrierAIDC",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "base64Binary"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role.id.extension"
          },
          {
            "identity" : "udi",
            "map" : "A unique device identifier (UDI) on a device label a form that uses automatic identification and data capture (AIDC) technology."
          }]
        },
        {
          "id" : "Device.udiCarrier.carrierHRF",
          "path" : "Device.udiCarrier.carrierHRF",
          "short" : "UDI Human Readable Barcode String",
          "definition" : "The full UDI carrier as the human readable form (HRF) representation of the barcode string as printed on the packaging of the device.",
          "comment" : "If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.",
          "alias" : ["Human Readable Form"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.udiCarrier.carrierHRF",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role.id.extension"
          },
          {
            "identity" : "udi",
            "map" : "A unique device identifier (UDI) on a device label in plain text"
          }]
        },
        {
          "id" : "Device.udiCarrier.entryType",
          "path" : "Device.udiCarrier.entryType",
          "short" : "barcode | rfid | manual +",
          "definition" : "A coded entry to indicate how the data was entered.",
          "requirements" : "Supports a way to distinguish hand entered from machine read data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.udiCarrier.entryType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "UDIEntryType"
            }],
            "strength" : "required",
            "description" : "Codes to identify how UDI data was entered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/udi-entry-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "NA"
          }]
        },
        {
          "id" : "Device.status",
          "path" : "Device.status",
          "short" : "active | inactive | entered-in-error | unknown",
          "definition" : "Status of the Device availability.",
          "comment" : "This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the device (record)as not currently valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDeviceStatus"
            }],
            "strength" : "required",
            "description" : "The availability status of the device.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Device.statusReason",
          "path" : "Device.statusReason",
          "short" : "online | paused | standby | offline | not-ready | transduc-discon | hw-discon | off",
          "definition" : "Reason for the dtatus of the Device availability.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.statusReason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDeviceStatusReason"
            }],
            "strength" : "extensible",
            "description" : "The availability status reason of the device.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-status-reason"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Device.distinctIdentifier",
          "path" : "Device.distinctIdentifier",
          "short" : "The distinct identification string",
          "definition" : "The distinct identification string as required by regulation for a human cell, tissue, or cellular and tissue-based product.",
          "comment" : "For example, this applies to devices in the United States regulated under *Code of Federal Regulation 21CFR§1271.290(c)*.",
          "alias" : ["Distinct Identification Code (DIC)"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.distinctIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".lotNumberText"
          },
          {
            "identity" : "udi",
            "map" : "The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI."
          }]
        },
        {
          "id" : "Device.manufacturer",
          "path" : "Device.manufacturer",
          "short" : "Name of device manufacturer",
          "definition" : "A name of the manufacturer.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.manufacturer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].scoper.name"
          },
          {
            "identity" : "udi",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.manufactureDate",
          "path" : "Device.manufactureDate",
          "short" : "Date when the device was made",
          "definition" : "The date and time when the device was manufactured.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.manufactureDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".existenceTime.low"
          },
          {
            "identity" : "udi",
            "map" : "The date a specific device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI.  For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS].  If hour is present, the minutes and seconds should both be set to “00”."
          }]
        },
        {
          "id" : "Device.expirationDate",
          "path" : "Device.expirationDate",
          "short" : "Date and time of expiry of this device (if applicable)",
          "definition" : "The date and time beyond which this device is no longer valid or should not be used (if applicable).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.expirationDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".expirationTime"
          },
          {
            "identity" : "udi",
            "map" : "the expiration date of a specific device -  which is a component of the production identifier (PI), a conditional, variable portion of a UDI.  For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS].  If hour is present, the minutes and seconds should both be set to “00”."
          }]
        },
        {
          "id" : "Device.lotNumber",
          "path" : "Device.lotNumber",
          "short" : "Lot number of manufacture",
          "definition" : "Lot number assigned by the manufacturer.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.lotNumber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".lotNumberText"
          },
          {
            "identity" : "udi",
            "map" : "The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI."
          }]
        },
        {
          "id" : "Device.serialNumber",
          "path" : "Device.serialNumber",
          "short" : "Serial number assigned by the manufacturer",
          "definition" : "The serial number assigned by the organization when the device was manufactured.",
          "comment" : "Alphanumeric Maximum 20.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.serialNumber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].id"
          }]
        },
        {
          "id" : "Device.deviceName",
          "path" : "Device.deviceName",
          "short" : "The name of the device as given by the manufacturer",
          "definition" : "This represents the manufacturer's name of the device as provided by the device, from a UDI label, or by a person describing the Device.  This typically would be used when a person provides the name(s) or when the device represents one of the names available from DeviceDefinition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.deviceName",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.deviceName.id",
          "path" : "Device.deviceName.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.deviceName.extension",
          "path" : "Device.deviceName.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.deviceName.modifierExtension",
          "path" : "Device.deviceName.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.deviceName.name",
          "path" : "Device.deviceName.name",
          "short" : "The name of the device",
          "definition" : "The name of the device.",
          "alias" : ["Σ"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Device.deviceName.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.deviceName.type",
          "path" : "Device.deviceName.type",
          "short" : "udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other",
          "definition" : "The type of deviceName.\nUDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName | ModelName.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Device.deviceName.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceNameType"
            }],
            "strength" : "required",
            "description" : "The type of name the device is referred by.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-nametype|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].code"
          }]
        },
        {
          "id" : "Device.modelNumber",
          "path" : "Device.modelNumber",
          "short" : "The model number for the device",
          "definition" : "The model number for the device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.modelNumber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".softwareName (included as part)"
          }]
        },
        {
          "id" : "Device.partNumber",
          "path" : "Device.partNumber",
          "short" : "The part number of the device",
          "definition" : "The part number of the device.",
          "comment" : "Alphanumeric Maximum 20.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.partNumber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].id"
          }]
        },
        {
          "id" : "Device.type",
          "path" : "Device.type",
          "short" : "The kind or type of device",
          "definition" : "The kind or type of device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceType"
            }],
            "strength" : "example",
            "description" : "Codes to identify medical devices.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-type"
          }
        },
        {
          "id" : "Device.specialization",
          "path" : "Device.specialization",
          "short" : "The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication",
          "definition" : "The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.specialization",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.specialization.id",
          "path" : "Device.specialization.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.specialization.extension",
          "path" : "Device.specialization.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.specialization.modifierExtension",
          "path" : "Device.specialization.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.specialization.systemType",
          "path" : "Device.specialization.systemType",
          "short" : "The standard that is used to operate and communicate",
          "definition" : "The standard that is used to operate and communicate.",
          "alias" : ["Σ"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Device.specialization.systemType",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.specialization.version",
          "path" : "Device.specialization.version",
          "short" : "The version of the standard that is used to operate and communicate",
          "definition" : "The version of the standard that is used to operate and communicate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.specialization.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "Device.version",
          "path" : "Device.version",
          "short" : "The actual design of the device or software version running on the device",
          "definition" : "The actual design of the device or software version running on the device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.version",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.version.id",
          "path" : "Device.version.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.version.extension",
          "path" : "Device.version.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.version.modifierExtension",
          "path" : "Device.version.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.version.type",
          "path" : "Device.version.type",
          "short" : "The type of the device version",
          "definition" : "The type of the device version.",
          "alias" : ["Σ"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.version.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.version.component",
          "path" : "Device.version.component",
          "short" : "A single component of the device version",
          "definition" : "A single component of the device version.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.version.component",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "Device.version.value",
          "path" : "Device.version.value",
          "short" : "The version text",
          "definition" : "The version text.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Device.version.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.property",
          "path" : "Device.property",
          "short" : "The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties",
          "definition" : "The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.property",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.property.id",
          "path" : "Device.property.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.property.extension",
          "path" : "Device.property.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Device.property.modifierExtension",
          "path" : "Device.property.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.property.type",
          "path" : "Device.property.type",
          "short" : "Code that specifies the property DeviceDefinitionPropetyCode (Extensible)",
          "definition" : "Code that specifies the property DeviceDefinitionPropetyCode (Extensible).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Device.property.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.property.valueQuantity",
          "path" : "Device.property.valueQuantity",
          "short" : "Property value as a quantity",
          "definition" : "Property value as a quantity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.property.valueQuantity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.property.valueCode",
          "path" : "Device.property.valueCode",
          "short" : "Property value as a code, e.g., NTP4 (synced to NTP)",
          "definition" : "Property value as a code, e.g., NTP4 (synced to NTP).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.property.valueCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Device.patient",
          "path" : "Device.patient",
          "short" : "Patient to whom Device is affixed",
          "definition" : "Patient information, If the device is affixed to a person.",
          "requirements" : "If the device is implanted in a patient, then need to associate the device to the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.patient",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=USED].scoper.playedRole[typeCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Device.owner",
          "path" : "Device.owner",
          "short" : "Organization responsible for device",
          "definition" : "An organization that is responsible for the provision and ongoing maintenance of the device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.owner",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=OWN].scoper"
          }]
        },
        {
          "id" : "Device.contact",
          "path" : "Device.contact",
          "short" : "Details for human/organization for support",
          "definition" : "Contact details for an organization or a particular human that is responsible for the device.",
          "comment" : "used for troubleshooting etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".scopedRole[typeCode=CON].player"
          }]
        },
        {
          "id" : "Device.location",
          "path" : "Device.location",
          "short" : "Where the device is found",
          "definition" : "The place where the device can be found.",
          "requirements" : "Device.location can be used to track device location.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=LOCE].scoper"
          }]
        },
        {
          "id" : "Device.url",
          "path" : "Device.url",
          "short" : "Network address to contact device",
          "definition" : "A network address on which the device may be contacted directly.",
          "comment" : "If the device is running a FHIR server, the network address should  be the Base URL from which a conformance statement may be retrieved.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "Device.note",
          "path" : "Device.note",
          "short" : "Device notes and comments",
          "definition" : "Descriptive information, usage information or implantation information that is not captured in an existing element.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Device.safety",
          "path" : "Device.safety",
          "short" : "Safety Characteristics of Device",
          "definition" : "Provides additional safety characteristics about a medical device.  For example devices containing latex.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Device.safety",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "NA"
          }]
        },
        {
          "id" : "Device.parent",
          "path" : "Device.parent",
          "short" : "The parent device",
          "definition" : "The parent device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Device.parent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Device",
          "path" : "Device",
          "short" : "Item used in healthcare",
          "definition" : "A type of a manufactured item that is used in the provision of healthcare without being substantially changed through that activity. The device may be a medical or non-medical device.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Device"
          }]
        },
        {
          "id" : "Device.identifier",
          "path" : "Device.identifier",
          "short" : "Instance identifier",
          "definition" : "Unique instance identifiers assigned to a device by manufacturers other organizations or owners.",
          "comment" : "The barcode string from a barcode present on a device label or package may identify the instance, include names given to the device in local usage, or may identify the type of device. If the identifier identifies the type of device, Device.type element should be used.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "udi",
            "map" : "The serial number which is a component of the production identifier (PI), a conditional, variable portion of a UDI.   The identifier.type code should be set to “SNO”(Serial Number) and the system left empty."
          }]
        },
        {
          "id" : "Device.definition",
          "path" : "Device.definition",
          "short" : "The reference to the definition for the device",
          "definition" : "The reference to the definition for the device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]
          }]
        },
        {
          "id" : "Device.udiCarrier",
          "path" : "Device.udiCarrier",
          "short" : "Unique Device Identifier (UDI) Barcode string",
          "definition" : "Unique device identifier (UDI) assigned to device label or package.  Note that the Device may include multiple udiCarriers as it either may include just the udiCarrier for the jurisdiction it is sold, or for multiple jurisdictions it could have been sold.",
          "comment" : "UDI may identify an unique instance of a device, or it may only identify the type of the device.  See [UDI mappings](device-mappings.html#udi) for a complete mapping of UDI parts to Device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id and .code"
          }]
        },
        {
          "id" : "Device.udiCarrier.deviceIdentifier",
          "path" : "Device.udiCarrier.deviceIdentifier",
          "short" : "Mandatory fixed portion of UDI",
          "definition" : "The device identifier (DI) is a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device.",
          "alias" : ["DI"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "Role.id.extension"
          },
          {
            "identity" : "udi",
            "map" : "The device identifier (DI), a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device."
          }]
        },
        {
          "id" : "Device.udiCarrier.issuer",
          "path" : "Device.udiCarrier.issuer",
          "short" : "UDI Issuing Organization",
          "definition" : "Organization that is charged with issuing UDIs for devices.  For example, the US FDA issuers include :\n1) GS1: \nhttp://hl7.org/fhir/NamingSystem/gs1-di, \n2) HIBCC:\nhttp://hl7.org/fhir/NamingSystem/hibcc-dI, \n3) ICCBBA for blood containers:\nhttp://hl7.org/fhir/NamingSystem/iccbba-blood-di, \n4) ICCBA for other devices:\nhttp://hl7.org/fhir/NamingSystem/iccbba-other-di.",
          "alias" : ["Barcode System"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role.id.root"
          },
          {
            "identity" : "udi",
            "map" : "All UDIs are to be issued under a system operated by an Jurisdiction-accredited issuing agency.\nGS1 DIs: \n http://hl7.org/fhir/NamingSystem/gs1\nHIBCC DIs:\n http://hl7.org/fhir/NamingSystem/hibcc\nICCBBA DIs for blood containers:\n http://hl7.org/fhir/NamingSystem/iccbba-blood\nICCBA DIs for other devices:\n http://hl7.org/fhir/NamingSystem/iccbba-other"
          }]
        },
        {
          "id" : "Device.udiCarrier.jurisdiction",
          "path" : "Device.udiCarrier.jurisdiction",
          "short" : "Regional UDI authority",
          "definition" : "The identity of the authoritative source for UDI generation within a  jurisdiction.  All UDIs are globally unique within a single namespace with the appropriate repository uri as the system.  For example,  UDIs of devices managed in the U.S. by the FDA, the value is  http://hl7.org/fhir/NamingSystem/fda-udi.",
          "requirements" : "Allows a recipient of a UDI to know which database will contain the UDI-associated metadata.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role.scoper"
          }]
        },
        {
          "id" : "Device.udiCarrier.carrierAIDC",
          "path" : "Device.udiCarrier.carrierAIDC",
          "short" : "UDI Machine Readable Barcode String",
          "definition" : "The full UDI carrier of the Automatic Identification and Data Capture (AIDC) technology representation of the barcode string as printed on the packaging of the device - e.g., a barcode or RFID.   Because of limitations on character sets in XML and the need to round-trip JSON data through XML, AIDC Formats *SHALL* be base64 encoded.",
          "comment" : "The AIDC form of UDIs should be scanned or otherwise used for the identification of the device whenever possible to minimize errors in records resulting from manual transcriptions. If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.",
          "alias" : ["Automatic Identification and Data Capture"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "base64Binary"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role.id.extension"
          },
          {
            "identity" : "udi",
            "map" : "A unique device identifier (UDI) on a device label a form that uses automatic identification and data capture (AIDC) technology."
          }]
        },
        {
          "id" : "Device.udiCarrier.carrierHRF",
          "path" : "Device.udiCarrier.carrierHRF",
          "short" : "UDI Human Readable Barcode String",
          "definition" : "The full UDI carrier as the human readable form (HRF) representation of the barcode string as printed on the packaging of the device.",
          "comment" : "If separate barcodes for DI and PI are present, concatenate the string with DI first and in order of human readable expression on label.",
          "alias" : ["Human Readable Form"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role.id.extension"
          },
          {
            "identity" : "udi",
            "map" : "A unique device identifier (UDI) on a device label in plain text"
          }]
        },
        {
          "id" : "Device.udiCarrier.entryType",
          "path" : "Device.udiCarrier.entryType",
          "short" : "barcode | rfid | manual +",
          "definition" : "A coded entry to indicate how the data was entered.",
          "requirements" : "Supports a way to distinguish hand entered from machine read data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "UDIEntryType"
            }],
            "strength" : "required",
            "description" : "Codes to identify how UDI data was entered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/udi-entry-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "NA"
          }]
        },
        {
          "id" : "Device.status",
          "path" : "Device.status",
          "short" : "active | inactive | entered-in-error | unknown",
          "definition" : "Status of the Device availability.",
          "comment" : "This element is labeled as a modifier because the status contains the codes inactive and entered-in-error that mark the device (record)as not currently valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDeviceStatus"
            }],
            "strength" : "required",
            "description" : "The availability status of the device.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Device.statusReason",
          "path" : "Device.statusReason",
          "short" : "online | paused | standby | offline | not-ready | transduc-discon | hw-discon | off",
          "definition" : "Reason for the dtatus of the Device availability.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDeviceStatusReason"
            }],
            "strength" : "extensible",
            "description" : "The availability status reason of the device.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-status-reason"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Device.distinctIdentifier",
          "path" : "Device.distinctIdentifier",
          "short" : "The distinct identification string",
          "definition" : "The distinct identification string as required by regulation for a human cell, tissue, or cellular and tissue-based product.",
          "comment" : "For example, this applies to devices in the United States regulated under *Code of Federal Regulation 21CFR§1271.290(c)*.",
          "alias" : ["Distinct Identification Code (DIC)"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".lotNumberText"
          },
          {
            "identity" : "udi",
            "map" : "The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI."
          }]
        },
        {
          "id" : "Device.manufacturer",
          "path" : "Device.manufacturer",
          "short" : "Name of device manufacturer",
          "definition" : "A name of the manufacturer.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].scoper.name"
          },
          {
            "identity" : "udi",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Device.manufactureDate",
          "path" : "Device.manufactureDate",
          "short" : "Date when the device was made",
          "definition" : "The date and time when the device was manufactured.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".existenceTime.low"
          },
          {
            "identity" : "udi",
            "map" : "The date a specific device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI.  For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS].  If hour is present, the minutes and seconds should both be set to “00”."
          }]
        },
        {
          "id" : "Device.expirationDate",
          "path" : "Device.expirationDate",
          "short" : "Date and time of expiry of this device (if applicable)",
          "definition" : "The date and time beyond which this device is no longer valid or should not be used (if applicable).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".expirationTime"
          },
          {
            "identity" : "udi",
            "map" : "the expiration date of a specific device -  which is a component of the production identifier (PI), a conditional, variable portion of a UDI.  For FHIR, The datetime syntax must converted to YYYY-MM-DD[THH:MM:SS].  If hour is present, the minutes and seconds should both be set to “00”."
          }]
        },
        {
          "id" : "Device.lotNumber",
          "path" : "Device.lotNumber",
          "short" : "Lot number of manufacture",
          "definition" : "Lot number assigned by the manufacturer.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".lotNumberText"
          },
          {
            "identity" : "udi",
            "map" : "The lot or batch number within which a device was manufactured - which is a component of the production identifier (PI), a conditional, variable portion of a UDI."
          }]
        },
        {
          "id" : "Device.serialNumber",
          "path" : "Device.serialNumber",
          "short" : "Serial number assigned by the manufacturer",
          "definition" : "The serial number assigned by the organization when the device was manufactured.",
          "comment" : "Alphanumeric Maximum 20.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].id"
          }]
        },
        {
          "id" : "Device.deviceName",
          "path" : "Device.deviceName",
          "short" : "The name of the device as given by the manufacturer",
          "definition" : "This represents the manufacturer's name of the device as provided by the device, from a UDI label, or by a person describing the Device.  This typically would be used when a person provides the name(s) or when the device represents one of the names available from DeviceDefinition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Device.deviceName.name",
          "path" : "Device.deviceName.name",
          "short" : "The name of the device",
          "definition" : "The name of the device.",
          "alias" : ["Σ"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Device.deviceName.type",
          "path" : "Device.deviceName.type",
          "short" : "udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other",
          "definition" : "The type of deviceName.\nUDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName | ModelName.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceNameType"
            }],
            "strength" : "required",
            "description" : "The type of name the device is referred by.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-nametype|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].code"
          }]
        },
        {
          "id" : "Device.modelNumber",
          "path" : "Device.modelNumber",
          "short" : "The model number for the device",
          "definition" : "The model number for the device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".softwareName (included as part)"
          }]
        },
        {
          "id" : "Device.partNumber",
          "path" : "Device.partNumber",
          "short" : "The part number of the device",
          "definition" : "The part number of the device.",
          "comment" : "Alphanumeric Maximum 20.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].id"
          }]
        },
        {
          "id" : "Device.type",
          "path" : "Device.type",
          "short" : "The kind or type of device",
          "definition" : "The kind or type of device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceType"
            }],
            "strength" : "example",
            "description" : "Codes to identify medical devices.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-type"
          }
        },
        {
          "id" : "Device.specialization",
          "path" : "Device.specialization",
          "short" : "The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication",
          "definition" : "The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Device.specialization.systemType",
          "path" : "Device.specialization.systemType",
          "short" : "The standard that is used to operate and communicate",
          "definition" : "The standard that is used to operate and communicate.",
          "alias" : ["Σ"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "Device.specialization.version",
          "path" : "Device.specialization.version",
          "short" : "The version of the standard that is used to operate and communicate",
          "definition" : "The version of the standard that is used to operate and communicate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "Device.version",
          "path" : "Device.version",
          "short" : "The actual design of the device or software version running on the device",
          "definition" : "The actual design of the device or software version running on the device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Device.version.type",
          "path" : "Device.version.type",
          "short" : "The type of the device version",
          "definition" : "The type of the device version.",
          "alias" : ["Σ"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "Device.version.component",
          "path" : "Device.version.component",
          "short" : "A single component of the device version",
          "definition" : "A single component of the device version.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "Device.version.value",
          "path" : "Device.version.value",
          "short" : "The version text",
          "definition" : "The version text.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Device.property",
          "path" : "Device.property",
          "short" : "The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties",
          "definition" : "The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Device.property.type",
          "path" : "Device.property.type",
          "short" : "Code that specifies the property DeviceDefinitionPropetyCode (Extensible)",
          "definition" : "Code that specifies the property DeviceDefinitionPropetyCode (Extensible).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "Device.property.valueQuantity",
          "path" : "Device.property.valueQuantity",
          "short" : "Property value as a quantity",
          "definition" : "Property value as a quantity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Quantity"
          }]
        },
        {
          "id" : "Device.property.valueCode",
          "path" : "Device.property.valueCode",
          "short" : "Property value as a code, e.g., NTP4 (synced to NTP)",
          "definition" : "Property value as a code, e.g., NTP4 (synced to NTP).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "Device.patient",
          "path" : "Device.patient",
          "short" : "Patient to whom Device is affixed",
          "definition" : "Patient information, If the device is affixed to a person.",
          "requirements" : "If the device is implanted in a patient, then need to associate the device to the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=USED].scoper.playedRole[typeCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Device.owner",
          "path" : "Device.owner",
          "short" : "Organization responsible for device",
          "definition" : "An organization that is responsible for the provision and ongoing maintenance of the device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=OWN].scoper"
          }]
        },
        {
          "id" : "Device.contact",
          "path" : "Device.contact",
          "short" : "Details for human/organization for support",
          "definition" : "Contact details for an organization or a particular human that is responsible for the device.",
          "comment" : "used for troubleshooting etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".scopedRole[typeCode=CON].player"
          }]
        },
        {
          "id" : "Device.location",
          "path" : "Device.location",
          "short" : "Where the device is found",
          "definition" : "The place where the device can be found.",
          "requirements" : "Device.location can be used to track device location.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=LOCE].scoper"
          }]
        },
        {
          "id" : "Device.url",
          "path" : "Device.url",
          "short" : "Network address to contact device",
          "definition" : "A network address on which the device may be contacted directly.",
          "comment" : "If the device is running a FHIR server, the network address should  be the Base URL from which a conformance statement may be retrieved.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "Device.note",
          "path" : "Device.note",
          "short" : "Device notes and comments",
          "definition" : "Descriptive information, usage information or implantation information that is not captured in an existing element.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Device.safety",
          "path" : "Device.safety",
          "short" : "Safety Characteristics of Device",
          "definition" : "Provides additional safety characteristics about a medical device.  For example devices containing latex.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "NA"
          }]
        },
        {
          "id" : "Device.parent",
          "path" : "Device.parent",
          "short" : "The parent device",
          "definition" : "The parent device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DeviceDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DeviceDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DeviceDefinition 
TU
DomainResource
An instance of a medical-related component of a medical device
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Instance identifier
 udiDeviceIdentifier 
0..*
BackboneElement
Unique Device Identifier (UDI) Barcode string
 deviceIdentifier 
1..1
string
The identifier that is to be associated with every Device that references this DeviceDefintiion for the issuer and jurisdication porvided in the DeviceDefinition.udiDeviceIdentifier
 issuer 
1..1
uri
The organization that assigns the identifier algorithm
 jurisdiction 
1..1
uri
The jurisdiction to which the deviceIdentifier applies
 manufacturer[x] 
0..1
Name of device manufacturer
 manufacturerString
string
 manufacturerReference
Reference(Organization)
 deviceName 
0..*
BackboneElement
A name given to the device to identify it
 name 
1..1
string
The name of the device
 type 
1..1
code
udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other
DeviceNameType (Required)
 modelNumber 
0..1
string
The model number for the device
 type 
0..1
CodeableConcept
What kind of device or device system this is
FHIR Device Types (Example)
 specialization 
0..*
BackboneElement
The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication
 systemType 
1..1
string
The standard that is used to operate and communicate
 version 
0..1
string
The version of the standard that is used to operate and communicate
 version 
0..*
string
Available versions
 safety 
Σ
0..*
CodeableConcept
Safety characteristics of the device
Device safety (Example)
 shelfLifeStorage 
0..*
ProductShelfLife
Shelf Life and storage information
 physicalCharacteristics 
0..1
ProdCharacteristic
Dimensions, color etc.
 languageCode 
0..*
CodeableConcept
Language code for the human-readable text strings produced by the device (all supported)
 capability 
0..*
BackboneElement
Device capabilities
 type 
1..1
CodeableConcept
Type of capability
 description 
0..*
CodeableConcept
Description of capability
 property 
0..*
BackboneElement
The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties
 type 
1..1
CodeableConcept
Code that specifies the property DeviceDefinitionPropetyCode (Extensible)
 valueQuantity 
0..*
Quantity
Property value as a quantity
 valueCode 
0..*
CodeableConcept
Property value as a code, e.g., NTP4 (synced to NTP)
 owner 
0..1
Reference(Organization)
Organization responsible for device
 contact 
0..*
ContactPoint
Details for human/organization for support
 url 
0..1
uri
Network address to contact device
 onlineInformation 
0..1
uri
Access to on-line information
 note 
0..*
Annotation
Device notes and comments
 quantity 
0..1
Quantity
The quantity of the device present in the packaging (e.g. the number of devices present in a pack, or the number of devices in the same package of the medicinal product)
 parentDevice 
Σ
0..1
Reference(DeviceDefinition)
The parent device it can be part of
 material 
0..*
BackboneElement
A substance used to create the material(s) of which the device is made
 substance 
1..1
CodeableConcept
The substance
 alternate 
0..1
boolean
Indicates an alternative material of the device
 allergenicIndicator 
0..1
boolean
Whether the substance is a known or suspected allergen

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Definitional Artifacts"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DeviceDefinition",
      "version" : "4.0.0",
      "name" : "DeviceDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "The characteristics, operational status and capabilities of a medical-related component of a medical device.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "DeviceDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DeviceDefinition",
          "path" : "DeviceDefinition",
          "short" : "An instance of a medical-related component of a medical device",
          "definition" : "The characteristics, operational status and capabilities of a medical-related component of a medical device.",
          "comment" : "For the initial scope, this DeviceDefinition resource is only applicable to describe a single node in the containment tree that is produced by the context scanner in any medical device that implements or derives from the ISO/IEEE 11073 standard and that does not represent a metric. Examples for such a node are MDS, VMD, or Channel.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "DeviceDefinition.id",
          "path" : "DeviceDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceDefinition.meta",
          "path" : "DeviceDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceDefinition.implicitRules",
          "path" : "DeviceDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DeviceDefinition.language",
          "path" : "DeviceDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DeviceDefinition.text",
          "path" : "DeviceDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DeviceDefinition.contained",
          "path" : "DeviceDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.extension",
          "path" : "DeviceDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.modifierExtension",
          "path" : "DeviceDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.identifier",
          "path" : "DeviceDefinition.identifier",
          "short" : "Instance identifier",
          "definition" : "Unique instance identifiers assigned to a device by the software, manufacturers, other organizations or owners. For example: handle ID.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier",
          "path" : "DeviceDefinition.udiDeviceIdentifier",
          "short" : "Unique Device Identifier (UDI) Barcode string",
          "definition" : "Unique device identifier (UDI) assigned to device label or package.  Note that the Device may include multiple udiCarriers as it either may include just the udiCarrier for the jurisdiction it is sold, or for multiple jurisdictions it could have been sold.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.udiDeviceIdentifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.id",
          "path" : "DeviceDefinition.udiDeviceIdentifier.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.extension",
          "path" : "DeviceDefinition.udiDeviceIdentifier.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.modifierExtension",
          "path" : "DeviceDefinition.udiDeviceIdentifier.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.deviceIdentifier",
          "path" : "DeviceDefinition.udiDeviceIdentifier.deviceIdentifier",
          "short" : "The identifier that is to be associated with every Device that references this DeviceDefintiion for the issuer and jurisdication porvided in the DeviceDefinition.udiDeviceIdentifier",
          "definition" : "The identifier that is to be associated with every Device that references this DeviceDefintiion for the issuer and jurisdication porvided in the DeviceDefinition.udiDeviceIdentifier.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.udiDeviceIdentifier.deviceIdentifier",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.issuer",
          "path" : "DeviceDefinition.udiDeviceIdentifier.issuer",
          "short" : "The organization that assigns the identifier algorithm",
          "definition" : "The organization that assigns the identifier algorithm.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.udiDeviceIdentifier.issuer",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.jurisdiction",
          "path" : "DeviceDefinition.udiDeviceIdentifier.jurisdiction",
          "short" : "The jurisdiction to which the deviceIdentifier applies",
          "definition" : "The jurisdiction to which the deviceIdentifier applies.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.udiDeviceIdentifier.jurisdiction",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.manufacturer[x]",
          "path" : "DeviceDefinition.manufacturer[x]",
          "short" : "Name of device manufacturer",
          "definition" : "A name of the manufacturer.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.manufacturer[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].scoper.name"
          }]
        },
        {
          "id" : "DeviceDefinition.deviceName",
          "path" : "DeviceDefinition.deviceName",
          "short" : "A name given to the device to identify it",
          "definition" : "A name given to the device to identify it.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.deviceName",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.deviceName.id",
          "path" : "DeviceDefinition.deviceName.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.deviceName.extension",
          "path" : "DeviceDefinition.deviceName.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.deviceName.modifierExtension",
          "path" : "DeviceDefinition.deviceName.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.deviceName.name",
          "path" : "DeviceDefinition.deviceName.name",
          "short" : "The name of the device",
          "definition" : "The name of the device.",
          "alias" : ["Σ"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.deviceName.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.deviceName.type",
          "path" : "DeviceDefinition.deviceName.type",
          "short" : "udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other",
          "definition" : "The type of deviceName.\nUDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName | ModelName.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.deviceName.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceNameType"
            }],
            "strength" : "required",
            "description" : "The type of name the device is referred by.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-nametype|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].code"
          }]
        },
        {
          "id" : "DeviceDefinition.modelNumber",
          "path" : "DeviceDefinition.modelNumber",
          "short" : "The model number for the device",
          "definition" : "The model number for the device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.modelNumber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".softwareName (included as part)"
          }]
        },
        {
          "id" : "DeviceDefinition.type",
          "path" : "DeviceDefinition.type",
          "short" : "What kind of device or device system this is",
          "definition" : "What kind of device or device system this is.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceKind"
            }],
            "strength" : "example",
            "description" : "Type of device e.g. according to official classification.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
          }
        },
        {
          "id" : "DeviceDefinition.specialization",
          "path" : "DeviceDefinition.specialization",
          "short" : "The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication",
          "definition" : "The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.specialization",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.specialization.id",
          "path" : "DeviceDefinition.specialization.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.specialization.extension",
          "path" : "DeviceDefinition.specialization.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.specialization.modifierExtension",
          "path" : "DeviceDefinition.specialization.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.specialization.systemType",
          "path" : "DeviceDefinition.specialization.systemType",
          "short" : "The standard that is used to operate and communicate",
          "definition" : "The standard that is used to operate and communicate.",
          "alias" : ["Σ"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.specialization.systemType",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.specialization.version",
          "path" : "DeviceDefinition.specialization.version",
          "short" : "The version of the standard that is used to operate and communicate",
          "definition" : "The version of the standard that is used to operate and communicate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.specialization.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "DeviceDefinition.version",
          "path" : "DeviceDefinition.version",
          "short" : "Available versions",
          "definition" : "The available versions of the device, e.g., software versions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.version",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.safety",
          "path" : "DeviceDefinition.safety",
          "short" : "Safety characteristics of the device",
          "definition" : "Safety characteristics of the device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.safety",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Safety"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-safety"
          }
        },
        {
          "id" : "DeviceDefinition.shelfLifeStorage",
          "path" : "DeviceDefinition.shelfLifeStorage",
          "short" : "Shelf Life and storage information",
          "definition" : "Shelf Life and storage information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.shelfLifeStorage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ProductShelfLife"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.physicalCharacteristics",
          "path" : "DeviceDefinition.physicalCharacteristics",
          "short" : "Dimensions, color etc.",
          "definition" : "Dimensions, color etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.physicalCharacteristics",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "ProdCharacteristic"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.languageCode",
          "path" : "DeviceDefinition.languageCode",
          "short" : "Language code for the human-readable text strings produced by the device (all supported)",
          "definition" : "Language code for the human-readable text strings produced by the device (all supported).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.languageCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.capability",
          "path" : "DeviceDefinition.capability",
          "short" : "Device capabilities",
          "definition" : "Device capabilities.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.capability",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.capability.id",
          "path" : "DeviceDefinition.capability.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.capability.extension",
          "path" : "DeviceDefinition.capability.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.capability.modifierExtension",
          "path" : "DeviceDefinition.capability.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.capability.type",
          "path" : "DeviceDefinition.capability.type",
          "short" : "Type of capability",
          "definition" : "Type of capability.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.capability.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.capability.description",
          "path" : "DeviceDefinition.capability.description",
          "short" : "Description of capability",
          "definition" : "Description of capability.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.capability.description",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.property",
          "path" : "DeviceDefinition.property",
          "short" : "The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties",
          "definition" : "The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.property",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.property.id",
          "path" : "DeviceDefinition.property.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.property.extension",
          "path" : "DeviceDefinition.property.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.property.modifierExtension",
          "path" : "DeviceDefinition.property.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.property.type",
          "path" : "DeviceDefinition.property.type",
          "short" : "Code that specifies the property DeviceDefinitionPropetyCode (Extensible)",
          "definition" : "Code that specifies the property DeviceDefinitionPropetyCode (Extensible).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.property.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.property.valueQuantity",
          "path" : "DeviceDefinition.property.valueQuantity",
          "short" : "Property value as a quantity",
          "definition" : "Property value as a quantity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.property.valueQuantity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.property.valueCode",
          "path" : "DeviceDefinition.property.valueCode",
          "short" : "Property value as a code, e.g., NTP4 (synced to NTP)",
          "definition" : "Property value as a code, e.g., NTP4 (synced to NTP).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.property.valueCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.owner",
          "path" : "DeviceDefinition.owner",
          "short" : "Organization responsible for device",
          "definition" : "An organization that is responsible for the provision and ongoing maintenance of the device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.owner",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=OWN].scoper"
          }]
        },
        {
          "id" : "DeviceDefinition.contact",
          "path" : "DeviceDefinition.contact",
          "short" : "Details for human/organization for support",
          "definition" : "Contact details for an organization or a particular human that is responsible for the device.",
          "comment" : "used for troubleshooting etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".scopedRole[typeCode=CON].player"
          }]
        },
        {
          "id" : "DeviceDefinition.url",
          "path" : "DeviceDefinition.url",
          "short" : "Network address to contact device",
          "definition" : "A network address on which the device may be contacted directly.",
          "comment" : "If the device is running a FHIR server, the network address should  be the Base URL from which a conformance statement may be retrieved.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "DeviceDefinition.onlineInformation",
          "path" : "DeviceDefinition.onlineInformation",
          "short" : "Access to on-line information",
          "definition" : "Access to on-line information about the device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.onlineInformation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.note",
          "path" : "DeviceDefinition.note",
          "short" : "Device notes and comments",
          "definition" : "Descriptive information, usage information or implantation information that is not captured in an existing element.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "DeviceDefinition.quantity",
          "path" : "DeviceDefinition.quantity",
          "short" : "The quantity of the device present in the packaging (e.g. the number of devices present in a pack, or the number of devices in the same package of the medicinal product)",
          "definition" : "The quantity of the device present in the packaging (e.g. the number of devices present in a pack, or the number of devices in the same package of the medicinal product).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.parentDevice",
          "path" : "DeviceDefinition.parentDevice",
          "short" : "The parent device it can be part of",
          "definition" : "The parent device it can be part of.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.parentDevice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceDefinition.material",
          "path" : "DeviceDefinition.material",
          "short" : "A substance used to create the material(s) of which the device is made",
          "definition" : "A substance used to create the material(s) of which the device is made.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceDefinition.material",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.material.id",
          "path" : "DeviceDefinition.material.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.material.extension",
          "path" : "DeviceDefinition.material.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceDefinition.material.modifierExtension",
          "path" : "DeviceDefinition.material.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceDefinition.material.substance",
          "path" : "DeviceDefinition.material.substance",
          "short" : "The substance",
          "definition" : "The substance.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.material.substance",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.material.alternate",
          "path" : "DeviceDefinition.material.alternate",
          "short" : "Indicates an alternative material of the device",
          "definition" : "Indicates an alternative material of the device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.material.alternate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DeviceDefinition.material.allergenicIndicator",
          "path" : "DeviceDefinition.material.allergenicIndicator",
          "short" : "Whether the substance is a known or suspected allergen",
          "definition" : "Whether the substance is a known or suspected allergen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceDefinition.material.allergenicIndicator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DeviceDefinition",
          "path" : "DeviceDefinition",
          "short" : "An instance of a medical-related component of a medical device",
          "definition" : "The characteristics, operational status and capabilities of a medical-related component of a medical device.",
          "comment" : "For the initial scope, this DeviceDefinition resource is only applicable to describe a single node in the containment tree that is produced by the context scanner in any medical device that implements or derives from the ISO/IEEE 11073 standard and that does not represent a metric. Examples for such a node are MDS, VMD, or Channel.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "DeviceDefinition.identifier",
          "path" : "DeviceDefinition.identifier",
          "short" : "Instance identifier",
          "definition" : "Unique instance identifiers assigned to a device by the software, manufacturers, other organizations or owners. For example: handle ID.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier",
          "path" : "DeviceDefinition.udiDeviceIdentifier",
          "short" : "Unique Device Identifier (UDI) Barcode string",
          "definition" : "Unique device identifier (UDI) assigned to device label or package.  Note that the Device may include multiple udiCarriers as it either may include just the udiCarrier for the jurisdiction it is sold, or for multiple jurisdictions it could have been sold.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.deviceIdentifier",
          "path" : "DeviceDefinition.udiDeviceIdentifier.deviceIdentifier",
          "short" : "The identifier that is to be associated with every Device that references this DeviceDefintiion for the issuer and jurisdication porvided in the DeviceDefinition.udiDeviceIdentifier",
          "definition" : "The identifier that is to be associated with every Device that references this DeviceDefintiion for the issuer and jurisdication porvided in the DeviceDefinition.udiDeviceIdentifier.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.issuer",
          "path" : "DeviceDefinition.udiDeviceIdentifier.issuer",
          "short" : "The organization that assigns the identifier algorithm",
          "definition" : "The organization that assigns the identifier algorithm.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "DeviceDefinition.udiDeviceIdentifier.jurisdiction",
          "path" : "DeviceDefinition.udiDeviceIdentifier.jurisdiction",
          "short" : "The jurisdiction to which the deviceIdentifier applies",
          "definition" : "The jurisdiction to which the deviceIdentifier applies.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "DeviceDefinition.manufacturer[x]",
          "path" : "DeviceDefinition.manufacturer[x]",
          "short" : "Name of device manufacturer",
          "definition" : "A name of the manufacturer.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].scoper.name"
          }]
        },
        {
          "id" : "DeviceDefinition.deviceName",
          "path" : "DeviceDefinition.deviceName",
          "short" : "A name given to the device to identify it",
          "definition" : "A name given to the device to identify it.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "DeviceDefinition.deviceName.name",
          "path" : "DeviceDefinition.deviceName.name",
          "short" : "The name of the device",
          "definition" : "The name of the device.",
          "alias" : ["Σ"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "DeviceDefinition.deviceName.type",
          "path" : "DeviceDefinition.deviceName.type",
          "short" : "udi-label-name | user-friendly-name | patient-reported-name | manufacturer-name | model-name | other",
          "definition" : "The type of deviceName.\nUDILabelName | UserFriendlyName | PatientReportedName | ManufactureDeviceName | ModelName.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceNameType"
            }],
            "strength" : "required",
            "description" : "The type of name the device is referred by.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-nametype|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=MANU].code"
          }]
        },
        {
          "id" : "DeviceDefinition.modelNumber",
          "path" : "DeviceDefinition.modelNumber",
          "short" : "The model number for the device",
          "definition" : "The model number for the device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".softwareName (included as part)"
          }]
        },
        {
          "id" : "DeviceDefinition.type",
          "path" : "DeviceDefinition.type",
          "short" : "What kind of device or device system this is",
          "definition" : "What kind of device or device system this is.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceKind"
            }],
            "strength" : "example",
            "description" : "Type of device e.g. according to official classification.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
          }
        },
        {
          "id" : "DeviceDefinition.specialization",
          "path" : "DeviceDefinition.specialization",
          "short" : "The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication",
          "definition" : "The capabilities supported on a  device, the standards to which the device conforms for a particular purpose, and used for the communication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "DeviceDefinition.specialization.systemType",
          "path" : "DeviceDefinition.specialization.systemType",
          "short" : "The standard that is used to operate and communicate",
          "definition" : "The standard that is used to operate and communicate.",
          "alias" : ["Σ"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "DeviceDefinition.specialization.version",
          "path" : "DeviceDefinition.specialization.version",
          "short" : "The version of the standard that is used to operate and communicate",
          "definition" : "The version of the standard that is used to operate and communicate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "DeviceDefinition.version",
          "path" : "DeviceDefinition.version",
          "short" : "Available versions",
          "definition" : "The available versions of the device, e.g., software versions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "DeviceDefinition.safety",
          "path" : "DeviceDefinition.safety",
          "short" : "Safety characteristics of the device",
          "definition" : "Safety characteristics of the device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Safety"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-safety"
          }
        },
        {
          "id" : "DeviceDefinition.shelfLifeStorage",
          "path" : "DeviceDefinition.shelfLifeStorage",
          "short" : "Shelf Life and storage information",
          "definition" : "Shelf Life and storage information.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ProductShelfLife"
          }]
        },
        {
          "id" : "DeviceDefinition.physicalCharacteristics",
          "path" : "DeviceDefinition.physicalCharacteristics",
          "short" : "Dimensions, color etc.",
          "definition" : "Dimensions, color etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "ProdCharacteristic"
          }]
        },
        {
          "id" : "DeviceDefinition.languageCode",
          "path" : "DeviceDefinition.languageCode",
          "short" : "Language code for the human-readable text strings produced by the device (all supported)",
          "definition" : "Language code for the human-readable text strings produced by the device (all supported).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "DeviceDefinition.capability",
          "path" : "DeviceDefinition.capability",
          "short" : "Device capabilities",
          "definition" : "Device capabilities.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "DeviceDefinition.capability.type",
          "path" : "DeviceDefinition.capability.type",
          "short" : "Type of capability",
          "definition" : "Type of capability.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "DeviceDefinition.capability.description",
          "path" : "DeviceDefinition.capability.description",
          "short" : "Description of capability",
          "definition" : "Description of capability.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "DeviceDefinition.property",
          "path" : "DeviceDefinition.property",
          "short" : "The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties",
          "definition" : "The actual configuration settings of a device as it actually operates, e.g., regulation status, time properties.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "DeviceDefinition.property.type",
          "path" : "DeviceDefinition.property.type",
          "short" : "Code that specifies the property DeviceDefinitionPropetyCode (Extensible)",
          "definition" : "Code that specifies the property DeviceDefinitionPropetyCode (Extensible).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "DeviceDefinition.property.valueQuantity",
          "path" : "DeviceDefinition.property.valueQuantity",
          "short" : "Property value as a quantity",
          "definition" : "Property value as a quantity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Quantity"
          }]
        },
        {
          "id" : "DeviceDefinition.property.valueCode",
          "path" : "DeviceDefinition.property.valueCode",
          "short" : "Property value as a code, e.g., NTP4 (synced to NTP)",
          "definition" : "Property value as a code, e.g., NTP4 (synced to NTP).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "DeviceDefinition.owner",
          "path" : "DeviceDefinition.owner",
          "short" : "Organization responsible for device",
          "definition" : "An organization that is responsible for the provision and ongoing maintenance of the device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[typeCode=OWN].scoper"
          }]
        },
        {
          "id" : "DeviceDefinition.contact",
          "path" : "DeviceDefinition.contact",
          "short" : "Details for human/organization for support",
          "definition" : "Contact details for an organization or a particular human that is responsible for the device.",
          "comment" : "used for troubleshooting etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".scopedRole[typeCode=CON].player"
          }]
        },
        {
          "id" : "DeviceDefinition.url",
          "path" : "DeviceDefinition.url",
          "short" : "Network address to contact device",
          "definition" : "A network address on which the device may be contacted directly.",
          "comment" : "If the device is running a FHIR server, the network address should  be the Base URL from which a conformance statement may be retrieved.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "DeviceDefinition.onlineInformation",
          "path" : "DeviceDefinition.onlineInformation",
          "short" : "Access to on-line information",
          "definition" : "Access to on-line information about the device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "DeviceDefinition.note",
          "path" : "DeviceDefinition.note",
          "short" : "Device notes and comments",
          "definition" : "Descriptive information, usage information or implantation information that is not captured in an existing element.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "DeviceDefinition.quantity",
          "path" : "DeviceDefinition.quantity",
          "short" : "The quantity of the device present in the packaging (e.g. the number of devices present in a pack, or the number of devices in the same package of the medicinal product)",
          "definition" : "The quantity of the device present in the packaging (e.g. the number of devices present in a pack, or the number of devices in the same package of the medicinal product).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }]
        },
        {
          "id" : "DeviceDefinition.parentDevice",
          "path" : "DeviceDefinition.parentDevice",
          "short" : "The parent device it can be part of",
          "definition" : "The parent device it can be part of.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "DeviceDefinition.material",
          "path" : "DeviceDefinition.material",
          "short" : "A substance used to create the material(s) of which the device is made",
          "definition" : "A substance used to create the material(s) of which the device is made.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "DeviceDefinition.material.substance",
          "path" : "DeviceDefinition.material.substance",
          "short" : "The substance",
          "definition" : "The substance.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "DeviceDefinition.material.alternate",
          "path" : "DeviceDefinition.material.alternate",
          "short" : "Indicates an alternative material of the device",
          "definition" : "Indicates an alternative material of the device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "DeviceDefinition.material.allergenicIndicator",
          "path" : "DeviceDefinition.material.allergenicIndicator",
          "short" : "Whether the substance is a known or suspected allergen",
          "definition" : "Whether the substance is a known or suspected allergen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DeviceMetric",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DeviceMetric",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DeviceMetric 
ΣTU
DomainResource
Measurement, calculation or setting capability of a medical device
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Instance identifier
 type 
Σ
1..1
CodeableConcept
Identity of metric, for example Heart Rate or PEEP Setting
Device Metric and Component Types (Preferred)
 unit 
Σ
0..1
CodeableConcept
Unit of Measure for the Metric
Device Metric and Component Types (Preferred)
 source 
Σ
0..1
Reference(Device)
Describes the link to the source Device
 parent 
Σ
0..1
Reference(Device)
Describes the link to the parent Device
 operationalStatus 
Σ
0..1
code
on | off | standby | entered-in-error
DeviceMetricOperationalStatus (Required)
 color 
Σ
0..1
code
black | red | green | yellow | blue | magenta | cyan | white
DeviceMetricColor (Required)
 category 
Σ
1..1
code
measurement | setting | calculation | unspecified
DeviceMetricCategory (Required)
 measurementPeriod 
Σ
0..1
Timing
Describes the measurement repetition time
 calibration 
Σ
0..*
BackboneElement
Describes the calibrations that have been performed or that are required to be performed
 type 
Σ
0..1
code
unspecified | offset | gain | two-point
DeviceMetricCalibrationType (Required)
 state 
Σ
0..1
code
not-calibrated | calibration-required | calibrated | unspecified
DeviceMetricCalibrationState (Required)
 time 
Σ
0..1
instant
Describes the time last calibration has been performed

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "dev"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DeviceMetric",
      "version" : "4.0.0",
      "name" : "DeviceMetric",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Health Care Devices)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/healthcaredevices/index.cfm"
        }]
      }],
      "description" : "Describes a measurement, calculation or setting capability of a medical device.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "DeviceMetric",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DeviceMetric",
          "path" : "DeviceMetric",
          "short" : "Measurement, calculation or setting capability of a medical device",
          "definition" : "Describes a measurement, calculation or setting capability of a medical device.",
          "comment" : "For the initial scope, this DeviceMetric resource is only applicable to describe a single metric node in the containment tree that is produced by the context scanner in any medical device that implements or derives from the ISO/IEEE 11073 standard.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceMetric",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "DeviceMetric.id",
          "path" : "DeviceMetric.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.meta",
          "path" : "DeviceMetric.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.implicitRules",
          "path" : "DeviceMetric.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.language",
          "path" : "DeviceMetric.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DeviceMetric.text",
          "path" : "DeviceMetric.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DeviceMetric.contained",
          "path" : "DeviceMetric.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceMetric.extension",
          "path" : "DeviceMetric.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceMetric.modifierExtension",
          "path" : "DeviceMetric.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceMetric.identifier",
          "path" : "DeviceMetric.identifier",
          "short" : "Instance identifier",
          "definition" : "Unique instance identifiers assigned to a device by the device or gateway software, manufacturers, other organizations or owners. For example: handle ID.",
          "comment" : "For identifiers assigned to a device by the device or gateway software, the `system` element of the identifier should be set to the unique identifier of the device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceMetric.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "DeviceMetric.type",
          "path" : "DeviceMetric.type",
          "short" : "Identity of metric, for example Heart Rate or PEEP Setting",
          "definition" : "Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc.",
          "comment" : "DeviceMetric.type can be referred to either IEEE 11073-10101 or LOINC.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MetricType"
            }],
            "strength" : "preferred",
            "description" : "Describes the metric type.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/devicemetric-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "DeviceMetric.unit",
          "path" : "DeviceMetric.unit",
          "short" : "Unit of Measure for the Metric",
          "definition" : "Describes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc.",
          "comment" : "DeviceMetric.unit can refer to either UCUM or preferable a RTMMS coding system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.unit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MetricUnit"
            }],
            "strength" : "preferred",
            "description" : "Describes the unit of the metric.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/devicemetric-type"
          }
        },
        {
          "id" : "DeviceMetric.source",
          "path" : "DeviceMetric.source",
          "short" : "Describes the link to the source Device",
          "definition" : "Describes the link to the  Device that this DeviceMetric belongs to and that contains administrative device information such as manufacturer, serial number, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.source",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.parent",
          "path" : "DeviceMetric.parent",
          "short" : "Describes the link to the parent Device",
          "definition" : "Describes the link to the  Device that this DeviceMetric belongs to and that provide information about the location of this DeviceMetric in the containment structure of the parent Device. An example would be a Device that represents a Channel. This reference can be used by a client application to distinguish DeviceMetrics that have the same type, but should be interpreted based on their containment location.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.parent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.operationalStatus",
          "path" : "DeviceMetric.operationalStatus",
          "short" : "on | off | standby | entered-in-error",
          "definition" : "Indicates current operational state of the device. For example: On, Off, Standby, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.operationalStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricOperationalStatus"
            }],
            "strength" : "required",
            "description" : "Describes the operational status of the DeviceMetric.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.0"
          }
        },
        {
          "id" : "DeviceMetric.color",
          "path" : "DeviceMetric.color",
          "short" : "black | red | green | yellow | blue | magenta | cyan | white",
          "definition" : "Describes the color representation for the metric. This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth for example; the parameters are displayed in different characteristic colors, such as HR-blue, BP-green, and PR and SpO2- magenta.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.color",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricColor"
            }],
            "strength" : "required",
            "description" : "Describes the typical color of representation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-color|4.0.0"
          }
        },
        {
          "id" : "DeviceMetric.category",
          "path" : "DeviceMetric.category",
          "short" : "measurement | setting | calculation | unspecified",
          "definition" : "Indicates the category of the observation generation process. A DeviceMetric can be for example a setting, measurement, or calculation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricCategory"
            }],
            "strength" : "required",
            "description" : "Describes the category of the metric.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-category|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "DeviceMetric.measurementPeriod",
          "path" : "DeviceMetric.measurementPeriod",
          "short" : "Describes the measurement repetition time",
          "definition" : "Describes the measurement repetition time. This is not necessarily the same as the update period. The measurement repetition time can range from milliseconds up to hours. An example for a measurement repetition time in the range of milliseconds is the sampling rate of an ECG. An example for a measurement repetition time in the range of hours is a NIBP that is triggered automatically every hour. The update period may be different than the measurement repetition time, if the device does not update the published observed value with the same frequency as it was measured.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.measurementPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.calibration",
          "path" : "DeviceMetric.calibration",
          "short" : "Describes the calibrations that have been performed or that are required to be performed",
          "definition" : "Describes the calibrations that have been performed or that are required to be performed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceMetric.calibration",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.calibration.id",
          "path" : "DeviceMetric.calibration.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceMetric.calibration.extension",
          "path" : "DeviceMetric.calibration.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceMetric.calibration.modifierExtension",
          "path" : "DeviceMetric.calibration.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceMetric.calibration.type",
          "path" : "DeviceMetric.calibration.type",
          "short" : "unspecified | offset | gain | two-point",
          "definition" : "Describes the type of the calibration method.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.calibration.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricCalibrationType"
            }],
            "strength" : "required",
            "description" : "Describes the type of a metric calibration.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.0"
          }
        },
        {
          "id" : "DeviceMetric.calibration.state",
          "path" : "DeviceMetric.calibration.state",
          "short" : "not-calibrated | calibration-required | calibrated | unspecified",
          "definition" : "Describes the state of the calibration.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.calibration.state",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricCalibrationState"
            }],
            "strength" : "required",
            "description" : "Describes the state of a metric calibration.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.0"
          }
        },
        {
          "id" : "DeviceMetric.calibration.time",
          "path" : "DeviceMetric.calibration.time",
          "short" : "Describes the time last calibration has been performed",
          "definition" : "Describes the time last calibration has been performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceMetric.calibration.time",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DeviceMetric",
          "path" : "DeviceMetric",
          "short" : "Measurement, calculation or setting capability of a medical device",
          "definition" : "Describes a measurement, calculation or setting capability of a medical device.",
          "comment" : "For the initial scope, this DeviceMetric resource is only applicable to describe a single metric node in the containment tree that is produced by the context scanner in any medical device that implements or derives from the ISO/IEEE 11073 standard.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "DeviceMetric.identifier",
          "path" : "DeviceMetric.identifier",
          "short" : "Instance identifier",
          "definition" : "Unique instance identifiers assigned to a device by the device or gateway software, manufacturers, other organizations or owners. For example: handle ID.",
          "comment" : "For identifiers assigned to a device by the device or gateway software, the `system` element of the identifier should be set to the unique identifier of the device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "DeviceMetric.type",
          "path" : "DeviceMetric.type",
          "short" : "Identity of metric, for example Heart Rate or PEEP Setting",
          "definition" : "Describes the type of the metric. For example: Heart Rate, PEEP Setting, etc.",
          "comment" : "DeviceMetric.type can be referred to either IEEE 11073-10101 or LOINC.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MetricType"
            }],
            "strength" : "preferred",
            "description" : "Describes the metric type.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/devicemetric-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "DeviceMetric.unit",
          "path" : "DeviceMetric.unit",
          "short" : "Unit of Measure for the Metric",
          "definition" : "Describes the unit that an observed value determined for this metric will have. For example: Percent, Seconds, etc.",
          "comment" : "DeviceMetric.unit can refer to either UCUM or preferable a RTMMS coding system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MetricUnit"
            }],
            "strength" : "preferred",
            "description" : "Describes the unit of the metric.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/devicemetric-type"
          }
        },
        {
          "id" : "DeviceMetric.source",
          "path" : "DeviceMetric.source",
          "short" : "Describes the link to the source Device",
          "definition" : "Describes the link to the  Device that this DeviceMetric belongs to and that contains administrative device information such as manufacturer, serial number, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.parent",
          "path" : "DeviceMetric.parent",
          "short" : "Describes the link to the parent Device",
          "definition" : "Describes the link to the  Device that this DeviceMetric belongs to and that provide information about the location of this DeviceMetric in the containment structure of the parent Device. An example would be a Device that represents a Channel. This reference can be used by a client application to distinguish DeviceMetrics that have the same type, but should be interpreted based on their containment location.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.operationalStatus",
          "path" : "DeviceMetric.operationalStatus",
          "short" : "on | off | standby | entered-in-error",
          "definition" : "Indicates current operational state of the device. For example: On, Off, Standby, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricOperationalStatus"
            }],
            "strength" : "required",
            "description" : "Describes the operational status of the DeviceMetric.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-operational-status|4.0.0"
          }
        },
        {
          "id" : "DeviceMetric.color",
          "path" : "DeviceMetric.color",
          "short" : "black | red | green | yellow | blue | magenta | cyan | white",
          "definition" : "Describes the color representation for the metric. This is often used to aid clinicians to track and identify parameter types by color. In practice, consider a Patient Monitor that has ECG/HR and Pleth for example; the parameters are displayed in different characteristic colors, such as HR-blue, BP-green, and PR and SpO2- magenta.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricColor"
            }],
            "strength" : "required",
            "description" : "Describes the typical color of representation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-color|4.0.0"
          }
        },
        {
          "id" : "DeviceMetric.category",
          "path" : "DeviceMetric.category",
          "short" : "measurement | setting | calculation | unspecified",
          "definition" : "Indicates the category of the observation generation process. A DeviceMetric can be for example a setting, measurement, or calculation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricCategory"
            }],
            "strength" : "required",
            "description" : "Describes the category of the metric.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-category|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "DeviceMetric.measurementPeriod",
          "path" : "DeviceMetric.measurementPeriod",
          "short" : "Describes the measurement repetition time",
          "definition" : "Describes the measurement repetition time. This is not necessarily the same as the update period. The measurement repetition time can range from milliseconds up to hours. An example for a measurement repetition time in the range of milliseconds is the sampling rate of an ECG. An example for a measurement repetition time in the range of hours is a NIBP that is triggered automatically every hour. The update period may be different than the measurement repetition time, if the device does not update the published observed value with the same frequency as it was measured.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Timing"
          }],
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.calibration",
          "path" : "DeviceMetric.calibration",
          "short" : "Describes the calibrations that have been performed or that are required to be performed",
          "definition" : "Describes the calibrations that have been performed or that are required to be performed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "DeviceMetric.calibration.type",
          "path" : "DeviceMetric.calibration.type",
          "short" : "unspecified | offset | gain | two-point",
          "definition" : "Describes the type of the calibration method.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricCalibrationType"
            }],
            "strength" : "required",
            "description" : "Describes the type of a metric calibration.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-calibration-type|4.0.0"
          }
        },
        {
          "id" : "DeviceMetric.calibration.state",
          "path" : "DeviceMetric.calibration.state",
          "short" : "not-calibrated | calibration-required | calibrated | unspecified",
          "definition" : "Describes the state of the calibration.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceMetricCalibrationState"
            }],
            "strength" : "required",
            "description" : "Describes the state of a metric calibration.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/metric-calibration-state|4.0.0"
          }
        },
        {
          "id" : "DeviceMetric.calibration.time",
          "path" : "DeviceMetric.calibration.time",
          "short" : "Describes the time last calibration has been performed",
          "definition" : "Describes the time last calibration has been performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DeviceRequest",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DeviceRequest 
TU
DomainResource
Medical device request
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Request identifier
 instantiatesCanonical 
Σ
0..*
canonical(ActivityDefinition | PlanDefinition)
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 basedOn 
Σ
0..*
Reference(Any)
What request fulfills
 priorRequest 
Σ
0..*
Reference(Any)
What request replaces
 groupIdentifier 
Σ
0..1
Identifier
Identifier of composite request
 status 
?!Σ
0..1
code
draft | active | suspended | completed | entered-in-error | cancelled
RequestStatus (Required)
 intent 
?!Σ
1..1
code
proposal | plan | original-order | encoded | reflex-order
RequestIntent (Required)
 priority 
Σ
0..1
code
Indicates how quickly the {{title}} should be addressed with respect to other requests
Request priority (Required)
 code[x] 
Σ
1..1
Device requested
FHIR Device Types (Example)
 codeReference
Reference(Device)
 codeCodeableConcept
CodeableConcept
 parameter 
0..*
BackboneElement
Device details
 code 
0..1
CodeableConcept
Device detail
 value[x] 
0..1
Value of detail
 valueCodeableConcept
CodeableConcept
 valueQuantity
Quantity
 valueRange
Range
 valueBoolean
boolean
 subject 
Σ
1..1
Reference(Patient | Group | Location | Device)
Focus of request
 encounter 
Σ
0..1
Reference(Encounter)
Encounter motivating request
 occurrence[x] 
Σ
0..1
Desired time or schedule for use
 occurrenceDateTime
dateTime
 occurrencePeriod
Period
 occurrenceTiming
Timing
 authoredOn 
Σ
0..1
dateTime
When recorded
 requester 
Σ
0..1
Reference(Device | Practitioner | PractitionerRole | Organization)
Who/what is requesting diagnostics
 performerType 
Σ
0..1
CodeableConcept
Filler role
Participant Roles (Example)
 performer 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)
Requested Filler
 reasonCode 
Σ
0..*
CodeableConcept
Coded Reason for request
Condition/Problem/Diagnosis Codes (Example)
 reasonReference 
Σ
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
Linked Reason for request
 insurance 
0..*
Reference(Coverage | ClaimResponse)
Associated insurance coverage
 supportingInfo 
0..*
Reference(Any)
Additional clinical information
 note 
0..*
Annotation
Notes or comments
 relevantHistory 
0..*
Reference(Provenance)
Request provenance

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Request & Response"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
      "version" : "4.0.0",
      "name" : "DeviceRequest",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "quick",
        "uri" : "http://siframework.org/cqf",
        "name" : "Quality Improvement and Clinical Knowledge (QUICK)"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "DeviceRequest",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DeviceRequest",
          "path" : "DeviceRequest",
          "short" : "Medical device request",
          "definition" : "Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode<=INT]"
          }]
        },
        {
          "id" : "DeviceRequest.id",
          "path" : "DeviceRequest.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceRequest.meta",
          "path" : "DeviceRequest.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceRequest.implicitRules",
          "path" : "DeviceRequest.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DeviceRequest.language",
          "path" : "DeviceRequest.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DeviceRequest.text",
          "path" : "DeviceRequest.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DeviceRequest.contained",
          "path" : "DeviceRequest.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceRequest.extension",
          "path" : "DeviceRequest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceRequest.modifierExtension",
          "path" : "DeviceRequest.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceRequest.identifier",
          "path" : "DeviceRequest.identifier",
          "short" : "External Request identifier",
          "definition" : "Identifiers assigned to this order by the orderer or by the receiver.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.2, ORC.3"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.identifier"
          }]
        },
        {
          "id" : "DeviceRequest.instantiatesCanonical",
          "path" : "DeviceRequest.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest.",
          "comment" : "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "DeviceRequest.instantiatesUri",
          "path" : "DeviceRequest.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "DeviceRequest.basedOn",
          "path" : "DeviceRequest.basedOn",
          "short" : "What request fulfills",
          "definition" : "Plan/proposal/order fulfilled by this request.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC.8 (plus others)"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          },
          {
            "identity" : "quick",
            "map" : "Proposal.prnReason.reason"
          }]
        },
        {
          "id" : "DeviceRequest.priorRequest",
          "path" : "DeviceRequest.priorRequest",
          "short" : "What request replaces",
          "definition" : "The request takes the place of the referenced completed or terminated request(s).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.priorRequest",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          },
          {
            "identity" : "v2",
            "map" : "Handled by message location of ORC (ORC.1=RO or RU)"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RPLC].target"
          }]
        },
        {
          "id" : "DeviceRequest.groupIdentifier",
          "path" : "DeviceRequest.groupIdentifier",
          "short" : "Identifier of composite request",
          "definition" : "Composite request this is part of.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.groupIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.4"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
          }]
        },
        {
          "id" : "DeviceRequest.status",
          "path" : "DeviceRequest.status",
          "short" : "draft | active | suspended | completed | entered-in-error | cancelled",
          "definition" : "The status of the request.",
          "comment" : "This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceRequestStatus"
            }],
            "strength" : "required",
            "description" : "Codes representing the status of the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC.5"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          },
          {
            "identity" : "quick",
            "map" : "Action.currentStatus"
          }]
        },
        {
          "id" : "DeviceRequest.intent",
          "path" : "DeviceRequest.intent",
          "short" : "proposal | plan | original-order | encoded | reflex-order",
          "definition" : "Whether the request is a proposal, plan, an original order or a reflex order.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.intent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestIntent"
            }],
            "strength" : "required",
            "description" : "The kind of diagnostic request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }]
        },
        {
          "id" : "DeviceRequest.priority",
          "path" : "DeviceRequest.priority",
          "short" : "Indicates how quickly the {{title}} should be addressed with respect to other requests",
          "definition" : "Indicates how quickly the {{title}} should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, normal priority",
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "TQ1.9"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "DeviceRequest.code[x]",
          "path" : "DeviceRequest.code[x]",
          "short" : "Device requested",
          "definition" : "The details of the device to be used.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.code[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceRequestCode"
            }],
            "strength" : "example",
            "description" : "Codes for devices that can be requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceRequest.parameter",
          "path" : "DeviceRequest.parameter",
          "short" : "Device details",
          "definition" : "Specific parameters for the ordered item.  For example, the prism value for lenses.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceRequest.parameter.id",
          "path" : "DeviceRequest.parameter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceRequest.parameter.extension",
          "path" : "DeviceRequest.parameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DeviceRequest.parameter.modifierExtension",
          "path" : "DeviceRequest.parameter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceRequest.parameter.code",
          "path" : "DeviceRequest.parameter.code",
          "short" : "Device detail",
          "definition" : "A code or string that identifies the device detail being asserted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.parameter.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParameterCode"
            }],
            "strength" : "example",
            "description" : "A code that identifies the device detail."
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceRequest.parameter.value[x]",
          "path" : "DeviceRequest.parameter.value[x]",
          "short" : "Value of detail",
          "definition" : "The value of the device detail.",
          "comment" : "Range means device should have a value that falls somewhere within the specified range.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.parameter.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceRequest.subject",
          "path" : "DeviceRequest.subject",
          "short" : "Focus of request",
          "definition" : "The patient who will use the device.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying PID segment"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DeviceRequest.encounter",
          "path" : "DeviceRequest.encounter",
          "short" : "Encounter motivating request",
          "definition" : "An encounter that provides additional context in which this request is made.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying PV1"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.encounter"
          }]
        },
        {
          "id" : "DeviceRequest.occurrence[x]",
          "path" : "DeviceRequest.occurrence[x]",
          "short" : "Desired time or schedule for use",
          "definition" : "The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.occurrence[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying TQ1/TQ2 segments"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.applicationSchedule"
          }]
        },
        {
          "id" : "DeviceRequest.authoredOn",
          "path" : "DeviceRequest.authoredOn",
          "short" : "When recorded",
          "definition" : "When the request transitioned to being actionable.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.authoredOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ORC.9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.statementDateTime"
          }]
        },
        {
          "id" : "DeviceRequest.requester",
          "path" : "DeviceRequest.requester",
          "short" : "Who/what is requesting diagnostics",
          "definition" : "The individual who initiated the request and has responsibility for its activation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.requester",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC.12"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "DeviceRequest.performerType",
          "path" : "DeviceRequest.performerType",
          "short" : "Filler role",
          "definition" : "Desired type of performer for doing the diagnostic testing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.performerType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceRequestParticipantRole"
            }],
            "strength" : "example",
            "description" : "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participant-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performerType"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
          }]
        },
        {
          "id" : "DeviceRequest.performer",
          "path" : "DeviceRequest.performer",
          "short" : "Requested Filler",
          "definition" : "The desired performer for doing the diagnostic testing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceRequest.performer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "DeviceRequest.reasonCode",
          "path" : "DeviceRequest.reasonCode",
          "short" : "Coded Reason for request",
          "definition" : "Reason or justification for the use of this device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceRequestReason"
            }],
            "strength" : "example",
            "description" : "Diagnosis or problem codes justifying the reason for requesting the device.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          },
          {
            "identity" : "quick",
            "map" : "Action.indication.reason"
          }]
        },
        {
          "id" : "DeviceRequest.reasonReference",
          "path" : "DeviceRequest.reasonReference",
          "short" : "Linked Reason for request",
          "definition" : "Reason or justification for the use of this device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "DeviceRequest.insurance",
          "path" : "DeviceRequest.insurance",
          "short" : "Associated insurance coverage",
          "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.insurance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
            "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          },
          {
            "identity" : "v2",
            "map" : "IN1/IN2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COVBY].target"
          }]
        },
        {
          "id" : "DeviceRequest.supportingInfo",
          "path" : "DeviceRequest.supportingInfo",
          "short" : "Additional clinical information",
          "definition" : "Additional clinical information about the patient that may influence the request fulfilment.  For example, this may include where on the subject's body the device will be used (i.e. the target site).",
          "requirements" : "Knowing where the device is targeted is important for tracking if multiple sites are possible.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.supportingInfo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying segments"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target"
          }]
        },
        {
          "id" : "DeviceRequest.note",
          "path" : "DeviceRequest.note",
          "short" : "Notes or comments",
          "definition" : "Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.additionalText"
          }]
        },
        {
          "id" : "DeviceRequest.relevantHistory",
          "path" : "DeviceRequest.relevantHistory",
          "short" : "Request provenance",
          "definition" : "Key events in the history of the request.",
          "comment" : "This might not include provenances for all versions of the request - only those deemed \"relevant\" or important.\rThis SHALL NOT include the Provenance associated with this current version of the resource.  (If that provenance is deemed to be a \"relevant\" change, it will need to be added as part of a later update.  Until then, it can be queried directly as the Provenance that points to this version using _revinclude\rAll Provenances should have some historical version of this Request as their subject.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceRequest.relevantHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.relevantHistory"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DeviceRequest",
          "path" : "DeviceRequest",
          "short" : "Medical device request",
          "definition" : "Represents a request for a patient to employ a medical device. The device may be an implantable device, or an external assistive device, such as a walker.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode<=INT]"
          }]
        },
        {
          "id" : "DeviceRequest.identifier",
          "path" : "DeviceRequest.identifier",
          "short" : "External Request identifier",
          "definition" : "Identifiers assigned to this order by the orderer or by the receiver.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.2, ORC.3"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.identifier"
          }]
        },
        {
          "id" : "DeviceRequest.instantiatesCanonical",
          "path" : "DeviceRequest.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest.",
          "comment" : "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "DeviceRequest.instantiatesUri",
          "path" : "DeviceRequest.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this DeviceRequest.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "DeviceRequest.basedOn",
          "path" : "DeviceRequest.basedOn",
          "short" : "What request fulfills",
          "definition" : "Plan/proposal/order fulfilled by this request.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC.8 (plus others)"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          },
          {
            "identity" : "quick",
            "map" : "Proposal.prnReason.reason"
          }]
        },
        {
          "id" : "DeviceRequest.priorRequest",
          "path" : "DeviceRequest.priorRequest",
          "short" : "What request replaces",
          "definition" : "The request takes the place of the referenced completed or terminated request(s).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          },
          {
            "identity" : "v2",
            "map" : "Handled by message location of ORC (ORC.1=RO or RU)"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RPLC].target"
          }]
        },
        {
          "id" : "DeviceRequest.groupIdentifier",
          "path" : "DeviceRequest.groupIdentifier",
          "short" : "Identifier of composite request",
          "definition" : "Composite request this is part of.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.4"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
          }]
        },
        {
          "id" : "DeviceRequest.status",
          "path" : "DeviceRequest.status",
          "short" : "draft | active | suspended | completed | entered-in-error | cancelled",
          "definition" : "The status of the request.",
          "comment" : "This element is labeled as a modifier because the status contains the codes cancelled and entered-in-error that mark the request as not currently valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceRequestStatus"
            }],
            "strength" : "required",
            "description" : "Codes representing the status of the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC.5"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          },
          {
            "identity" : "quick",
            "map" : "Action.currentStatus"
          }]
        },
        {
          "id" : "DeviceRequest.intent",
          "path" : "DeviceRequest.intent",
          "short" : "proposal | plan | original-order | encoded | reflex-order",
          "definition" : "Whether the request is a proposal, plan, an original order or a reflex order.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestIntent"
            }],
            "strength" : "required",
            "description" : "The kind of diagnostic request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }]
        },
        {
          "id" : "DeviceRequest.priority",
          "path" : "DeviceRequest.priority",
          "short" : "Indicates how quickly the {{title}} should be addressed with respect to other requests",
          "definition" : "Indicates how quickly the {{title}} should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, normal priority",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "TQ1.9"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "DeviceRequest.code[x]",
          "path" : "DeviceRequest.code[x]",
          "short" : "Device requested",
          "definition" : "The details of the device to be used.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceRequestCode"
            }],
            "strength" : "example",
            "description" : "Codes for devices that can be requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceRequest.parameter",
          "path" : "DeviceRequest.parameter",
          "short" : "Device details",
          "definition" : "Specific parameters for the ordered item.  For example, the prism value for lenses.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceRequest.parameter.code",
          "path" : "DeviceRequest.parameter.code",
          "short" : "Device detail",
          "definition" : "A code or string that identifies the device detail being asserted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParameterCode"
            }],
            "strength" : "example",
            "description" : "A code that identifies the device detail."
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceRequest.parameter.value[x]",
          "path" : "DeviceRequest.parameter.value[x]",
          "short" : "Value of detail",
          "definition" : "The value of the device detail.",
          "comment" : "Range means device should have a value that falls somewhere within the specified range.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceRequest.subject",
          "path" : "DeviceRequest.subject",
          "short" : "Focus of request",
          "definition" : "The patient who will use the device.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying PID segment"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DeviceRequest.encounter",
          "path" : "DeviceRequest.encounter",
          "short" : "Encounter motivating request",
          "definition" : "An encounter that provides additional context in which this request is made.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying PV1"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.encounter"
          }]
        },
        {
          "id" : "DeviceRequest.occurrence[x]",
          "path" : "DeviceRequest.occurrence[x]",
          "short" : "Desired time or schedule for use",
          "definition" : "The timing schedule for the use of the device. The Schedule data type allows many different expressions, for example. \"Every 8 hours\"; \"Three times a day\"; \"1/2 an hour before breakfast for 10 days from 23-Dec 2011:\"; \"15 Oct 2013, 17 Oct 2013 and 1 Nov 2013\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying TQ1/TQ2 segments"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.applicationSchedule"
          }]
        },
        {
          "id" : "DeviceRequest.authoredOn",
          "path" : "DeviceRequest.authoredOn",
          "short" : "When recorded",
          "definition" : "When the request transitioned to being actionable.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ORC.9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.statementDateTime"
          }]
        },
        {
          "id" : "DeviceRequest.requester",
          "path" : "DeviceRequest.requester",
          "short" : "Who/what is requesting diagnostics",
          "definition" : "The individual who initiated the request and has responsibility for its activation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC.12"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "DeviceRequest.performerType",
          "path" : "DeviceRequest.performerType",
          "short" : "Filler role",
          "definition" : "Desired type of performer for doing the diagnostic testing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceRequestParticipantRole"
            }],
            "strength" : "example",
            "description" : "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participant-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performerType"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
          }]
        },
        {
          "id" : "DeviceRequest.performer",
          "path" : "DeviceRequest.performer",
          "short" : "Requested Filler",
          "definition" : "The desired performer for doing the diagnostic testing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "DeviceRequest.reasonCode",
          "path" : "DeviceRequest.reasonCode",
          "short" : "Coded Reason for request",
          "definition" : "Reason or justification for the use of this device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceRequestReason"
            }],
            "strength" : "example",
            "description" : "Diagnosis or problem codes justifying the reason for requesting the device.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          },
          {
            "identity" : "quick",
            "map" : "Action.indication.reason"
          }]
        },
        {
          "id" : "DeviceRequest.reasonReference",
          "path" : "DeviceRequest.reasonReference",
          "short" : "Linked Reason for request",
          "definition" : "Reason or justification for the use of this device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "DeviceRequest.insurance",
          "path" : "DeviceRequest.insurance",
          "short" : "Associated insurance coverage",
          "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
            "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          },
          {
            "identity" : "v2",
            "map" : "IN1/IN2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COVBY].target"
          }]
        },
        {
          "id" : "DeviceRequest.supportingInfo",
          "path" : "DeviceRequest.supportingInfo",
          "short" : "Additional clinical information",
          "definition" : "Additional clinical information about the patient that may influence the request fulfilment.  For example, this may include where on the subject's body the device will be used (i.e. the target site).",
          "requirements" : "Knowing where the device is targeted is important for tracking if multiple sites are possible.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying segments"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target"
          }]
        },
        {
          "id" : "DeviceRequest.note",
          "path" : "DeviceRequest.note",
          "short" : "Notes or comments",
          "definition" : "Details about this request that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.additionalText"
          }]
        },
        {
          "id" : "DeviceRequest.relevantHistory",
          "path" : "DeviceRequest.relevantHistory",
          "short" : "Request provenance",
          "definition" : "Key events in the history of the request.",
          "comment" : "This might not include provenances for all versions of the request - only those deemed \"relevant\" or important.\rThis SHALL NOT include the Provenance associated with this current version of the resource.  (If that provenance is deemed to be a \"relevant\" change, it will need to be added as part of a later update.  Until then, it can be queried directly as the Provenance that points to this version using _revinclude\rAll Provenances should have some historical version of this Request as their subject.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.relevantHistory"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DeviceUseStatement",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DeviceUseStatement 
TU
DomainResource
Record of use of a device
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External identifier for this record
 basedOn 
Σ
0..*
Reference(ServiceRequest)
Fulfills plan, proposal or order
 status 
?!Σ
1..1
code
active | completed | entered-in-error +
DeviceUseStatementStatus (Required)
 subject 
Σ
1..1
Reference(Patient | Group)
Patient using device
 derivedFrom 
Σ
0..*
Reference(ServiceRequest | Procedure | Claim | Observation | QuestionnaireResponse | DocumentReference)
Supporting information
 timing[x] 
Σ
0..1
How often  the device was used
 timingTiming
Timing
 timingPeriod
Period
 timingDateTime
dateTime
 recordedOn 
Σ
0..1
dateTime
When statement was recorded
 source 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
Who made the statement
 device 
Σ
1..1
Reference(Device)
Reference to device used
 reasonCode 
Σ
0..*
CodeableConcept
Why device was used
 reasonReference 
Σ
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference | Media)
Why was DeviceUseStatement performed?
 bodySite 
Σ
0..1
CodeableConcept
Target body site
SNOMED CT Body Structures (Example)
 note 
0..*
Annotation
Addition details (comments, instructions)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Request & Response"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DeviceUseStatement",
      "version" : "4.0.0",
      "name" : "DeviceUseStatement",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "quick",
        "uri" : "http://siframework.org/cqf",
        "name" : "Quality Improvement and Clinical Knowledge (QUICK)"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "DeviceUseStatement",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DeviceUseStatement",
          "path" : "DeviceUseStatement",
          "short" : "Record of use of a device",
          "definition" : "A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceUseStatement",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUsePerformanceOccurrence"
          }]
        },
        {
          "id" : "DeviceUseStatement.id",
          "path" : "DeviceUseStatement.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceUseStatement.meta",
          "path" : "DeviceUseStatement.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceUseStatement.implicitRules",
          "path" : "DeviceUseStatement.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DeviceUseStatement.language",
          "path" : "DeviceUseStatement.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DeviceUseStatement.text",
          "path" : "DeviceUseStatement.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DeviceUseStatement.contained",
          "path" : "DeviceUseStatement.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceUseStatement.extension",
          "path" : "DeviceUseStatement.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceUseStatement.modifierExtension",
          "path" : "DeviceUseStatement.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DeviceUseStatement.identifier",
          "path" : "DeviceUseStatement.identifier",
          "short" : "External identifier for this record",
          "definition" : "An external identifier for this statement such as an IRI.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceUseStatement.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.identifier"
          }]
        },
        {
          "id" : "DeviceUseStatement.basedOn",
          "path" : "DeviceUseStatement.basedOn",
          "short" : "Fulfills plan, proposal or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this DeviceUseStatement.",
          "requirements" : "Allows tracing of authorization for the DeviceUseStatement and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceUseStatement.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC in proximity to EVN segment"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "DeviceUseStatement.status",
          "path" : "DeviceUseStatement.status",
          "short" : "active | completed | entered-in-error +",
          "definition" : "A code representing the patient or other source's judgment about the state of the device used that this statement is about.  Generally this will be active or completed.",
          "comment" : "DeviceUseStatment is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for contains codes that assert the status of the use  by the patient (for example, stopped or on hold) as well as codes that assert the status of the resource itself (for example, entered in error).\r\rThis element is labeled as a modifier because the status contains the codes that mark the statement as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceUseStatement.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceUseStatementStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept indicating the current status of the Device Usage.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-statement-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          },
          {
            "identity" : "quick",
            "map" : "…status"
          }]
        },
        {
          "id" : "DeviceUseStatement.subject",
          "path" : "DeviceUseStatement.subject",
          "short" : "Patient using device",
          "definition" : "The patient who used the device.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceUseStatement.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DeviceUseStatement.derivedFrom",
          "path" : "DeviceUseStatement.derivedFrom",
          "short" : "Supporting information",
          "definition" : "Allows linking the DeviceUseStatement to the underlying Request, or to other information that supports or is used to derive the DeviceUseStatement.",
          "comment" : "The most common use cases for deriving a DeviceUseStatement comes from creating it from a request or from an observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the DeviceUseStatement from.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceUseStatement.derivedFrom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Claim",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DeviceUseStatement.timing[x]",
          "path" : "DeviceUseStatement.timing[x]",
          "short" : "How often  the device was used",
          "definition" : "How often the device was used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceUseStatement.timing[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Timing"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.applicationSchedule"
          }]
        },
        {
          "id" : "DeviceUseStatement.recordedOn",
          "path" : "DeviceUseStatement.recordedOn",
          "short" : "When statement was recorded",
          "definition" : "The time at which the statement was made/recorded.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceUseStatement.recordedOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.statementDateTime"
          }]
        },
        {
          "id" : "DeviceUseStatement.source",
          "path" : "DeviceUseStatement.source",
          "short" : "Who made the statement",
          "definition" : "Who reported the device was being used by the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceUseStatement.source",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "DeviceUseStatement.device",
          "path" : "DeviceUseStatement.device",
          "short" : "Reference to device used",
          "definition" : "The details of the device used.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DeviceUseStatement.device",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceUseStatement.reasonCode",
          "path" : "DeviceUseStatement.reasonCode",
          "short" : "Why device was used",
          "definition" : "Reason or justification for the use of the device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceUseStatement.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "quick",
            "map" : "Action.indication.reason"
          }]
        },
        {
          "id" : "DeviceUseStatement.reasonReference",
          "path" : "DeviceUseStatement.reasonReference",
          "short" : "Why was DeviceUseStatement performed?",
          "definition" : "Indicates another resource whose existence justifies this DeviceUseStatement.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceUseStatement.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "DeviceUseStatement.bodySite",
          "path" : "DeviceUseStatement.bodySite",
          "short" : "Target body site",
          "definition" : "Indicates the anotomic location on the subject's body where the device was used ( i.e. the target).",
          "requirements" : "Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension [http://hl7.org/fhir/StructureDefinition/bodySite](null.html).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DeviceUseStatement.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          }]
        },
        {
          "id" : "DeviceUseStatement.note",
          "path" : "DeviceUseStatement.note",
          "short" : "Addition details (comments, instructions)",
          "definition" : "Details about the device statement that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DeviceUseStatement.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.additionalText"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DeviceUseStatement",
          "path" : "DeviceUseStatement",
          "short" : "Record of use of a device",
          "definition" : "A record of a device being used by a patient where the record is the result of a report from the patient or another clinician.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUsePerformanceOccurrence"
          }]
        },
        {
          "id" : "DeviceUseStatement.identifier",
          "path" : "DeviceUseStatement.identifier",
          "short" : "External identifier for this record",
          "definition" : "An external identifier for this statement such as an IRI.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.identifier"
          }]
        },
        {
          "id" : "DeviceUseStatement.basedOn",
          "path" : "DeviceUseStatement.basedOn",
          "short" : "Fulfills plan, proposal or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this DeviceUseStatement.",
          "requirements" : "Allows tracing of authorization for the DeviceUseStatement and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC in proximity to EVN segment"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "DeviceUseStatement.status",
          "path" : "DeviceUseStatement.status",
          "short" : "active | completed | entered-in-error +",
          "definition" : "A code representing the patient or other source's judgment about the state of the device used that this statement is about.  Generally this will be active or completed.",
          "comment" : "DeviceUseStatment is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for contains codes that assert the status of the use  by the patient (for example, stopped or on hold) as well as codes that assert the status of the resource itself (for example, entered in error).\r\rThis element is labeled as a modifier because the status contains the codes that mark the statement as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceUseStatementStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept indicating the current status of the Device Usage.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-statement-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          },
          {
            "identity" : "quick",
            "map" : "…status"
          }]
        },
        {
          "id" : "DeviceUseStatement.subject",
          "path" : "DeviceUseStatement.subject",
          "short" : "Patient using device",
          "definition" : "The patient who used the device.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DeviceUseStatement.derivedFrom",
          "path" : "DeviceUseStatement.derivedFrom",
          "short" : "Supporting information",
          "definition" : "Allows linking the DeviceUseStatement to the underlying Request, or to other information that supports or is used to derive the DeviceUseStatement.",
          "comment" : "The most common use cases for deriving a DeviceUseStatement comes from creating it from a request or from an observation or a claim. it should be noted that the amount of information that is available varies from the type resource that you derive the DeviceUseStatement from.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Claim",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "DeviceUseStatement.timing[x]",
          "path" : "DeviceUseStatement.timing[x]",
          "short" : "How often  the device was used",
          "definition" : "How often the device was used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Timing"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.applicationSchedule"
          }]
        },
        {
          "id" : "DeviceUseStatement.recordedOn",
          "path" : "DeviceUseStatement.recordedOn",
          "short" : "When statement was recorded",
          "definition" : "The time at which the statement was made/recorded.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.statementDateTime"
          }]
        },
        {
          "id" : "DeviceUseStatement.source",
          "path" : "DeviceUseStatement.source",
          "short" : "Who made the statement",
          "definition" : "Who reported the device was being used by the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "DeviceUseStatement.device",
          "path" : "DeviceUseStatement.device",
          "short" : "Reference to device used",
          "definition" : "The details of the device used.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "quick",
            "map" : "DeviceUse.device"
          }]
        },
        {
          "id" : "DeviceUseStatement.reasonCode",
          "path" : "DeviceUseStatement.reasonCode",
          "short" : "Why device was used",
          "definition" : "Reason or justification for the use of the device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "quick",
            "map" : "Action.indication.reason"
          }]
        },
        {
          "id" : "DeviceUseStatement.reasonReference",
          "path" : "DeviceUseStatement.reasonReference",
          "short" : "Why was DeviceUseStatement performed?",
          "definition" : "Indicates another resource whose existence justifies this DeviceUseStatement.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "DeviceUseStatement.bodySite",
          "path" : "DeviceUseStatement.bodySite",
          "short" : "Target body site",
          "definition" : "Indicates the anotomic location on the subject's body where the device was used ( i.e. the target).",
          "requirements" : "Knowing where the device is targeted is important for tracking if multiple sites are possible. If more information than just a code is required, use the extension [http://hl7.org/fhir/StructureDefinition/bodySite](null.html).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          }]
        },
        {
          "id" : "DeviceUseStatement.note",
          "path" : "DeviceUseStatement.note",
          "short" : "Addition details (comments, instructions)",
          "definition" : "Details about the device statement that were not represented at all or sufficiently in one of the attributes provided in a class. These may include for example a comment, an instruction, or a note associated with the statement.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.additionalText"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DiagnosticReport",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DiagnosticReport 
TU
DomainResource
A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier for report
 basedOn 
0..*
Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
What was requested
 status 
?!Σ
1..1
code
registered | partial | preliminary | final +
DiagnosticReportStatus (Required)
 category 
Σ
0..*
CodeableConcept
Service category
Diagnostic Service Section Codes (Example)
 code 
Σ
1..1
CodeableConcept
Name/Code for this diagnostic report
LOINC Diagnostic Report Codes (Preferred)
 subject 
Σ
0..1
Reference(Patient | Group | Device | Location)
The subject of the report - usually, but not always, the patient
 encounter 
Σ
0..1
Reference(Encounter)
Health care event when test ordered
 effective[x] 
Σ
0..1
Clinically relevant time/time-period for report
 effectiveDateTime
dateTime
 effectivePeriod
Period
 issued 
Σ
0..1
instant
DateTime this version was made
 performer 
Σ
0..*
Reference(Practitioner | PractitionerRole | Organization | CareTeam)
Responsible Diagnostic Service
 resultsInterpreter 
Σ
0..*
Reference(Practitioner | PractitionerRole | Organization | CareTeam)
Primary result interpreter
 specimen 
0..*
Reference(Specimen)
Specimens this report is based on
 result 
0..*
Reference(Observation)
Observations
 imagingStudy 
0..*
Reference(ImagingStudy)
Reference to full details of imaging associated with the diagnostic report
 media 
Σ
0..*
BackboneElement
Key images associated with this report
 comment 
0..1
string
Comment about the image (e.g. explanation)
 link 
Σ
1..1
Reference(Media)
Reference to the image source
 conclusion 
0..1
string
Clinical conclusion (interpretation) of test results
 conclusionCode 
0..*
CodeableConcept
Codes for the clinical conclusion of test results
SNOMED CT Clinical Findings (Example)
 presentedForm 
0..*
Attachment
Entire report as issued

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Diagnostics"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
      "version" : "4.0.0",
      "name" : "DiagnosticReport",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "The findings and interpretation of diagnostic  tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.",
      "purpose" : "To support reporting for any diagnostic report into a clinical data repository.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "DiagnosticReport",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DiagnosticReport",
          "path" : "DiagnosticReport",
          "short" : "A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports",
          "definition" : "The findings and interpretation of diagnostic  tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.",
          "comment" : "This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports.  For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.",
          "alias" : ["Report",
          "Test",
          "Result",
          "Results",
          "Labs",
          "Laboratory"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "ORU -> OBR"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "DiagnosticReport.id",
          "path" : "DiagnosticReport.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DiagnosticReport.meta",
          "path" : "DiagnosticReport.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DiagnosticReport.implicitRules",
          "path" : "DiagnosticReport.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DiagnosticReport.language",
          "path" : "DiagnosticReport.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DiagnosticReport.text",
          "path" : "DiagnosticReport.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DiagnosticReport.contained",
          "path" : "DiagnosticReport.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DiagnosticReport.extension",
          "path" : "DiagnosticReport.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DiagnosticReport.modifierExtension",
          "path" : "DiagnosticReport.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DiagnosticReport.identifier",
          "path" : "DiagnosticReport.identifier",
          "short" : "Business identifier for report",
          "definition" : "Identifiers assigned to this report by the performer or other systems.",
          "comment" : "Usually assigned by the Information System of the diagnostic service provider (filler id).",
          "requirements" : "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.",
          "alias" : ["ReportID",
          "Filler ID",
          "Placer ID"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "OBR-51/ for globally unique filler ID  - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id -  OBR-2(if present)+OBR-3+OBR-4"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "DiagnosticReport.basedOn",
          "path" : "DiagnosticReport.basedOn",
          "short" : "What was requested",
          "definition" : "Details concerning a service requested.",
          "comment" : "Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.",
          "requirements" : "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["Request"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC? OBR-2/3?"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "DiagnosticReport.status",
          "path" : "DiagnosticReport.status",
          "short" : "registered | partial | preliminary | final +",
          "definition" : "The status of the diagnostic report.",
          "requirements" : "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosticReportStatus"
            }],
            "strength" : "required",
            "description" : "The status of the diagnostic report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "OBR-25 (not 1:1 mapping)"
          },
          {
            "identity" : "rim",
            "map" : "statusCode  Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\""
          }]
        },
        {
          "id" : "DiagnosticReport.category",
          "path" : "DiagnosticReport.category",
          "short" : "Service category",
          "definition" : "A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.",
          "comment" : "Multiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.",
          "alias" : ["Department",
          "Sub-department",
          "Service",
          "Discipline"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosticServiceSection"
            }],
            "strength" : "example",
            "description" : "Codes for diagnostic service sections.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-service-sections"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "OBR-24"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code"
          }]
        },
        {
          "id" : "DiagnosticReport.code",
          "path" : "DiagnosticReport.code",
          "short" : "Name/Code for this diagnostic report",
          "definition" : "A code or name that describes this diagnostic report.",
          "alias" : ["Type"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosticReportCodes"
            }],
            "strength" : "preferred",
            "description" : "Codes that describe Diagnostic Reports.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "DiagnosticReport.subject",
          "path" : "DiagnosticReport.subject",
          "short" : "The subject of the report - usually, but not always, the patient",
          "definition" : "The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.",
          "requirements" : "SHALL know the subject context.",
          "alias" : ["Patient"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3 (no HL7 v2 mapping for Group or Device)"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DiagnosticReport.encounter",
          "path" : "DiagnosticReport.encounter",
          "short" : "Health care event when test ordered",
          "definition" : "The healthcare event  (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.",
          "comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter  but still be tied to the context of the encounter  (e.g. pre-admission laboratory tests).",
          "requirements" : "Links the request to the Encounter context.",
          "alias" : ["Context"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "DiagnosticReport.effective[x]",
          "path" : "DiagnosticReport.effective[x]",
          "short" : "Clinically relevant time/time-period for report",
          "definition" : "The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.",
          "comment" : "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.",
          "requirements" : "Need to know where in the patient history to file/present this report.",
          "alias" : ["Observation time",
          "Effective Time",
          "Occurrence"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.effective[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBR-7"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime"
          }]
        },
        {
          "id" : "DiagnosticReport.issued",
          "path" : "DiagnosticReport.issued",
          "short" : "DateTime this version was made",
          "definition" : "The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.",
          "comment" : "May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.",
          "requirements" : "Clinicians need to be able to check the date that the report was released.",
          "alias" : ["Date published",
          "Date Issued",
          "Date Verified"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.issued",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "OBR-22"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=VRF or AUT].time"
          }]
        },
        {
          "id" : "DiagnosticReport.performer",
          "path" : "DiagnosticReport.performer",
          "short" : "Responsible Diagnostic Service",
          "definition" : "The diagnostic service that is responsible for issuing the report.",
          "comment" : "This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.",
          "requirements" : "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.",
          "alias" : ["Laboratory",
          "Service",
          "Practitioner",
          "Department",
          "Company",
          "Authorized by",
          "Director"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT-8 (where this PRT-4-Participation = \"PO\")"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "DiagnosticReport.resultsInterpreter",
          "path" : "DiagnosticReport.resultsInterpreter",
          "short" : "Primary result interpreter",
          "definition" : "The practitioner or organization that is responsible for the report's conclusions and interpretations.",
          "comment" : "Might not be the same entity that takes responsibility for the clinical report.",
          "requirements" : "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.",
          "alias" : ["Analyzed by",
          "Reported by"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.resultsInterpreter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "DiagnosticReport.specimen",
          "path" : "DiagnosticReport.specimen",
          "short" : "Specimens this report is based on",
          "definition" : "Details about the specimens on which this diagnostic report is based.",
          "comment" : "If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.",
          "requirements" : "Need to be able to report information about the collected specimens on which the report is based.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.specimen",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ]"
          }]
        },
        {
          "id" : "DiagnosticReport.result",
          "path" : "DiagnosticReport.result",
          "short" : "Observations",
          "definition" : "[Observations](observation.html)  that are part of this diagnostic report.",
          "comment" : "Observations can contain observations.",
          "requirements" : "Need to support individual results, or  groups of results, where the result grouping is arbitrary, but meaningful.",
          "alias" : ["Data",
          "Atomic Value",
          "Result",
          "Atomic result",
          "Data",
          "Test",
          "Analyte",
          "Battery",
          "Organizer"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.result",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBXs"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=COMP].target"
          }]
        },
        {
          "id" : "DiagnosticReport.imagingStudy",
          "path" : "DiagnosticReport.imagingStudy",
          "short" : "Reference to full details of imaging associated with the diagnostic report",
          "definition" : "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.",
          "comment" : "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.imagingStudy",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImagingStudy"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"
          }]
        },
        {
          "id" : "DiagnosticReport.media",
          "path" : "DiagnosticReport.media",
          "short" : "Key images associated with this report",
          "definition" : "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).",
          "requirements" : "Many diagnostic services include images in the report as part of their service.",
          "alias" : ["DICOM",
          "Slides",
          "Scans"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.media",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX?"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=COMP].target"
          }]
        },
        {
          "id" : "DiagnosticReport.media.id",
          "path" : "DiagnosticReport.media.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DiagnosticReport.media.extension",
          "path" : "DiagnosticReport.media.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DiagnosticReport.media.modifierExtension",
          "path" : "DiagnosticReport.media.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DiagnosticReport.media.comment",
          "path" : "DiagnosticReport.media.comment",
          "short" : "Comment about the image (e.g. explanation)",
          "definition" : "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.",
          "comment" : "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.",
          "requirements" : "The provider of the report should make a comment about each image included in the report.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.media.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        },
        {
          "id" : "DiagnosticReport.media.link",
          "path" : "DiagnosticReport.media.link",
          "short" : "Reference to the image source",
          "definition" : "Reference to the image source.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.media.link",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".value.reference"
          }]
        },
        {
          "id" : "DiagnosticReport.conclusion",
          "path" : "DiagnosticReport.conclusion",
          "short" : "Clinical conclusion (interpretation) of test results",
          "definition" : "Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.",
          "requirements" : "Need to be able to provide a conclusion that is not lost among the basic result data.",
          "alias" : ["Report"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DiagnosticReport.conclusion",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"
          }]
        },
        {
          "id" : "DiagnosticReport.conclusionCode",
          "path" : "DiagnosticReport.conclusionCode",
          "short" : "Codes for the clinical conclusion of test results",
          "definition" : "One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.conclusionCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjunctDiagnosis"
            }],
            "strength" : "example",
            "description" : "Diagnosis codes provided as adjuncts to the report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"
          }]
        },
        {
          "id" : "DiagnosticReport.presentedForm",
          "path" : "DiagnosticReport.presentedForm",
          "short" : "Entire report as issued",
          "definition" : "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.",
          "comment" : "\"application/pdf\" is recommended as the most reliable and interoperable in this context.",
          "requirements" : "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DiagnosticReport.presentedForm",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "text (type=ED)"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DiagnosticReport",
          "path" : "DiagnosticReport",
          "short" : "A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports",
          "definition" : "The findings and interpretation of diagnostic  tests performed on patients, groups of patients, devices, and locations, and/or specimens derived from these. The report includes clinical context such as requesting and provider information, and some mix of atomic results, images, textual and coded interpretations, and formatted representation of diagnostic reports.",
          "comment" : "This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports.  For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing.",
          "alias" : ["Report",
          "Test",
          "Result",
          "Results",
          "Labs",
          "Laboratory"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "ORU -> OBR"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "DiagnosticReport.identifier",
          "path" : "DiagnosticReport.identifier",
          "short" : "Business identifier for report",
          "definition" : "Identifiers assigned to this report by the performer or other systems.",
          "comment" : "Usually assigned by the Information System of the diagnostic service provider (filler id).",
          "requirements" : "Need to know what identifier to use when making queries about this report from the source laboratory, and for linking to the report outside FHIR context.",
          "alias" : ["ReportID",
          "Filler ID",
          "Placer ID"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "OBR-51/ for globally unique filler ID  - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id -  OBR-2(if present)+OBR-3+OBR-4"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "DiagnosticReport.basedOn",
          "path" : "DiagnosticReport.basedOn",
          "short" : "What was requested",
          "definition" : "Details concerning a service requested.",
          "comment" : "Note: Usually there is one test request for each result, however in some circumstances multiple test requests may be represented using a single test result resource. Note that there are also cases where one request leads to multiple reports.",
          "requirements" : "This allows tracing of authorization for the report and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["Request"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC? OBR-2/3?"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "DiagnosticReport.status",
          "path" : "DiagnosticReport.status",
          "short" : "registered | partial | preliminary | final +",
          "definition" : "The status of the diagnostic report.",
          "requirements" : "Diagnostic services routinely issue provisional/incomplete reports, and sometimes withdraw previously released reports.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosticReportStatus"
            }],
            "strength" : "required",
            "description" : "The status of the diagnostic report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "OBR-25 (not 1:1 mapping)"
          },
          {
            "identity" : "rim",
            "map" : "statusCode  Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type \"revise\""
          }]
        },
        {
          "id" : "DiagnosticReport.category",
          "path" : "DiagnosticReport.category",
          "short" : "Service category",
          "definition" : "A code that classifies the clinical discipline, department or diagnostic service that created the report (e.g. cardiology, biochemistry, hematology, MRI). This is used for searching, sorting and display purposes.",
          "comment" : "Multiple categories are allowed using various categorization schemes.   The level of granularity is defined by the category concepts in the value set. More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in DiagnosticReport.code.",
          "alias" : ["Department",
          "Sub-department",
          "Service",
          "Discipline"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosticServiceSection"
            }],
            "strength" : "example",
            "description" : "Codes for diagnostic service sections.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diagnostic-service-sections"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "OBR-24"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code"
          }]
        },
        {
          "id" : "DiagnosticReport.code",
          "path" : "DiagnosticReport.code",
          "short" : "Name/Code for this diagnostic report",
          "definition" : "A code or name that describes this diagnostic report.",
          "alias" : ["Type"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosticReportCodes"
            }],
            "strength" : "preferred",
            "description" : "Codes that describe Diagnostic Reports.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "DiagnosticReport.subject",
          "path" : "DiagnosticReport.subject",
          "short" : "The subject of the report - usually, but not always, the patient",
          "definition" : "The subject of the report. Usually, but not always, this is a patient. However, diagnostic services also perform analyses on specimens collected from a variety of other sources.",
          "requirements" : "SHALL know the subject context.",
          "alias" : ["Patient"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3 (no HL7 v2 mapping for Group or Device)"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DiagnosticReport.encounter",
          "path" : "DiagnosticReport.encounter",
          "short" : "Health care event when test ordered",
          "definition" : "The healthcare event  (e.g. a patient and healthcare provider interaction) which this DiagnosticReport is about.",
          "comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter  but still be tied to the context of the encounter  (e.g. pre-admission laboratory tests).",
          "requirements" : "Links the request to the Encounter context.",
          "alias" : ["Context"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "DiagnosticReport.effective[x]",
          "path" : "DiagnosticReport.effective[x]",
          "short" : "Clinically relevant time/time-period for report",
          "definition" : "The time or time-period the observed values are related to. When the subject of the report is a patient, this is usually either the time of the procedure or of specimen collection(s), but very often the source of the date/time is not known, only the date/time itself.",
          "comment" : "If the diagnostic procedure was performed on the patient, this is the time it was performed. If there are specimens, the diagnostically relevant time can be derived from the specimen collection times, but the specimen information is not always available, and the exact relationship between the specimens and the diagnostically relevant time is not always automatic.",
          "requirements" : "Need to know where in the patient history to file/present this report.",
          "alias" : ["Observation time",
          "Effective Time",
          "Occurrence"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBR-7"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime"
          }]
        },
        {
          "id" : "DiagnosticReport.issued",
          "path" : "DiagnosticReport.issued",
          "short" : "DateTime this version was made",
          "definition" : "The date and time that this version of the report was made available to providers, typically after the report was reviewed and verified.",
          "comment" : "May be different from the update time of the resource itself, because that is the status of the record (potentially a secondary copy), not the actual release time of the report.",
          "requirements" : "Clinicians need to be able to check the date that the report was released.",
          "alias" : ["Date published",
          "Date Issued",
          "Date Verified"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "OBR-22"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=VRF or AUT].time"
          }]
        },
        {
          "id" : "DiagnosticReport.performer",
          "path" : "DiagnosticReport.performer",
          "short" : "Responsible Diagnostic Service",
          "definition" : "The diagnostic service that is responsible for issuing the report.",
          "comment" : "This is not necessarily the source of the atomic data items or the entity that interpreted the results. It is the entity that takes responsibility for the clinical report.",
          "requirements" : "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.",
          "alias" : ["Laboratory",
          "Service",
          "Practitioner",
          "Department",
          "Company",
          "Authorized by",
          "Director"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT-8 (where this PRT-4-Participation = \"PO\")"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "DiagnosticReport.resultsInterpreter",
          "path" : "DiagnosticReport.resultsInterpreter",
          "short" : "Primary result interpreter",
          "definition" : "The practitioner or organization that is responsible for the report's conclusions and interpretations.",
          "comment" : "Might not be the same entity that takes responsibility for the clinical report.",
          "requirements" : "Need to know whom to contact if there are queries about the results. Also may need to track the source of reports for secondary data analysis.",
          "alias" : ["Analyzed by",
          "Reported by"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "OBR-32, PRT-8 (where this PRT-4-Participation = \"PI\")"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "DiagnosticReport.specimen",
          "path" : "DiagnosticReport.specimen",
          "short" : "Specimens this report is based on",
          "definition" : "Details about the specimens on which this diagnostic report is based.",
          "comment" : "If the specimen is sufficiently specified with a code in the test result name, then this additional data may be redundant. If there are multiple specimens, these may be represented per observation or group.",
          "requirements" : "Need to be able to report information about the collected specimens on which the report is based.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ]"
          }]
        },
        {
          "id" : "DiagnosticReport.result",
          "path" : "DiagnosticReport.result",
          "short" : "Observations",
          "definition" : "[Observations](observation.html)  that are part of this diagnostic report.",
          "comment" : "Observations can contain observations.",
          "requirements" : "Need to support individual results, or  groups of results, where the result grouping is arbitrary, but meaningful.",
          "alias" : ["Data",
          "Atomic Value",
          "Result",
          "Atomic result",
          "Data",
          "Test",
          "Analyte",
          "Battery",
          "Organizer"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBXs"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=COMP].target"
          }]
        },
        {
          "id" : "DiagnosticReport.imagingStudy",
          "path" : "DiagnosticReport.imagingStudy",
          "short" : "Reference to full details of imaging associated with the diagnostic report",
          "definition" : "One or more links to full details of any imaging performed during the diagnostic investigation. Typically, this is imaging performed by DICOM enabled modalities, but this is not required. A fully enabled PACS viewer can use this information to provide views of the source images.",
          "comment" : "ImagingStudy and the image element are somewhat overlapping - typically, the list of image references in the image element will also be found in one of the imaging study resources. However, each caters to different types of displays for different types of purposes. Neither, either, or both may be provided.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImagingStudy"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]"
          }]
        },
        {
          "id" : "DiagnosticReport.media",
          "path" : "DiagnosticReport.media",
          "short" : "Key images associated with this report",
          "definition" : "A list of key images associated with this report. The images are generally created during the diagnostic process, and may be directly of the patient, or of treated specimens (i.e. slides of interest).",
          "requirements" : "Many diagnostic services include images in the report as part of their service.",
          "alias" : ["DICOM",
          "Slides",
          "Scans"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX?"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=COMP].target"
          }]
        },
        {
          "id" : "DiagnosticReport.media.comment",
          "path" : "DiagnosticReport.media.comment",
          "short" : "Comment about the image (e.g. explanation)",
          "definition" : "A comment about the image. Typically, this is used to provide an explanation for why the image is included, or to draw the viewer's attention to important features.",
          "comment" : "The comment should be displayed with the image. It would be common for the report to include additional discussion of the image contents in other sections such as the conclusion.",
          "requirements" : "The provider of the report should make a comment about each image included in the report.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        },
        {
          "id" : "DiagnosticReport.media.link",
          "path" : "DiagnosticReport.media.link",
          "short" : "Reference to the image source",
          "definition" : "Reference to the image source.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".value.reference"
          }]
        },
        {
          "id" : "DiagnosticReport.conclusion",
          "path" : "DiagnosticReport.conclusion",
          "short" : "Clinical conclusion (interpretation) of test results",
          "definition" : "Concise and clinically contextualized summary conclusion (interpretation/impression) of the diagnostic report.",
          "requirements" : "Need to be able to provide a conclusion that is not lost among the basic result data.",
          "alias" : ["Report"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=\"SPRT\"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)"
          }]
        },
        {
          "id" : "DiagnosticReport.conclusionCode",
          "path" : "DiagnosticReport.conclusionCode",
          "short" : "Codes for the clinical conclusion of test results",
          "definition" : "One or more codes that represent the summary conclusion (interpretation/impression) of the diagnostic report.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjunctDiagnosis"
            }],
            "strength" : "example",
            "description" : "Diagnosis codes provided as adjuncts to the report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)"
          }]
        },
        {
          "id" : "DiagnosticReport.presentedForm",
          "path" : "DiagnosticReport.presentedForm",
          "short" : "Entire report as issued",
          "definition" : "Rich text representation of the entire result as issued by the diagnostic service. Multiple formats are allowed but they SHALL be semantically equivalent.",
          "comment" : "\"application/pdf\" is recommended as the most reliable and interoperable in this context.",
          "requirements" : "Gives laboratory the ability to provide its own fully formatted report for clinical fidelity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Attachment"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "text (type=ED)"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DocumentManifest",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DocumentManifest 
TU
DomainResource
A list that defines a set of documents
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 masterIdentifier 
Σ
0..1
Identifier
Unique Identifier for the set of documents
 identifier 
Σ
0..*
Identifier
Other identifiers for the manifest
 status 
?!Σ
1..1
code
current | superseded | entered-in-error
DocumentReferenceStatus (Required)
 type 
Σ
0..1
CodeableConcept
Kind of document set
v3 Code System ActCode (Example)
 subject 
Σ
0..1
Reference(Patient | Practitioner | Group | Device)
The subject of the set of documents
 created 
0..1
dateTime
When this document manifest created
 author 
Σ
0..*
Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)
Who and/or what authored the DocumentManifest
 recipient 
0..*
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Intended to get notified about this set of documents
 source 
0..1
uri
The source system/application/software
 description 
Σ
0..1
string
Human-readable description (title)
 content 
Σ
1..*
Reference(Any)
Items in manifest
 related 
0..*
BackboneElement
Related things
 identifier 
0..1
Identifier
Identifiers of things that are related
 ref 
0..1
Reference(Any)
Related Resource

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Documents"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "sd"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DocumentManifest",
      "version" : "4.0.0",
      "name" : "DocumentManifest",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Structured Documents)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/structure/index.cfm"
        }]
      }],
      "description" : "A collection of documents compiled for a purpose together with metadata that applies to the collection.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "xds",
        "uri" : "http://ihe.net/xds",
        "name" : "XDS metadata equivalent"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "DocumentManifest",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DocumentManifest",
          "path" : "DocumentManifest",
          "short" : "A list that defines a set of documents",
          "definition" : "A collection of documents compiled for a purpose together with metadata that applies to the collection.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentManifest",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=FOLDER, moodCode=EVN]"
          }]
        },
        {
          "id" : "DocumentManifest.id",
          "path" : "DocumentManifest.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DocumentManifest.meta",
          "path" : "DocumentManifest.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DocumentManifest.implicitRules",
          "path" : "DocumentManifest.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DocumentManifest.language",
          "path" : "DocumentManifest.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DocumentManifest.text",
          "path" : "DocumentManifest.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DocumentManifest.contained",
          "path" : "DocumentManifest.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentManifest.extension",
          "path" : "DocumentManifest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentManifest.modifierExtension",
          "path" : "DocumentManifest.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentManifest.masterIdentifier",
          "path" : "DocumentManifest.masterIdentifier",
          "short" : "Unique Identifier for the set of documents",
          "definition" : "A single identifier that uniquely identifies this manifest. Principally used to refer to the manifest in non-FHIR contexts.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.masterIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "id [need a list semantic to indicate order matters]"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.uniqueId"
          }]
        },
        {
          "id" : "DocumentManifest.identifier",
          "path" : "DocumentManifest.identifier",
          "short" : "Other identifiers for the manifest",
          "definition" : "Other identifiers associated with the document manifest, including version independent  identifiers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentManifest.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "TXA-16-Unique Document File Name?"
          },
          {
            "identity" : "rim",
            "map" : ".id / .setId"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.entryUUID"
          }]
        },
        {
          "id" : "DocumentManifest.status",
          "path" : "DocumentManifest.status",
          "short" : "current | superseded | entered-in-error",
          "definition" : "The status of this document manifest.",
          "comment" : "This element is labeled as a modifier because the status contains the codes that mark the manifest as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentReferenceStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The status of the document reference.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet status"
          }]
        },
        {
          "id" : "DocumentManifest.type",
          "path" : "DocumentManifest.type",
          "short" : "Kind of document set",
          "definition" : "The code specifying the type of clinical activity that resulted in placing the associated content into the DocumentManifest.",
          "comment" : "Specifies the kind of this set of documents (e.g. Patient Summary, Discharge Summary, Prescription, etc.). The type of a set of documents may be the same as one of the documents in it - especially if there is only one - but it may be wider.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "v3Act"
            }],
            "strength" : "example",
            "description" : "The activity that caused the DocumentManifest to be created.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.contentTypeCode"
          }]
        },
        {
          "id" : "DocumentManifest.subject",
          "path" : "DocumentManifest.subject",
          "short" : "The subject of the set of documents",
          "definition" : "Who or what the set of documents is about. The documents can be about a person, (patient or healthcare practitioner), a device (i.e. machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure). If the documents cross more than one subject, then more than one subject is allowed here (unusual use case).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.patientId"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DocumentManifest.created",
          "path" : "DocumentManifest.created",
          "short" : "When this document manifest created",
          "definition" : "When the document manifest was created for submission to the server (not necessarily the same thing as the actual resource last modified time, since it may be modified, replicated, etc.).",
          "comment" : "Creation time is used for tracking, organizing versions and searching. This is the creation time of the document set, not the documents on which it is based.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.created",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.submissionTime"
          }]
        },
        {
          "id" : "DocumentManifest.author",
          "path" : "DocumentManifest.author",
          "short" : "Who and/or what authored the DocumentManifest",
          "definition" : "Identifies who is the author of the manifest. Manifest author is not necessarly the author of the references included.",
          "comment" : "Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentManifest.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.author"
          }]
        },
        {
          "id" : "DocumentManifest.recipient",
          "path" : "DocumentManifest.recipient",
          "short" : "Intended to get notified about this set of documents",
          "definition" : "A patient, practitioner, or organization for which this set of documents is intended.",
          "comment" : "How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentManifest.recipient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.cause"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=IRCP].role"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.intendedRecipient"
          }]
        },
        {
          "id" : "DocumentManifest.source",
          "path" : "DocumentManifest.source",
          "short" : "The source system/application/software",
          "definition" : "Identifies the source system, application, or software that produced the document manifest.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.source",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].time"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.sourceId"
          }]
        },
        {
          "id" : "DocumentManifest.description",
          "path" : "DocumentManifest.description",
          "short" : "Human-readable description (title)",
          "definition" : "Human-readable description of the source document. This is sometimes known as the \"title\".",
          "comment" : "What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a \"consultation\" or \"progress note\").",
          "requirements" : "Helps humans to assess whether the document is of interest.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".title"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.title"
          }]
        },
        {
          "id" : "DocumentManifest.content",
          "path" : "DocumentManifest.content",
          "short" : "Items in manifest",
          "definition" : "The list of Resources that consist of the parts of this manifest.",
          "comment" : "When used for XDS the intended focus of the DocumentManifest is for the reference to target to be a set of DocumentReference Resources. The reference is to \"Any\" to support EN 13606 usage, where an extract is DocumentManifest that references  List and Composition resources.",
          "requirements" : "Any Resources are allowed to be grouped in a Manifest. The manifest brings context to the group.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "DocumentManifest.content",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet DocumentEntry(s)"
          }]
        },
        {
          "id" : "DocumentManifest.related",
          "path" : "DocumentManifest.related",
          "short" : "Related things",
          "definition" : "Related identifiers or resources associated with the DocumentManifest.",
          "comment" : "May be identifiers or resources that caused the DocumentManifest to be created.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentManifest.related",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentManifest.related.id",
          "path" : "DocumentManifest.related.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentManifest.related.extension",
          "path" : "DocumentManifest.related.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentManifest.related.modifierExtension",
          "path" : "DocumentManifest.related.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentManifest.related.identifier",
          "path" : "DocumentManifest.related.identifier",
          "short" : "Identifiers of things that are related",
          "definition" : "Related identifier to this DocumentManifest.  For example, Order numbers, accession numbers, XDW workflow numbers.",
          "comment" : "If both identifier and ref elements are present they shall refer to the same thing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.related.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "DocumentManifest.related.ref",
          "path" : "DocumentManifest.related.ref",
          "short" : "Related Resource",
          "definition" : "Related Resource to this DocumentManifest. For example, Order, ServiceRequest,  Procedure, EligibilityRequest, etc.",
          "comment" : "If both identifier and ref elements are present they shall refer to the same thing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentManifest.related.ref",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DocumentManifest",
          "path" : "DocumentManifest",
          "short" : "A list that defines a set of documents",
          "definition" : "A collection of documents compiled for a purpose together with metadata that applies to the collection.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=FOLDER, moodCode=EVN]"
          }]
        },
        {
          "id" : "DocumentManifest.masterIdentifier",
          "path" : "DocumentManifest.masterIdentifier",
          "short" : "Unique Identifier for the set of documents",
          "definition" : "A single identifier that uniquely identifies this manifest. Principally used to refer to the manifest in non-FHIR contexts.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "id [need a list semantic to indicate order matters]"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.uniqueId"
          }]
        },
        {
          "id" : "DocumentManifest.identifier",
          "path" : "DocumentManifest.identifier",
          "short" : "Other identifiers for the manifest",
          "definition" : "Other identifiers associated with the document manifest, including version independent  identifiers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "TXA-16-Unique Document File Name?"
          },
          {
            "identity" : "rim",
            "map" : ".id / .setId"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.entryUUID"
          }]
        },
        {
          "id" : "DocumentManifest.status",
          "path" : "DocumentManifest.status",
          "short" : "current | superseded | entered-in-error",
          "definition" : "The status of this document manifest.",
          "comment" : "This element is labeled as a modifier because the status contains the codes that mark the manifest as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentReferenceStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The status of the document reference.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet status"
          }]
        },
        {
          "id" : "DocumentManifest.type",
          "path" : "DocumentManifest.type",
          "short" : "Kind of document set",
          "definition" : "The code specifying the type of clinical activity that resulted in placing the associated content into the DocumentManifest.",
          "comment" : "Specifies the kind of this set of documents (e.g. Patient Summary, Discharge Summary, Prescription, etc.). The type of a set of documents may be the same as one of the documents in it - especially if there is only one - but it may be wider.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "v3Act"
            }],
            "strength" : "example",
            "description" : "The activity that caused the DocumentManifest to be created.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.contentTypeCode"
          }]
        },
        {
          "id" : "DocumentManifest.subject",
          "path" : "DocumentManifest.subject",
          "short" : "The subject of the set of documents",
          "definition" : "Who or what the set of documents is about. The documents can be about a person, (patient or healthcare practitioner), a device (i.e. machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure). If the documents cross more than one subject, then more than one subject is allowed here (unusual use case).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.patientId"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DocumentManifest.created",
          "path" : "DocumentManifest.created",
          "short" : "When this document manifest created",
          "definition" : "When the document manifest was created for submission to the server (not necessarily the same thing as the actual resource last modified time, since it may be modified, replicated, etc.).",
          "comment" : "Creation time is used for tracking, organizing versions and searching. This is the creation time of the document set, not the documents on which it is based.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.submissionTime"
          }]
        },
        {
          "id" : "DocumentManifest.author",
          "path" : "DocumentManifest.author",
          "short" : "Who and/or what authored the DocumentManifest",
          "definition" : "Identifies who is the author of the manifest. Manifest author is not necessarly the author of the references included.",
          "comment" : "Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.author"
          }]
        },
        {
          "id" : "DocumentManifest.recipient",
          "path" : "DocumentManifest.recipient",
          "short" : "Intended to get notified about this set of documents",
          "definition" : "A patient, practitioner, or organization for which this set of documents is intended.",
          "comment" : "How the recipient receives the document set or is notified of it is up to the implementation. This element is just a statement of intent. If the recipient is a person, and it is not known whether the person is a patient or a practitioner, RelatedPerson would be the default choice.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.cause"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=IRCP].role"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.intendedRecipient"
          }]
        },
        {
          "id" : "DocumentManifest.source",
          "path" : "DocumentManifest.source",
          "short" : "The source system/application/software",
          "definition" : "Identifies the source system, application, or software that produced the document manifest.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].time"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.sourceId"
          }]
        },
        {
          "id" : "DocumentManifest.description",
          "path" : "DocumentManifest.description",
          "short" : "Human-readable description (title)",
          "definition" : "Human-readable description of the source document. This is sometimes known as the \"title\".",
          "comment" : "What the document is about, rather than a terse summary of the document. It is commonly the case that records do not have a title and are collectively referred to by the display name of Record code (e.g. a \"consultation\" or \"progress note\").",
          "requirements" : "Helps humans to assess whether the document is of interest.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".title"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet.title"
          }]
        },
        {
          "id" : "DocumentManifest.content",
          "path" : "DocumentManifest.content",
          "short" : "Items in manifest",
          "definition" : "The list of Resources that consist of the parts of this manifest.",
          "comment" : "When used for XDS the intended focus of the DocumentManifest is for the reference to target to be a set of DocumentReference Resources. The reference is to \"Any\" to support EN 13606 usage, where an extract is DocumentManifest that references  List and Composition resources.",
          "requirements" : "Any Resources are allowed to be grouped in a Manifest. The manifest brings context to the group.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          },
          {
            "identity" : "xds",
            "map" : "SubmissionSet DocumentEntry(s)"
          }]
        },
        {
          "id" : "DocumentManifest.related",
          "path" : "DocumentManifest.related",
          "short" : "Related things",
          "definition" : "Related identifiers or resources associated with the DocumentManifest.",
          "comment" : "May be identifiers or resources that caused the DocumentManifest to be created.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentManifest.related.identifier",
          "path" : "DocumentManifest.related.identifier",
          "short" : "Identifiers of things that are related",
          "definition" : "Related identifier to this DocumentManifest.  For example, Order numbers, accession numbers, XDW workflow numbers.",
          "comment" : "If both identifier and ref elements are present they shall refer to the same thing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "DocumentManifest.related.ref",
          "path" : "DocumentManifest.related.ref",
          "short" : "Related Resource",
          "definition" : "Related Resource to this DocumentManifest. For example, Order, ServiceRequest,  Procedure, EligibilityRequest, etc.",
          "comment" : "If both identifier and ref elements are present they shall refer to the same thing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DocumentReference",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DocumentReference",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DocumentReference 
TU
DomainResource
A reference to a document
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 masterIdentifier 
Σ
0..1
Identifier
Master Version Specific Identifier
 identifier 
Σ
0..*
Identifier
Other identifiers for the document
 status 
?!Σ
1..1
code
current | superseded | entered-in-error
DocumentReferenceStatus (Required)
 docStatus 
Σ
0..1
code
preliminary | final | appended | amended | entered-in-error
CompositionStatus (Required)
 type 
Σ
0..1
CodeableConcept
Kind of document (LOINC if possible)
Document Type Value Set (Preferred)
 category 
Σ
0..*
CodeableConcept
Categorization of document
Document Class Value Set (Example)
 subject 
Σ
0..1
Reference(Patient | Practitioner | Group | Device)
Who/what is the subject of the document
 date 
Σ
0..1
instant
When this document reference was created
 author 
Σ
0..*
Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson)
Who and/or what authored the document
 authenticator 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Who/what authenticated the document
 custodian 
0..1
Reference(Organization)
Organization which maintains the document
 relatesTo 
Σ
0..*
BackboneElement
Relationships to other documents
 code 
Σ
1..1
code
replaces | transforms | signs | appends
DocumentRelationshipType (Required)
 target 
Σ
1..1
Reference(DocumentReference)
Target of the relationship
 description 
Σ
0..1
string
Human-readable description
 securityLabel 
Σ
0..*
CodeableConcept
Document security-tags
SecurityLabels (Extensible)
 content 
Σ
1..*
BackboneElement
Document referenced
 attachment 
Σ
1..1
Attachment
Where to access the document
 format 
Σ
0..1
Coding
Format/content rules for the document
DocumentReference Format Code Set (Preferred)
 context 
Σ
0..1
BackboneElement
Clinical context of document
 encounter 
0..*
Reference(Encounter | EpisodeOfCare)
Context of the document  content
 event 
0..*
CodeableConcept
Main clinical acts documented
v3 Code System ActCode (Example)
 period 
Σ
0..1
Period
Time of service that is being documented
 facilityType 
0..1
CodeableConcept
Kind of facility where patient was seen
Facility Type Code Value Set (Example)
 practiceSetting 
0..1
CodeableConcept
Additional details about where the content was created (e.g. clinical specialty)
Practice Setting Code Value Set (Example)
 sourcePatientInfo 
0..1
Reference(Patient)
Patient demographics from source
 related 
0..*
Reference(Any)
Related identifiers or resources

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Documents"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "sd"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DocumentReference",
      "version" : "4.0.0",
      "name" : "DocumentReference",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Structured Documents)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/structure/index.cfm"
        }]
      }],
      "description" : "A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "fhircomposition",
        "uri" : "http://hl7.org/fhir/composition",
        "name" : "FHIR Composition"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "cda",
        "uri" : "http://hl7.org/v3/cda",
        "name" : "CDA (R2)"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "xds",
        "uri" : "http://ihe.net/xds",
        "name" : "XDS metadata equivalent"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "DocumentReference",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DocumentReference",
          "path" : "DocumentReference",
          "short" : "A reference to a document",
          "definition" : "A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.",
          "comment" : "Usually, this is used for documents other than those defined by FHIR.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "fhircomposition",
            "map" : "when describing a Composition"
          },
          {
            "identity" : "rim",
            "map" : "Document[classCode=\"DOC\" and moodCode=\"EVN\"]"
          },
          {
            "identity" : "cda",
            "map" : "when describing a CDA"
          }]
        },
        {
          "id" : "DocumentReference.id",
          "path" : "DocumentReference.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DocumentReference.meta",
          "path" : "DocumentReference.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DocumentReference.implicitRules",
          "path" : "DocumentReference.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DocumentReference.language",
          "path" : "DocumentReference.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DocumentReference.text",
          "path" : "DocumentReference.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DocumentReference.contained",
          "path" : "DocumentReference.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentReference.extension",
          "path" : "DocumentReference.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentReference.modifierExtension",
          "path" : "DocumentReference.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentReference.masterIdentifier",
          "path" : "DocumentReference.masterIdentifier",
          "short" : "Master Version Specific Identifier",
          "definition" : "Document identifier as assigned by the source of the document. This identifier is specific to this version of the document. This unique identifier may be used elsewhere to identify this version of the document.",
          "comment" : "CDA Document Id extension and root.",
          "requirements" : "The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64-character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form \"oid^extension\", where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.masterIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.identifier"
          },
          {
            "identity" : "v2",
            "map" : "TXA-12"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.uniqueId"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/id"
          }]
        },
        {
          "id" : "DocumentReference.identifier",
          "path" : "DocumentReference.identifier",
          "short" : "Other identifiers for the document",
          "definition" : "Other identifiers associated with the document, including version independent identifiers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "TXA-16?"
          },
          {
            "identity" : "rim",
            "map" : ".id / .setId"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.entryUUID"
          }]
        },
        {
          "id" : "DocumentReference.status",
          "path" : "DocumentReference.status",
          "short" : "current | superseded | entered-in-error",
          "definition" : "The status of this document reference.",
          "comment" : "This is the status of the DocumentReference object, which might be independent from the docStatus element.\n\nThis element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentReferenceStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The status of the document reference.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "TXA-19"
          },
          {
            "identity" : "rim",
            "map" : "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\""
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.availabilityStatus"
          }]
        },
        {
          "id" : "DocumentReference.docStatus",
          "path" : "DocumentReference.docStatus",
          "short" : "preliminary | final | appended | amended | entered-in-error",
          "definition" : "The status of the underlying document.",
          "comment" : "The document that is pointed to might be in various lifecycle states.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.docStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ReferredDocumentStatus"
            }],
            "strength" : "required",
            "description" : "Status of the underlying document.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/composition-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.status"
          },
          {
            "identity" : "v2",
            "map" : "TXA-17"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "DocumentReference.type",
          "path" : "DocumentReference.type",
          "short" : "Kind of document (LOINC if possible)",
          "definition" : "Specifies the particular kind of document referenced  (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.",
          "comment" : "Key metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentC80Type"
            }],
            "strength" : "preferred",
            "description" : "Precise type of clinical document.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-doc-typecodes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.type"
          },
          {
            "identity" : "v2",
            "map" : "TXA-2"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.type"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/code/@code \n\nThe typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted."
          }]
        },
        {
          "id" : "DocumentReference.category",
          "path" : "DocumentReference.category",
          "short" : "Categorization of document",
          "definition" : "A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.",
          "comment" : "Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.",
          "alias" : ["claxs"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentC80Class"
            }],
            "strength" : "example",
            "description" : "High-level kind of a clinical document at a macro level.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-classcodes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.class"
          },
          {
            "identity" : "cda",
            "map" : "Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code"
          }]
        },
        {
          "id" : "DocumentReference.subject",
          "path" : "DocumentReference.subject",
          "short" : "Who/what is the subject of the document",
          "definition" : "Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.subject"
          },
          {
            "identity" : "v2",
            "map" : "PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.patientId"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/recordTarget/"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DocumentReference.date",
          "path" : "DocumentReference.date",
          "short" : "When this document reference was created",
          "definition" : "When the document reference was created.",
          "comment" : "Referencing/indexing time is used for tracking, organizing versions and searching.",
          "alias" : ["indexed"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.date"
          },
          {
            "identity" : "rim",
            "map" : ".availabilityTime[type=\"TS\"]"
          }]
        },
        {
          "id" : "DocumentReference.author",
          "path" : "DocumentReference.author",
          "short" : "Who and/or what authored the document",
          "definition" : "Identifies who is responsible for adding the information to the document.",
          "comment" : "Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.author"
          },
          {
            "identity" : "v2",
            "map" : "TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.author"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/author"
          }]
        },
        {
          "id" : "DocumentReference.authenticator",
          "path" : "DocumentReference.authenticator",
          "short" : "Who/what authenticated the document",
          "definition" : "Which person or organization authenticates that this document is valid.",
          "comment" : "Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.authenticator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.attester"
          },
          {
            "identity" : "v2",
            "map" : "TXA-10"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.legalAuthenticator"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/legalAuthenticator"
          }]
        },
        {
          "id" : "DocumentReference.custodian",
          "path" : "DocumentReference.custodian",
          "short" : "Organization which maintains the document",
          "definition" : "Identifies the organization or group who is responsible for ongoing maintenance of and access to the document.",
          "comment" : "Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) of the document, which is the technical location of the document, which host may be delegated to the management of some other organization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.custodian",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.custodian"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo",
          "path" : "DocumentReference.relatesTo",
          "short" : "Relationships to other documents",
          "definition" : "Relationships that this document has with other document references that already exist.",
          "comment" : "This element is labeled as a modifier because documents that append to other documents are incomplete on their own.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.relatesTo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.relatesTo"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry Associations"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo.id",
          "path" : "DocumentReference.relatesTo.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo.extension",
          "path" : "DocumentReference.relatesTo.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo.modifierExtension",
          "path" : "DocumentReference.relatesTo.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo.code",
          "path" : "DocumentReference.relatesTo.code",
          "short" : "replaces | transforms | signs | appends",
          "definition" : "The type of relationship that this document has with anther document.",
          "comment" : "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.relatesTo.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentRelationshipType"
            }],
            "strength" : "required",
            "description" : "The type of relationship between documents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.relatesTo.code"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship.typeCode"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry Associations type"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo.target",
          "path" : "DocumentReference.relatesTo.target",
          "short" : "Target of the relationship",
          "definition" : "The target document of this relationship.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.relatesTo.target",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.relatesTo.target"
          },
          {
            "identity" : "rim",
            "map" : ".target[classCode=\"DOC\", moodCode=\"EVN\"].id"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry Associations reference"
          }]
        },
        {
          "id" : "DocumentReference.description",
          "path" : "DocumentReference.description",
          "short" : "Human-readable description",
          "definition" : "Human-readable description of the source document.",
          "comment" : "What the document is about,  a terse summary of the document.",
          "requirements" : "Helps humans to assess whether the document is of interest.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "TXA-25"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].target.text"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.comments"
          }]
        },
        {
          "id" : "DocumentReference.securityLabel",
          "path" : "DocumentReference.securityLabel",
          "short" : "Document security-tags",
          "definition" : "A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the \"reference\" to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.",
          "comment" : "The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce.   \n\nIn the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.",
          "requirements" : "Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.securityLabel",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SecurityLabels"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.confidentiality, Composition.meta.security"
          },
          {
            "identity" : "v2",
            "map" : "TXA-18"
          },
          {
            "identity" : "rim",
            "map" : ".confidentialityCode"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.confidentialityCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/confidentialityCode/@code"
          }]
        },
        {
          "id" : "DocumentReference.content",
          "path" : "DocumentReference.content",
          "short" : "Document referenced",
          "definition" : "The document and format referenced. There may be multiple content element repetitions, each with a different format.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.content",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Bundle(Composition+*)"
          },
          {
            "identity" : "rim",
            "map" : "document.text"
          }]
        },
        {
          "id" : "DocumentReference.content.id",
          "path" : "DocumentReference.content.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentReference.content.extension",
          "path" : "DocumentReference.content.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentReference.content.modifierExtension",
          "path" : "DocumentReference.content.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentReference.content.attachment",
          "path" : "DocumentReference.content.attachment",
          "short" : "Where to access the document",
          "definition" : "The document or URL of the document along with critical metadata to prove content has integrity.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.content.attachment",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.language, \nComposition.title, \nComposition.date"
          },
          {
            "identity" : "v2",
            "map" : "TXA-3 for mime type"
          },
          {
            "identity" : "rim",
            "map" : "document.text"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date"
          }]
        },
        {
          "id" : "DocumentReference.content.format",
          "path" : "DocumentReference.content.format",
          "short" : "Format/content rules for the document",
          "definition" : "An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.",
          "comment" : "Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.content.format",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentFormat"
            }],
            "strength" : "preferred",
            "description" : "Document Format Codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/formatcodes"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.meta.profile"
          },
          {
            "identity" : "rim",
            "map" : "document.text"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.formatCode"
          },
          {
            "identity" : "cda",
            "map" : "derived from the IHE Profile or Implementation Guide templateID"
          }]
        },
        {
          "id" : "DocumentReference.context",
          "path" : "DocumentReference.context",
          "short" : "Clinical context of document",
          "definition" : "The clinical context in which the document was prepared.",
          "comment" : "These values are primarily added to help with searching for interesting/relevant documents.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.context",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"
          }]
        },
        {
          "id" : "DocumentReference.context.id",
          "path" : "DocumentReference.context.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentReference.context.extension",
          "path" : "DocumentReference.context.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "DocumentReference.context.modifierExtension",
          "path" : "DocumentReference.context.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DocumentReference.context.encounter",
          "path" : "DocumentReference.context.encounter",
          "short" : "Context of the document  content",
          "definition" : "Describes the clinical encounter or type of care that the document content is associated with.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.context.encounter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.encounter"
          },
          {
            "identity" : "rim",
            "map" : "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
          }]
        },
        {
          "id" : "DocumentReference.context.event",
          "path" : "DocumentReference.context.event",
          "short" : "Main clinical acts documented",
          "definition" : "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the type Code, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
          "comment" : "An event can further specialize the act inherent in the type, such as  where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.context.event",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentEventType"
            }],
            "strength" : "example",
            "description" : "This list of codes represents the main clinical acts being documented.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.event.code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.eventCodeList"
          }]
        },
        {
          "id" : "DocumentReference.context.period",
          "path" : "DocumentReference.context.period",
          "short" : "Time of service that is being documented",
          "definition" : "The time period over which the service that is described by the document was provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.context.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.event.period"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/low/\n@value --> ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/high/\n@value"
          }]
        },
        {
          "id" : "DocumentReference.context.facilityType",
          "path" : "DocumentReference.context.facilityType",
          "short" : "Kind of facility where patient was seen",
          "definition" : "The kind of facility where the patient was seen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.context.facilityType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentC80FacilityType"
            }],
            "strength" : "example",
            "description" : "XDS Facility Type.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-facilitycodes"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "usually from a mapping to a local ValueSet"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.healthcareFacilityTypeCode"
          },
          {
            "identity" : "cda",
            "map" : "usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"
          }]
        },
        {
          "id" : "DocumentReference.context.practiceSetting",
          "path" : "DocumentReference.context.practiceSetting",
          "short" : "Additional details about where the content was created (e.g. clinical specialty)",
          "definition" : "This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.",
          "comment" : "This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC.",
          "requirements" : "This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.context.practiceSetting",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentC80PracticeSetting"
            }],
            "strength" : "example",
            "description" : "Additional details about where the content was created (e.g. clinical specialty).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "usually from a mapping to a local ValueSet"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.practiceSettingCode"
          },
          {
            "identity" : "cda",
            "map" : "usually from a mapping to a local ValueSet"
          }]
        },
        {
          "id" : "DocumentReference.context.sourcePatientInfo",
          "path" : "DocumentReference.context.sourcePatientInfo",
          "short" : "Patient demographics from source",
          "definition" : "The Patient Information as known when the document was published. May be a reference to a version specific, or contained.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DocumentReference.context.sourcePatientInfo",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.subject"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/recordTarget/"
          }]
        },
        {
          "id" : "DocumentReference.context.related",
          "path" : "DocumentReference.context.related",
          "short" : "Related identifiers or resources",
          "definition" : "Related identifiers or resources associated with the DocumentReference.",
          "comment" : "May be identifiers or resources that caused the DocumentReference or referenced Document to be created.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DocumentReference.context.related",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.event.detail"
          },
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"PERT\" and isNormalActRelationship()] / target[isNormalAct]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.referenceIdList"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/relatedDocument"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DocumentReference",
          "path" : "DocumentReference",
          "short" : "A reference to a document",
          "definition" : "A reference to a document of any kind for any purpose. Provides metadata about the document so that the document can be discovered and managed. The scope of a document is any seralized object with a mime-type, so includes formal patient centric documents (CDA), cliical notes, scanned paper, and non-patient specific documents like policy text.",
          "comment" : "Usually, this is used for documents other than those defined by FHIR.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "fhircomposition",
            "map" : "when describing a Composition"
          },
          {
            "identity" : "rim",
            "map" : "Document[classCode=\"DOC\" and moodCode=\"EVN\"]"
          },
          {
            "identity" : "cda",
            "map" : "when describing a CDA"
          }]
        },
        {
          "id" : "DocumentReference.masterIdentifier",
          "path" : "DocumentReference.masterIdentifier",
          "short" : "Master Version Specific Identifier",
          "definition" : "Document identifier as assigned by the source of the document. This identifier is specific to this version of the document. This unique identifier may be used elsewhere to identify this version of the document.",
          "comment" : "CDA Document Id extension and root.",
          "requirements" : "The structure and format of this Id shall be consistent with the specification corresponding to the formatCode attribute. (e.g. for a DICOM standard document a 64-character numeric UID, for an HL7 CDA format a serialization of the CDA Document Id extension and root in the form \"oid^extension\", where OID is a 64 digits max, and the Id is a 16 UTF-8 char max. If the OID is coded without the extension then the '^' character shall not be included.).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.identifier"
          },
          {
            "identity" : "v2",
            "map" : "TXA-12"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.uniqueId"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/id"
          }]
        },
        {
          "id" : "DocumentReference.identifier",
          "path" : "DocumentReference.identifier",
          "short" : "Other identifiers for the document",
          "definition" : "Other identifiers associated with the document, including version independent identifiers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "TXA-16?"
          },
          {
            "identity" : "rim",
            "map" : ".id / .setId"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.entryUUID"
          }]
        },
        {
          "id" : "DocumentReference.status",
          "path" : "DocumentReference.status",
          "short" : "current | superseded | entered-in-error",
          "definition" : "The status of this document reference.",
          "comment" : "This is the status of the DocumentReference object, which might be independent from the docStatus element.\n\nThis element is labeled as a modifier because the status contains the codes that mark the document or reference as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentReferenceStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The status of the document reference.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-reference-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "TXA-19"
          },
          {
            "identity" : "rim",
            "map" : "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\";  final: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct()]);  amended: .completionCode=\"AU\" &&  ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseDocument\", code) and isNormalAct() and statusCode=\"completed\"];  withdrawn : .completionCode=NI &&  ./statusCode[isNormalDatatype()]=\"obsolete\""
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.availabilityStatus"
          }]
        },
        {
          "id" : "DocumentReference.docStatus",
          "path" : "DocumentReference.docStatus",
          "short" : "preliminary | final | appended | amended | entered-in-error",
          "definition" : "The status of the underlying document.",
          "comment" : "The document that is pointed to might be in various lifecycle states.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ReferredDocumentStatus"
            }],
            "strength" : "required",
            "description" : "Status of the underlying document.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/composition-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.status"
          },
          {
            "identity" : "v2",
            "map" : "TXA-17"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "DocumentReference.type",
          "path" : "DocumentReference.type",
          "short" : "Kind of document (LOINC if possible)",
          "definition" : "Specifies the particular kind of document referenced  (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the document referenced.",
          "comment" : "Key metadata element describing the document that describes he exact type of document. Helps humans to assess whether the document is of interest when viewing a list of documents.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentC80Type"
            }],
            "strength" : "preferred",
            "description" : "Precise type of clinical document.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-doc-typecodes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.type"
          },
          {
            "identity" : "v2",
            "map" : "TXA-2"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.type"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/code/@code \n\nThe typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted."
          }]
        },
        {
          "id" : "DocumentReference.category",
          "path" : "DocumentReference.category",
          "short" : "Categorization of document",
          "definition" : "A categorization for the type of document referenced - helps for indexing and searching. This may be implied by or derived from the code specified in the DocumentReference.type.",
          "comment" : "Key metadata element describing the the category or classification of the document. This is a broader perspective that groups similar documents based on how they would be used. This is a primary key used in searching.",
          "alias" : ["claxs"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentC80Class"
            }],
            "strength" : "example",
            "description" : "High-level kind of a clinical document at a macro level.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-classcodes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.class"
          },
          {
            "identity" : "cda",
            "map" : "Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code"
          }]
        },
        {
          "id" : "DocumentReference.subject",
          "path" : "DocumentReference.subject",
          "short" : "Who/what is the subject of the document",
          "definition" : "Who or what the document is about. The document can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of farm animals, or a set of patients that share a common exposure).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.subject"
          },
          {
            "identity" : "v2",
            "map" : "PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.patientId"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/recordTarget/"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "DocumentReference.date",
          "path" : "DocumentReference.date",
          "short" : "When this document reference was created",
          "definition" : "When the document reference was created.",
          "comment" : "Referencing/indexing time is used for tracking, organizing versions and searching.",
          "alias" : ["indexed"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.date"
          },
          {
            "identity" : "rim",
            "map" : ".availabilityTime[type=\"TS\"]"
          }]
        },
        {
          "id" : "DocumentReference.author",
          "path" : "DocumentReference.author",
          "short" : "Who and/or what authored the document",
          "definition" : "Identifies who is responsible for adding the information to the document.",
          "comment" : "Not necessarily who did the actual data entry (i.e. typist) or who was the source (informant).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.author"
          },
          {
            "identity" : "v2",
            "map" : "TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.author"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/author"
          }]
        },
        {
          "id" : "DocumentReference.authenticator",
          "path" : "DocumentReference.authenticator",
          "short" : "Who/what authenticated the document",
          "definition" : "Which person or organization authenticates that this document is valid.",
          "comment" : "Represents a participant within the author institution who has legally authenticated or attested the document. Legal authentication implies that a document has been signed manually or electronically by the legal Authenticator.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.attester"
          },
          {
            "identity" : "v2",
            "map" : "TXA-10"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.legalAuthenticator"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/legalAuthenticator"
          }]
        },
        {
          "id" : "DocumentReference.custodian",
          "path" : "DocumentReference.custodian",
          "short" : "Organization which maintains the document",
          "definition" : "Identifies the organization or group who is responsible for ongoing maintenance of and access to the document.",
          "comment" : "Identifies the logical organization (software system, vendor, or department) to go to find the current version, where to report issues, etc. This is different from the physical location (URL, disk drive, or server) of the document, which is the technical location of the document, which host may be delegated to the management of some other organization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.custodian"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo",
          "path" : "DocumentReference.relatesTo",
          "short" : "Relationships to other documents",
          "definition" : "Relationships that this document has with other document references that already exist.",
          "comment" : "This element is labeled as a modifier because documents that append to other documents are incomplete on their own.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.relatesTo"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry Associations"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo.code",
          "path" : "DocumentReference.relatesTo.code",
          "short" : "replaces | transforms | signs | appends",
          "definition" : "The type of relationship that this document has with anther document.",
          "comment" : "If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentRelationshipType"
            }],
            "strength" : "required",
            "description" : "The type of relationship between documents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.relatesTo.code"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship.typeCode"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry Associations type"
          }]
        },
        {
          "id" : "DocumentReference.relatesTo.target",
          "path" : "DocumentReference.relatesTo.target",
          "short" : "Target of the relationship",
          "definition" : "The target document of this relationship.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.relatesTo.target"
          },
          {
            "identity" : "rim",
            "map" : ".target[classCode=\"DOC\", moodCode=\"EVN\"].id"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry Associations reference"
          }]
        },
        {
          "id" : "DocumentReference.description",
          "path" : "DocumentReference.description",
          "short" : "Human-readable description",
          "definition" : "Human-readable description of the source document.",
          "comment" : "What the document is about,  a terse summary of the document.",
          "requirements" : "Helps humans to assess whether the document is of interest.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "TXA-25"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].target.text"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.comments"
          }]
        },
        {
          "id" : "DocumentReference.securityLabel",
          "path" : "DocumentReference.securityLabel",
          "short" : "Document security-tags",
          "definition" : "A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the \"reference\" to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.",
          "comment" : "The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce.   \n\nIn the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.",
          "requirements" : "Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SecurityLabels"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Security Labels from the Healthcare Privacy and Security Classification System.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-labels"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.confidentiality, Composition.meta.security"
          },
          {
            "identity" : "v2",
            "map" : "TXA-18"
          },
          {
            "identity" : "rim",
            "map" : ".confidentialityCode"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.confidentialityCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/confidentialityCode/@code"
          }]
        },
        {
          "id" : "DocumentReference.content",
          "path" : "DocumentReference.content",
          "short" : "Document referenced",
          "definition" : "The document and format referenced. There may be multiple content element repetitions, each with a different format.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Bundle(Composition+*)"
          },
          {
            "identity" : "rim",
            "map" : "document.text"
          }]
        },
        {
          "id" : "DocumentReference.content.attachment",
          "path" : "DocumentReference.content.attachment",
          "short" : "Where to access the document",
          "definition" : "The document or URL of the document along with critical metadata to prove content has integrity.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.language, \nComposition.title, \nComposition.date"
          },
          {
            "identity" : "v2",
            "map" : "TXA-3 for mime type"
          },
          {
            "identity" : "rim",
            "map" : "document.text"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date"
          }]
        },
        {
          "id" : "DocumentReference.content.format",
          "path" : "DocumentReference.content.format",
          "short" : "Format/content rules for the document",
          "definition" : "An identifier of the document encoding, structure, and template that the document conforms to beyond the base format indicated in the mimeType.",
          "comment" : "Note that while IHE mostly issues URNs for format types, not all documents can be identified by a URI.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentFormat"
            }],
            "strength" : "preferred",
            "description" : "Document Format Codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/formatcodes"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.meta.profile"
          },
          {
            "identity" : "rim",
            "map" : "document.text"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.formatCode"
          },
          {
            "identity" : "cda",
            "map" : "derived from the IHE Profile or Implementation Guide templateID"
          }]
        },
        {
          "id" : "DocumentReference.context",
          "path" : "DocumentReference.context",
          "short" : "Clinical context of document",
          "definition" : "The clinical context in which the document was prepared.",
          "comment" : "These values are primarily added to help with searching for interesting/relevant documents.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"
          }]
        },
        {
          "id" : "DocumentReference.context.encounter",
          "path" : "DocumentReference.context.encounter",
          "short" : "Context of the document  content",
          "definition" : "Describes the clinical encounter or type of care that the document content is associated with.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "fhircomposition",
            "map" : "Composition.encounter"
          },
          {
            "identity" : "rim",
            "map" : "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
          }]
        },
        {
          "id" : "DocumentReference.context.event",
          "path" : "DocumentReference.context.event",
          "short" : "Main clinical acts documented",
          "definition" : "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the type Code, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
          "comment" : "An event can further specialize the act inherent in the type, such as  where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more event codes are included, they shall not conflict with the values inherent in the class or type elements as such a conflict would create an ambiguous situation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentEventType"
            }],
            "strength" : "example",
            "description" : "This list of codes represents the main clinical acts being documented.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActCode"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.event.code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.eventCodeList"
          }]
        },
        {
          "id" : "DocumentReference.context.period",
          "path" : "DocumentReference.context.period",
          "short" : "Time of service that is being documented",
          "definition" : "The time period over which the service that is described by the document was provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.event.period"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/low/\n@value --> ClinicalDocument/documentationOf/\nserviceEvent/effectiveTime/high/\n@value"
          }]
        },
        {
          "id" : "DocumentReference.context.facilityType",
          "path" : "DocumentReference.context.facilityType",
          "short" : "Kind of facility where patient was seen",
          "definition" : "The kind of facility where the patient was seen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentC80FacilityType"
            }],
            "strength" : "example",
            "description" : "XDS Facility Type.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-facilitycodes"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "usually from a mapping to a local ValueSet"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.healthcareFacilityTypeCode"
          },
          {
            "identity" : "cda",
            "map" : "usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code"
          }]
        },
        {
          "id" : "DocumentReference.context.practiceSetting",
          "path" : "DocumentReference.context.practiceSetting",
          "short" : "Additional details about where the content was created (e.g. clinical specialty)",
          "definition" : "This property may convey specifics about the practice setting where the content was created, often reflecting the clinical specialty.",
          "comment" : "This element should be based on a coarse classification system for the class of specialty practice. Recommend the use of the classification system for Practice Setting, such as that described by the Subject Matter Domain in LOINC.",
          "requirements" : "This is an important piece of metadata that providers often rely upon to quickly sort and/or filter out to find specific content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DocumentC80PracticeSetting"
            }],
            "strength" : "example",
            "description" : "Additional details about where the content was created (e.g. clinical specialty).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "usually from a mapping to a local ValueSet"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"LOC\"].role[classCode=\"DSDLOC\"].code"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.practiceSettingCode"
          },
          {
            "identity" : "cda",
            "map" : "usually from a mapping to a local ValueSet"
          }]
        },
        {
          "id" : "DocumentReference.context.sourcePatientInfo",
          "path" : "DocumentReference.context.sourcePatientInfo",
          "short" : "Patient demographics from source",
          "definition" : "The Patient Information as known when the document was published. May be a reference to a version specific, or contained.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.subject"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/recordTarget/"
          }]
        },
        {
          "id" : "DocumentReference.context.related",
          "path" : "DocumentReference.context.related",
          "short" : "Related identifiers or resources",
          "definition" : "Related identifiers or resources associated with the DocumentReference.",
          "comment" : "May be identifiers or resources that caused the DocumentReference or referenced Document to be created.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "fhircomposition",
            "map" : "Composition.event.detail"
          },
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=\"PERT\" and isNormalActRelationship()] / target[isNormalAct]"
          },
          {
            "identity" : "xds",
            "map" : "DocumentEntry.referenceIdList"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/relatedDocument"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "DomainResource",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 DomainResource 
IN
Resource
A resource with narrative, extensions, and contained resources
+ Rule: If the resource is contained in another resource, it SHALL NOT contain nested Resources
+ Rule: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
+ Rule: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
+ Rule: If a resource is contained in another resource, it SHALL NOT have a security label
+ Guideline: A resource should have narrative for robust management
Elements defined in Ancestors: id, meta, implicitRules, language
 text 
0..1
Narrative
Text summary of the resource, for human interpretation
 contained 
0..*
Resource
Contained, inline Resources
 extension 
0..*
Extension
Additional content defined by implementations
 modifierExtension 
?!
0..*
Extension
Extensions that cannot be ignored

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "version" : "4.0.0",
      "name" : "DomainResource",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A resource that includes narrative, extensions, and contained resources.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : true,
      "type" : "DomainResource",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Resource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "DomainResource",
          "path" : "DomainResource",
          "short" : "A resource with narrative, extensions, and contained resources",
          "definition" : "A resource that includes narrative, extensions, and contained resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "DomainResource.id",
          "path" : "DomainResource.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DomainResource.meta",
          "path" : "DomainResource.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "DomainResource.implicitRules",
          "path" : "DomainResource.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "DomainResource.language",
          "path" : "DomainResource.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "DomainResource.text",
          "path" : "DomainResource.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DomainResource.contained",
          "path" : "DomainResource.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DomainResource.extension",
          "path" : "DomainResource.extension",
          "slicing" : {
            "discriminator" : [{
              "type" : "value",
              "path" : "url"
            }],
            "description" : "Extensions are always sliced by (at least) url",
            "rules" : "open"
          },
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DomainResource.modifierExtension",
          "path" : "DomainResource.modifierExtension",
          "slicing" : {
            "discriminator" : [{
              "type" : "value",
              "path" : "url"
            }],
            "description" : "Extensions are always sliced by (at least) url",
            "rules" : "open"
          },
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "DomainResource",
          "path" : "DomainResource",
          "short" : "A resource with narrative, extensions, and contained resources",
          "definition" : "A resource that includes narrative, extensions, and contained resources.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "DomainResource.text",
          "path" : "DomainResource.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Narrative"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "DomainResource.contained",
          "path" : "DomainResource.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Resource"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DomainResource.extension",
          "path" : "DomainResource.extension",
          "slicing" : {
            "discriminator" : [{
              "type" : "value",
              "path" : "url"
            }],
            "description" : "Extensions are always sliced by (at least) url",
            "rules" : "open"
          },
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Extension"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "DomainResource.modifierExtension",
          "path" : "DomainResource.modifierExtension",
          "slicing" : {
            "discriminator" : [{
              "type" : "value",
              "path" : "url"
            }],
            "description" : "Extensions are always sliced by (at least) url",
            "rules" : "open"
          },
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/EffectEvidenceSynthesis",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "EffectEvidenceSynthesis",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 EffectEvidenceSynthesis 
ITU
DomainResource
A quantified estimate of effect based on a body of evidence
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this effect evidence synthesis, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the effect evidence synthesis
 version 
Σ
0..1
string
Business version of the effect evidence synthesis
 name 
ΣI
0..1
string
Name for this effect evidence synthesis (computer friendly)
 title 
Σ
0..1
string
Name for this effect evidence synthesis (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the effect evidence synthesis
 note 
0..*
Annotation
Used for footnotes or explanatory notes
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for effect evidence synthesis (if applicable)
Jurisdiction (Extensible)
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the effect evidence synthesis was approved by publisher
 lastReviewDate 
0..1
date
When the effect evidence synthesis was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the effect evidence synthesis is expected to be used
 topic 
0..*
CodeableConcept
The category of the EffectEvidenceSynthesis, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 synthesisType 
0..1
CodeableConcept
Type of synthesis
SynthesisType (Extensible)
 studyType 
0..1
CodeableConcept
Type of study
StudyType (Extensible)
 population 
Σ
1..1
Reference(EvidenceVariable)
What population?
 exposure 
Σ
1..1
Reference(EvidenceVariable)
What exposure?
 exposureAlternative 
Σ
1..1
Reference(EvidenceVariable)
What comparison exposure?
 outcome 
Σ
1..1
Reference(EvidenceVariable)
What outcome?
 sampleSize 
0..1
BackboneElement
What sample size was involved?
 description 
0..1
string
Description of sample size
 numberOfStudies 
0..1
integer
How many studies?
 numberOfParticipants 
0..1
integer
How many participants?
 resultsByExposure 
0..*
BackboneElement
What was the result per exposure?
 description 
0..1
string
Description of results by exposure
 exposureState 
0..1
code
exposure | exposure-alternative
ExposureState (Required)
 variantState 
0..1
CodeableConcept
Variant exposure states
EvidenceVariantState (Extensible)
 riskEvidenceSynthesis 
1..1
Reference(RiskEvidenceSynthesis)
Risk evidence synthesis
 effectEstimate 
Σ
0..*
BackboneElement
What was the estimated effect
 description 
0..1
string
Description of effect estimate
 type 
0..1
CodeableConcept
Type of efffect estimate
EffectEstimateType (Extensible)
 variantState 
0..1
CodeableConcept
Variant exposure states
EvidenceVariantState (Extensible)
 value 
0..1
decimal
Point estimate
 unitOfMeasure 
0..1
CodeableConcept
What unit is the outcome described in?
UCUM Codes (Required)
 precisionEstimate 
0..*
BackboneElement
How precise the estimate is
 type 
0..1
CodeableConcept
Type of precision estimate
PrecisionEstimateType (Extensible)
 level 
0..1
decimal
Level of confidence interval
 from 
0..1
decimal
Lower bound
 to 
0..1
decimal
Upper bound
 certainty 
0..*
BackboneElement
How certain is the effect
 rating 
0..*
CodeableConcept
Certainty rating
QualityOfEvidenceRating (Extensible)
 note 
0..*
Annotation
Used for footnotes or explanatory notes
 certaintySubcomponent 
0..*
BackboneElement
A component that contributes to the overall certainty
 type 
0..1
CodeableConcept
Type of subcomponent of certainty rating
CertaintySubcomponentType (Extensible)
 rating 
0..*
CodeableConcept
Subcomponent certainty rating
CertaintySubcomponentRating (Extensible)
 note 
0..*
Annotation
Used for footnotes or explanatory notes

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Evidence-Based Medicine"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/EffectEvidenceSynthesis",
      "version" : "4.0.0",
      "name" : "EffectEvidenceSynthesis",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "The EffectEvidenceSynthesis resource describes the difference in an outcome between exposures states in a population where the effect estimate is derived from a combination of research studies.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "EffectEvidenceSynthesis",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "EffectEvidenceSynthesis",
          "path" : "EffectEvidenceSynthesis",
          "short" : "A quantified estimate of effect based on a body of evidence",
          "definition" : "The EffectEvidenceSynthesis resource describes the difference in an outcome between exposures states in a population where the effect estimate is derived from a combination of research studies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "ees-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.id",
          "path" : "EffectEvidenceSynthesis.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.meta",
          "path" : "EffectEvidenceSynthesis.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.implicitRules",
          "path" : "EffectEvidenceSynthesis.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.language",
          "path" : "EffectEvidenceSynthesis.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.text",
          "path" : "EffectEvidenceSynthesis.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.contained",
          "path" : "EffectEvidenceSynthesis.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.extension",
          "path" : "EffectEvidenceSynthesis.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.modifierExtension",
          "path" : "EffectEvidenceSynthesis.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.url",
          "path" : "EffectEvidenceSynthesis.url",
          "short" : "Canonical identifier for this effect evidence synthesis, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this effect evidence synthesis when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this effect evidence synthesis is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the effect evidence synthesis is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the effect evidence synthesis to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.identifier",
          "path" : "EffectEvidenceSynthesis.identifier",
          "short" : "Additional identifier for the effect evidence synthesis",
          "definition" : "A formal identifier that is used to identify this effect evidence synthesis when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this effect evidence synthesis outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.version",
          "path" : "EffectEvidenceSynthesis.version",
          "short" : "Business version of the effect evidence synthesis",
          "definition" : "The identifier that is used to identify this version of the effect evidence synthesis when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the effect evidence synthesis author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different effect evidence synthesis instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the effect evidence synthesis with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.name",
          "path" : "EffectEvidenceSynthesis.name",
          "short" : "Name for this effect evidence synthesis (computer friendly)",
          "definition" : "A natural language name identifying the effect evidence synthesis. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.title",
          "path" : "EffectEvidenceSynthesis.title",
          "short" : "Name for this effect evidence synthesis (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the effect evidence synthesis.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.status",
          "path" : "EffectEvidenceSynthesis.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this effect evidence synthesis. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of effect evidence synthesiss that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.date",
          "path" : "EffectEvidenceSynthesis.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the effect evidence synthesis was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the effect evidence synthesis changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the effect evidence synthesis. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.publisher",
          "path" : "EffectEvidenceSynthesis.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the effect evidence synthesis.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the effect evidence synthesis is the organization or individual primarily responsible for the maintenance and upkeep of the effect evidence synthesis. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the effect evidence synthesis. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the effect evidence synthesis.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.contact",
          "path" : "EffectEvidenceSynthesis.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.description",
          "path" : "EffectEvidenceSynthesis.description",
          "short" : "Natural language description of the effect evidence synthesis",
          "definition" : "A free text natural language description of the effect evidence synthesis from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the effect evidence synthesis was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the effect evidence synthesis as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the effect evidence synthesis is presumed to be the predominant language in the place the effect evidence synthesis was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.note",
          "path" : "EffectEvidenceSynthesis.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.useContext",
          "path" : "EffectEvidenceSynthesis.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate effect evidence synthesis instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.jurisdiction",
          "path" : "EffectEvidenceSynthesis.jurisdiction",
          "short" : "Intended jurisdiction for effect evidence synthesis (if applicable)",
          "definition" : "A legal or geographic region in which the effect evidence synthesis is intended to be used.",
          "comment" : "It may be possible for the effect evidence synthesis to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.copyright",
          "path" : "EffectEvidenceSynthesis.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the effect evidence synthesis and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the effect evidence synthesis.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the effect evidence synthesis and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.approvalDate",
          "path" : "EffectEvidenceSynthesis.approvalDate",
          "short" : "When the effect evidence synthesis was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.lastReviewDate",
          "path" : "EffectEvidenceSynthesis.lastReviewDate",
          "short" : "When the effect evidence synthesis was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectivePeriod",
          "path" : "EffectEvidenceSynthesis.effectivePeriod",
          "short" : "When the effect evidence synthesis is expected to be used",
          "definition" : "The period during which the effect evidence synthesis content was or is planned to be in active use.",
          "comment" : "The effective period for a effect evidence synthesis  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the effect evidence synthesis are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.topic",
          "path" : "EffectEvidenceSynthesis.topic",
          "short" : "The category of the EffectEvidenceSynthesis, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the EffectEvidenceSynthesis. Topics provide a high-level categorization grouping types of EffectEvidenceSynthesiss that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the EffectEvidenceSynthesis so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.author",
          "path" : "EffectEvidenceSynthesis.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.editor",
          "path" : "EffectEvidenceSynthesis.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.reviewer",
          "path" : "EffectEvidenceSynthesis.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.endorser",
          "path" : "EffectEvidenceSynthesis.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.relatedArtifact",
          "path" : "EffectEvidenceSynthesis.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "EffectEvidenceSynthesiss must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.synthesisType",
          "path" : "EffectEvidenceSynthesis.synthesisType",
          "short" : "Type of synthesis",
          "definition" : "Type of synthesis eg meta-analysis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.synthesisType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SynthesisType"
            }],
            "strength" : "extensible",
            "description" : "Types of combining results from a body of evidence (eg. summary data meta-analysis).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/synthesis-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.studyType",
          "path" : "EffectEvidenceSynthesis.studyType",
          "short" : "Type of study",
          "definition" : "Type of study eg randomized trial.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.studyType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StudyType"
            }],
            "strength" : "extensible",
            "description" : "Types of research studies (types of research methods).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/study-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.population",
          "path" : "EffectEvidenceSynthesis.population",
          "short" : "What population?",
          "definition" : "A reference to a EvidenceVariable resource that defines the population for the research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.population",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.exposure",
          "path" : "EffectEvidenceSynthesis.exposure",
          "short" : "What exposure?",
          "definition" : "A reference to a EvidenceVariable resource that defines the exposure for the research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.exposure",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.exposureAlternative",
          "path" : "EffectEvidenceSynthesis.exposureAlternative",
          "short" : "What comparison exposure?",
          "definition" : "A reference to a EvidenceVariable resource that defines the comparison exposure for the research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.exposureAlternative",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.outcome",
          "path" : "EffectEvidenceSynthesis.outcome",
          "short" : "What outcome?",
          "definition" : "A reference to a EvidenceVariable resomece that defines the outcome for the research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.outcome",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize",
          "path" : "EffectEvidenceSynthesis.sampleSize",
          "short" : "What sample size was involved?",
          "definition" : "A description of the size of the sample involved in the synthesis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.sampleSize",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.id",
          "path" : "EffectEvidenceSynthesis.sampleSize.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.extension",
          "path" : "EffectEvidenceSynthesis.sampleSize.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.modifierExtension",
          "path" : "EffectEvidenceSynthesis.sampleSize.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.description",
          "path" : "EffectEvidenceSynthesis.sampleSize.description",
          "short" : "Description of sample size",
          "definition" : "Human-readable summary of sample size.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.sampleSize.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.numberOfStudies",
          "path" : "EffectEvidenceSynthesis.sampleSize.numberOfStudies",
          "short" : "How many studies?",
          "definition" : "Number of studies included in this evidence synthesis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.sampleSize.numberOfStudies",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.numberOfParticipants",
          "path" : "EffectEvidenceSynthesis.sampleSize.numberOfParticipants",
          "short" : "How many participants?",
          "definition" : "Number of participants included in this evidence synthesis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.sampleSize.numberOfParticipants",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure",
          "path" : "EffectEvidenceSynthesis.resultsByExposure",
          "short" : "What was the result per exposure?",
          "definition" : "A description of the results for each exposure considered in the effect estimate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.resultsByExposure",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.id",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.extension",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.modifierExtension",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.description",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.description",
          "short" : "Description of results by exposure",
          "definition" : "Human-readable summary of results by exposure state.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.resultsByExposure.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.exposureState",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.exposureState",
          "short" : "exposure | exposure-alternative",
          "definition" : "Whether these results are for the exposure state or alternative exposure state.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.resultsByExposure.exposureState",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ExposureState"
            }],
            "strength" : "required",
            "description" : "Whether the results by exposure is describing the results for the primary exposure of interest (exposure) or the alternative state (exposureAlternative).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/exposure-state|4.0.0"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.variantState",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.variantState",
          "short" : "Variant exposure states",
          "definition" : "Used to define variant exposure states such as low-risk state.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.resultsByExposure.variantState",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvidenceVariantState"
            }],
            "strength" : "extensible",
            "description" : "Used for results by exposure in variant states such as low-risk, medium-risk and high-risk states.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/evidence-variant-state"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.riskEvidenceSynthesis",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.riskEvidenceSynthesis",
          "short" : "Risk evidence synthesis",
          "definition" : "Reference to a RiskEvidenceSynthesis resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.resultsByExposure.riskEvidenceSynthesis",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/RiskEvidenceSynthesis"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate",
          "path" : "EffectEvidenceSynthesis.effectEstimate",
          "short" : "What was the estimated effect",
          "definition" : "The estimated effect of the exposure variant.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.id",
          "path" : "EffectEvidenceSynthesis.effectEstimate.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.extension",
          "path" : "EffectEvidenceSynthesis.effectEstimate.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.modifierExtension",
          "path" : "EffectEvidenceSynthesis.effectEstimate.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.description",
          "path" : "EffectEvidenceSynthesis.effectEstimate.description",
          "short" : "Description of effect estimate",
          "definition" : "Human-readable summary of effect estimate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.type",
          "path" : "EffectEvidenceSynthesis.effectEstimate.type",
          "short" : "Type of efffect estimate",
          "definition" : "Examples include relative risk and mean difference.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EffectEstimateType"
            }],
            "strength" : "extensible",
            "description" : "Whether the effect estimate is an absolute effect estimate (absolute difference) or a relative effect estimate (relative difference), and the specific type of effect estimate (eg relative risk or median difference).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/effect-estimate-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.variantState",
          "path" : "EffectEvidenceSynthesis.effectEstimate.variantState",
          "short" : "Variant exposure states",
          "definition" : "Used to define variant exposure states such as low-risk state.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.variantState",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvidenceVariantState"
            }],
            "strength" : "extensible",
            "description" : "Used for results by exposure in variant states such as low-risk, medium-risk and high-risk states.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/evidence-variant-state"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.value",
          "path" : "EffectEvidenceSynthesis.effectEstimate.value",
          "short" : "Point estimate",
          "definition" : "The point estimate of the effect estimate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.value",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.unitOfMeasure",
          "path" : "EffectEvidenceSynthesis.effectEstimate.unitOfMeasure",
          "short" : "What unit is the outcome described in?",
          "definition" : "Specifies the UCUM unit for the outcome.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.unitOfMeasure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "UCUMUnits"
            }],
            "strength" : "required",
            "description" : "Unified Code for Units of Measure (UCUM).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units|4.0.0"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate",
          "short" : "How precise the estimate is",
          "definition" : "A description of the precision of the estimate for the effect.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.id",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.extension",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.modifierExtension",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.type",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.type",
          "short" : "Type of precision estimate",
          "definition" : "Examples include confidence interval and interquartile range.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PrecisionEstimateType"
            }],
            "strength" : "extensible",
            "description" : "Method of reporting variability of estimates, such as confidence intervals, interquartile range or standard deviation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/precision-estimate-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.level",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.level",
          "short" : "Level of confidence interval",
          "definition" : "Use 95 for a 95% confidence interval.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.level",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.from",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.from",
          "short" : "Lower bound",
          "definition" : "Lower bound of confidence interval.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.from",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.to",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.to",
          "short" : "Upper bound",
          "definition" : "Upper bound of confidence interval.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.to",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty",
          "path" : "EffectEvidenceSynthesis.certainty",
          "short" : "How certain is the effect",
          "definition" : "A description of the certainty of the effect estimate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.certainty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.id",
          "path" : "EffectEvidenceSynthesis.certainty.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.extension",
          "path" : "EffectEvidenceSynthesis.certainty.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.modifierExtension",
          "path" : "EffectEvidenceSynthesis.certainty.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.rating",
          "path" : "EffectEvidenceSynthesis.certainty.rating",
          "short" : "Certainty rating",
          "definition" : "A rating of the certainty of the effect estimate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.certainty.rating",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QualityOfEvidenceRating"
            }],
            "strength" : "extensible",
            "description" : "The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/evidence-quality"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.note",
          "path" : "EffectEvidenceSynthesis.certainty.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.certainty.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent",
          "short" : "A component that contributes to the overall certainty",
          "definition" : "A description of a component of the overall certainty.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.id",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.extension",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.modifierExtension",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.type",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.type",
          "short" : "Type of subcomponent of certainty rating",
          "definition" : "Type of subcomponent of certainty rating.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CertaintySubcomponentType"
            }],
            "strength" : "extensible",
            "description" : "The subcomponent classification of quality of evidence rating systems.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-subcomponent-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.rating",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.rating",
          "short" : "Subcomponent certainty rating",
          "definition" : "A rating of a subcomponent of rating certainty.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.rating",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CertaintySubcomponentRating"
            }],
            "strength" : "extensible",
            "description" : "The quality rating of the subcomponent of a quality of evidence rating.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.note",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "EffectEvidenceSynthesis",
          "path" : "EffectEvidenceSynthesis",
          "short" : "A quantified estimate of effect based on a body of evidence",
          "definition" : "The EffectEvidenceSynthesis resource describes the difference in an outcome between exposures states in a population where the effect estimate is derived from a combination of research studies.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "ees-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.url",
          "path" : "EffectEvidenceSynthesis.url",
          "short" : "Canonical identifier for this effect evidence synthesis, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this effect evidence synthesis when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this effect evidence synthesis is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the effect evidence synthesis is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the effect evidence synthesis to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.identifier",
          "path" : "EffectEvidenceSynthesis.identifier",
          "short" : "Additional identifier for the effect evidence synthesis",
          "definition" : "A formal identifier that is used to identify this effect evidence synthesis when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this effect evidence synthesis outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.version",
          "path" : "EffectEvidenceSynthesis.version",
          "short" : "Business version of the effect evidence synthesis",
          "definition" : "The identifier that is used to identify this version of the effect evidence synthesis when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the effect evidence synthesis author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different effect evidence synthesis instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the effect evidence synthesis with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.name",
          "path" : "EffectEvidenceSynthesis.name",
          "short" : "Name for this effect evidence synthesis (computer friendly)",
          "definition" : "A natural language name identifying the effect evidence synthesis. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.title",
          "path" : "EffectEvidenceSynthesis.title",
          "short" : "Name for this effect evidence synthesis (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the effect evidence synthesis.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.status",
          "path" : "EffectEvidenceSynthesis.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this effect evidence synthesis. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of effect evidence synthesiss that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.date",
          "path" : "EffectEvidenceSynthesis.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the effect evidence synthesis was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the effect evidence synthesis changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the effect evidence synthesis. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.publisher",
          "path" : "EffectEvidenceSynthesis.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the effect evidence synthesis.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the effect evidence synthesis is the organization or individual primarily responsible for the maintenance and upkeep of the effect evidence synthesis. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the effect evidence synthesis. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the effect evidence synthesis.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.contact",
          "path" : "EffectEvidenceSynthesis.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.description",
          "path" : "EffectEvidenceSynthesis.description",
          "short" : "Natural language description of the effect evidence synthesis",
          "definition" : "A free text natural language description of the effect evidence synthesis from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the effect evidence synthesis was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the effect evidence synthesis as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the effect evidence synthesis is presumed to be the predominant language in the place the effect evidence synthesis was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.note",
          "path" : "EffectEvidenceSynthesis.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.useContext",
          "path" : "EffectEvidenceSynthesis.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate effect evidence synthesis instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.jurisdiction",
          "path" : "EffectEvidenceSynthesis.jurisdiction",
          "short" : "Intended jurisdiction for effect evidence synthesis (if applicable)",
          "definition" : "A legal or geographic region in which the effect evidence synthesis is intended to be used.",
          "comment" : "It may be possible for the effect evidence synthesis to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.copyright",
          "path" : "EffectEvidenceSynthesis.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the effect evidence synthesis and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the effect evidence synthesis.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the effect evidence synthesis and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.approvalDate",
          "path" : "EffectEvidenceSynthesis.approvalDate",
          "short" : "When the effect evidence synthesis was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.lastReviewDate",
          "path" : "EffectEvidenceSynthesis.lastReviewDate",
          "short" : "When the effect evidence synthesis was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectivePeriod",
          "path" : "EffectEvidenceSynthesis.effectivePeriod",
          "short" : "When the effect evidence synthesis is expected to be used",
          "definition" : "The period during which the effect evidence synthesis content was or is planned to be in active use.",
          "comment" : "The effective period for a effect evidence synthesis  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the effect evidence synthesis are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.topic",
          "path" : "EffectEvidenceSynthesis.topic",
          "short" : "The category of the EffectEvidenceSynthesis, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the EffectEvidenceSynthesis. Topics provide a high-level categorization grouping types of EffectEvidenceSynthesiss that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the EffectEvidenceSynthesis so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.author",
          "path" : "EffectEvidenceSynthesis.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.editor",
          "path" : "EffectEvidenceSynthesis.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.reviewer",
          "path" : "EffectEvidenceSynthesis.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.endorser",
          "path" : "EffectEvidenceSynthesis.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.relatedArtifact",
          "path" : "EffectEvidenceSynthesis.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "EffectEvidenceSynthesiss must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.synthesisType",
          "path" : "EffectEvidenceSynthesis.synthesisType",
          "short" : "Type of synthesis",
          "definition" : "Type of synthesis eg meta-analysis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SynthesisType"
            }],
            "strength" : "extensible",
            "description" : "Types of combining results from a body of evidence (eg. summary data meta-analysis).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/synthesis-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.studyType",
          "path" : "EffectEvidenceSynthesis.studyType",
          "short" : "Type of study",
          "definition" : "Type of study eg randomized trial.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StudyType"
            }],
            "strength" : "extensible",
            "description" : "Types of research studies (types of research methods).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/study-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.population",
          "path" : "EffectEvidenceSynthesis.population",
          "short" : "What population?",
          "definition" : "A reference to a EvidenceVariable resource that defines the population for the research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.exposure",
          "path" : "EffectEvidenceSynthesis.exposure",
          "short" : "What exposure?",
          "definition" : "A reference to a EvidenceVariable resource that defines the exposure for the research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.exposureAlternative",
          "path" : "EffectEvidenceSynthesis.exposureAlternative",
          "short" : "What comparison exposure?",
          "definition" : "A reference to a EvidenceVariable resource that defines the comparison exposure for the research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.outcome",
          "path" : "EffectEvidenceSynthesis.outcome",
          "short" : "What outcome?",
          "definition" : "A reference to a EvidenceVariable resomece that defines the outcome for the research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize",
          "path" : "EffectEvidenceSynthesis.sampleSize",
          "short" : "What sample size was involved?",
          "definition" : "A description of the size of the sample involved in the synthesis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.description",
          "path" : "EffectEvidenceSynthesis.sampleSize.description",
          "short" : "Description of sample size",
          "definition" : "Human-readable summary of sample size.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.numberOfStudies",
          "path" : "EffectEvidenceSynthesis.sampleSize.numberOfStudies",
          "short" : "How many studies?",
          "definition" : "Number of studies included in this evidence synthesis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.sampleSize.numberOfParticipants",
          "path" : "EffectEvidenceSynthesis.sampleSize.numberOfParticipants",
          "short" : "How many participants?",
          "definition" : "Number of participants included in this evidence synthesis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure",
          "path" : "EffectEvidenceSynthesis.resultsByExposure",
          "short" : "What was the result per exposure?",
          "definition" : "A description of the results for each exposure considered in the effect estimate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.description",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.description",
          "short" : "Description of results by exposure",
          "definition" : "Human-readable summary of results by exposure state.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.exposureState",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.exposureState",
          "short" : "exposure | exposure-alternative",
          "definition" : "Whether these results are for the exposure state or alternative exposure state.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ExposureState"
            }],
            "strength" : "required",
            "description" : "Whether the results by exposure is describing the results for the primary exposure of interest (exposure) or the alternative state (exposureAlternative).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/exposure-state|4.0.0"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.variantState",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.variantState",
          "short" : "Variant exposure states",
          "definition" : "Used to define variant exposure states such as low-risk state.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvidenceVariantState"
            }],
            "strength" : "extensible",
            "description" : "Used for results by exposure in variant states such as low-risk, medium-risk and high-risk states.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/evidence-variant-state"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.resultsByExposure.riskEvidenceSynthesis",
          "path" : "EffectEvidenceSynthesis.resultsByExposure.riskEvidenceSynthesis",
          "short" : "Risk evidence synthesis",
          "definition" : "Reference to a RiskEvidenceSynthesis resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/RiskEvidenceSynthesis"]
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate",
          "path" : "EffectEvidenceSynthesis.effectEstimate",
          "short" : "What was the estimated effect",
          "definition" : "The estimated effect of the exposure variant.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.description",
          "path" : "EffectEvidenceSynthesis.effectEstimate.description",
          "short" : "Description of effect estimate",
          "definition" : "Human-readable summary of effect estimate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.type",
          "path" : "EffectEvidenceSynthesis.effectEstimate.type",
          "short" : "Type of efffect estimate",
          "definition" : "Examples include relative risk and mean difference.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EffectEstimateType"
            }],
            "strength" : "extensible",
            "description" : "Whether the effect estimate is an absolute effect estimate (absolute difference) or a relative effect estimate (relative difference), and the specific type of effect estimate (eg relative risk or median difference).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/effect-estimate-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.variantState",
          "path" : "EffectEvidenceSynthesis.effectEstimate.variantState",
          "short" : "Variant exposure states",
          "definition" : "Used to define variant exposure states such as low-risk state.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvidenceVariantState"
            }],
            "strength" : "extensible",
            "description" : "Used for results by exposure in variant states such as low-risk, medium-risk and high-risk states.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/evidence-variant-state"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.value",
          "path" : "EffectEvidenceSynthesis.effectEstimate.value",
          "short" : "Point estimate",
          "definition" : "The point estimate of the effect estimate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.unitOfMeasure",
          "path" : "EffectEvidenceSynthesis.effectEstimate.unitOfMeasure",
          "short" : "What unit is the outcome described in?",
          "definition" : "Specifies the UCUM unit for the outcome.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "UCUMUnits"
            }],
            "strength" : "required",
            "description" : "Unified Code for Units of Measure (UCUM).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units|4.0.0"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate",
          "short" : "How precise the estimate is",
          "definition" : "A description of the precision of the estimate for the effect.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.type",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.type",
          "short" : "Type of precision estimate",
          "definition" : "Examples include confidence interval and interquartile range.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PrecisionEstimateType"
            }],
            "strength" : "extensible",
            "description" : "Method of reporting variability of estimates, such as confidence intervals, interquartile range or standard deviation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/precision-estimate-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.level",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.level",
          "short" : "Level of confidence interval",
          "definition" : "Use 95 for a 95% confidence interval.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.from",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.from",
          "short" : "Lower bound",
          "definition" : "Lower bound of confidence interval.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.to",
          "path" : "EffectEvidenceSynthesis.effectEstimate.precisionEstimate.to",
          "short" : "Upper bound",
          "definition" : "Upper bound of confidence interval.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty",
          "path" : "EffectEvidenceSynthesis.certainty",
          "short" : "How certain is the effect",
          "definition" : "A description of the certainty of the effect estimate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.rating",
          "path" : "EffectEvidenceSynthesis.certainty.rating",
          "short" : "Certainty rating",
          "definition" : "A rating of the certainty of the effect estimate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QualityOfEvidenceRating"
            }],
            "strength" : "extensible",
            "description" : "The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/evidence-quality"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.note",
          "path" : "EffectEvidenceSynthesis.certainty.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent",
          "short" : "A component that contributes to the overall certainty",
          "definition" : "A description of a component of the overall certainty.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.type",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.type",
          "short" : "Type of subcomponent of certainty rating",
          "definition" : "Type of subcomponent of certainty rating.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CertaintySubcomponentType"
            }],
            "strength" : "extensible",
            "description" : "The subcomponent classification of quality of evidence rating systems.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-subcomponent-type"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.rating",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.rating",
          "short" : "Subcomponent certainty rating",
          "definition" : "A rating of a subcomponent of rating certainty.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CertaintySubcomponentRating"
            }],
            "strength" : "extensible",
            "description" : "The quality rating of the subcomponent of a quality of evidence rating.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating"
          }
        },
        {
          "id" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.note",
          "path" : "EffectEvidenceSynthesis.certainty.certaintySubcomponent.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Encounter",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Encounter",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Encounter 
TU
DomainResource
An interaction during which services are provided to the patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Identifier(s) by which this encounter is known
 status 
?!Σ
1..1
code
planned | arrived | triaged | in-progress | onleave | finished | cancelled +
EncounterStatus (Required)
 statusHistory 
0..*
BackboneElement
List of past encounter statuses
 status 
1..1
code
planned | arrived | triaged | in-progress | onleave | finished | cancelled +
EncounterStatus (Required)
 period 
1..1
Period
The time that the episode was in the specified status
 class 
Σ
1..1
Coding
Classification of patient encounter
V3 Value SetActEncounterCode (Extensible)
 classHistory 
0..*
BackboneElement
List of past encounter classes
 class 
1..1
Coding
inpatient | outpatient | ambulatory | emergency +
V3 Value SetActEncounterCode (Extensible)
 period 
1..1
Period
The time that the episode was in the specified class
 type 
Σ
0..*
CodeableConcept
Specific type of encounter
Encounter type (Example)
 serviceType 
Σ
0..1
CodeableConcept
Specific type of service
Service type (Example)
 priority 
0..1
CodeableConcept
Indicates the urgency of the encounter
v3 Code System ActPriority (Example)
 subject 
Σ
0..1
Reference(Patient | Group)
The patient or group present at the encounter
 episodeOfCare 
Σ
0..*
Reference(EpisodeOfCare)
Episode(s) of care that this encounter should be recorded against
 basedOn 
0..*
Reference(ServiceRequest)
The ServiceRequest that initiated this encounter
 participant 
Σ
0..*
BackboneElement
List of participants involved in the encounter
 type 
Σ
0..*
CodeableConcept
Role of participant in encounter
Participant type (Extensible)
 period 
0..1
Period
Period of time during the encounter that the participant participated
 individual 
Σ
0..1
Reference(Practitioner | PractitionerRole | RelatedPerson)
Persons involved in the encounter other than the patient
 appointment 
Σ
0..*
Reference(Appointment)
The appointment that scheduled this encounter
 period 
0..1
Period
The start and end time of the encounter
 length 
0..1
Duration
Quantity of time the encounter lasted (less time absent)
 reasonCode 
Σ
0..*
CodeableConcept
Coded reason the encounter takes place
Encounter Reason Codes (Preferred)
 reasonReference 
Σ
0..*
Reference(Condition | Procedure | Observation | ImmunizationRecommendation)
Reason the encounter takes place (reference)
 diagnosis 
Σ
0..*
BackboneElement
The list of diagnosis relevant to this encounter
 condition 
Σ
1..1
Reference(Condition | Procedure)
The diagnosis or procedure relevant to the encounter
 use 
0..1
CodeableConcept
Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)
DiagnosisRole (Preferred)
 rank 
0..1
positiveInt
Ranking of the diagnosis (for each role type)
 account 
0..*
Reference(Account)
The set of accounts that may be used for billing for this Encounter
 hospitalization 
0..1
BackboneElement
Details about the admission to a healthcare service
 preAdmissionIdentifier 
0..1
Identifier
Pre-admission identifier
 origin 
0..1
Reference(Location | Organization)
The location/organization from which the patient came before admission
 admitSource 
0..1
CodeableConcept
From where patient was admitted (physician referral, transfer)
Admit source (Preferred)
 reAdmission 
0..1
CodeableConcept
The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission
v2 RE-ADMISSION INDICATOR (Example)
 dietPreference 
0..*
CodeableConcept
Diet preferences reported by the patient
Diet (Example)
 specialCourtesy 
0..*
CodeableConcept
Special courtesies (VIP, board member)
Special courtesy (Preferred)
 specialArrangement 
0..*
CodeableConcept
Wheelchair, translator, stretcher, etc.
Special arrangements (Preferred)
 destination 
0..1
Reference(Location | Organization)
Location/organization to which the patient is discharged
 dischargeDisposition 
0..1
CodeableConcept
Category or kind of location after discharge
Discharge disposition (Example)
 location 
0..*
BackboneElement
List of locations where the patient has been
 location 
1..1
Reference(Location)
Location the encounter takes place
 status 
0..1
code
planned | active | reserved | completed
EncounterLocationStatus (Required)
 physicalType 
0..1
CodeableConcept
The physical type of the location (usually the level in the location hierachy - bed room ward etc.)
Location type (Example)
 period 
0..1
Period
Time period during which the patient was present at the location
 serviceProvider 
0..1
Reference(Organization)
The organization (facility) responsible for this encounter
 partOf 
0..1
Reference(Encounter)
Another Encounter this encounter is part of

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Management"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Encounter",
      "version" : "4.0.0",
      "name" : "Encounter",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Encounter",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Encounter",
          "path" : "Encounter",
          "short" : "An interaction during which services are provided to the patient",
          "definition" : "An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
          "alias" : ["Visit"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Encounter[@moodCode='EVN']"
          }]
        },
        {
          "id" : "Encounter.id",
          "path" : "Encounter.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Encounter.meta",
          "path" : "Encounter.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Encounter.implicitRules",
          "path" : "Encounter.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Encounter.language",
          "path" : "Encounter.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Encounter.text",
          "path" : "Encounter.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Encounter.contained",
          "path" : "Encounter.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.extension",
          "path" : "Encounter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.modifierExtension",
          "path" : "Encounter.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.identifier",
          "path" : "Encounter.identifier",
          "short" : "Identifier(s) by which this encounter is known",
          "definition" : "Identifier(s) by which this encounter is known.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Encounter.status",
          "path" : "Encounter.status",
          "short" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +",
          "definition" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +.",
          "comment" : "Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Encounter.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterStatus"
            }],
            "strength" : "required",
            "description" : "Current state of the encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Encounter.statusHistory",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "StatusHistory"
          }],
          "path" : "Encounter.statusHistory",
          "short" : "List of past encounter statuses",
          "definition" : "The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.",
          "comment" : "The current status is always found in the current version of the resource, not the status history.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.statusHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.statusHistory.id",
          "path" : "Encounter.statusHistory.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.statusHistory.extension",
          "path" : "Encounter.statusHistory.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.statusHistory.modifierExtension",
          "path" : "Encounter.statusHistory.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.statusHistory.status",
          "path" : "Encounter.statusHistory.status",
          "short" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +",
          "definition" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Encounter.statusHistory.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterStatus"
            }],
            "strength" : "required",
            "description" : "Current state of the encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.statusHistory.period",
          "path" : "Encounter.statusHistory.period",
          "short" : "The time that the episode was in the specified status",
          "definition" : "The time that the episode was in the specified status.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Encounter.statusHistory.period",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.class",
          "path" : "Encounter.class",
          "short" : "Classification of patient encounter",
          "definition" : "Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Encounter.class",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterClass"
            }],
            "strength" : "extensible",
            "description" : "Classification of the encounter.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "PV1-2"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code"
          }]
        },
        {
          "id" : "Encounter.classHistory",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ClassHistory"
          }],
          "path" : "Encounter.classHistory",
          "short" : "List of past encounter classes",
          "definition" : "The class history permits the tracking of the encounters transitions without needing to go  through the resource history.  This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.classHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.classHistory.id",
          "path" : "Encounter.classHistory.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.classHistory.extension",
          "path" : "Encounter.classHistory.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.classHistory.modifierExtension",
          "path" : "Encounter.classHistory.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.classHistory.class",
          "path" : "Encounter.classHistory.class",
          "short" : "inpatient | outpatient | ambulatory | emergency +",
          "definition" : "inpatient | outpatient | ambulatory | emergency +.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Encounter.classHistory.class",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterClass"
            }],
            "strength" : "extensible",
            "description" : "Classification of the encounter.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.classHistory.period",
          "path" : "Encounter.classHistory.period",
          "short" : "The time that the episode was in the specified class",
          "definition" : "The time that the episode was in the specified class.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Encounter.classHistory.period",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.type",
          "path" : "Encounter.type",
          "short" : "Specific type of encounter",
          "definition" : "Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).",
          "comment" : "Since there are many ways to further classify encounters, this element is 0..*.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterType"
            }],
            "strength" : "example",
            "description" : "The type of encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "PV1-4 / PV1-18"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Encounter.serviceType",
          "path" : "Encounter.serviceType",
          "short" : "Specific type of service",
          "definition" : "Broad categorization of the service that is to be provided (e.g. cardiology).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.serviceType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterServiceType"
            }],
            "strength" : "example",
            "description" : "Broad categorization of the service that is to be provided.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "v2",
            "map" : "PV1-10"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.priority",
          "path" : "Encounter.priority",
          "short" : "Indicates the urgency of the encounter",
          "definition" : "Indicates the urgency of the encounter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Priority"
            }],
            "strength" : "example",
            "description" : "Indicates the urgency of the encounter.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "PV2-25"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "Encounter.subject",
          "path" : "Encounter.subject",
          "short" : "The patient or group present at the encounter",
          "definition" : "The patient or group present at the encounter.",
          "comment" : "While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ]/role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Encounter.episodeOfCare",
          "path" : "Encounter.episodeOfCare",
          "short" : "Episode(s) of care that this encounter should be recorded against",
          "definition" : "Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem.  The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.episodeOfCare",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-54, PV1-53"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.basedOn",
          "path" : "Encounter.basedOn",
          "short" : "The ServiceRequest that initiated this encounter",
          "definition" : "The request this encounter satisfies (e.g. incoming referral or procedure request).",
          "alias" : ["incomingReferral"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".reason.ClinicalDocument"
          }]
        },
        {
          "id" : "Encounter.participant",
          "path" : "Encounter.participant",
          "short" : "List of participants involved in the encounter",
          "definition" : "The list of people responsible for providing the service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.participant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "ROL"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM]"
          }]
        },
        {
          "id" : "Encounter.participant.id",
          "path" : "Encounter.participant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.participant.extension",
          "path" : "Encounter.participant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.participant.modifierExtension",
          "path" : "Encounter.participant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.participant.type",
          "path" : "Encounter.participant.type",
          "short" : "Role of participant in encounter",
          "definition" : "Role of participant in encounter.",
          "comment" : "The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.participant.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantType"
            }],
            "strength" : "extensible",
            "description" : "Role of participant in encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-participant-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "v2",
            "map" : "ROL-3 (or maybe PRT-4)"
          },
          {
            "identity" : "rim",
            "map" : ".functionCode"
          }]
        },
        {
          "id" : "Encounter.participant.period",
          "path" : "Encounter.participant.period",
          "short" : "Period of time during the encounter that the participant participated",
          "definition" : "The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.participant.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ROL-5, ROL-6 (or maybe PRT-5)"
          },
          {
            "identity" : "rim",
            "map" : ".time"
          }]
        },
        {
          "id" : "Encounter.participant.individual",
          "path" : "Encounter.participant.individual",
          "short" : "Persons involved in the encounter other than the patient",
          "definition" : "Persons involved in the encounter other than the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.participant.individual",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "v2",
            "map" : "ROL-4"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "Encounter.appointment",
          "path" : "Encounter.appointment",
          "short" : "The appointment that scheduled this encounter",
          "definition" : "The appointment that scheduled this encounter.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.appointment",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Appointment"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "SCH-1 / SCH-2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]"
          }]
        },
        {
          "id" : "Encounter.period",
          "path" : "Encounter.period",
          "short" : "The start and end time of the encounter",
          "definition" : "The start and end time of the encounter.",
          "comment" : "If not (yet) known, the end of the Period may be omitted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "PV1-44, PV1-45"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime (low & high)"
          }]
        },
        {
          "id" : "Encounter.length",
          "path" : "Encounter.length",
          "short" : "Quantity of time the encounter lasted (less time absent)",
          "definition" : "Quantity of time the encounter lasted. This excludes the time during leaves of absence.",
          "comment" : "May differ from the time the Encounter.period lasted because of leave of absence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.length",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"
          },
          {
            "identity" : "rim",
            "map" : ".lengthOfStayQuantity"
          }]
        },
        {
          "id" : "Encounter.reasonCode",
          "path" : "Encounter.reasonCode",
          "short" : "Coded reason the encounter takes place",
          "definition" : "Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.",
          "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).",
          "alias" : ["Indication",
          "Admission diagnosis"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterReason"
            }],
            "strength" : "preferred",
            "description" : "Reason why the encounter takes place.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Encounter.reasonReference",
          "path" : "Encounter.reasonReference",
          "short" : "Reason the encounter takes place (reference)",
          "definition" : "Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.",
          "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).",
          "alias" : ["Indication",
          "Admission diagnosis"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Encounter.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "Encounter.diagnosis",
          "short" : "The list of diagnosis relevant to this encounter",
          "definition" : "The list of diagnosis relevant to this encounter.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.diagnosis",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]"
          }]
        },
        {
          "id" : "Encounter.diagnosis.id",
          "path" : "Encounter.diagnosis.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.diagnosis.extension",
          "path" : "Encounter.diagnosis.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.diagnosis.modifierExtension",
          "path" : "Encounter.diagnosis.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.diagnosis.condition",
          "path" : "Encounter.diagnosis.condition",
          "short" : "The diagnosis or procedure relevant to the encounter",
          "definition" : "Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.",
          "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).",
          "alias" : ["Admission diagnosis",
          "discharge diagnosis",
          "indication"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Encounter.diagnosis.condition",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively."
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "Encounter.diagnosis.use",
          "path" : "Encounter.diagnosis.use",
          "short" : "Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)",
          "definition" : "Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.diagnosis.use",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisRole"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "The type of diagnosis this condition represents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diagnosis-role"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.diagnosis.rank",
          "path" : "Encounter.diagnosis.rank",
          "short" : "Ranking of the diagnosis (for each role type)",
          "definition" : "Ranking of the diagnosis (for each role type).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.diagnosis.rank",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].priority"
          }]
        },
        {
          "id" : "Encounter.account",
          "path" : "Encounter.account",
          "short" : "The set of accounts that may be used for billing for this Encounter",
          "definition" : "The set of accounts that may be used for billing for this Encounter.",
          "comment" : "The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.account",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".pertains.A_Account"
          }]
        },
        {
          "id" : "Encounter.hospitalization",
          "path" : "Encounter.hospitalization",
          "short" : "Details about the admission to a healthcare service",
          "definition" : "Details about the admission to a healthcare service.",
          "comment" : "An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.\r\rThe duration recorded in the period of this encounter covers the entire scope of this hospitalization record.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.hospitalization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "Encounter.hospitalization.id",
          "path" : "Encounter.hospitalization.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.hospitalization.extension",
          "path" : "Encounter.hospitalization.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.hospitalization.modifierExtension",
          "path" : "Encounter.hospitalization.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.hospitalization.preAdmissionIdentifier",
          "path" : "Encounter.hospitalization.preAdmissionIdentifier",
          "short" : "Pre-admission identifier",
          "definition" : "Pre-admission identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.hospitalization.preAdmissionIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-5"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Encounter.hospitalization.origin",
          "path" : "Encounter.hospitalization.origin",
          "short" : "The location/organization from which the patient came before admission",
          "definition" : "The location/organization from which the patient came before admission.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.hospitalization.origin",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=ORG].role"
          }]
        },
        {
          "id" : "Encounter.hospitalization.admitSource",
          "path" : "Encounter.hospitalization.admitSource",
          "short" : "From where patient was admitted (physician referral, transfer)",
          "definition" : "From where patient was admitted (physician referral, transfer).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.hospitalization.admitSource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdmitSource"
            }],
            "strength" : "preferred",
            "description" : "From where the patient was admitted.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-admit-source"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-14"
          },
          {
            "identity" : "rim",
            "map" : ".admissionReferralSourceCode"
          }]
        },
        {
          "id" : "Encounter.hospitalization.reAdmission",
          "path" : "Encounter.hospitalization.reAdmission",
          "short" : "The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission",
          "definition" : "Whether this hospitalization is a readmission and why if known.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.hospitalization.reAdmission",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ReAdmissionType"
            }],
            "strength" : "example",
            "description" : "The reason for re-admission of this hospitalization encounter.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0092"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-13"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.hospitalization.dietPreference",
          "path" : "Encounter.hospitalization.dietPreference",
          "short" : "Diet preferences reported by the patient",
          "definition" : "Diet preferences reported by the patient.",
          "comment" : "For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).",
          "requirements" : "Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.hospitalization.dietPreference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PatientDiet"
            }],
            "strength" : "example",
            "description" : "Medical, cultural or ethical food preferences to help with catering requirements.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-diet"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-38"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code=\"diet\"]"
          }]
        },
        {
          "id" : "Encounter.hospitalization.specialCourtesy",
          "path" : "Encounter.hospitalization.specialCourtesy",
          "short" : "Special courtesies (VIP, board member)",
          "definition" : "Special courtesies (VIP, board member).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.hospitalization.specialCourtesy",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Courtesies"
            }],
            "strength" : "preferred",
            "description" : "Special courtesies.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-special-courtesy"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-16"
          },
          {
            "identity" : "rim",
            "map" : ".specialCourtesiesCode"
          }]
        },
        {
          "id" : "Encounter.hospitalization.specialArrangement",
          "path" : "Encounter.hospitalization.specialArrangement",
          "short" : "Wheelchair, translator, stretcher, etc.",
          "definition" : "Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.hospitalization.specialArrangement",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Arrangements"
            }],
            "strength" : "preferred",
            "description" : "Special arrangements.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-special-arrangements"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-15 / OBR-30 / OBR-43"
          },
          {
            "identity" : "rim",
            "map" : ".specialArrangementCode"
          }]
        },
        {
          "id" : "Encounter.hospitalization.destination",
          "path" : "Encounter.hospitalization.destination",
          "short" : "Location/organization to which the patient is discharged",
          "definition" : "Location/organization to which the patient is discharged.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.hospitalization.destination",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-37"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=DST]"
          }]
        },
        {
          "id" : "Encounter.hospitalization.dischargeDisposition",
          "path" : "Encounter.hospitalization.dischargeDisposition",
          "short" : "Category or kind of location after discharge",
          "definition" : "Category or kind of location after discharge.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.hospitalization.dischargeDisposition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DischargeDisp"
            }],
            "strength" : "example",
            "description" : "Discharge Disposition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-36"
          },
          {
            "identity" : "rim",
            "map" : ".dischargeDispositionCode"
          }]
        },
        {
          "id" : "Encounter.location",
          "path" : "Encounter.location",
          "short" : "List of locations where the patient has been",
          "definition" : "List of locations where  the patient has been during this encounter.",
          "comment" : "Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\".",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Encounter.location",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC]"
          }]
        },
        {
          "id" : "Encounter.location.id",
          "path" : "Encounter.location.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.location.extension",
          "path" : "Encounter.location.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.location.modifierExtension",
          "path" : "Encounter.location.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Encounter.location.location",
          "path" : "Encounter.location.location",
          "short" : "Location the encounter takes place",
          "definition" : "The location where the encounter takes place.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Encounter.location.location",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "v2",
            "map" : "PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "Encounter.location.status",
          "path" : "Encounter.location.status",
          "short" : "planned | active | reserved | completed",
          "definition" : "The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.",
          "comment" : "When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.location.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterLocationStatus"
            }],
            "strength" : "required",
            "description" : "The status of the location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".role.statusCode"
          }]
        },
        {
          "id" : "Encounter.location.physicalType",
          "path" : "Encounter.location.physicalType",
          "short" : "The physical type of the location (usually the level in the location hierachy - bed room ward etc.)",
          "definition" : "This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.",
          "comment" : "This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.\n\nThere may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.location.physicalType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PhysicalType"
            }],
            "strength" : "example",
            "description" : "Physical form of the location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/location-physical-type"
          }
        },
        {
          "id" : "Encounter.location.period",
          "path" : "Encounter.location.period",
          "short" : "Time period during which the patient was present at the location",
          "definition" : "Time period during which the patient was present at the location.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.location.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".time"
          }]
        },
        {
          "id" : "Encounter.serviceProvider",
          "path" : "Encounter.serviceProvider",
          "short" : "The organization (facility) responsible for this encounter",
          "definition" : "The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation.  Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.serviceProvider",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "v2",
            "map" : "PL.6  & PL.1"
          },
          {
            "identity" : "rim",
            "map" : ".particiaption[typeCode=PFM].role"
          }]
        },
        {
          "id" : "Encounter.partOf",
          "path" : "Encounter.partOf",
          "short" : "Another Encounter this encounter is part of",
          "definition" : "Another Encounter of which this encounter is a part of (administratively or in time).",
          "comment" : "This is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Encounter.partOf",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Encounter",
          "path" : "Encounter",
          "short" : "An interaction during which services are provided to the patient",
          "definition" : "An interaction between a patient and healthcare provider(s) for the purpose of providing healthcare service(s) or assessing the health status of a patient.",
          "alias" : ["Visit"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Encounter[@moodCode='EVN']"
          }]
        },
        {
          "id" : "Encounter.identifier",
          "path" : "Encounter.identifier",
          "short" : "Identifier(s) by which this encounter is known",
          "definition" : "Identifier(s) by which this encounter is known.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Encounter.status",
          "path" : "Encounter.status",
          "short" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +",
          "definition" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +.",
          "comment" : "Note that internal business rules will determine the appropriate transitions that may occur between statuses (and also classes).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterStatus"
            }],
            "strength" : "required",
            "description" : "Current state of the encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Encounter.statusHistory",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "StatusHistory"
          }],
          "path" : "Encounter.statusHistory",
          "short" : "List of past encounter statuses",
          "definition" : "The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them.",
          "comment" : "The current status is always found in the current version of the resource, not the status history.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.statusHistory.status",
          "path" : "Encounter.statusHistory.status",
          "short" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +",
          "definition" : "planned | arrived | triaged | in-progress | onleave | finished | cancelled +.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterStatus"
            }],
            "strength" : "required",
            "description" : "Current state of the encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.statusHistory.period",
          "path" : "Encounter.statusHistory.period",
          "short" : "The time that the episode was in the specified status",
          "definition" : "The time that the episode was in the specified status.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.class",
          "path" : "Encounter.class",
          "short" : "Classification of patient encounter",
          "definition" : "Concepts representing classification of patient encounter such as ambulatory (outpatient), inpatient, emergency, home health or others due to local variations.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterClass"
            }],
            "strength" : "extensible",
            "description" : "Classification of the encounter.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "PV1-2"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code"
          }]
        },
        {
          "id" : "Encounter.classHistory",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ClassHistory"
          }],
          "path" : "Encounter.classHistory",
          "short" : "List of past encounter classes",
          "definition" : "The class history permits the tracking of the encounters transitions without needing to go  through the resource history.  This would be used for a case where an admission starts of as an emergency encounter, then transitions into an inpatient scenario. Doing this and not restarting a new encounter ensures that any lab/diagnostic results can more easily follow the patient and not require re-processing and not get lost or cancelled during a kind of discharge from emergency to inpatient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.classHistory.class",
          "path" : "Encounter.classHistory.class",
          "short" : "inpatient | outpatient | ambulatory | emergency +",
          "definition" : "inpatient | outpatient | ambulatory | emergency +.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterClass"
            }],
            "strength" : "extensible",
            "description" : "Classification of the encounter.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActEncounterCode"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.classHistory.period",
          "path" : "Encounter.classHistory.period",
          "short" : "The time that the episode was in the specified class",
          "definition" : "The time that the episode was in the specified class.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.type",
          "path" : "Encounter.type",
          "short" : "Specific type of encounter",
          "definition" : "Specific type of encounter (e.g. e-mail consultation, surgical day-care, skilled nursing, rehabilitation).",
          "comment" : "Since there are many ways to further classify encounters, this element is 0..*.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterType"
            }],
            "strength" : "example",
            "description" : "The type of encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "PV1-4 / PV1-18"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Encounter.serviceType",
          "path" : "Encounter.serviceType",
          "short" : "Specific type of service",
          "definition" : "Broad categorization of the service that is to be provided (e.g. cardiology).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterServiceType"
            }],
            "strength" : "example",
            "description" : "Broad categorization of the service that is to be provided.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "v2",
            "map" : "PV1-10"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.priority",
          "path" : "Encounter.priority",
          "short" : "Indicates the urgency of the encounter",
          "definition" : "Indicates the urgency of the encounter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Priority"
            }],
            "strength" : "example",
            "description" : "Indicates the urgency of the encounter.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPriority"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "PV2-25"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "Encounter.subject",
          "path" : "Encounter.subject",
          "short" : "The patient or group present at the encounter",
          "definition" : "The patient or group present at the encounter.",
          "comment" : "While the encounter is always about the patient, the patient might not actually be known in all contexts of use, and there may be a group of patients that could be anonymous (such as in a group therapy for Alcoholics Anonymous - where the recording of the encounter could be used for billing on the number of people/staff and not important to the context of the specific patients) or alternately in veterinary care a herd of sheep receiving treatment (where the animals are not individually tracked).",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ]/role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Encounter.episodeOfCare",
          "path" : "Encounter.episodeOfCare",
          "short" : "Episode(s) of care that this encounter should be recorded against",
          "definition" : "Where a specific encounter should be classified as a part of a specific episode(s) of care this field should be used. This association can facilitate grouping of related encounters together for a specific purpose, such as government reporting, issue tracking, association via a common problem.  The association is recorded on the encounter as these are typically created after the episode of care and grouped on entry rather than editing the episode of care to append another encounter to it (the episode of care could span years).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-54, PV1-53"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.basedOn",
          "path" : "Encounter.basedOn",
          "short" : "The ServiceRequest that initiated this encounter",
          "definition" : "The request this encounter satisfies (e.g. incoming referral or procedure request).",
          "alias" : ["incomingReferral"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".reason.ClinicalDocument"
          }]
        },
        {
          "id" : "Encounter.participant",
          "path" : "Encounter.participant",
          "short" : "List of participants involved in the encounter",
          "definition" : "The list of people responsible for providing the service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "ROL"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM]"
          }]
        },
        {
          "id" : "Encounter.participant.type",
          "path" : "Encounter.participant.type",
          "short" : "Role of participant in encounter",
          "definition" : "Role of participant in encounter.",
          "comment" : "The participant type indicates how an individual participates in an encounter. It includes non-practitioner participants, and for practitioners this is to describe the action type in the context of this encounter (e.g. Admitting Dr, Attending Dr, Translator, Consulting Dr). This is different to the practitioner roles which are functional roles, derived from terms of employment, education, licensing, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParticipantType"
            }],
            "strength" : "extensible",
            "description" : "Role of participant in encounter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-participant-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "v2",
            "map" : "ROL-3 (or maybe PRT-4)"
          },
          {
            "identity" : "rim",
            "map" : ".functionCode"
          }]
        },
        {
          "id" : "Encounter.participant.period",
          "path" : "Encounter.participant.period",
          "short" : "Period of time during the encounter that the participant participated",
          "definition" : "The period of time that the specified participant participated in the encounter. These can overlap or be sub-sets of the overall encounter's period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ROL-5, ROL-6 (or maybe PRT-5)"
          },
          {
            "identity" : "rim",
            "map" : ".time"
          }]
        },
        {
          "id" : "Encounter.participant.individual",
          "path" : "Encounter.participant.individual",
          "short" : "Persons involved in the encounter other than the patient",
          "definition" : "Persons involved in the encounter other than the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "v2",
            "map" : "ROL-4"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "Encounter.appointment",
          "path" : "Encounter.appointment",
          "short" : "The appointment that scheduled this encounter",
          "definition" : "The appointment that scheduled this encounter.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Appointment"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "SCH-1 / SCH-2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]"
          }]
        },
        {
          "id" : "Encounter.period",
          "path" : "Encounter.period",
          "short" : "The start and end time of the encounter",
          "definition" : "The start and end time of the encounter.",
          "comment" : "If not (yet) known, the end of the Period may be omitted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "PV1-44, PV1-45"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime (low & high)"
          }]
        },
        {
          "id" : "Encounter.length",
          "path" : "Encounter.length",
          "short" : "Quantity of time the encounter lasted (less time absent)",
          "definition" : "Quantity of time the encounter lasted. This excludes the time during leaves of absence.",
          "comment" : "May differ from the time the Encounter.period lasted because of leave of absence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes"
          },
          {
            "identity" : "rim",
            "map" : ".lengthOfStayQuantity"
          }]
        },
        {
          "id" : "Encounter.reasonCode",
          "path" : "Encounter.reasonCode",
          "short" : "Coded reason the encounter takes place",
          "definition" : "Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.",
          "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).",
          "alias" : ["Indication",
          "Admission diagnosis"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterReason"
            }],
            "strength" : "preferred",
            "description" : "Reason why the encounter takes place.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Encounter.reasonReference",
          "path" : "Encounter.reasonReference",
          "short" : "Reason the encounter takes place (reference)",
          "definition" : "Reason the encounter takes place, expressed as a code. For admissions, this can be used for a coded admission diagnosis.",
          "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).",
          "alias" : ["Indication",
          "Admission diagnosis"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Encounter.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "Encounter.diagnosis",
          "short" : "The list of diagnosis relevant to this encounter",
          "definition" : "The list of diagnosis relevant to this encounter.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]"
          }]
        },
        {
          "id" : "Encounter.diagnosis.condition",
          "path" : "Encounter.diagnosis.condition",
          "short" : "The diagnosis or procedure relevant to the encounter",
          "definition" : "Reason the encounter takes place, as specified using information from another resource. For admissions, this is the admission diagnosis. The indication will typically be a Condition (with other resources referenced in the evidence.detail), or a Procedure.",
          "comment" : "For systems that need to know which was the primary diagnosis, these will be marked with the standard extension primaryDiagnosis (which is a sequence value rather than a flag, 1 = primary diagnosis).",
          "alias" : ["Admission diagnosis",
          "discharge diagnosis",
          "indication"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively."
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "Encounter.diagnosis.use",
          "path" : "Encounter.diagnosis.use",
          "short" : "Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …)",
          "definition" : "Role that this diagnosis has within the encounter (e.g. admission, billing, discharge …).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisRole"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "The type of diagnosis this condition represents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diagnosis-role"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.diagnosis.rank",
          "path" : "Encounter.diagnosis.rank",
          "short" : "Ranking of the diagnosis (for each role type)",
          "definition" : "Ranking of the diagnosis (for each role type).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].priority"
          }]
        },
        {
          "id" : "Encounter.account",
          "path" : "Encounter.account",
          "short" : "The set of accounts that may be used for billing for this Encounter",
          "definition" : "The set of accounts that may be used for billing for this Encounter.",
          "comment" : "The billing system may choose to allocate billable items associated with the Encounter to different referenced Accounts based on internal business rules.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".pertains.A_Account"
          }]
        },
        {
          "id" : "Encounter.hospitalization",
          "path" : "Encounter.hospitalization",
          "short" : "Details about the admission to a healthcare service",
          "definition" : "Details about the admission to a healthcare service.",
          "comment" : "An Encounter may cover more than just the inpatient stay. Contexts such as outpatients, community clinics, and aged care facilities are also included.\r\rThe duration recorded in the period of this encounter covers the entire scope of this hospitalization record.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "Encounter.hospitalization.preAdmissionIdentifier",
          "path" : "Encounter.hospitalization.preAdmissionIdentifier",
          "short" : "Pre-admission identifier",
          "definition" : "Pre-admission identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-5"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Encounter.hospitalization.origin",
          "path" : "Encounter.hospitalization.origin",
          "short" : "The location/organization from which the patient came before admission",
          "definition" : "The location/organization from which the patient came before admission.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=ORG].role"
          }]
        },
        {
          "id" : "Encounter.hospitalization.admitSource",
          "path" : "Encounter.hospitalization.admitSource",
          "short" : "From where patient was admitted (physician referral, transfer)",
          "definition" : "From where patient was admitted (physician referral, transfer).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdmitSource"
            }],
            "strength" : "preferred",
            "description" : "From where the patient was admitted.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-admit-source"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-14"
          },
          {
            "identity" : "rim",
            "map" : ".admissionReferralSourceCode"
          }]
        },
        {
          "id" : "Encounter.hospitalization.reAdmission",
          "path" : "Encounter.hospitalization.reAdmission",
          "short" : "The type of hospital re-admission that has occurred (if any). If the value is absent, then this is not identified as a readmission",
          "definition" : "Whether this hospitalization is a readmission and why if known.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ReAdmissionType"
            }],
            "strength" : "example",
            "description" : "The reason for re-admission of this hospitalization encounter.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0092"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-13"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Encounter.hospitalization.dietPreference",
          "path" : "Encounter.hospitalization.dietPreference",
          "short" : "Diet preferences reported by the patient",
          "definition" : "Diet preferences reported by the patient.",
          "comment" : "For example, a patient may request both a dairy-free and nut-free diet preference (not mutually exclusive).",
          "requirements" : "Used to track patient's diet restrictions and/or preference. For a complete description of the nutrition needs of a patient during their stay, one should use the nutritionOrder resource which links to Encounter.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PatientDiet"
            }],
            "strength" : "example",
            "description" : "Medical, cultural or ethical food preferences to help with catering requirements.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-diet"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-38"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code=\"diet\"]"
          }]
        },
        {
          "id" : "Encounter.hospitalization.specialCourtesy",
          "path" : "Encounter.hospitalization.specialCourtesy",
          "short" : "Special courtesies (VIP, board member)",
          "definition" : "Special courtesies (VIP, board member).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Courtesies"
            }],
            "strength" : "preferred",
            "description" : "Special courtesies.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-special-courtesy"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-16"
          },
          {
            "identity" : "rim",
            "map" : ".specialCourtesiesCode"
          }]
        },
        {
          "id" : "Encounter.hospitalization.specialArrangement",
          "path" : "Encounter.hospitalization.specialArrangement",
          "short" : "Wheelchair, translator, stretcher, etc.",
          "definition" : "Any special requests that have been made for this hospitalization encounter, such as the provision of specific equipment or other things.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Arrangements"
            }],
            "strength" : "preferred",
            "description" : "Special arrangements.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-special-arrangements"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-15 / OBR-30 / OBR-43"
          },
          {
            "identity" : "rim",
            "map" : ".specialArrangementCode"
          }]
        },
        {
          "id" : "Encounter.hospitalization.destination",
          "path" : "Encounter.hospitalization.destination",
          "short" : "Location/organization to which the patient is discharged",
          "definition" : "Location/organization to which the patient is discharged.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-37"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=DST]"
          }]
        },
        {
          "id" : "Encounter.hospitalization.dischargeDisposition",
          "path" : "Encounter.hospitalization.dischargeDisposition",
          "short" : "Category or kind of location after discharge",
          "definition" : "Category or kind of location after discharge.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DischargeDisp"
            }],
            "strength" : "example",
            "description" : "Discharge Disposition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-discharge-disposition"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PV1-36"
          },
          {
            "identity" : "rim",
            "map" : ".dischargeDispositionCode"
          }]
        },
        {
          "id" : "Encounter.location",
          "path" : "Encounter.location",
          "short" : "List of locations where the patient has been",
          "definition" : "List of locations where  the patient has been during this encounter.",
          "comment" : "Virtual encounters can be recorded in the Encounter by specifying a location reference to a location of type \"kind\" such as \"client's home\" and an encounter.class = \"virtual\".",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC]"
          }]
        },
        {
          "id" : "Encounter.location.location",
          "path" : "Encounter.location.location",
          "short" : "Location the encounter takes place",
          "definition" : "The location where the encounter takes place.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "v2",
            "map" : "PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "Encounter.location.status",
          "path" : "Encounter.location.status",
          "short" : "planned | active | reserved | completed",
          "definition" : "The status of the participants' presence at the specified location during the period specified. If the participant is no longer at the location, then the period will have an end date/time.",
          "comment" : "When the patient is no longer active at a location, then the period end date is entered, and the status may be changed to completed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EncounterLocationStatus"
            }],
            "strength" : "required",
            "description" : "The status of the location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-location-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".role.statusCode"
          }]
        },
        {
          "id" : "Encounter.location.physicalType",
          "path" : "Encounter.location.physicalType",
          "short" : "The physical type of the location (usually the level in the location hierachy - bed room ward etc.)",
          "definition" : "This will be used to specify the required levels (bed/ward/room/etc.) desired to be recorded to simplify either messaging or query.",
          "comment" : "This information is de-normalized from the Location resource to support the easier understanding of the encounter resource and processing in messaging or query.\n\nThere may be many levels in the hierachy, and this may only pic specific levels that are required for a specific usage scenario.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PhysicalType"
            }],
            "strength" : "example",
            "description" : "Physical form of the location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/location-physical-type"
          }
        },
        {
          "id" : "Encounter.location.period",
          "path" : "Encounter.location.period",
          "short" : "Time period during which the patient was present at the location",
          "definition" : "Time period during which the patient was present at the location.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".time"
          }]
        },
        {
          "id" : "Encounter.serviceProvider",
          "path" : "Encounter.serviceProvider",
          "short" : "The organization (facility) responsible for this encounter",
          "definition" : "The organization that is primarily responsible for this Encounter's services. This MAY be the same as the organization on the Patient record, however it could be different, such as if the actor performing the services was from an external organization (which may be billed seperately) for an external consultation.  Refer to the example bundle showing an abbreviated set of Encounters for a colonoscopy.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "v2",
            "map" : "PL.6  & PL.1"
          },
          {
            "identity" : "rim",
            "map" : ".particiaption[typeCode=PFM].role"
          }]
        },
        {
          "id" : "Encounter.partOf",
          "path" : "Encounter.partOf",
          "short" : "Another Encounter this encounter is part of",
          "definition" : "Another Encounter of which this encounter is a part of (administratively or in time).",
          "comment" : "This is also used for associating a child's encounter back to the mother's encounter.\r\rRefer to the Notes section in the Patient resource for further details.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Endpoint",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Endpoint",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Endpoint 
TU
DomainResource
The technical details of an endpoint that can be used for electronic services
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Identifies this endpoint across multiple systems
 status 
?!Σ
1..1
code
active | suspended | error | off | entered-in-error | test
EndpointStatus (Required)
 connectionType 
Σ
1..1
Coding
Protocol/Profile/Standard to be used with this endpoint connection
Endpoint Connection Type (Extensible)
 name 
Σ
0..1
string
A name that this endpoint can be identified by
 managingOrganization 
Σ
0..1
Reference(Organization)
Organization that manages this endpoint (might not be the organization that exposes the endpoint)
 contact 
0..*
ContactPoint
Contact details for source (e.g. troubleshooting)
 period 
Σ
0..1
Period
Interval the endpoint is expected to be operational
 payloadType 
Σ
1..*
CodeableConcept
The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)
Endpoint Payload Type (Example)
 payloadMimeType 
Σ
0..*
code
Mimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)
MimeType (Required)
 address 
Σ
1..1
url
The technical base address for connecting to this endpoint
 header 
0..*
string
Usage depends on the channel type

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Endpoint",
      "version" : "4.0.0",
      "name" : "Endpoint",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Endpoint",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Endpoint",
          "path" : "Endpoint",
          "short" : "The technical details of an endpoint that can be used for electronic services",
          "definition" : "The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Endpoint",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.id",
          "path" : "Endpoint.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Endpoint.meta",
          "path" : "Endpoint.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Endpoint.implicitRules",
          "path" : "Endpoint.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Endpoint.language",
          "path" : "Endpoint.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Endpoint.text",
          "path" : "Endpoint.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Endpoint.contained",
          "path" : "Endpoint.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Endpoint.extension",
          "path" : "Endpoint.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Endpoint.modifierExtension",
          "path" : "Endpoint.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Endpoint.identifier",
          "path" : "Endpoint.identifier",
          "short" : "Identifies this endpoint across multiple systems",
          "definition" : "Identifier for the organization that is used to identify the endpoint across multiple disparate systems.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Endpoint.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.status",
          "path" : "Endpoint.status",
          "short" : "active | suspended | error | off | entered-in-error | test",
          "definition" : "active | suspended | error | off | test.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the endpoint as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Endpoint.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EndpointStatus"
            }],
            "strength" : "required",
            "description" : "The status of the endpoint.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/endpoint-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.connectionType",
          "path" : "Endpoint.connectionType",
          "short" : "Protocol/Profile/Standard to be used with this endpoint connection",
          "definition" : "A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).",
          "comment" : "For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Endpoint.connectionType",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "endpoint-contype"
            }],
            "strength" : "extensible",
            "valueSet" : "http://hl7.org/fhir/ValueSet/endpoint-connection-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.name",
          "path" : "Endpoint.name",
          "short" : "A name that this endpoint can be identified by",
          "definition" : "A friendly name that this endpoint can be referred to with.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Endpoint.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.managingOrganization",
          "path" : "Endpoint.managingOrganization",
          "short" : "Organization that manages this endpoint (might not be the organization that exposes the endpoint)",
          "definition" : "The organization that manages this endpoint (even if technically another organization is hosting this in the cloud, it is the organization associated with the data).",
          "comment" : "This property is not typically used when searching for Endpoint resources for usage. The typical usage is via the reference from an applicable Organization/Location/Practitioner resource, which is where the context is provided. Multiple Locations may reference a single endpoint, and don't have to be within the same organization resource, but most likely within the same organizational hierarchy.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Endpoint.managingOrganization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.contact",
          "path" : "Endpoint.contact",
          "short" : "Contact details for source (e.g. troubleshooting)",
          "definition" : "Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Endpoint.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.period",
          "path" : "Endpoint.period",
          "short" : "Interval the endpoint is expected to be operational",
          "definition" : "The interval during which the endpoint is expected to be operational.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Endpoint.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.payloadType",
          "path" : "Endpoint.payloadType",
          "short" : "The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)",
          "definition" : "The payload type describes the acceptable content that can be communicated on the endpoint.",
          "comment" : "The payloadFormat describes the serialization format of the data, where the payloadType indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Endpoint.payloadType",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PayloadType"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/endpoint-payload-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.payloadMimeType",
          "path" : "Endpoint.payloadMimeType",
          "short" : "Mimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)",
          "definition" : "The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).",
          "comment" : "Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Endpoint.payloadMimeType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.address",
          "path" : "Endpoint.address",
          "short" : "The technical base address for connecting to this endpoint",
          "definition" : "The uri that describes the actual end-point to connect to.",
          "comment" : "For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)\n\nThis address will be to the service base, without any parameters, or sub-services or resources tacked on.\n\nE.g. for a WADO-RS endpoint, the url should be \"https://pacs.hospital.org/wado-rs\"\n\nand not \"https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345678.678910/series/1.2.250.1.59.40211.789001276.14556172.67789/instances/...\".",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Endpoint.address",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.header",
          "path" : "Endpoint.header",
          "short" : "Usage depends on the channel type",
          "definition" : "Additional headers / information to send as part of the notification.",
          "comment" : "Exactly what these mean depends on the channel type. The can convey additional information to the recipient and/or meet security requirements.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Endpoint.header",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Endpoint",
          "path" : "Endpoint",
          "short" : "The technical details of an endpoint that can be used for electronic services",
          "definition" : "The technical details of an endpoint that can be used for electronic services, such as for web services providing XDS.b or a REST endpoint for another FHIR server. This may include any security context information.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.identifier",
          "path" : "Endpoint.identifier",
          "short" : "Identifies this endpoint across multiple systems",
          "definition" : "Identifier for the organization that is used to identify the endpoint across multiple disparate systems.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.status",
          "path" : "Endpoint.status",
          "short" : "active | suspended | error | off | entered-in-error | test",
          "definition" : "active | suspended | error | off | test.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the endpoint as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EndpointStatus"
            }],
            "strength" : "required",
            "description" : "The status of the endpoint.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/endpoint-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.connectionType",
          "path" : "Endpoint.connectionType",
          "short" : "Protocol/Profile/Standard to be used with this endpoint connection",
          "definition" : "A coded value that represents the technical details of the usage of this endpoint, such as what WSDLs should be used in what way. (e.g. XDS.b/DICOM/cds-hook).",
          "comment" : "For additional connectivity details for the protocol, extensions will be used at this point, as in the XDS example.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "endpoint-contype"
            }],
            "strength" : "extensible",
            "valueSet" : "http://hl7.org/fhir/ValueSet/endpoint-connection-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.name",
          "path" : "Endpoint.name",
          "short" : "A name that this endpoint can be identified by",
          "definition" : "A friendly name that this endpoint can be referred to with.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.managingOrganization",
          "path" : "Endpoint.managingOrganization",
          "short" : "Organization that manages this endpoint (might not be the organization that exposes the endpoint)",
          "definition" : "The organization that manages this endpoint (even if technically another organization is hosting this in the cloud, it is the organization associated with the data).",
          "comment" : "This property is not typically used when searching for Endpoint resources for usage. The typical usage is via the reference from an applicable Organization/Location/Practitioner resource, which is where the context is provided. Multiple Locations may reference a single endpoint, and don't have to be within the same organization resource, but most likely within the same organizational hierarchy.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.contact",
          "path" : "Endpoint.contact",
          "short" : "Contact details for source (e.g. troubleshooting)",
          "definition" : "Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.period",
          "path" : "Endpoint.period",
          "short" : "Interval the endpoint is expected to be operational",
          "definition" : "The interval during which the endpoint is expected to be operational.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.payloadType",
          "path" : "Endpoint.payloadType",
          "short" : "The type of content that may be used at this endpoint (e.g. XDS Discharge summaries)",
          "definition" : "The payload type describes the acceptable content that can be communicated on the endpoint.",
          "comment" : "The payloadFormat describes the serialization format of the data, where the payloadType indicates the specific document/schema that is being transferred; e.g. DischargeSummary or CarePlan.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PayloadType"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/endpoint-payload-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.payloadMimeType",
          "path" : "Endpoint.payloadMimeType",
          "short" : "Mimetype to send. If not specified, the content could be anything (including no payload, if the connectionType defined this)",
          "definition" : "The mime type to send the payload in - e.g. application/fhir+xml, application/fhir+json. If the mime type is not specified, then the sender could send any content (including no content depending on the connectionType).",
          "comment" : "Sending the payload has obvious security consequences. The server is responsible for ensuring that the content is appropriately secured.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.address",
          "path" : "Endpoint.address",
          "short" : "The technical base address for connecting to this endpoint",
          "definition" : "The uri that describes the actual end-point to connect to.",
          "comment" : "For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs)\n\nThis address will be to the service base, without any parameters, or sub-services or resources tacked on.\n\nE.g. for a WADO-RS endpoint, the url should be \"https://pacs.hospital.org/wado-rs\"\n\nand not \"https://pacs.hospital.org/wado-rs/studies/1.2.250.1.59.40211.12345678.678910/series/1.2.250.1.59.40211.789001276.14556172.67789/instances/...\".",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Endpoint.header",
          "path" : "Endpoint.header",
          "short" : "Usage depends on the channel type",
          "definition" : "Additional headers / information to send as part of the notification.",
          "comment" : "Exactly what these mean depends on the channel type. The can convey additional information to the recipient and/or meet security requirements.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : false
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/EnrollmentRequest",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "EnrollmentRequest",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 EnrollmentRequest 
TU
DomainResource
Enroll in coverage
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier
 status 
?!Σ
0..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 created 
0..1
dateTime
Creation date
 insurer 
0..1
Reference(Organization)
Target
 provider 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Responsible practitioner
 candidate 
0..1
Reference(Patient)
The subject to be enrolled
 coverage 
0..1
Reference(Coverage)
Insurance information

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Support"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/EnrollmentRequest",
      "version" : "4.0.0",
      "name" : "EnrollmentRequest",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "This resource provides the insurance enrollment details to the insurer regarding a specified coverage.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "cdanetv4",
        "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
        "name" : "Canadian Dental Association eclaims standard"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "EnrollmentRequest",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "EnrollmentRequest",
          "path" : "EnrollmentRequest",
          "short" : "Enroll in coverage",
          "definition" : "This resource provides the insurance enrollment details to the insurer regarding a specified coverage.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EnrollmentRequest",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "EnrollmentRequest.id",
          "path" : "EnrollmentRequest.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EnrollmentRequest.meta",
          "path" : "EnrollmentRequest.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EnrollmentRequest.implicitRules",
          "path" : "EnrollmentRequest.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "EnrollmentRequest.language",
          "path" : "EnrollmentRequest.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "EnrollmentRequest.text",
          "path" : "EnrollmentRequest.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "EnrollmentRequest.contained",
          "path" : "EnrollmentRequest.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EnrollmentRequest.extension",
          "path" : "EnrollmentRequest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EnrollmentRequest.modifierExtension",
          "path" : "EnrollmentRequest.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EnrollmentRequest.identifier",
          "path" : "EnrollmentRequest.identifier",
          "short" : "Business Identifier",
          "definition" : "The Response business identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EnrollmentRequest.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          }]
        },
        {
          "id" : "EnrollmentRequest.status",
          "path" : "EnrollmentRequest.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the request as not currently valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentRequest.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnrollmentRequestStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          }]
        },
        {
          "id" : "EnrollmentRequest.created",
          "path" : "EnrollmentRequest.created",
          "short" : "Creation date",
          "definition" : "The date when this resource was created.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentRequest.created",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          }]
        },
        {
          "id" : "EnrollmentRequest.insurer",
          "path" : "EnrollmentRequest.insurer",
          "short" : "Target",
          "definition" : "The Insurer who is target  of the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentRequest.insurer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          }]
        },
        {
          "id" : "EnrollmentRequest.provider",
          "path" : "EnrollmentRequest.provider",
          "short" : "Responsible practitioner",
          "definition" : "The practitioner who is responsible for the services rendered to the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentRequest.provider",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        },
        {
          "id" : "EnrollmentRequest.candidate",
          "path" : "EnrollmentRequest.candidate",
          "short" : "The subject to be enrolled",
          "definition" : "Patient Resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentRequest.candidate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "cdanetv4",
            "map" : "C06,C07,C08, C05, C04"
          }]
        },
        {
          "id" : "EnrollmentRequest.coverage",
          "path" : "EnrollmentRequest.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the program or plan identification, underwriter or payor.",
          "requirements" : "Need to identify the issuer to target for processing and for coordination of benefit processing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentRequest.coverage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "EnrollmentRequest",
          "path" : "EnrollmentRequest",
          "short" : "Enroll in coverage",
          "definition" : "This resource provides the insurance enrollment details to the insurer regarding a specified coverage.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "EnrollmentRequest.identifier",
          "path" : "EnrollmentRequest.identifier",
          "short" : "Business Identifier",
          "definition" : "The Response business identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          }]
        },
        {
          "id" : "EnrollmentRequest.status",
          "path" : "EnrollmentRequest.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the request as not currently valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnrollmentRequestStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          }]
        },
        {
          "id" : "EnrollmentRequest.created",
          "path" : "EnrollmentRequest.created",
          "short" : "Creation date",
          "definition" : "The date when this resource was created.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          }]
        },
        {
          "id" : "EnrollmentRequest.insurer",
          "path" : "EnrollmentRequest.insurer",
          "short" : "Target",
          "definition" : "The Insurer who is target  of the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          }]
        },
        {
          "id" : "EnrollmentRequest.provider",
          "path" : "EnrollmentRequest.provider",
          "short" : "Responsible practitioner",
          "definition" : "The practitioner who is responsible for the services rendered to the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        },
        {
          "id" : "EnrollmentRequest.candidate",
          "path" : "EnrollmentRequest.candidate",
          "short" : "The subject to be enrolled",
          "definition" : "Patient Resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "cdanetv4",
            "map" : "C06,C07,C08, C05, C04"
          }]
        },
        {
          "id" : "EnrollmentRequest.coverage",
          "path" : "EnrollmentRequest.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the program or plan identification, underwriter or payor.",
          "requirements" : "Need to identify the issuer to target for processing and for coordination of benefit processing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/EnrollmentResponse",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "EnrollmentResponse",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 EnrollmentResponse 
TU
DomainResource
EnrollmentResponse resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier
 status 
?!Σ
0..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 request 
0..1
Reference(EnrollmentRequest)
Claim reference
 outcome 
0..1
code
queued | complete | error | partial
RemittanceOutcome (Required)
 disposition 
0..1
string
Disposition Message
 created 
0..1
dateTime
Creation date
 organization 
0..1
Reference(Organization)
Insurer
 requestProvider 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Responsible practitioner

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Support"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/EnrollmentResponse",
      "version" : "4.0.0",
      "name" : "EnrollmentResponse",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "cdanetv4",
        "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
        "name" : "Canadian Dental Association eclaims standard"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "EnrollmentResponse",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "EnrollmentResponse",
          "path" : "EnrollmentResponse",
          "short" : "EnrollmentResponse resource",
          "definition" : "This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EnrollmentResponse",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "EnrollmentResponse.id",
          "path" : "EnrollmentResponse.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EnrollmentResponse.meta",
          "path" : "EnrollmentResponse.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EnrollmentResponse.implicitRules",
          "path" : "EnrollmentResponse.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "EnrollmentResponse.language",
          "path" : "EnrollmentResponse.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "EnrollmentResponse.text",
          "path" : "EnrollmentResponse.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "EnrollmentResponse.contained",
          "path" : "EnrollmentResponse.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EnrollmentResponse.extension",
          "path" : "EnrollmentResponse.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EnrollmentResponse.modifierExtension",
          "path" : "EnrollmentResponse.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EnrollmentResponse.identifier",
          "path" : "EnrollmentResponse.identifier",
          "short" : "Business Identifier",
          "definition" : "The Response business identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EnrollmentResponse.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          }]
        },
        {
          "id" : "EnrollmentResponse.status",
          "path" : "EnrollmentResponse.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the response as not currently valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentResponse.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnrollmentResponseStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          }]
        },
        {
          "id" : "EnrollmentResponse.request",
          "path" : "EnrollmentResponse.request",
          "short" : "Claim reference",
          "definition" : "Original request resource reference.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentResponse.request",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EnrollmentRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "cdanetv4",
            "map" : "A02|G01"
          }]
        },
        {
          "id" : "EnrollmentResponse.outcome",
          "path" : "EnrollmentResponse.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "Processing status: error, complete.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentResponse.outcome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The outcome of the processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "EnrollmentResponse.disposition",
          "path" : "EnrollmentResponse.disposition",
          "short" : "Disposition Message",
          "definition" : "A description of the status of the adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentResponse.disposition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          }]
        },
        {
          "id" : "EnrollmentResponse.created",
          "path" : "EnrollmentResponse.created",
          "short" : "Creation date",
          "definition" : "The date when the enclosed suite of services were performed or completed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentResponse.created",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          }]
        },
        {
          "id" : "EnrollmentResponse.organization",
          "path" : "EnrollmentResponse.organization",
          "short" : "Insurer",
          "definition" : "The Insurer who produced this adjudicated response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentResponse.organization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "EnrollmentResponse.requestProvider",
          "path" : "EnrollmentResponse.requestProvider",
          "short" : "Responsible practitioner",
          "definition" : "The practitioner who is responsible for the services rendered to the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EnrollmentResponse.requestProvider",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "EnrollmentResponse",
          "path" : "EnrollmentResponse",
          "short" : "EnrollmentResponse resource",
          "definition" : "This resource provides enrollment and plan details from the processing of an EnrollmentRequest resource.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "EnrollmentResponse.identifier",
          "path" : "EnrollmentResponse.identifier",
          "short" : "Business Identifier",
          "definition" : "The Response business identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          }]
        },
        {
          "id" : "EnrollmentResponse.status",
          "path" : "EnrollmentResponse.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the response as not currently valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnrollmentResponseStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          }]
        },
        {
          "id" : "EnrollmentResponse.request",
          "path" : "EnrollmentResponse.request",
          "short" : "Claim reference",
          "definition" : "Original request resource reference.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EnrollmentRequest"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "cdanetv4",
            "map" : "A02|G01"
          }]
        },
        {
          "id" : "EnrollmentResponse.outcome",
          "path" : "EnrollmentResponse.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "Processing status: error, complete.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The outcome of the processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "EnrollmentResponse.disposition",
          "path" : "EnrollmentResponse.disposition",
          "short" : "Disposition Message",
          "definition" : "A description of the status of the adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          }]
        },
        {
          "id" : "EnrollmentResponse.created",
          "path" : "EnrollmentResponse.created",
          "short" : "Creation date",
          "definition" : "The date when the enclosed suite of services were performed or completed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          }]
        },
        {
          "id" : "EnrollmentResponse.organization",
          "path" : "EnrollmentResponse.organization",
          "short" : "Insurer",
          "definition" : "The Insurer who produced this adjudicated response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "EnrollmentResponse.requestProvider",
          "path" : "EnrollmentResponse.requestProvider",
          "short" : "Responsible practitioner",
          "definition" : "The practitioner who is responsible for the services rendered to the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "EpisodeOfCare",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 EpisodeOfCare 
TU
DomainResource
An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier(s) relevant for this EpisodeOfCare
 status 
?!Σ
1..1
code
planned | waitlist | active | onhold | finished | cancelled | entered-in-error
EpisodeOfCareStatus (Required)
 statusHistory 
0..*
BackboneElement
Past list of status codes (the current status may be included to cover the start date of the status)
 status 
1..1
code
planned | waitlist | active | onhold | finished | cancelled | entered-in-error
EpisodeOfCareStatus (Required)
 period 
1..1
Period
Duration the EpisodeOfCare was in the specified status
 type 
Σ
0..*
CodeableConcept
Type/class  - e.g. specialist referral, disease management
Episode of care type (Example)
 diagnosis 
Σ
0..*
BackboneElement
The list of diagnosis relevant to this episode of care
 condition 
Σ
1..1
Reference(Condition)
Conditions/problems/diagnoses this episode of care is for
 role 
Σ
0..1
CodeableConcept
Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)
DiagnosisRole (Preferred)
 rank 
Σ
0..1
positiveInt
Ranking of the diagnosis (for each role type)
 patient 
Σ
1..1
Reference(Patient)
The patient who is the focus of this episode of care
 managingOrganization 
Σ
0..1
Reference(Organization)
Organization that assumes care
 period 
Σ
0..1
Period
Interval during responsibility is assumed
 referralRequest 
0..*
Reference(ServiceRequest)
Originating Referral Request(s)
 careManager 
0..1
Reference(Practitioner | PractitionerRole)
Care manager/care coordinator for the patient
 team 
0..*
Reference(CareTeam)
Other practitioners facilitating this episode of care
 account 
0..*
Reference(Account)
The set of accounts that may be used for billing for this EpisodeOfCare

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Management"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare",
      "version" : "4.0.0",
      "name" : "EpisodeOfCare",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "EpisodeOfCare",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "EpisodeOfCare",
          "path" : "EpisodeOfCare",
          "short" : "An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility",
          "definition" : "An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.",
          "alias" : ["Case Program Problem"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EpisodeOfCare",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EpisodeOfCare.id",
          "path" : "EpisodeOfCare.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EpisodeOfCare.meta",
          "path" : "EpisodeOfCare.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EpisodeOfCare.implicitRules",
          "path" : "EpisodeOfCare.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "EpisodeOfCare.language",
          "path" : "EpisodeOfCare.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "EpisodeOfCare.text",
          "path" : "EpisodeOfCare.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "EpisodeOfCare.contained",
          "path" : "EpisodeOfCare.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EpisodeOfCare.extension",
          "path" : "EpisodeOfCare.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EpisodeOfCare.modifierExtension",
          "path" : "EpisodeOfCare.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EpisodeOfCare.identifier",
          "path" : "EpisodeOfCare.identifier",
          "short" : "Business Identifier(s) relevant for this EpisodeOfCare",
          "definition" : "The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EpisodeOfCare.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "EpisodeOfCare.status",
          "path" : "EpisodeOfCare.status",
          "short" : "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
          "definition" : "planned | waitlist | active | onhold | finished | cancelled.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EpisodeOfCareStatus"
            }],
            "strength" : "required",
            "description" : "The status of the episode of care.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "EpisodeOfCare.statusHistory",
          "path" : "EpisodeOfCare.statusHistory",
          "short" : "Past list of status codes (the current status may be included to cover the start date of the status)",
          "definition" : "The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EpisodeOfCare.statusHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EpisodeOfCare.statusHistory.id",
          "path" : "EpisodeOfCare.statusHistory.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EpisodeOfCare.statusHistory.extension",
          "path" : "EpisodeOfCare.statusHistory.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EpisodeOfCare.statusHistory.modifierExtension",
          "path" : "EpisodeOfCare.statusHistory.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EpisodeOfCare.statusHistory.status",
          "path" : "EpisodeOfCare.statusHistory.status",
          "short" : "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
          "definition" : "planned | waitlist | active | onhold | finished | cancelled.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.statusHistory.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EpisodeOfCareStatus"
            }],
            "strength" : "required",
            "description" : "The status of the episode of care.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0"
          }
        },
        {
          "id" : "EpisodeOfCare.statusHistory.period",
          "path" : "EpisodeOfCare.statusHistory.period",
          "short" : "Duration the EpisodeOfCare was in the specified status",
          "definition" : "The period during this EpisodeOfCare that the specific status applied.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.statusHistory.period",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EpisodeOfCare.type",
          "path" : "EpisodeOfCare.type",
          "short" : "Type/class  - e.g. specialist referral, disease management",
          "definition" : "A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.",
          "comment" : "The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EpisodeOfCare.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EpisodeOfCareType"
            }],
            "strength" : "example",
            "description" : "The type of the episode of care.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/episodeofcare-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "EpisodeOfCare.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "EpisodeOfCare.diagnosis",
          "short" : "The list of diagnosis relevant to this episode of care",
          "definition" : "The list of diagnosis relevant to this episode of care.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EpisodeOfCare.diagnosis",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EpisodeOfCare.diagnosis.id",
          "path" : "EpisodeOfCare.diagnosis.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EpisodeOfCare.diagnosis.extension",
          "path" : "EpisodeOfCare.diagnosis.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EpisodeOfCare.diagnosis.modifierExtension",
          "path" : "EpisodeOfCare.diagnosis.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EpisodeOfCare.diagnosis.condition",
          "path" : "EpisodeOfCare.diagnosis.condition",
          "short" : "Conditions/problems/diagnoses this episode of care is for",
          "definition" : "A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.diagnosis.condition",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "EpisodeOfCare.diagnosis.role",
          "path" : "EpisodeOfCare.diagnosis.role",
          "short" : "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)",
          "definition" : "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.diagnosis.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisRole"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "The type of diagnosis this condition represents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diagnosis-role"
          }
        },
        {
          "id" : "EpisodeOfCare.diagnosis.rank",
          "path" : "EpisodeOfCare.diagnosis.rank",
          "short" : "Ranking of the diagnosis (for each role type)",
          "definition" : "Ranking of the diagnosis (for each role type).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.diagnosis.rank",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EpisodeOfCare.patient",
          "path" : "EpisodeOfCare.patient",
          "short" : "The patient who is the focus of this episode of care",
          "definition" : "The patient who is the focus of this episode of care.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "EpisodeOfCare.managingOrganization",
          "path" : "EpisodeOfCare.managingOrganization",
          "short" : "Organization that assumes care",
          "definition" : "The organization that has assumed the specific responsibilities for the specified duration.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.managingOrganization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          }]
        },
        {
          "id" : "EpisodeOfCare.period",
          "path" : "EpisodeOfCare.period",
          "short" : "Interval during responsibility is assumed",
          "definition" : "The interval during which the managing organization assumes the defined responsibility.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "EpisodeOfCare.referralRequest",
          "path" : "EpisodeOfCare.referralRequest",
          "short" : "Originating Referral Request(s)",
          "definition" : "Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EpisodeOfCare.referralRequest",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          }]
        },
        {
          "id" : "EpisodeOfCare.careManager",
          "path" : "EpisodeOfCare.careManager",
          "short" : "Care manager/care coordinator for the patient",
          "definition" : "The practitioner that is the care manager/care coordinator for this patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EpisodeOfCare.careManager",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          }]
        },
        {
          "id" : "EpisodeOfCare.team",
          "path" : "EpisodeOfCare.team",
          "short" : "Other practitioners facilitating this episode of care",
          "definition" : "The list of practitioners that may be facilitating this episode of care for specific purposes.",
          "alias" : ["CareTeam"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EpisodeOfCare.team",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          }]
        },
        {
          "id" : "EpisodeOfCare.account",
          "path" : "EpisodeOfCare.account",
          "short" : "The set of accounts that may be used for billing for this EpisodeOfCare",
          "definition" : "The set of accounts that may be used for billing for this EpisodeOfCare.",
          "comment" : "The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EpisodeOfCare.account",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "EpisodeOfCare",
          "path" : "EpisodeOfCare",
          "short" : "An association of a Patient with an Organization and  Healthcare Provider(s) for a period of time that the Organization assumes some level of responsibility",
          "definition" : "An association between a patient and an organization / healthcare provider(s) during which time encounters may occur. The managing organization assumes a level of responsibility for the patient during this time.",
          "alias" : ["Case Program Problem"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EpisodeOfCare.identifier",
          "path" : "EpisodeOfCare.identifier",
          "short" : "Business Identifier(s) relevant for this EpisodeOfCare",
          "definition" : "The EpisodeOfCare may be known by different identifiers for different contexts of use, such as when an external agency is tracking the Episode for funding purposes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "EpisodeOfCare.status",
          "path" : "EpisodeOfCare.status",
          "short" : "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
          "definition" : "planned | waitlist | active | onhold | finished | cancelled.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the episode as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EpisodeOfCareStatus"
            }],
            "strength" : "required",
            "description" : "The status of the episode of care.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "EpisodeOfCare.statusHistory",
          "path" : "EpisodeOfCare.statusHistory",
          "short" : "Past list of status codes (the current status may be included to cover the start date of the status)",
          "definition" : "The history of statuses that the EpisodeOfCare has been through (without requiring processing the history of the resource).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "EpisodeOfCare.statusHistory.status",
          "path" : "EpisodeOfCare.statusHistory.status",
          "short" : "planned | waitlist | active | onhold | finished | cancelled | entered-in-error",
          "definition" : "planned | waitlist | active | onhold | finished | cancelled.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EpisodeOfCareStatus"
            }],
            "strength" : "required",
            "description" : "The status of the episode of care.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/episode-of-care-status|4.0.0"
          }
        },
        {
          "id" : "EpisodeOfCare.statusHistory.period",
          "path" : "EpisodeOfCare.statusHistory.period",
          "short" : "Duration the EpisodeOfCare was in the specified status",
          "definition" : "The period during this EpisodeOfCare that the specific status applied.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "EpisodeOfCare.type",
          "path" : "EpisodeOfCare.type",
          "short" : "Type/class  - e.g. specialist referral, disease management",
          "definition" : "A classification of the type of episode of care; e.g. specialist referral, disease management, type of funded care.",
          "comment" : "The type can be very important in processing as this could be used in determining if the EpisodeOfCare is relevant to specific government reporting, or other types of classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EpisodeOfCareType"
            }],
            "strength" : "example",
            "description" : "The type of the episode of care.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/episodeofcare-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "EpisodeOfCare.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "EpisodeOfCare.diagnosis",
          "short" : "The list of diagnosis relevant to this episode of care",
          "definition" : "The list of diagnosis relevant to this episode of care.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "EpisodeOfCare.diagnosis.condition",
          "path" : "EpisodeOfCare.diagnosis.condition",
          "short" : "Conditions/problems/diagnoses this episode of care is for",
          "definition" : "A list of conditions/problems/diagnoses that this episode of care is intended to be providing care for.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "EpisodeOfCare.diagnosis.role",
          "path" : "EpisodeOfCare.diagnosis.role",
          "short" : "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …)",
          "definition" : "Role that this diagnosis has within the episode of care (e.g. admission, billing, discharge …).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisRole"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "The type of diagnosis this condition represents.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diagnosis-role"
          }
        },
        {
          "id" : "EpisodeOfCare.diagnosis.rank",
          "path" : "EpisodeOfCare.diagnosis.rank",
          "short" : "Ranking of the diagnosis (for each role type)",
          "definition" : "Ranking of the diagnosis (for each role type).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "isSummary" : true
        },
        {
          "id" : "EpisodeOfCare.patient",
          "path" : "EpisodeOfCare.patient",
          "short" : "The patient who is the focus of this episode of care",
          "definition" : "The patient who is the focus of this episode of care.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "EpisodeOfCare.managingOrganization",
          "path" : "EpisodeOfCare.managingOrganization",
          "short" : "Organization that assumes care",
          "definition" : "The organization that has assumed the specific responsibilities for the specified duration.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          }]
        },
        {
          "id" : "EpisodeOfCare.period",
          "path" : "EpisodeOfCare.period",
          "short" : "Interval during responsibility is assumed",
          "definition" : "The interval during which the managing organization assumes the defined responsibility.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "EpisodeOfCare.referralRequest",
          "path" : "EpisodeOfCare.referralRequest",
          "short" : "Originating Referral Request(s)",
          "definition" : "Referral Request(s) that are fulfilled by this EpisodeOfCare, incoming referrals.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          }]
        },
        {
          "id" : "EpisodeOfCare.careManager",
          "path" : "EpisodeOfCare.careManager",
          "short" : "Care manager/care coordinator for the patient",
          "definition" : "The practitioner that is the care manager/care coordinator for this patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          }]
        },
        {
          "id" : "EpisodeOfCare.team",
          "path" : "EpisodeOfCare.team",
          "short" : "Other practitioners facilitating this episode of care",
          "definition" : "The list of practitioners that may be facilitating this episode of care for specific purposes.",
          "alias" : ["CareTeam"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          }]
        },
        {
          "id" : "EpisodeOfCare.account",
          "path" : "EpisodeOfCare.account",
          "short" : "The set of accounts that may be used for billing for this EpisodeOfCare",
          "definition" : "The set of accounts that may be used for billing for this EpisodeOfCare.",
          "comment" : "The billing system may choose to allocate billable items associated with the EpisodeOfCare to different referenced Accounts based on internal business rules.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/EventDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "EventDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 EventDefinition 
ITU
DomainResource
A description of when an event can occur
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this event definition, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the event definition
 version 
Σ
0..1
string
Business version of the event definition
 name 
ΣI
0..1
string
Name for this event definition (computer friendly)
 title 
Σ
0..1
string
Name for this event definition (human friendly)
 subtitle 
0..1
string
Subordinate title of the event definition
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 subject[x] 
0..1
Type of individual the event definition is focused on
Subject type (Extensible)
 subjectCodeableConcept
CodeableConcept
 subjectReference
Reference(Group)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the event definition
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for event definition (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this event definition is defined
 usage 
0..1
string
Describes the clinical usage of the event definition
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
Σ
0..1
date
When the event definition was approved by publisher
 lastReviewDate 
Σ
0..1
date
When the event definition was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the event definition is expected to be used
 topic 
0..*
CodeableConcept
E.g. Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 trigger 
Σ
1..*
TriggerDefinition
"when" the event occurs (multiple = 'or')

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Definitional Artifacts"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/EventDefinition",
      "version" : "4.0.0",
      "name" : "EventDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "The EventDefinition resource provides a reusable description of when a particular event can occur.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "EventDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "EventDefinition",
          "path" : "EventDefinition",
          "short" : "A description of when an event can occur",
          "definition" : "The EventDefinition resource provides a reusable description of when a particular event can occur.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "evd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "EventDefinition.id",
          "path" : "EventDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EventDefinition.meta",
          "path" : "EventDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EventDefinition.implicitRules",
          "path" : "EventDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "EventDefinition.language",
          "path" : "EventDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "EventDefinition.text",
          "path" : "EventDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "EventDefinition.contained",
          "path" : "EventDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EventDefinition.extension",
          "path" : "EventDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EventDefinition.modifierExtension",
          "path" : "EventDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EventDefinition.url",
          "path" : "EventDefinition.url",
          "short" : "Canonical identifier for this event definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this event definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this event definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the event definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the event definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "EventDefinition.identifier",
          "path" : "EventDefinition.identifier",
          "short" : "Additional identifier for the event definition",
          "definition" : "A formal identifier that is used to identify this event definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this event definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.version",
          "path" : "EventDefinition.version",
          "short" : "Business version of the event definition",
          "definition" : "The identifier that is used to identify this version of the event definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the event definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different event definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the event definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "EventDefinition.name",
          "path" : "EventDefinition.name",
          "short" : "Name for this event definition (computer friendly)",
          "definition" : "A natural language name identifying the event definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EventDefinition.title",
          "path" : "EventDefinition.title",
          "short" : "Name for this event definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the event definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "EventDefinition.subtitle",
          "path" : "EventDefinition.subtitle",
          "short" : "Subordinate title of the event definition",
          "definition" : "An explanatory or alternate title for the event definition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EventDefinition.status",
          "path" : "EventDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this event definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of event definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "EventDefinition.experimental",
          "path" : "EventDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this event definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of event definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level event definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "EventDefinition.subject[x]",
          "path" : "EventDefinition.subject[x]",
          "short" : "Type of individual the event definition is focused on",
          "definition" : "A code or group definition that describes the intended subject of the event definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.subject[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for an event (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "EventDefinition.date",
          "path" : "EventDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the event definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the event definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the event definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "EventDefinition.publisher",
          "path" : "EventDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the event definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the event definition is the organization or individual primarily responsible for the maintenance and upkeep of the event definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the event definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the event definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "EventDefinition.contact",
          "path" : "EventDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "EventDefinition.description",
          "path" : "EventDefinition.description",
          "short" : "Natural language description of the event definition",
          "definition" : "A free text natural language description of the event definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the event definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the event definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the event definition is presumed to be the predominant language in the place the event definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "EventDefinition.useContext",
          "path" : "EventDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate event definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "EventDefinition.jurisdiction",
          "path" : "EventDefinition.jurisdiction",
          "short" : "Intended jurisdiction for event definition (if applicable)",
          "definition" : "A legal or geographic region in which the event definition is intended to be used.",
          "comment" : "It may be possible for the event definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "EventDefinition.purpose",
          "path" : "EventDefinition.purpose",
          "short" : "Why this event definition is defined",
          "definition" : "Explanation of why this event definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the event definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this event definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.usage",
          "path" : "EventDefinition.usage",
          "short" : "Describes the clinical usage of the event definition",
          "definition" : "A detailed description of how the event definition is used from a clinical perspective.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.usage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EventDefinition.copyright",
          "path" : "EventDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the event definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the event definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the event definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.approvalDate",
          "path" : "EventDefinition.approvalDate",
          "short" : "When the event definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.lastReviewDate",
          "path" : "EventDefinition.lastReviewDate",
          "short" : "When the event definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.effectivePeriod",
          "path" : "EventDefinition.effectivePeriod",
          "short" : "When the event definition is expected to be used",
          "definition" : "The period during which the event definition content was or is planned to be in active use.",
          "comment" : "The effective period for a event definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the event definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EventDefinition.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.topic",
          "path" : "EventDefinition.topic",
          "short" : "E.g. Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the module. Topics provide a high-level categorization of the module that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the module so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "EventDefinition.author",
          "path" : "EventDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "EventDefinition.editor",
          "path" : "EventDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EventDefinition.reviewer",
          "path" : "EventDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EventDefinition.endorser",
          "path" : "EventDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EventDefinition.relatedArtifact",
          "path" : "EventDefinition.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related resources such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related resource is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Modules must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EventDefinition.trigger",
          "path" : "EventDefinition.trigger",
          "short" : "\"when\" the event occurs (multiple = 'or')",
          "definition" : "The trigger element defines when the event occurs. If more than one trigger condition is specified, the event fires whenever any one of the trigger conditions is met.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "EventDefinition.trigger",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "TriggerDefinition"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "EventDefinition",
          "path" : "EventDefinition",
          "short" : "A description of when an event can occur",
          "definition" : "The EventDefinition resource provides a reusable description of when a particular event can occur.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "evd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "EventDefinition.url",
          "path" : "EventDefinition.url",
          "short" : "Canonical identifier for this event definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this event definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this event definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the event definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the event definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "EventDefinition.identifier",
          "path" : "EventDefinition.identifier",
          "short" : "Additional identifier for the event definition",
          "definition" : "A formal identifier that is used to identify this event definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this event definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.version",
          "path" : "EventDefinition.version",
          "short" : "Business version of the event definition",
          "definition" : "The identifier that is used to identify this version of the event definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the event definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different event definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the event definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "EventDefinition.name",
          "path" : "EventDefinition.name",
          "short" : "Name for this event definition (computer friendly)",
          "definition" : "A natural language name identifying the event definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "EventDefinition.title",
          "path" : "EventDefinition.title",
          "short" : "Name for this event definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the event definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "EventDefinition.subtitle",
          "path" : "EventDefinition.subtitle",
          "short" : "Subordinate title of the event definition",
          "definition" : "An explanatory or alternate title for the event definition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "EventDefinition.status",
          "path" : "EventDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this event definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of event definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "EventDefinition.experimental",
          "path" : "EventDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this event definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of event definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level event definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "EventDefinition.subject[x]",
          "path" : "EventDefinition.subject[x]",
          "short" : "Type of individual the event definition is focused on",
          "definition" : "A code or group definition that describes the intended subject of the event definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for an event (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "EventDefinition.date",
          "path" : "EventDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the event definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the event definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the event definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "EventDefinition.publisher",
          "path" : "EventDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the event definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the event definition is the organization or individual primarily responsible for the maintenance and upkeep of the event definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the event definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the event definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "EventDefinition.contact",
          "path" : "EventDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "EventDefinition.description",
          "path" : "EventDefinition.description",
          "short" : "Natural language description of the event definition",
          "definition" : "A free text natural language description of the event definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the event definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the event definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the event definition is presumed to be the predominant language in the place the event definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "EventDefinition.useContext",
          "path" : "EventDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate event definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "EventDefinition.jurisdiction",
          "path" : "EventDefinition.jurisdiction",
          "short" : "Intended jurisdiction for event definition (if applicable)",
          "definition" : "A legal or geographic region in which the event definition is intended to be used.",
          "comment" : "It may be possible for the event definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "EventDefinition.purpose",
          "path" : "EventDefinition.purpose",
          "short" : "Why this event definition is defined",
          "definition" : "Explanation of why this event definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the event definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this event definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.usage",
          "path" : "EventDefinition.usage",
          "short" : "Describes the clinical usage of the event definition",
          "definition" : "A detailed description of how the event definition is used from a clinical perspective.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "EventDefinition.copyright",
          "path" : "EventDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the event definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the event definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the event definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.approvalDate",
          "path" : "EventDefinition.approvalDate",
          "short" : "When the event definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.lastReviewDate",
          "path" : "EventDefinition.lastReviewDate",
          "short" : "When the event definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.effectivePeriod",
          "path" : "EventDefinition.effectivePeriod",
          "short" : "When the event definition is expected to be used",
          "definition" : "The period during which the event definition content was or is planned to be in active use.",
          "comment" : "The effective period for a event definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the event definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EventDefinition.topic",
          "path" : "EventDefinition.topic",
          "short" : "E.g. Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the module. Topics provide a high-level categorization of the module that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the module so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "EventDefinition.author",
          "path" : "EventDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "EventDefinition.editor",
          "path" : "EventDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "EventDefinition.reviewer",
          "path" : "EventDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EventDefinition.endorser",
          "path" : "EventDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EventDefinition.relatedArtifact",
          "path" : "EventDefinition.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related resources such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related resource is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Modules must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "EventDefinition.trigger",
          "path" : "EventDefinition.trigger",
          "short" : "\"when\" the event occurs (multiple = 'or')",
          "definition" : "The trigger element defines when the event occurs. If more than one trigger condition is specified, the event fires whenever any one of the trigger conditions is met.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "TriggerDefinition"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Evidence",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Evidence",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Evidence 
ITU
DomainResource
A research context or question
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this evidence, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the evidence
 version 
Σ
0..1
string
Business version of the evidence
 name 
ΣI
0..1
string
Name for this evidence (computer friendly)
 title 
Σ
0..1
string
Name for this evidence (human friendly)
 shortTitle 
0..1
string
Title for use in informal contexts
 subtitle 
0..1
string
Subordinate title of the Evidence
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the evidence
 note 
0..*
Annotation
Used for footnotes or explanatory notes
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for evidence (if applicable)
Jurisdiction (Extensible)
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the evidence was approved by publisher
 lastReviewDate 
0..1
date
When the evidence was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the evidence is expected to be used
 topic 
0..*
CodeableConcept
The category of the Evidence, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 exposureBackground 
Σ
1..1
Reference(EvidenceVariable)
What population?
 exposureVariant 
Σ
0..*
Reference(EvidenceVariable)
What exposure?
 outcome 
Σ
0..*
Reference(EvidenceVariable)
What outcome?

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Evidence-Based Medicine"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Evidence",
      "version" : "4.0.0",
      "name" : "Evidence",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "The Evidence resource describes the conditional state (population and any exposures being compared within the population) and outcome (if specified) that the knowledge (evidence, assertion, recommendation) is about.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Evidence",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Evidence",
          "path" : "Evidence",
          "short" : "A research context or question",
          "definition" : "The Evidence resource describes the conditional state (population and any exposures being compared within the population) and outcome (if specified) that the knowledge (evidence, assertion, recommendation) is about.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "evi-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "Evidence.id",
          "path" : "Evidence.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Evidence.meta",
          "path" : "Evidence.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Evidence.implicitRules",
          "path" : "Evidence.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Evidence.language",
          "path" : "Evidence.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Evidence.text",
          "path" : "Evidence.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Evidence.contained",
          "path" : "Evidence.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Evidence.extension",
          "path" : "Evidence.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Evidence.modifierExtension",
          "path" : "Evidence.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Evidence.url",
          "path" : "Evidence.url",
          "short" : "Canonical identifier for this evidence, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the evidence to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Evidence.identifier",
          "path" : "Evidence.identifier",
          "short" : "Additional identifier for the evidence",
          "definition" : "A formal identifier that is used to identify this evidence when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this evidence outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.version",
          "path" : "Evidence.version",
          "short" : "Business version of the evidence",
          "definition" : "The identifier that is used to identify this version of the evidence when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different evidence instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the evidence with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "Evidence.name",
          "path" : "Evidence.name",
          "short" : "Name for this evidence (computer friendly)",
          "definition" : "A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Evidence.title",
          "path" : "Evidence.title",
          "short" : "Name for this evidence (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the evidence.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "Evidence.shortTitle",
          "path" : "Evidence.shortTitle",
          "short" : "Title for use in informal contexts",
          "definition" : "The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.",
          "requirements" : "Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.shortTitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Evidence.subtitle",
          "path" : "Evidence.subtitle",
          "short" : "Subordinate title of the Evidence",
          "definition" : "An explanatory or alternate title for the Evidence giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Evidence.status",
          "path" : "Evidence.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this evidence. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of evidences that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Evidence.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Evidence.date",
          "path" : "Evidence.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the evidence was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the evidence. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "Evidence.publisher",
          "path" : "Evidence.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the evidence.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the evidence is the organization or individual primarily responsible for the maintenance and upkeep of the evidence. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the evidence.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "Evidence.contact",
          "path" : "Evidence.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "Evidence.description",
          "path" : "Evidence.description",
          "short" : "Natural language description of the evidence",
          "definition" : "A free text natural language description of the evidence from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the evidence was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence is presumed to be the predominant language in the place the evidence was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "Evidence.note",
          "path" : "Evidence.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Evidence.useContext",
          "path" : "Evidence.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "Evidence.jurisdiction",
          "path" : "Evidence.jurisdiction",
          "short" : "Intended jurisdiction for evidence (if applicable)",
          "definition" : "A legal or geographic region in which the evidence is intended to be used.",
          "comment" : "It may be possible for the evidence to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "Evidence.copyright",
          "path" : "Evidence.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the evidence and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the evidence and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.approvalDate",
          "path" : "Evidence.approvalDate",
          "short" : "When the evidence was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.lastReviewDate",
          "path" : "Evidence.lastReviewDate",
          "short" : "When the evidence was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.effectivePeriod",
          "path" : "Evidence.effectivePeriod",
          "short" : "When the evidence is expected to be used",
          "definition" : "The period during which the evidence content was or is planned to be in active use.",
          "comment" : "The effective period for a evidence  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the evidence are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Evidence.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.topic",
          "path" : "Evidence.topic",
          "short" : "The category of the Evidence, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the Evidence. Topics provide a high-level categorization grouping types of Evidences that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the Evidence so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "Evidence.author",
          "path" : "Evidence.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "Evidence.editor",
          "path" : "Evidence.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Evidence.reviewer",
          "path" : "Evidence.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Evidence.endorser",
          "path" : "Evidence.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Evidence.relatedArtifact",
          "path" : "Evidence.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Evidences must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Evidence.exposureBackground",
          "path" : "Evidence.exposureBackground",
          "short" : "What population?",
          "definition" : "A reference to a EvidenceVariable resource that defines the population for the research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Evidence.exposureBackground",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Evidence.exposureVariant",
          "path" : "Evidence.exposureVariant",
          "short" : "What exposure?",
          "definition" : "A reference to a EvidenceVariable resource that defines the exposure for the research.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.exposureVariant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Evidence.outcome",
          "path" : "Evidence.outcome",
          "short" : "What outcome?",
          "definition" : "A reference to a EvidenceVariable resomece that defines the outcome for the research.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Evidence.outcome",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Evidence",
          "path" : "Evidence",
          "short" : "A research context or question",
          "definition" : "The Evidence resource describes the conditional state (population and any exposures being compared within the population) and outcome (if specified) that the knowledge (evidence, assertion, recommendation) is about.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "evi-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "Evidence.url",
          "path" : "Evidence.url",
          "short" : "Canonical identifier for this evidence, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this evidence when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the evidence to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Evidence.identifier",
          "path" : "Evidence.identifier",
          "short" : "Additional identifier for the evidence",
          "definition" : "A formal identifier that is used to identify this evidence when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this evidence outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.version",
          "path" : "Evidence.version",
          "short" : "Business version of the evidence",
          "definition" : "The identifier that is used to identify this version of the evidence when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different evidence instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the evidence with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "Evidence.name",
          "path" : "Evidence.name",
          "short" : "Name for this evidence (computer friendly)",
          "definition" : "A natural language name identifying the evidence. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "Evidence.title",
          "path" : "Evidence.title",
          "short" : "Name for this evidence (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the evidence.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "Evidence.shortTitle",
          "path" : "Evidence.shortTitle",
          "short" : "Title for use in informal contexts",
          "definition" : "The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.",
          "requirements" : "Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Evidence.subtitle",
          "path" : "Evidence.subtitle",
          "short" : "Subordinate title of the Evidence",
          "definition" : "An explanatory or alternate title for the Evidence giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Evidence.status",
          "path" : "Evidence.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this evidence. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of evidences that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Evidence.date",
          "path" : "Evidence.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the evidence was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the evidence. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "Evidence.publisher",
          "path" : "Evidence.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the evidence.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the evidence is the organization or individual primarily responsible for the maintenance and upkeep of the evidence. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the evidence.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "Evidence.contact",
          "path" : "Evidence.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "Evidence.description",
          "path" : "Evidence.description",
          "short" : "Natural language description of the evidence",
          "definition" : "A free text natural language description of the evidence from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the evidence was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence is presumed to be the predominant language in the place the evidence was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "Evidence.note",
          "path" : "Evidence.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        },
        {
          "id" : "Evidence.useContext",
          "path" : "Evidence.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "Evidence.jurisdiction",
          "path" : "Evidence.jurisdiction",
          "short" : "Intended jurisdiction for evidence (if applicable)",
          "definition" : "A legal or geographic region in which the evidence is intended to be used.",
          "comment" : "It may be possible for the evidence to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "Evidence.copyright",
          "path" : "Evidence.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the evidence and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the evidence and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.approvalDate",
          "path" : "Evidence.approvalDate",
          "short" : "When the evidence was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.lastReviewDate",
          "path" : "Evidence.lastReviewDate",
          "short" : "When the evidence was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.effectivePeriod",
          "path" : "Evidence.effectivePeriod",
          "short" : "When the evidence is expected to be used",
          "definition" : "The period during which the evidence content was or is planned to be in active use.",
          "comment" : "The effective period for a evidence  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the evidence are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Evidence.topic",
          "path" : "Evidence.topic",
          "short" : "The category of the Evidence, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the Evidence. Topics provide a high-level categorization grouping types of Evidences that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the Evidence so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "Evidence.author",
          "path" : "Evidence.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "Evidence.editor",
          "path" : "Evidence.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "Evidence.reviewer",
          "path" : "Evidence.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Evidence.endorser",
          "path" : "Evidence.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Evidence.relatedArtifact",
          "path" : "Evidence.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Evidences must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "Evidence.exposureBackground",
          "path" : "Evidence.exposureBackground",
          "short" : "What population?",
          "definition" : "A reference to a EvidenceVariable resource that defines the population for the research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "Evidence.exposureVariant",
          "path" : "Evidence.exposureVariant",
          "short" : "What exposure?",
          "definition" : "A reference to a EvidenceVariable resource that defines the exposure for the research.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "Evidence.outcome",
          "path" : "Evidence.outcome",
          "short" : "What outcome?",
          "definition" : "A reference to a EvidenceVariable resomece that defines the outcome for the research.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/EvidenceVariable",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "EvidenceVariable",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 EvidenceVariable 
ITU
DomainResource
A population, intervention, or exposure definition
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this evidence variable, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the evidence variable
 version 
Σ
0..1
string
Business version of the evidence variable
 name 
ΣI
0..1
string
Name for this evidence variable (computer friendly)
 title 
Σ
0..1
string
Name for this evidence variable (human friendly)
 shortTitle 
Σ
0..1
string
Title for use in informal contexts
 subtitle 
0..1
string
Subordinate title of the EvidenceVariable
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the evidence variable
 note 
0..*
Annotation
Used for footnotes or explanatory notes
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for evidence variable (if applicable)
Jurisdiction (Extensible)
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the evidence variable was approved by publisher
 lastReviewDate 
0..1
date
When the evidence variable was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the evidence variable is expected to be used
 topic 
0..*
CodeableConcept
The category of the EvidenceVariable, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 type 
Σ
0..1
code
dichotomous | continuous | descriptive
EvidenceVariableType (Required)
 characteristic 
Σ
1..*
BackboneElement
What defines the members of the evidence element
 description 
0..1
string
Natural language description of the characteristic
 definition[x] 
Σ
1..1
What code or expression defines members?
 definitionReference
Reference(Group)
 definitionCanonical
canonical(ActivityDefinition)
 definitionCodeableConcept
CodeableConcept
 definitionExpression
Expression
 definitionDataRequirement
DataRequirement
 definitionTriggerDefinition
TriggerDefinition
 usageContext 
0..*
UsageContext
What code/value pairs define members?
 exclude 
0..1
boolean
Whether the characteristic includes or excludes members
 participantEffective[x] 
0..1
What time period do participants cover
 participantEffectiveDateTime
dateTime
 participantEffectivePeriod
Period
 participantEffectiveDuration
Duration
 participantEffectiveTiming
Timing
 timeFromStart 
0..1
Duration
Observation time from study start
 groupMeasure 
0..1
code
mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median
GroupMeasure (Required)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Evidence-Based Medicine"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/EvidenceVariable",
      "version" : "4.0.0",
      "name" : "EvidenceVariable",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "The EvidenceVariable resource describes a \"PICO\" element that knowledge (evidence, assertion, recommendation) is about.",
      "purpose" : "Need to be able to define and reuse the definition of individual elements of a research question.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "EvidenceVariable",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "EvidenceVariable",
          "path" : "EvidenceVariable",
          "short" : "A population, intervention, or exposure definition",
          "definition" : "The EvidenceVariable resource describes a \"PICO\" element that knowledge (evidence, assertion, recommendation) is about.",
          "comment" : "PICO stands for Population (the population within which exposures are being compared), Intervention (the conditional state or exposure state being described for its effect on outcomes), Comparison (the alternative conditional state or alternative exposure state being compared against), and Outcome (the result or effect of the intervention in the population).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "evv-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "EvidenceVariable.id",
          "path" : "EvidenceVariable.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.meta",
          "path" : "EvidenceVariable.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.implicitRules",
          "path" : "EvidenceVariable.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.language",
          "path" : "EvidenceVariable.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "EvidenceVariable.text",
          "path" : "EvidenceVariable.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "EvidenceVariable.contained",
          "path" : "EvidenceVariable.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EvidenceVariable.extension",
          "path" : "EvidenceVariable.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EvidenceVariable.modifierExtension",
          "path" : "EvidenceVariable.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EvidenceVariable.url",
          "path" : "EvidenceVariable.url",
          "short" : "Canonical identifier for this evidence variable, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this evidence variable when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence variable is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence variable is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the evidence variable to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "EvidenceVariable.identifier",
          "path" : "EvidenceVariable.identifier",
          "short" : "Additional identifier for the evidence variable",
          "definition" : "A formal identifier that is used to identify this evidence variable when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this evidence variable outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.version",
          "path" : "EvidenceVariable.version",
          "short" : "Business version of the evidence variable",
          "definition" : "The identifier that is used to identify this version of the evidence variable when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence variable author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different evidence variable instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the evidence variable with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "EvidenceVariable.name",
          "path" : "EvidenceVariable.name",
          "short" : "Name for this evidence variable (computer friendly)",
          "definition" : "A natural language name identifying the evidence variable. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.title",
          "path" : "EvidenceVariable.title",
          "short" : "Name for this evidence variable (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the evidence variable.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "EvidenceVariable.shortTitle",
          "path" : "EvidenceVariable.shortTitle",
          "short" : "Title for use in informal contexts",
          "definition" : "The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.",
          "requirements" : "Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.shortTitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.subtitle",
          "path" : "EvidenceVariable.subtitle",
          "short" : "Subordinate title of the EvidenceVariable",
          "definition" : "An explanatory or alternate title for the EvidenceVariable giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.status",
          "path" : "EvidenceVariable.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this evidence variable. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of evidence variables that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "EvidenceVariable.date",
          "path" : "EvidenceVariable.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the evidence variable was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence variable changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the evidence variable. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "EvidenceVariable.publisher",
          "path" : "EvidenceVariable.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the evidence variable.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the evidence variable is the organization or individual primarily responsible for the maintenance and upkeep of the evidence variable. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence variable. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the evidence variable.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "EvidenceVariable.contact",
          "path" : "EvidenceVariable.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "EvidenceVariable.description",
          "path" : "EvidenceVariable.description",
          "short" : "Natural language description of the evidence variable",
          "definition" : "A free text natural language description of the evidence variable from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the evidence variable was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence variable as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence variable is presumed to be the predominant language in the place the evidence variable was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "EvidenceVariable.note",
          "path" : "EvidenceVariable.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.useContext",
          "path" : "EvidenceVariable.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence variable instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "EvidenceVariable.jurisdiction",
          "path" : "EvidenceVariable.jurisdiction",
          "short" : "Intended jurisdiction for evidence variable (if applicable)",
          "definition" : "A legal or geographic region in which the evidence variable is intended to be used.",
          "comment" : "It may be possible for the evidence variable to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "EvidenceVariable.copyright",
          "path" : "EvidenceVariable.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the evidence variable and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence variable.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the evidence variable and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.approvalDate",
          "path" : "EvidenceVariable.approvalDate",
          "short" : "When the evidence variable was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.lastReviewDate",
          "path" : "EvidenceVariable.lastReviewDate",
          "short" : "When the evidence variable was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.effectivePeriod",
          "path" : "EvidenceVariable.effectivePeriod",
          "short" : "When the evidence variable is expected to be used",
          "definition" : "The period during which the evidence variable content was or is planned to be in active use.",
          "comment" : "The effective period for a evidence variable  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the evidence variable are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.topic",
          "path" : "EvidenceVariable.topic",
          "short" : "The category of the EvidenceVariable, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the EvidenceVariable. Topics provide a high-level categorization grouping types of EvidenceVariables that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the EvidenceVariable so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "EvidenceVariable.author",
          "path" : "EvidenceVariable.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "EvidenceVariable.editor",
          "path" : "EvidenceVariable.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.reviewer",
          "path" : "EvidenceVariable.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EvidenceVariable.endorser",
          "path" : "EvidenceVariable.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EvidenceVariable.relatedArtifact",
          "path" : "EvidenceVariable.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "EvidenceVariables must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.type",
          "path" : "EvidenceVariable.type",
          "short" : "dichotomous | continuous | descriptive",
          "definition" : "The type of evidence element, a population, an exposure, or an outcome.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvidenceVariableType"
            }],
            "strength" : "required",
            "description" : "The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/variable-type|4.0.0"
          }
        },
        {
          "id" : "EvidenceVariable.characteristic",
          "path" : "EvidenceVariable.characteristic",
          "short" : "What defines the members of the evidence element",
          "definition" : "A characteristic that defines the members of the evidence element. Multiple characteristics are applied with \"and\" semantics.",
          "comment" : "Characteristics can be defined flexibly to accommodate different use cases for membership criteria, ranging from simple codes, all the way to using an expression language to express the criteria.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.characteristic",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.characteristic.id",
          "path" : "EvidenceVariable.characteristic.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EvidenceVariable.characteristic.extension",
          "path" : "EvidenceVariable.characteristic.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "EvidenceVariable.characteristic.modifierExtension",
          "path" : "EvidenceVariable.characteristic.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "EvidenceVariable.characteristic.description",
          "path" : "EvidenceVariable.characteristic.description",
          "short" : "Natural language description of the characteristic",
          "definition" : "A short, natural language description of the characteristic that could be used to communicate the criteria to an end-user.",
          "requirements" : "Need to be able to describe characteristics in natural language so that end users can understand the criteria.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.characteristic.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.characteristic.definition[x]",
          "path" : "EvidenceVariable.characteristic.definition[x]",
          "short" : "What code or expression defines members?",
          "definition" : "Define members of the evidence element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year).",
          "requirements" : "Need to be able to define members in simple codes when the membership aligns well with terminology, with common criteria such as observations in a value set or lab tests within a year, or with expression language to support criteria that do not fit in the above.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.characteristic.definition[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition"]
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "TriggerDefinition"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.characteristic.usageContext",
          "path" : "EvidenceVariable.characteristic.usageContext",
          "short" : "What code/value pairs define members?",
          "definition" : "Use UsageContext to define the members of the population, such as Age Ranges, Genders, Settings.",
          "requirements" : "Need to be able to define members more structurally when more information can be communicated such as age range.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "EvidenceVariable.characteristic.usageContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.characteristic.exclude",
          "path" : "EvidenceVariable.characteristic.exclude",
          "short" : "Whether the characteristic includes or excludes members",
          "definition" : "When true, members with this characteristic are excluded from the element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.characteristic.exclude",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "False",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.characteristic.participantEffective[x]",
          "path" : "EvidenceVariable.characteristic.participantEffective[x]",
          "short" : "What time period do participants cover",
          "definition" : "Indicates what effective period the study covers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.characteristic.participantEffective[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.characteristic.timeFromStart",
          "path" : "EvidenceVariable.characteristic.timeFromStart",
          "short" : "Observation time from study start",
          "definition" : "Indicates duration from the participant's study entry.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.characteristic.timeFromStart",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "EvidenceVariable.characteristic.groupMeasure",
          "path" : "EvidenceVariable.characteristic.groupMeasure",
          "short" : "mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median",
          "definition" : "Indicates how elements are aggregated within the study effective period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "EvidenceVariable.characteristic.groupMeasure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupMeasure"
            }],
            "strength" : "required",
            "description" : "Possible group measure aggregates (E.g. Mean, Median).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/group-measure|4.0.0"
          }
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "EvidenceVariable",
          "path" : "EvidenceVariable",
          "short" : "A population, intervention, or exposure definition",
          "definition" : "The EvidenceVariable resource describes a \"PICO\" element that knowledge (evidence, assertion, recommendation) is about.",
          "comment" : "PICO stands for Population (the population within which exposures are being compared), Intervention (the conditional state or exposure state being described for its effect on outcomes), Comparison (the alternative conditional state or alternative exposure state being compared against), and Outcome (the result or effect of the intervention in the population).",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "evv-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "EvidenceVariable.url",
          "path" : "EvidenceVariable.url",
          "short" : "Canonical identifier for this evidence variable, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this evidence variable when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this evidence variable is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the evidence variable is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the evidence variable to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "EvidenceVariable.identifier",
          "path" : "EvidenceVariable.identifier",
          "short" : "Additional identifier for the evidence variable",
          "definition" : "A formal identifier that is used to identify this evidence variable when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this evidence variable outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.version",
          "path" : "EvidenceVariable.version",
          "short" : "Business version of the evidence variable",
          "definition" : "The identifier that is used to identify this version of the evidence variable when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the evidence variable author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different evidence variable instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the evidence variable with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "EvidenceVariable.name",
          "path" : "EvidenceVariable.name",
          "short" : "Name for this evidence variable (computer friendly)",
          "definition" : "A natural language name identifying the evidence variable. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.title",
          "path" : "EvidenceVariable.title",
          "short" : "Name for this evidence variable (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the evidence variable.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "EvidenceVariable.shortTitle",
          "path" : "EvidenceVariable.shortTitle",
          "short" : "Title for use in informal contexts",
          "definition" : "The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.",
          "requirements" : "Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.subtitle",
          "path" : "EvidenceVariable.subtitle",
          "short" : "Subordinate title of the EvidenceVariable",
          "definition" : "An explanatory or alternate title for the EvidenceVariable giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "EvidenceVariable.status",
          "path" : "EvidenceVariable.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this evidence variable. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of evidence variables that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "EvidenceVariable.date",
          "path" : "EvidenceVariable.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the evidence variable was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the evidence variable changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the evidence variable. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "EvidenceVariable.publisher",
          "path" : "EvidenceVariable.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the evidence variable.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the evidence variable is the organization or individual primarily responsible for the maintenance and upkeep of the evidence variable. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the evidence variable. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the evidence variable.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "EvidenceVariable.contact",
          "path" : "EvidenceVariable.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "EvidenceVariable.description",
          "path" : "EvidenceVariable.description",
          "short" : "Natural language description of the evidence variable",
          "definition" : "A free text natural language description of the evidence variable from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the evidence variable was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the evidence variable as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the evidence variable is presumed to be the predominant language in the place the evidence variable was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "EvidenceVariable.note",
          "path" : "EvidenceVariable.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        },
        {
          "id" : "EvidenceVariable.useContext",
          "path" : "EvidenceVariable.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate evidence variable instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "EvidenceVariable.jurisdiction",
          "path" : "EvidenceVariable.jurisdiction",
          "short" : "Intended jurisdiction for evidence variable (if applicable)",
          "definition" : "A legal or geographic region in which the evidence variable is intended to be used.",
          "comment" : "It may be possible for the evidence variable to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "EvidenceVariable.copyright",
          "path" : "EvidenceVariable.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the evidence variable and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the evidence variable.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the evidence variable and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.approvalDate",
          "path" : "EvidenceVariable.approvalDate",
          "short" : "When the evidence variable was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.lastReviewDate",
          "path" : "EvidenceVariable.lastReviewDate",
          "short" : "When the evidence variable was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.effectivePeriod",
          "path" : "EvidenceVariable.effectivePeriod",
          "short" : "When the evidence variable is expected to be used",
          "definition" : "The period during which the evidence variable content was or is planned to be in active use.",
          "comment" : "The effective period for a evidence variable  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the evidence variable are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "EvidenceVariable.topic",
          "path" : "EvidenceVariable.topic",
          "short" : "The category of the EvidenceVariable, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the EvidenceVariable. Topics provide a high-level categorization grouping types of EvidenceVariables that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the EvidenceVariable so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "EvidenceVariable.author",
          "path" : "EvidenceVariable.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "EvidenceVariable.editor",
          "path" : "EvidenceVariable.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "EvidenceVariable.reviewer",
          "path" : "EvidenceVariable.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EvidenceVariable.endorser",
          "path" : "EvidenceVariable.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "EvidenceVariable.relatedArtifact",
          "path" : "EvidenceVariable.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "EvidenceVariables must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "EvidenceVariable.type",
          "path" : "EvidenceVariable.type",
          "short" : "dichotomous | continuous | descriptive",
          "definition" : "The type of evidence element, a population, an exposure, or an outcome.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvidenceVariableType"
            }],
            "strength" : "required",
            "description" : "The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/variable-type|4.0.0"
          }
        },
        {
          "id" : "EvidenceVariable.characteristic",
          "path" : "EvidenceVariable.characteristic",
          "short" : "What defines the members of the evidence element",
          "definition" : "A characteristic that defines the members of the evidence element. Multiple characteristics are applied with \"and\" semantics.",
          "comment" : "Characteristics can be defined flexibly to accommodate different use cases for membership criteria, ranging from simple codes, all the way to using an expression language to express the criteria.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.characteristic.description",
          "path" : "EvidenceVariable.characteristic.description",
          "short" : "Natural language description of the characteristic",
          "definition" : "A short, natural language description of the characteristic that could be used to communicate the criteria to an end-user.",
          "requirements" : "Need to be able to describe characteristics in natural language so that end users can understand the criteria.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "EvidenceVariable.characteristic.definition[x]",
          "path" : "EvidenceVariable.characteristic.definition[x]",
          "short" : "What code or expression defines members?",
          "definition" : "Define members of the evidence element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year).",
          "requirements" : "Need to be able to define members in simple codes when the membership aligns well with terminology, with common criteria such as observations in a value set or lab tests within a year, or with expression language to support criteria that do not fit in the above.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition"]
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "TriggerDefinition"
          }],
          "isSummary" : true
        },
        {
          "id" : "EvidenceVariable.characteristic.usageContext",
          "path" : "EvidenceVariable.characteristic.usageContext",
          "short" : "What code/value pairs define members?",
          "definition" : "Use UsageContext to define the members of the population, such as Age Ranges, Genders, Settings.",
          "requirements" : "Need to be able to define members more structurally when more information can be communicated such as age range.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }]
        },
        {
          "id" : "EvidenceVariable.characteristic.exclude",
          "path" : "EvidenceVariable.characteristic.exclude",
          "short" : "Whether the characteristic includes or excludes members",
          "definition" : "When true, members with this characteristic are excluded from the element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "False"
        },
        {
          "id" : "EvidenceVariable.characteristic.participantEffective[x]",
          "path" : "EvidenceVariable.characteristic.participantEffective[x]",
          "short" : "What time period do participants cover",
          "definition" : "Indicates what effective period the study covers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Timing"
          }]
        },
        {
          "id" : "EvidenceVariable.characteristic.timeFromStart",
          "path" : "EvidenceVariable.characteristic.timeFromStart",
          "short" : "Observation time from study start",
          "definition" : "Indicates duration from the participant's study entry.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }]
        },
        {
          "id" : "EvidenceVariable.characteristic.groupMeasure",
          "path" : "EvidenceVariable.characteristic.groupMeasure",
          "short" : "mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median",
          "definition" : "Indicates how elements are aggregated within the study effective period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupMeasure"
            }],
            "strength" : "required",
            "description" : "Possible group measure aggregates (E.g. Mean, Median).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/group-measure|4.0.0"
          }
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ExampleScenario",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ExampleScenario",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ExampleScenario 
ITU
DomainResource
Example of workflow instance
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this example scenario, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the example scenario
 version 
Σ
0..1
string
Business version of the example scenario
 name 
ΣI
0..1
string
Name for this example scenario (computer friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for example scenario (if applicable)
Jurisdiction (Extensible)
 copyright 
0..1
markdown
Use and/or publishing restrictions
 purpose 
0..1
markdown
The purpose of the example, e.g. to illustrate a scenario
 actor 
0..*
BackboneElement
Actor participating in the resource
 actorId 
1..1
string
ID or acronym of the actor
 type 
1..1
code
person | entity
ExampleScenarioActorType (Required)
 name 
0..1
string
The name of the actor as shown in the page
 description 
0..1
markdown
The description of the actor
 instance 
0..*
BackboneElement
Each resource and each version that is present in the workflow
 resourceId 
1..1
string
The id of the resource for referencing
 resourceType 
1..1
code
The type of the resource
ResourceType (Required)
 name 
0..1
string
A short name for the resource instance
 description 
0..1
markdown
Human-friendly description of the resource instance
 version 
0..*
BackboneElement
A specific version of the resource
 versionId 
1..1
string
The identifier of a specific version of a resource
 description 
1..1
markdown
The description of the resource version
 containedInstance 
0..*
BackboneElement
Resources contained in the instance
 resourceId 
1..1
string
Each resource contained in the instance
 versionId 
0..1
string
A specific version of a resource contained in the instance
 process 
0..*
BackboneElement
Each major process - a group of operations
 title 
Σ
1..1
string
The diagram title of the group of operations
 description 
0..1
markdown
A longer description of the group of operations
 preConditions 
0..1
markdown
Description of initial status before the process starts
 postConditions 
0..1
markdown
Description of final status after the process ends
 step 
0..*
BackboneElement
Each step of the process
 process 
0..*
see process
Nested process
 pause 
0..1
boolean
If there is a pause in the flow
 operation 
0..1
BackboneElement
Each interaction or action
 number 
1..1
string
The sequential number of the interaction
 type 
0..1
string
The type of operation - CRUD
 name 
0..1
string
The human-friendly name of the interaction
 initiator 
0..1
string
Who starts the transaction
 receiver 
0..1
string
Who receives the transaction
 description 
0..1
markdown
A comment to be inserted in the diagram
 initiatorActive 
0..1
boolean
Whether the initiator is deactivated right after the transaction
 receiverActive 
0..1
boolean
Whether the receiver is deactivated right after the transaction
 request 
0..1
see containedInstance
Each resource instance used by the initiator
 response 
0..1
see containedInstance
Each resource instance used by the responder
 alternative 
0..*
BackboneElement
Alternate non-typical step action
 title 
1..1
string
Label for alternative
 description 
0..1
markdown
A human-readable description of each option
 step 
0..*
see step
What happens in each alternative option
 workflow 
0..*
canonical(ExampleScenario)
Another nested workflow

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ExampleScenario",
      "version" : "4.0.0",
      "name" : "ExampleScenario",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "Example of workflow instance.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ExampleScenario",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ExampleScenario",
          "path" : "ExampleScenario",
          "short" : "Example of workflow instance",
          "definition" : "Example of workflow instance.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "esc-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "ExampleScenario.id",
          "path" : "ExampleScenario.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExampleScenario.meta",
          "path" : "ExampleScenario.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExampleScenario.implicitRules",
          "path" : "ExampleScenario.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ExampleScenario.language",
          "path" : "ExampleScenario.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ExampleScenario.text",
          "path" : "ExampleScenario.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ExampleScenario.contained",
          "path" : "ExampleScenario.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.extension",
          "path" : "ExampleScenario.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.modifierExtension",
          "path" : "ExampleScenario.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.url",
          "path" : "ExampleScenario.url",
          "short" : "Canonical identifier for this example scenario, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this example scenario when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this example scenario is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the example scenario is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the example scenario to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ExampleScenario.identifier",
          "path" : "ExampleScenario.identifier",
          "short" : "Additional identifier for the example scenario",
          "definition" : "A formal identifier that is used to identify this example scenario when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this example scenario outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ExampleScenario.version",
          "path" : "ExampleScenario.version",
          "short" : "Business version of the example scenario",
          "definition" : "The identifier that is used to identify this version of the example scenario when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the example scenario author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different example scenario instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the example scenario with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ExampleScenario.name",
          "path" : "ExampleScenario.name",
          "short" : "Name for this example scenario (computer friendly)",
          "definition" : "A natural language name identifying the example scenario. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExampleScenario.status",
          "path" : "ExampleScenario.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this example scenario. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of example scenarios that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ExampleScenario.experimental",
          "path" : "ExampleScenario.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this example scenario is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of example scenarios that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level example scenario.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ExampleScenario.date",
          "path" : "ExampleScenario.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the example scenario was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the example scenario changes. (e.g. the 'content logical definition').",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the example scenario. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ExampleScenario.publisher",
          "path" : "ExampleScenario.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the example scenario.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the example scenario is the organization or individual primarily responsible for the maintenance and upkeep of the example scenario. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the example scenario. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the example scenario.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ExampleScenario.contact",
          "path" : "ExampleScenario.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ExampleScenario.useContext",
          "path" : "ExampleScenario.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate example scenario instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ExampleScenario.jurisdiction",
          "path" : "ExampleScenario.jurisdiction",
          "short" : "Intended jurisdiction for example scenario (if applicable)",
          "definition" : "A legal or geographic region in which the example scenario is intended to be used.",
          "comment" : "It may be possible for the example scenario to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ExampleScenario.copyright",
          "path" : "ExampleScenario.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the example scenario and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the example scenario.",
          "comment" : "nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the example scenario and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ExampleScenario.purpose",
          "path" : "ExampleScenario.purpose",
          "short" : "The purpose of the example, e.g. to illustrate a scenario",
          "definition" : "What the example scenario resource is created for. This should not be used to show the business purpose of the scenario itself, but the purpose of documenting a scenario.",
          "comment" : "This element does not describe the usage of the example scenario. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this example scenario.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ExampleScenario.actor",
          "path" : "ExampleScenario.actor",
          "short" : "Actor participating in the resource",
          "definition" : "Actor participating in the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.actor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.actor.id",
          "path" : "ExampleScenario.actor.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.actor.extension",
          "path" : "ExampleScenario.actor.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.actor.modifierExtension",
          "path" : "ExampleScenario.actor.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.actor.actorId",
          "path" : "ExampleScenario.actor.actorId",
          "short" : "ID or acronym of the actor",
          "definition" : "ID or acronym of actor.",
          "comment" : "should this be called ID or acronym?",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.actor.actorId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.actor.type",
          "path" : "ExampleScenario.actor.type",
          "short" : "person | entity",
          "definition" : "The type of actor - person or system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.actor.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ExampleScenarioActorType"
            }],
            "strength" : "required",
            "description" : "The type of actor - system or human.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.0.0"
          }
        },
        {
          "id" : "ExampleScenario.actor.name",
          "path" : "ExampleScenario.actor.name",
          "short" : "The name of the actor as shown in the page",
          "definition" : "The name of the actor as shown in the page.",
          "comment" : "Cardinality: is name and description 1..1?",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.actor.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.actor.description",
          "path" : "ExampleScenario.actor.description",
          "short" : "The description of the actor",
          "definition" : "The description of the actor.",
          "comment" : "Cardinality: is name and description 1..1?",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.actor.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance",
          "path" : "ExampleScenario.instance",
          "short" : "Each resource and each version that is present in the workflow",
          "definition" : "Each resource and each version that is present in the workflow.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.instance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.id",
          "path" : "ExampleScenario.instance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.instance.extension",
          "path" : "ExampleScenario.instance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.instance.modifierExtension",
          "path" : "ExampleScenario.instance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.instance.resourceId",
          "path" : "ExampleScenario.instance.resourceId",
          "short" : "The id of the resource for referencing",
          "definition" : "The id of the resource for referencing.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.instance.resourceId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.resourceType",
          "path" : "ExampleScenario.instance.resourceType",
          "short" : "The type of the resource",
          "definition" : "The type of the resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.instance.resourceType",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRResourceType"
            }],
            "strength" : "required",
            "description" : "The type of resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "ExampleScenario.instance.name",
          "path" : "ExampleScenario.instance.name",
          "short" : "A short name for the resource instance",
          "definition" : "A short name for the resource instance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.instance.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.description",
          "path" : "ExampleScenario.instance.description",
          "short" : "Human-friendly description of the resource instance",
          "definition" : "Human-friendly description of the resource instance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.instance.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.version",
          "path" : "ExampleScenario.instance.version",
          "short" : "A specific version of the resource",
          "definition" : "A specific version of the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.instance.version",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.version.id",
          "path" : "ExampleScenario.instance.version.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.instance.version.extension",
          "path" : "ExampleScenario.instance.version.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.instance.version.modifierExtension",
          "path" : "ExampleScenario.instance.version.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.instance.version.versionId",
          "path" : "ExampleScenario.instance.version.versionId",
          "short" : "The identifier of a specific version of a resource",
          "definition" : "The identifier of a specific version of a resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.instance.version.versionId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.version.description",
          "path" : "ExampleScenario.instance.version.description",
          "short" : "The description of the resource version",
          "definition" : "The description of the resource version.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.instance.version.description",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.containedInstance",
          "path" : "ExampleScenario.instance.containedInstance",
          "short" : "Resources contained in the instance",
          "definition" : "Resources contained in the instance (e.g. the observations contained in a bundle).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.instance.containedInstance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.containedInstance.id",
          "path" : "ExampleScenario.instance.containedInstance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.instance.containedInstance.extension",
          "path" : "ExampleScenario.instance.containedInstance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.instance.containedInstance.modifierExtension",
          "path" : "ExampleScenario.instance.containedInstance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.instance.containedInstance.resourceId",
          "path" : "ExampleScenario.instance.containedInstance.resourceId",
          "short" : "Each resource contained in the instance",
          "definition" : "Each resource contained in the instance.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.instance.containedInstance.resourceId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.instance.containedInstance.versionId",
          "path" : "ExampleScenario.instance.containedInstance.versionId",
          "short" : "A specific version of a resource contained in the instance",
          "definition" : "A specific version of a resource contained in the instance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.instance.containedInstance.versionId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process",
          "path" : "ExampleScenario.process",
          "short" : "Each major process - a group of operations",
          "definition" : "Each major process - a group of operations.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.process",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.id",
          "path" : "ExampleScenario.process.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.process.extension",
          "path" : "ExampleScenario.process.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.process.modifierExtension",
          "path" : "ExampleScenario.process.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.process.title",
          "path" : "ExampleScenario.process.title",
          "short" : "The diagram title of the group of operations",
          "definition" : "The diagram title of the group of operations.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.title",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExampleScenario.process.description",
          "path" : "ExampleScenario.process.description",
          "short" : "A longer description of the group of operations",
          "definition" : "A longer description of the group of operations.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.preConditions",
          "path" : "ExampleScenario.process.preConditions",
          "short" : "Description of initial status before the process starts",
          "definition" : "Description of initial status before the process starts.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.preConditions",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.postConditions",
          "path" : "ExampleScenario.process.postConditions",
          "short" : "Description of final status after the process ends",
          "definition" : "Description of final status after the process ends.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.postConditions",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step",
          "path" : "ExampleScenario.process.step",
          "short" : "Each step of the process",
          "definition" : "Each step of the process.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.process.step",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.id",
          "path" : "ExampleScenario.process.step.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.extension",
          "path" : "ExampleScenario.process.step.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.modifierExtension",
          "path" : "ExampleScenario.process.step.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.process",
          "path" : "ExampleScenario.process.step.process",
          "short" : "Nested process",
          "definition" : "Nested process.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.process.step.process",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ExampleScenario.process",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.pause",
          "path" : "ExampleScenario.process.step.pause",
          "short" : "If there is a pause in the flow",
          "definition" : "If there is a pause in the flow.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.pause",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation",
          "path" : "ExampleScenario.process.step.operation",
          "short" : "Each interaction or action",
          "definition" : "Each interaction or action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.id",
          "path" : "ExampleScenario.process.step.operation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.extension",
          "path" : "ExampleScenario.process.step.operation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.modifierExtension",
          "path" : "ExampleScenario.process.step.operation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.number",
          "path" : "ExampleScenario.process.step.operation.number",
          "short" : "The sequential number of the interaction",
          "definition" : "The sequential number of the interaction, e.g. 1.2.5.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.number",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.type",
          "path" : "ExampleScenario.process.step.operation.type",
          "short" : "The type of operation - CRUD",
          "definition" : "The type of operation - CRUD.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.name",
          "path" : "ExampleScenario.process.step.operation.name",
          "short" : "The human-friendly name of the interaction",
          "definition" : "The human-friendly name of the interaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.initiator",
          "path" : "ExampleScenario.process.step.operation.initiator",
          "short" : "Who starts the transaction",
          "definition" : "Who starts the transaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.initiator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.receiver",
          "path" : "ExampleScenario.process.step.operation.receiver",
          "short" : "Who receives the transaction",
          "definition" : "Who receives the transaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.receiver",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.description",
          "path" : "ExampleScenario.process.step.operation.description",
          "short" : "A comment to be inserted in the diagram",
          "definition" : "A comment to be inserted in the diagram.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.initiatorActive",
          "path" : "ExampleScenario.process.step.operation.initiatorActive",
          "short" : "Whether the initiator is deactivated right after the transaction",
          "definition" : "Whether the initiator is deactivated right after the transaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.initiatorActive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.receiverActive",
          "path" : "ExampleScenario.process.step.operation.receiverActive",
          "short" : "Whether the receiver is deactivated right after the transaction",
          "definition" : "Whether the receiver is deactivated right after the transaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.receiverActive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.request",
          "path" : "ExampleScenario.process.step.operation.request",
          "short" : "Each resource instance used by the initiator",
          "definition" : "Each resource instance used by the initiator.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.request",
            "min" : 0,
            "max" : "1"
          },
          "contentReference" : "#ExampleScenario.instance.containedInstance",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.operation.response",
          "path" : "ExampleScenario.process.step.operation.response",
          "short" : "Each resource instance used by the responder",
          "definition" : "Each resource instance used by the responder.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.operation.response",
            "min" : 0,
            "max" : "1"
          },
          "contentReference" : "#ExampleScenario.instance.containedInstance",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.alternative",
          "path" : "ExampleScenario.process.step.alternative",
          "short" : "Alternate non-typical step action",
          "definition" : "Indicates an alternative step that can be taken instead of the operations on the base step in exceptional/atypical circumstances.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.process.step.alternative",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.alternative.id",
          "path" : "ExampleScenario.process.step.alternative.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.alternative.extension",
          "path" : "ExampleScenario.process.step.alternative.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.alternative.modifierExtension",
          "path" : "ExampleScenario.process.step.alternative.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.alternative.title",
          "path" : "ExampleScenario.process.step.alternative.title",
          "short" : "Label for alternative",
          "definition" : "The label to display for the alternative that gives a sense of the circumstance in which the alternative should be invoked.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.alternative.title",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.alternative.description",
          "path" : "ExampleScenario.process.step.alternative.description",
          "short" : "A human-readable description of each option",
          "definition" : "A human-readable description of the alternative explaining when the alternative should occur rather than the base step.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExampleScenario.process.step.alternative.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.process.step.alternative.step",
          "path" : "ExampleScenario.process.step.alternative.step",
          "short" : "What happens in each alternative option",
          "definition" : "What happens in each alternative option.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.process.step.alternative.step",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ExampleScenario.process.step",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExampleScenario.workflow",
          "path" : "ExampleScenario.workflow",
          "short" : "Another nested workflow",
          "definition" : "Another nested workflow.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExampleScenario.workflow",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ExampleScenario"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ExampleScenario",
          "path" : "ExampleScenario",
          "short" : "Example of workflow instance",
          "definition" : "Example of workflow instance.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "esc-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }]
        },
        {
          "id" : "ExampleScenario.url",
          "path" : "ExampleScenario.url",
          "short" : "Canonical identifier for this example scenario, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this example scenario when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this example scenario is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the example scenario is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the example scenario to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ExampleScenario.identifier",
          "path" : "ExampleScenario.identifier",
          "short" : "Additional identifier for the example scenario",
          "definition" : "A formal identifier that is used to identify this example scenario when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this example scenario outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ExampleScenario.version",
          "path" : "ExampleScenario.version",
          "short" : "Business version of the example scenario",
          "definition" : "The identifier that is used to identify this version of the example scenario when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the example scenario author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different example scenario instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the example scenario with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ExampleScenario.name",
          "path" : "ExampleScenario.name",
          "short" : "Name for this example scenario (computer friendly)",
          "definition" : "A natural language name identifying the example scenario. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "ExampleScenario.status",
          "path" : "ExampleScenario.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this example scenario. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of example scenarios that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ExampleScenario.experimental",
          "path" : "ExampleScenario.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this example scenario is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of example scenarios that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level example scenario.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ExampleScenario.date",
          "path" : "ExampleScenario.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the example scenario was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the example scenario changes. (e.g. the 'content logical definition').",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the example scenario. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ExampleScenario.publisher",
          "path" : "ExampleScenario.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the example scenario.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the example scenario is the organization or individual primarily responsible for the maintenance and upkeep of the example scenario. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the example scenario. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the example scenario.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ExampleScenario.contact",
          "path" : "ExampleScenario.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ExampleScenario.useContext",
          "path" : "ExampleScenario.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate example scenario instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ExampleScenario.jurisdiction",
          "path" : "ExampleScenario.jurisdiction",
          "short" : "Intended jurisdiction for example scenario (if applicable)",
          "definition" : "A legal or geographic region in which the example scenario is intended to be used.",
          "comment" : "It may be possible for the example scenario to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ExampleScenario.copyright",
          "path" : "ExampleScenario.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the example scenario and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the example scenario.",
          "comment" : "nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the example scenario and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ExampleScenario.purpose",
          "path" : "ExampleScenario.purpose",
          "short" : "The purpose of the example, e.g. to illustrate a scenario",
          "definition" : "What the example scenario resource is created for. This should not be used to show the business purpose of the scenario itself, but the purpose of documenting a scenario.",
          "comment" : "This element does not describe the usage of the example scenario. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this example scenario.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ExampleScenario.actor",
          "path" : "ExampleScenario.actor",
          "short" : "Actor participating in the resource",
          "definition" : "Actor participating in the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExampleScenario.actor.actorId",
          "path" : "ExampleScenario.actor.actorId",
          "short" : "ID or acronym of the actor",
          "definition" : "ID or acronym of actor.",
          "comment" : "should this be called ID or acronym?",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.actor.type",
          "path" : "ExampleScenario.actor.type",
          "short" : "person | entity",
          "definition" : "The type of actor - person or system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ExampleScenarioActorType"
            }],
            "strength" : "required",
            "description" : "The type of actor - system or human.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/examplescenario-actor-type|4.0.0"
          }
        },
        {
          "id" : "ExampleScenario.actor.name",
          "path" : "ExampleScenario.actor.name",
          "short" : "The name of the actor as shown in the page",
          "definition" : "The name of the actor as shown in the page.",
          "comment" : "Cardinality: is name and description 1..1?",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.actor.description",
          "path" : "ExampleScenario.actor.description",
          "short" : "The description of the actor",
          "definition" : "The description of the actor.",
          "comment" : "Cardinality: is name and description 1..1?",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "ExampleScenario.instance",
          "path" : "ExampleScenario.instance",
          "short" : "Each resource and each version that is present in the workflow",
          "definition" : "Each resource and each version that is present in the workflow.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExampleScenario.instance.resourceId",
          "path" : "ExampleScenario.instance.resourceId",
          "short" : "The id of the resource for referencing",
          "definition" : "The id of the resource for referencing.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.instance.resourceType",
          "path" : "ExampleScenario.instance.resourceType",
          "short" : "The type of the resource",
          "definition" : "The type of the resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRResourceType"
            }],
            "strength" : "required",
            "description" : "The type of resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "ExampleScenario.instance.name",
          "path" : "ExampleScenario.instance.name",
          "short" : "A short name for the resource instance",
          "definition" : "A short name for the resource instance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.instance.description",
          "path" : "ExampleScenario.instance.description",
          "short" : "Human-friendly description of the resource instance",
          "definition" : "Human-friendly description of the resource instance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "ExampleScenario.instance.version",
          "path" : "ExampleScenario.instance.version",
          "short" : "A specific version of the resource",
          "definition" : "A specific version of the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExampleScenario.instance.version.versionId",
          "path" : "ExampleScenario.instance.version.versionId",
          "short" : "The identifier of a specific version of a resource",
          "definition" : "The identifier of a specific version of a resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.instance.version.description",
          "path" : "ExampleScenario.instance.version.description",
          "short" : "The description of the resource version",
          "definition" : "The description of the resource version.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "ExampleScenario.instance.containedInstance",
          "path" : "ExampleScenario.instance.containedInstance",
          "short" : "Resources contained in the instance",
          "definition" : "Resources contained in the instance (e.g. the observations contained in a bundle).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExampleScenario.instance.containedInstance.resourceId",
          "path" : "ExampleScenario.instance.containedInstance.resourceId",
          "short" : "Each resource contained in the instance",
          "definition" : "Each resource contained in the instance.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.instance.containedInstance.versionId",
          "path" : "ExampleScenario.instance.containedInstance.versionId",
          "short" : "A specific version of a resource contained in the instance",
          "definition" : "A specific version of a resource contained in the instance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.process",
          "path" : "ExampleScenario.process",
          "short" : "Each major process - a group of operations",
          "definition" : "Each major process - a group of operations.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExampleScenario.process.title",
          "path" : "ExampleScenario.process.title",
          "short" : "The diagram title of the group of operations",
          "definition" : "The diagram title of the group of operations.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "ExampleScenario.process.description",
          "path" : "ExampleScenario.process.description",
          "short" : "A longer description of the group of operations",
          "definition" : "A longer description of the group of operations.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "ExampleScenario.process.preConditions",
          "path" : "ExampleScenario.process.preConditions",
          "short" : "Description of initial status before the process starts",
          "definition" : "Description of initial status before the process starts.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "ExampleScenario.process.postConditions",
          "path" : "ExampleScenario.process.postConditions",
          "short" : "Description of final status after the process ends",
          "definition" : "Description of final status after the process ends.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "ExampleScenario.process.step",
          "path" : "ExampleScenario.process.step",
          "short" : "Each step of the process",
          "definition" : "Each step of the process.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.process",
          "path" : "ExampleScenario.process.step.process",
          "short" : "Nested process",
          "definition" : "Nested process.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ExampleScenario.process"
        },
        {
          "id" : "ExampleScenario.process.step.pause",
          "path" : "ExampleScenario.process.step.pause",
          "short" : "If there is a pause in the flow",
          "definition" : "If there is a pause in the flow.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation",
          "path" : "ExampleScenario.process.step.operation",
          "short" : "Each interaction or action",
          "definition" : "Each interaction or action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.number",
          "path" : "ExampleScenario.process.step.operation.number",
          "short" : "The sequential number of the interaction",
          "definition" : "The sequential number of the interaction, e.g. 1.2.5.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.type",
          "path" : "ExampleScenario.process.step.operation.type",
          "short" : "The type of operation - CRUD",
          "definition" : "The type of operation - CRUD.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.name",
          "path" : "ExampleScenario.process.step.operation.name",
          "short" : "The human-friendly name of the interaction",
          "definition" : "The human-friendly name of the interaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.initiator",
          "path" : "ExampleScenario.process.step.operation.initiator",
          "short" : "Who starts the transaction",
          "definition" : "Who starts the transaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.receiver",
          "path" : "ExampleScenario.process.step.operation.receiver",
          "short" : "Who receives the transaction",
          "definition" : "Who receives the transaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.description",
          "path" : "ExampleScenario.process.step.operation.description",
          "short" : "A comment to be inserted in the diagram",
          "definition" : "A comment to be inserted in the diagram.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.initiatorActive",
          "path" : "ExampleScenario.process.step.operation.initiatorActive",
          "short" : "Whether the initiator is deactivated right after the transaction",
          "definition" : "Whether the initiator is deactivated right after the transaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.receiverActive",
          "path" : "ExampleScenario.process.step.operation.receiverActive",
          "short" : "Whether the receiver is deactivated right after the transaction",
          "definition" : "Whether the receiver is deactivated right after the transaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.operation.request",
          "path" : "ExampleScenario.process.step.operation.request",
          "short" : "Each resource instance used by the initiator",
          "definition" : "Each resource instance used by the initiator.",
          "min" : 0,
          "max" : "1",
          "contentReference" : "#ExampleScenario.instance.containedInstance"
        },
        {
          "id" : "ExampleScenario.process.step.operation.response",
          "path" : "ExampleScenario.process.step.operation.response",
          "short" : "Each resource instance used by the responder",
          "definition" : "Each resource instance used by the responder.",
          "min" : 0,
          "max" : "1",
          "contentReference" : "#ExampleScenario.instance.containedInstance"
        },
        {
          "id" : "ExampleScenario.process.step.alternative",
          "path" : "ExampleScenario.process.step.alternative",
          "short" : "Alternate non-typical step action",
          "definition" : "Indicates an alternative step that can be taken instead of the operations on the base step in exceptional/atypical circumstances.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.alternative.title",
          "path" : "ExampleScenario.process.step.alternative.title",
          "short" : "Label for alternative",
          "definition" : "The label to display for the alternative that gives a sense of the circumstance in which the alternative should be invoked.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.alternative.description",
          "path" : "ExampleScenario.process.step.alternative.description",
          "short" : "A human-readable description of each option",
          "definition" : "A human-readable description of the alternative explaining when the alternative should occur rather than the base step.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "ExampleScenario.process.step.alternative.step",
          "path" : "ExampleScenario.process.step.alternative.step",
          "short" : "What happens in each alternative option",
          "definition" : "What happens in each alternative option.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ExampleScenario.process.step"
        },
        {
          "id" : "ExampleScenario.workflow",
          "path" : "ExampleScenario.workflow",
          "short" : "Another nested workflow",
          "definition" : "Another nested workflow.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ExampleScenario"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ExplanationOfBenefit",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ExplanationOfBenefit 
TU
DomainResource
Explanation of Benefit resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier for the resource
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
ExplanationOfBenefitStatus (Required)
 type 
Σ
1..1
CodeableConcept
Category or discipline
Claim Type Codes (Extensible)
 subType 
0..1
CodeableConcept
More granular claim type
Example Claim SubType Codes (Example)
 use 
Σ
1..1
code
claim | preauthorization | predetermination
Use (Required)
 patient 
Σ
1..1
Reference(Patient)
The recipient of the products and services
 billablePeriod 
Σ
0..1
Period
Relevant time frame for the claim
 created 
Σ
1..1
dateTime
Response creation date
 enterer 
0..1
Reference(Practitioner | PractitionerRole)
Author of the claim
 insurer 
Σ
1..1
Reference(Organization)
Party responsible for reimbursement
 provider 
Σ
1..1
Reference(Practitioner | PractitionerRole | Organization)
Party responsible for the claim
 priority 
0..1
CodeableConcept
Desired processing urgency
ProcessPriority (Example)
 fundsReserveRequested 
0..1
CodeableConcept
For whom to reserve funds
FundsReserve (Example)
 fundsReserve 
0..1
CodeableConcept
Funds reserved status
FundsReserve (Example)
 related 
0..*
BackboneElement
Prior or corollary claims
 claim 
0..1
Reference(Claim)
Reference to the related claim
 relationship 
0..1
CodeableConcept
How the reference claim is related
Example Related Claim Relationship Codes (Example)
 reference 
0..1
Identifier
File or case reference
 prescription 
0..1
Reference(MedicationRequest | VisionPrescription)
Prescription authorizing services or products
 originalPrescription 
0..1
Reference(MedicationRequest)
Original prescription if superceded by fulfiller
 payee 
0..1
BackboneElement
Recipient of benefits payable
 type 
0..1
CodeableConcept
Category of recipient
PayeeType (Example)
 party 
0..1
Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson)
Recipient reference
 referral 
0..1
Reference(ServiceRequest)
Treatment Referral
 facility 
0..1
Reference(Location)
Servicing Facility
 claim 
0..1
Reference(Claim)
Claim reference
 claimResponse 
0..1
Reference(ClaimResponse)
Claim response reference
 outcome 
Σ
1..1
code
queued | complete | error | partial
Claim Processing Codes (Required)
 disposition 
0..1
string
Disposition Message
 preAuthRef 
0..*
string
Preauthorization reference
 preAuthRefPeriod 
0..*
Period
Preauthorization in-effect period
 careTeam 
0..*
BackboneElement
Care Team members
 sequence 
1..1
positiveInt
Order of care team
 provider 
1..1
Reference(Practitioner | PractitionerRole | Organization)
Practitioner or organization
 responsible 
0..1
boolean
Indicator of the lead practitioner
 role 
0..1
CodeableConcept
Function within the team
Claim Care Team Role Codes (Example)
 qualification 
0..1
CodeableConcept
Practitioner credential or specialization
Example Provider Qualification Codes (Example)
 supportingInfo 
0..*
BackboneElement
Supporting information
 sequence 
1..1
positiveInt
Information instance identifier
 category 
1..1
CodeableConcept
Classification of the supplied information
Claim Information Category Codes (Example)
 code 
0..1
CodeableConcept
Type of information
Exception Codes (Example)
 timing[x] 
0..1
When it occurred
 timingDate
date
 timingPeriod
Period
 value[x] 
0..1
Data to be provided
 valueBoolean
boolean
 valueString
string
 valueQuantity
Quantity
 valueAttachment
Attachment
 valueReference
Reference(Any)
 reason 
0..1
Coding
Explanation for the information
Missing Tooth Reason Codes (Example)
 diagnosis 
0..*
BackboneElement
Pertinent diagnosis information
 sequence 
1..1
positiveInt
Diagnosis instance identifier
 diagnosis[x] 
1..1
Nature of illness or problem
ICD-10 Codes (Example)
 diagnosisCodeableConcept
CodeableConcept
 diagnosisReference
Reference(Condition)
 type 
0..*
CodeableConcept
Timing or nature of the diagnosis
Example Diagnosis Type Codes (Example)
 onAdmission 
0..1
CodeableConcept
Present on admission
Example Diagnosis on Admission Codes (Example)
 packageCode 
0..1
CodeableConcept
Package billing code
Example Diagnosis Related Group Codes (Example)
 procedure 
0..*
BackboneElement
Clinical procedures performed
 sequence 
1..1
positiveInt
Procedure instance identifier
 type 
0..*
CodeableConcept
Category of Procedure
Example Procedure Type Codes (Example)
 date 
0..1
dateTime
When the procedure was performed
 procedure[x] 
1..1
Specific clinical procedure
ICD-10 Procedure Codes (Example)
 procedureCodeableConcept
CodeableConcept
 procedureReference
Reference(Procedure)
 udi 
0..*
Reference(Device)
Unique device identifier
 precedence 
0..1
positiveInt
Precedence (primary, secondary, etc.)
 insurance 
Σ
1..*
BackboneElement
Patient insurance information
 focal 
Σ
1..1
boolean
Coverage to be used for adjudication
 coverage 
Σ
1..1
Reference(Coverage)
Insurance information
 preAuthRef 
0..*
string
Prior authorization reference number
 accident 
0..1
BackboneElement
Details of the event
 date 
0..1
date
When the incident occurred
 type 
0..1
CodeableConcept
The nature of the accident
V3 Value SetActIncidentCode (Extensible)
 location[x] 
0..1
Where the event occurred
 locationAddress
Address
 locationReference
Reference(Location)
 item 
0..*
BackboneElement
Product or service provided
 sequence 
1..1
positiveInt
Item instance identifier
 careTeamSequence 
0..*
positiveInt
Applicable care team members
 diagnosisSequence 
0..*
positiveInt
Applicable diagnoses
 procedureSequence 
0..*
positiveInt
Applicable procedures
 informationSequence 
0..*
positiveInt
Applicable exception and supporting information
 revenue 
0..1
CodeableConcept
Revenue or cost center code
Example Revenue Center Codes (Example)
 category 
0..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Product or service billing modifiers
Modifier type Codes (Example)
 programCode 
0..*
CodeableConcept
Program the product or service is provided under
Example Program Reason Codes (Example)
 serviced[x] 
0..1
Date or dates of service or product delivery
 servicedDate
date
 servicedPeriod
Period
 location[x] 
0..1
Place of service or where product was supplied
Example Service Place Codes (Example)
 locationCodeableConcept
CodeableConcept
 locationAddress
Address
 locationReference
Reference(Location)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 udi 
0..*
Reference(Device)
Unique device identifier
 bodySite 
0..1
CodeableConcept
Anatomical location
Oral Site Codes (Example)
 subSite 
0..*
CodeableConcept
Anatomical sub-location
Surface Codes (Example)
 encounter 
0..*
Reference(Encounter)
Encounters related to this billed item
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
0..*
BackboneElement
Adjudication details
 category 
1..1
CodeableConcept
Type of adjudication information
Adjudication Value Codes (Example)
 reason 
0..1
CodeableConcept
Explanation of adjudication outcome
Adjudication Reason Codes (Example)
 amount 
0..1
Money
Monetary amount
 value 
0..1
decimal
Non-monitary value
 detail 
0..*
BackboneElement
Additional items
 sequence 
1..1
positiveInt
Product or service provided
 revenue 
0..1
CodeableConcept
Revenue or cost center code
Example Revenue Center Codes (Example)
 category 
0..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 programCode 
0..*
CodeableConcept
Program the product or service is provided under
Example Program Reason Codes (Example)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 udi 
0..*
Reference(Device)
Unique device identifier
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
0..*
see adjudication
Detail level adjudication details
 subDetail 
0..*
BackboneElement
Additional items
 sequence 
1..1
positiveInt
Product or service provided
 revenue 
0..1
CodeableConcept
Revenue or cost center code
Example Revenue Center Codes (Example)
 category 
0..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 programCode 
0..*
CodeableConcept
Program the product or service is provided under
Example Program Reason Codes (Example)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 udi 
0..*
Reference(Device)
Unique device identifier
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
0..*
see adjudication
Subdetail level adjudication details
 addItem 
0..*
BackboneElement
Insurer added line items
 itemSequence 
0..*
positiveInt
Item sequence number
 detailSequence 
0..*
positiveInt
Detail sequence number
 subDetailSequence 
0..*
positiveInt
Subdetail sequence number
 provider 
0..*
Reference(Practitioner | PractitionerRole | Organization)
Authorized providers
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 programCode 
0..*
CodeableConcept
Program the product or service is provided under
Example Program Reason Codes (Example)
 serviced[x] 
0..1
Date or dates of service or product delivery
 servicedDate
date
 servicedPeriod
Period
 location[x] 
0..1
Place of service or where product was supplied
Example Service Place Codes (Example)
 locationCodeableConcept
CodeableConcept
 locationAddress
Address
 locationReference
Reference(Location)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 bodySite 
0..1
CodeableConcept
Anatomical location
Oral Site Codes (Example)
 subSite 
0..*
CodeableConcept
Anatomical sub-location
Surface Codes (Example)
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
0..*
see adjudication
Added items adjudication
 detail 
0..*
BackboneElement
Insurer added line items
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
0..*
see adjudication
Added items adjudication
 subDetail 
0..*
BackboneElement
Insurer added line items
 productOrService 
1..1
CodeableConcept
Billing, service, product, or drug code
USCLS Codes (Example)
 modifier 
0..*
CodeableConcept
Service/Product billing modifiers
Modifier type Codes (Example)
 quantity 
0..1
SimpleQuantity
Count of products or services
 unitPrice 
0..1
Money
Fee, charge or cost per item
 factor 
0..1
decimal
Price scaling factor
 net 
0..1
Money
Total item cost
 noteNumber 
0..*
positiveInt
Applicable note numbers
 adjudication 
0..*
see adjudication
Added items adjudication
 adjudication 
0..*
see adjudication
Header-level adjudication
 total 
Σ
0..*
BackboneElement
Adjudication totals
 category 
Σ
1..1
CodeableConcept
Type of adjudication information
Adjudication Value Codes (Example)
 amount 
Σ
1..1
Money
Financial total for the category
 payment 
0..1
BackboneElement
Payment Details
 type 
0..1
CodeableConcept
Partial or complete payment
Example Payment Type Codes (Example)
 adjustment 
0..1
Money
Payment adjustment for non-claim issues
 adjustmentReason 
0..1
CodeableConcept
Explanation for the variance
Payment Adjustment Reason Codes (Example)
 date 
0..1
date
Expected date of payment
 amount 
0..1
Money
Payable amount after adjustment
 identifier 
0..1
Identifier
Business identifier for the payment
 formCode 
0..1
CodeableConcept
Printed form identifier
Forms (Example)
 form 
0..1
Attachment
Printed reference or actual form
 processNote 
0..*
BackboneElement
Note concerning adjudication
 number 
0..1
positiveInt
Note instance identifier
 type 
0..1
code
display | print | printoper
NoteType (Required)
 text 
0..1
string
Note explanatory text
 language 
0..1
CodeableConcept
Language of the text
Common Languages (Preferred but limited to AllLanguages)
 benefitPeriod 
0..1
Period
When the benefits are applicable
 benefitBalance 
0..*
BackboneElement
Balance by Benefit Category
 category 
1..1
CodeableConcept
Benefit classification
Benefit Category Codes (Example)
 excluded 
0..1
boolean
Excluded from the plan
 name 
0..1
string
Short name for the benefit
 description 
0..1
string
Description of the benefit or services covered
 network 
0..1
CodeableConcept
In or out of network
Network Type Codes (Example)
 unit 
0..1
CodeableConcept
Individual or family
Unit Type Codes (Example)
 term 
0..1
CodeableConcept
Annual or lifetime
Benefit Term Codes (Example)
 financial 
0..*
BackboneElement
Benefit Summary
 type 
1..1
CodeableConcept
Benefit classification
Benefit Type Codes (Example)
 allowed[x] 
0..1
Benefits allowed
 allowedUnsignedInt
unsignedInt
 allowedString
string
 allowedMoney
Money
 used[x] 
0..1
Benefits used
 usedUnsignedInt
unsignedInt
 usedMoney
Money

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.General"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ExplanationOfBenefit",
      "version" : "4.0.0",
      "name" : "ExplanationOfBenefit",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ExplanationOfBenefit",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ExplanationOfBenefit",
          "path" : "ExplanationOfBenefit",
          "short" : "Explanation of Benefit resource",
          "definition" : "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.",
          "alias" : ["EOB"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.id",
          "path" : "ExplanationOfBenefit.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.meta",
          "path" : "ExplanationOfBenefit.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.implicitRules",
          "path" : "ExplanationOfBenefit.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.language",
          "path" : "ExplanationOfBenefit.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ExplanationOfBenefit.text",
          "path" : "ExplanationOfBenefit.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.contained",
          "path" : "ExplanationOfBenefit.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.extension",
          "path" : "ExplanationOfBenefit.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.modifierExtension",
          "path" : "ExplanationOfBenefit.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.identifier",
          "path" : "ExplanationOfBenefit.identifier",
          "short" : "Business Identifier for the resource",
          "definition" : "A unique identifier assigned to this explanation of benefit.",
          "requirements" : "Allows EOBs to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.status",
          "path" : "ExplanationOfBenefit.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ExplanationOfBenefitStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.type",
          "path" : "ExplanationOfBenefit.type",
          "short" : "Category or discipline",
          "definition" : "The category of claim, e.g. oral, pharmacy, vision, institutional, professional.",
          "comment" : "The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.",
          "requirements" : "Claim type determine the general sets of business rules applied for information requirements and adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimType"
            }],
            "strength" : "extensible",
            "description" : "The type or discipline-style of the claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.subType",
          "path" : "ExplanationOfBenefit.subType",
          "short" : "More granular claim type",
          "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
          "comment" : "This may contain the local bill type codes such as the US UB-04 bill type code.",
          "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.subType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimSubType"
            }],
            "strength" : "example",
            "description" : "A more granular claim typecode.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.use",
          "path" : "ExplanationOfBenefit.use",
          "short" : "claim | preauthorization | predetermination",
          "definition" : "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.",
          "requirements" : "This element is required to understand the nature of the request for adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.use",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Use"
            }],
            "strength" : "required",
            "description" : "Complete, proposed, exploratory, other.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.patient",
          "path" : "ExplanationOfBenefit.patient",
          "short" : "The recipient of the products and services",
          "definition" : "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.",
          "requirements" : "The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.billablePeriod",
          "path" : "ExplanationOfBenefit.billablePeriod",
          "short" : "Relevant time frame for the claim",
          "definition" : "The period for which charges are being submitted.",
          "comment" : "Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.",
          "requirements" : "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.billablePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.created",
          "path" : "ExplanationOfBenefit.created",
          "short" : "Response creation date",
          "definition" : "The date this resource was created.",
          "comment" : "This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.created",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.enterer",
          "path" : "ExplanationOfBenefit.enterer",
          "short" : "Author of the claim",
          "definition" : "Individual who created the claim, predetermination or preauthorization.",
          "requirements" : "Some jurisdictions require the contact information for personnel completing claims.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.enterer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.agent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.insurer",
          "path" : "ExplanationOfBenefit.insurer",
          "short" : "Party responsible for reimbursement",
          "definition" : "The party responsible for authorization, adjudication and reimbursement.",
          "requirements" : "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.insurer",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.agent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.provider",
          "path" : "ExplanationOfBenefit.provider",
          "short" : "Party responsible for the claim",
          "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.provider",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.priority",
          "path" : "ExplanationOfBenefit.priority",
          "short" : "Desired processing urgency",
          "definition" : "The provider-required urgency of processing the request. Typical values include: stat, routine deferred.",
          "comment" : "If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.",
          "requirements" : "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcessPriority"
            }],
            "strength" : "example",
            "description" : "The timeliness with which processing is required: stat, normal, deferred.",
            "valueSet" : "http://terminology.hl7.org/CodeSystem/processpriority"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "Request.priority"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.fundsReserveRequested",
          "path" : "ExplanationOfBenefit.fundsReserveRequested",
          "short" : "For whom to reserve funds",
          "definition" : "A code to indicate whether and for whom funds are to be reserved for future claims.",
          "comment" : "This field is only used for preauthorizations.",
          "requirements" : "In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.",
          "alias" : ["Fund pre-allocation"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.fundsReserveRequested",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundsReserve"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
          }
        },
        {
          "id" : "ExplanationOfBenefit.fundsReserve",
          "path" : "ExplanationOfBenefit.fundsReserve",
          "short" : "Funds reserved status",
          "definition" : "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.",
          "comment" : "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.",
          "requirements" : "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.fundsReserve",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundsReserve"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
          }
        },
        {
          "id" : "ExplanationOfBenefit.related",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "RelatedClaim"
          }],
          "path" : "ExplanationOfBenefit.related",
          "short" : "Prior or corollary claims",
          "definition" : "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.",
          "comment" : "For example,  for the original treatment and follow-up exams.",
          "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.related",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.related.id",
          "path" : "ExplanationOfBenefit.related.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.related.extension",
          "path" : "ExplanationOfBenefit.related.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.related.modifierExtension",
          "path" : "ExplanationOfBenefit.related.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.related.claim",
          "path" : "ExplanationOfBenefit.related.claim",
          "short" : "Reference to the related claim",
          "definition" : "Reference to a related claim.",
          "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.related.claim",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.related.relationship",
          "path" : "ExplanationOfBenefit.related.relationship",
          "short" : "How the reference claim is related",
          "definition" : "A code to convey how the claims are related.",
          "comment" : "For example, prior claim or umbrella.",
          "requirements" : "Some insurers need a declaration of the type of relationship.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.related.relationship",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RelatedClaimRelationship"
            }],
            "strength" : "example",
            "description" : "Relationship of this claim to a related Claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/related-claim-relationship"
          }
        },
        {
          "id" : "ExplanationOfBenefit.related.reference",
          "path" : "ExplanationOfBenefit.related.reference",
          "short" : "File or case reference",
          "definition" : "An alternate organizational reference to the case or file to which this particular claim pertains.",
          "comment" : "For example, Property/Casualty insurer claim number or Workers Compensation case number.",
          "requirements" : "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.related.reference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.prescription",
          "path" : "ExplanationOfBenefit.prescription",
          "short" : "Prescription authorizing services or products",
          "definition" : "Prescription to support the dispensing of pharmacy, device or vision products.",
          "requirements" : "Required to authorize the dispensing of controlled substances and devices.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.prescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.originalPrescription",
          "path" : "ExplanationOfBenefit.originalPrescription",
          "short" : "Original prescription if superceded by fulfiller",
          "definition" : "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.",
          "comment" : "For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.",
          "requirements" : "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.originalPrescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.payee",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Payee"
          }],
          "path" : "ExplanationOfBenefit.payee",
          "short" : "Recipient of benefits payable",
          "definition" : "The party to be reimbursed for cost of the products and services according to the terms of the policy.",
          "comment" : "Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.",
          "requirements" : "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payee",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.payee.id",
          "path" : "ExplanationOfBenefit.payee.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payee.extension",
          "path" : "ExplanationOfBenefit.payee.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payee.modifierExtension",
          "path" : "ExplanationOfBenefit.payee.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payee.type",
          "path" : "ExplanationOfBenefit.payee.type",
          "short" : "Category of recipient",
          "definition" : "Type of Party to be reimbursed: Subscriber, provider, other.",
          "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payee.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PayeeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "A code for the party to be reimbursed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
          }
        },
        {
          "id" : "ExplanationOfBenefit.payee.party",
          "path" : "ExplanationOfBenefit.payee.party",
          "short" : "Recipient reference",
          "definition" : "Reference to the individual or organization to whom any payment will be made.",
          "comment" : "Not required if the payee is 'subscriber' or 'provider'.",
          "requirements" : "Need to provide demographics if the payee is not 'subscriber' nor 'provider'.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payee.party",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.referral",
          "path" : "ExplanationOfBenefit.referral",
          "short" : "Treatment Referral",
          "definition" : "A reference to a referral resource.",
          "comment" : "The referral resource which lists the date, practitioner, reason and other supporting information.",
          "requirements" : "Some insurers require proof of referral to pay for services or to pay specialist rates for services.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.referral",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.cause"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.facility",
          "path" : "ExplanationOfBenefit.facility",
          "short" : "Servicing Facility",
          "definition" : "Facility where the services were provided.",
          "requirements" : "Insurance adjudication can be dependant on where services were delivered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.facility",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.claim",
          "path" : "ExplanationOfBenefit.claim",
          "short" : "Claim reference",
          "definition" : "The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.",
          "requirements" : "To provide a link to the original adjudication request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.claim",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.claimResponse",
          "path" : "ExplanationOfBenefit.claimResponse",
          "short" : "Claim response reference",
          "definition" : "The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.",
          "requirements" : "To provide a link to the original adjudication response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.claimResponse",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.outcome",
          "path" : "ExplanationOfBenefit.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "The outcome of the claim, predetermination, or preauthorization processing.",
          "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
          "requirements" : "To advise the requestor of an overall processing outcome.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.outcome",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            }],
            "strength" : "required",
            "description" : "The result of the claim processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "ExplanationOfBenefit.disposition",
          "path" : "ExplanationOfBenefit.disposition",
          "short" : "Disposition Message",
          "definition" : "A human readable description of the status of the adjudication.",
          "requirements" : "Provided for user display.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.disposition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.preAuthRef",
          "path" : "ExplanationOfBenefit.preAuthRef",
          "short" : "Preauthorization reference",
          "definition" : "Reference from the Insurer which is used in later communications which refers to this adjudication.",
          "comment" : "This value is only present on preauthorization adjudications.",
          "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.preAuthRef",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.preAuthRefPeriod",
          "path" : "ExplanationOfBenefit.preAuthRefPeriod",
          "short" : "Preauthorization in-effect period",
          "definition" : "The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.",
          "comment" : "This value is only present on preauthorization adjudications.",
          "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.preAuthRefPeriod",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.careTeam",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "CareTeam"
          }],
          "path" : "ExplanationOfBenefit.careTeam",
          "short" : "Care Team members",
          "definition" : "The members of the team who provided the products and services.",
          "requirements" : "Common to identify the responsible and supporting practitioners.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.careTeam",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.id",
          "path" : "ExplanationOfBenefit.careTeam.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.extension",
          "path" : "ExplanationOfBenefit.careTeam.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.modifierExtension",
          "path" : "ExplanationOfBenefit.careTeam.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.sequence",
          "path" : "ExplanationOfBenefit.careTeam.sequence",
          "short" : "Order of care team",
          "definition" : "A number to uniquely identify care team entries.",
          "requirements" : "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.careTeam.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.provider",
          "path" : "ExplanationOfBenefit.careTeam.provider",
          "short" : "Practitioner or organization",
          "definition" : "Member of the team who provided the product or service.",
          "requirements" : "Often a regulatory requirement to specify the responsible provider.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.careTeam.provider",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.responsible",
          "path" : "ExplanationOfBenefit.careTeam.responsible",
          "short" : "Indicator of the lead practitioner",
          "definition" : "The party who is billing and/or responsible for the claimed products or services.",
          "comment" : "Responsible might not be required when there is only a single provider listed.",
          "requirements" : "When multiple parties are present it is required to distinguish the lead or responsible individual.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.careTeam.responsible",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.role",
          "path" : "ExplanationOfBenefit.careTeam.role",
          "short" : "Function within the team",
          "definition" : "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.",
          "comment" : "Role might not be required when there is only a single provider listed.",
          "requirements" : "When multiple parties are present it is required to distinguish the roles performed by each member.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.careTeam.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamRole"
            }],
            "strength" : "example",
            "description" : "The role codes for the care team members.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-careteamrole"
          }
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.qualification",
          "path" : "ExplanationOfBenefit.careTeam.qualification",
          "short" : "Practitioner credential or specialization",
          "definition" : "The qualification of the practitioner which is applicable for this service.",
          "requirements" : "Need to specify which qualification a provider is delivering the product or service under.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.careTeam.qualification",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProviderQualification"
            }],
            "strength" : "example",
            "description" : "Provider professional qualifications.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provider-qualification"
          }
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SupportingInformation"
          }],
          "path" : "ExplanationOfBenefit.supportingInfo",
          "short" : "Supporting information",
          "definition" : "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.",
          "comment" : "Often there are multiple jurisdiction specific valuesets which are required.",
          "requirements" : "Typically these information codes are required to support the services rendered or the adjudication of the services rendered.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.supportingInfo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.id",
          "path" : "ExplanationOfBenefit.supportingInfo.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.extension",
          "path" : "ExplanationOfBenefit.supportingInfo.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.modifierExtension",
          "path" : "ExplanationOfBenefit.supportingInfo.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.sequence",
          "path" : "ExplanationOfBenefit.supportingInfo.sequence",
          "short" : "Information instance identifier",
          "definition" : "A number to uniquely identify supporting information entries.",
          "requirements" : "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.supportingInfo.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.category",
          "path" : "ExplanationOfBenefit.supportingInfo.category",
          "short" : "Classification of the supplied information",
          "definition" : "The general class of the information supplied: information; exception; accident, employment; onset, etc.",
          "comment" : "This may contain a category for the local bill type codes.",
          "requirements" : "Required to group or associate information items with common characteristics. For example: admission information or prior treatments.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.supportingInfo.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InformationCategory"
            }],
            "strength" : "example",
            "description" : "The valuset used for additional information category codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-informationcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.code",
          "path" : "ExplanationOfBenefit.supportingInfo.code",
          "short" : "Type of information",
          "definition" : "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought.",
          "comment" : "This may contain the local bill type codes such as the US UB-04 bill type code.",
          "requirements" : "Required to identify the kind of additional information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.supportingInfo.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InformationCode"
            }],
            "strength" : "example",
            "description" : "The valuset used for additional information codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-exception"
          }
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.timing[x]",
          "path" : "ExplanationOfBenefit.supportingInfo.timing[x]",
          "short" : "When it occurred",
          "definition" : "The date when or period to which this information refers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.supportingInfo.timing[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.value[x]",
          "path" : "ExplanationOfBenefit.supportingInfo.value[x]",
          "short" : "Data to be provided",
          "definition" : "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.",
          "comment" : "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.",
          "requirements" : "To convey the data content to be provided when the information is more than a simple code or period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.supportingInfo.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.reason",
          "path" : "ExplanationOfBenefit.supportingInfo.reason",
          "short" : "Explanation for the information",
          "definition" : "Provides the reason in the situation where a reason code is required in addition to the content.",
          "comment" : "For example: the reason for the additional stay, or why a tooth is  missing.",
          "requirements" : "Needed when the supporting information has both a date and amount/value and requires explanation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.supportingInfo.reason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MissingReason"
            }],
            "strength" : "example",
            "description" : "Reason codes for the missing teeth.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/missing-tooth-reason"
          }
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "ExplanationOfBenefit.diagnosis",
          "short" : "Pertinent diagnosis information",
          "definition" : "Information about diagnoses relevant to the claim items.",
          "requirements" : "Required for the adjudication by provided context for the services and product listed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.diagnosis",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.id",
          "path" : "ExplanationOfBenefit.diagnosis.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.extension",
          "path" : "ExplanationOfBenefit.diagnosis.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.modifierExtension",
          "path" : "ExplanationOfBenefit.diagnosis.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.sequence",
          "path" : "ExplanationOfBenefit.diagnosis.sequence",
          "short" : "Diagnosis instance identifier",
          "definition" : "A number to uniquely identify diagnosis entries.",
          "comment" : "Diagnosis are presented in list order to their expected importance: primary, secondary, etc.",
          "requirements" : "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.diagnosis.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.diagnosis[x]",
          "path" : "ExplanationOfBenefit.diagnosis.diagnosis[x]",
          "short" : "Nature of illness or problem",
          "definition" : "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
          "requirements" : "Provides health context for the evaluation of the products and/or services.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.diagnosis.diagnosis[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10"
            }],
            "strength" : "example",
            "description" : "ICD10 Diagnostic codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
          }
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.type",
          "path" : "ExplanationOfBenefit.diagnosis.type",
          "short" : "Timing or nature of the diagnosis",
          "definition" : "When the condition was observed or the relative ranking.",
          "comment" : "For example: admitting, primary, secondary, discharge.",
          "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.diagnosis.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisType"
            }],
            "strength" : "example",
            "description" : "The type of the diagnosis: admitting, principal, discharge.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosistype"
          }
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.onAdmission",
          "path" : "ExplanationOfBenefit.diagnosis.onAdmission",
          "short" : "Present on admission",
          "definition" : "Indication of whether the diagnosis was present on admission to a facility.",
          "requirements" : "Many systems need to understand for adjudication if the diagnosis was present a time of admission.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.diagnosis.onAdmission",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisOnAdmission"
            }],
            "strength" : "example",
            "description" : "Present on admission.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"
          }
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.packageCode",
          "path" : "ExplanationOfBenefit.diagnosis.packageCode",
          "short" : "Package billing code",
          "definition" : "A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.",
          "comment" : "For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.",
          "requirements" : "Required to relate the current  diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.diagnosis.packageCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisRelatedGroup"
            }],
            "strength" : "example",
            "description" : "The DRG codes associated with the diagnosis.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"
          }
        },
        {
          "id" : "ExplanationOfBenefit.procedure",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Procedure"
          }],
          "path" : "ExplanationOfBenefit.procedure",
          "short" : "Clinical procedures performed",
          "definition" : "Procedures performed on the patient relevant to the billing items with the claim.",
          "requirements" : "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.procedure",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.procedure.id",
          "path" : "ExplanationOfBenefit.procedure.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.procedure.extension",
          "path" : "ExplanationOfBenefit.procedure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.procedure.modifierExtension",
          "path" : "ExplanationOfBenefit.procedure.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.procedure.sequence",
          "path" : "ExplanationOfBenefit.procedure.sequence",
          "short" : "Procedure instance identifier",
          "definition" : "A number to uniquely identify procedure entries.",
          "requirements" : "Necessary to provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.procedure.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.procedure.type",
          "path" : "ExplanationOfBenefit.procedure.type",
          "short" : "Category of Procedure",
          "definition" : "When the condition was observed or the relative ranking.",
          "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.procedure.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureType"
            }],
            "strength" : "example",
            "description" : "Example procedure type codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-procedure-type"
          }
        },
        {
          "id" : "ExplanationOfBenefit.procedure.date",
          "path" : "ExplanationOfBenefit.procedure.date",
          "short" : "When the procedure was performed",
          "definition" : "Date and optionally time the procedure was performed.",
          "requirements" : "Required for auditing purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.procedure.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.procedure.procedure[x]",
          "path" : "ExplanationOfBenefit.procedure.procedure[x]",
          "short" : "Specific clinical procedure",
          "definition" : "The code or reference to a Procedure resource which identifies the clinical intervention performed.",
          "requirements" : "This identifies the actual clinical procedure.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.procedure.procedure[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10_Procedures"
            }],
            "strength" : "example",
            "description" : "ICD10 Procedure codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10-procedures"
          }
        },
        {
          "id" : "ExplanationOfBenefit.procedure.udi",
          "path" : "ExplanationOfBenefit.procedure.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.procedure.udi",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.precedence",
          "path" : "ExplanationOfBenefit.precedence",
          "short" : "Precedence (primary, secondary, etc.)",
          "definition" : "This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.",
          "requirements" : "Needed to coordinate between multiple EOBs for the same suite of services.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.precedence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "ExplanationOfBenefit.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "At least one insurer is required for a claim to be a claim.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.insurance",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Coverage"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.insurance.id",
          "path" : "ExplanationOfBenefit.insurance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.insurance.extension",
          "path" : "ExplanationOfBenefit.insurance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.insurance.modifierExtension",
          "path" : "ExplanationOfBenefit.insurance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.insurance.focal",
          "path" : "ExplanationOfBenefit.insurance.focal",
          "short" : "Coverage to be used for adjudication",
          "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
          "comment" : "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.",
          "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.insurance.focal",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.insurance.coverage",
          "path" : "ExplanationOfBenefit.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.insurance.coverage",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.insurance.preAuthRef",
          "path" : "ExplanationOfBenefit.insurance.preAuthRef",
          "short" : "Prior authorization reference number",
          "definition" : "Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.",
          "comment" : "This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.",
          "requirements" : "Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.insurance.preAuthRef",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.accident",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Accident"
          }],
          "path" : "ExplanationOfBenefit.accident",
          "short" : "Details of the event",
          "definition" : "Details of a accident which resulted in injuries which required the products and services listed in the claim.",
          "requirements" : "When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.accident",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.accident.id",
          "path" : "ExplanationOfBenefit.accident.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.accident.extension",
          "path" : "ExplanationOfBenefit.accident.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.accident.modifierExtension",
          "path" : "ExplanationOfBenefit.accident.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.accident.date",
          "path" : "ExplanationOfBenefit.accident.date",
          "short" : "When the incident occurred",
          "definition" : "Date of an accident event  related to the products and services contained in the claim.",
          "comment" : "The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.",
          "requirements" : "Required for audit purposes and adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.accident.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.accident.type",
          "path" : "ExplanationOfBenefit.accident.type",
          "short" : "The nature of the accident",
          "definition" : "The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.",
          "requirements" : "Coverage may be dependant on the type of accident.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.accident.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AccidentType"
            }],
            "strength" : "extensible",
            "description" : "Type of accident: work place, auto, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"
          }
        },
        {
          "id" : "ExplanationOfBenefit.accident.location[x]",
          "path" : "ExplanationOfBenefit.accident.location[x]",
          "short" : "Where the event occurred",
          "definition" : "The physical location of the accident event.",
          "requirements" : "Required for audit purposes and determination of applicable insurance liability.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.accident.location[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Item"
          }],
          "path" : "ExplanationOfBenefit.item",
          "short" : "Product or service provided",
          "definition" : "A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.id",
          "path" : "ExplanationOfBenefit.item.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.extension",
          "path" : "ExplanationOfBenefit.item.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.modifierExtension",
          "path" : "ExplanationOfBenefit.item.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.sequence",
          "path" : "ExplanationOfBenefit.item.sequence",
          "short" : "Item instance identifier",
          "definition" : "A number to uniquely identify item entries.",
          "requirements" : "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.careTeamSequence",
          "path" : "ExplanationOfBenefit.item.careTeamSequence",
          "short" : "Applicable care team members",
          "definition" : "Care team members related to this service or product.",
          "requirements" : "Need to identify the individuals and their roles in the provision of the product or service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.careTeamSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.diagnosisSequence",
          "path" : "ExplanationOfBenefit.item.diagnosisSequence",
          "short" : "Applicable diagnoses",
          "definition" : "Diagnoses applicable for this service or product.",
          "requirements" : "Need to related the product or service to the associated diagnoses.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.diagnosisSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.procedureSequence",
          "path" : "ExplanationOfBenefit.item.procedureSequence",
          "short" : "Applicable procedures",
          "definition" : "Procedures applicable for this service or product.",
          "requirements" : "Need to provide any listed specific procedures to support the product or service being claimed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.procedureSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.informationSequence",
          "path" : "ExplanationOfBenefit.item.informationSequence",
          "short" : "Applicable exception and supporting information",
          "definition" : "Exceptions, special conditions and supporting information applicable for this service or product.",
          "requirements" : "Need to reference the supporting information items that relate directly to this product or service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.informationSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.revenue",
          "path" : "ExplanationOfBenefit.item.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.revenue",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.category",
          "path" : "ExplanationOfBenefit.item.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision, oral-basic etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.productOrService",
          "path" : "ExplanationOfBenefit.item.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.modifier",
          "path" : "ExplanationOfBenefit.item.modifier",
          "short" : "Product or service billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.programCode",
          "path" : "ExplanationOfBenefit.item.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.programCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.serviced[x]",
          "path" : "ExplanationOfBenefit.item.serviced[x]",
          "short" : "Date or dates of service or product delivery",
          "definition" : "The date or dates when the service or product was supplied, performed or completed.",
          "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.serviced[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.location[x]",
          "path" : "ExplanationOfBenefit.item.location[x]",
          "short" : "Place of service or where product was supplied",
          "definition" : "Where the product or service was provided.",
          "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.location[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServicePlace"
            }],
            "strength" : "example",
            "description" : "Place where the service is rendered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.quantity",
          "path" : "ExplanationOfBenefit.item.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.unitPrice",
          "path" : "ExplanationOfBenefit.item.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.factor",
          "path" : "ExplanationOfBenefit.item.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.net",
          "path" : "ExplanationOfBenefit.item.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.udi",
          "path" : "ExplanationOfBenefit.item.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.udi",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.bodySite",
          "path" : "ExplanationOfBenefit.item.bodySite",
          "short" : "Anatomical location",
          "definition" : "Physical service site on the patient (limb, tooth, etc.).",
          "comment" : "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralSites"
            }],
            "strength" : "example",
            "description" : "The code for the teeth, quadrant, sextant and arch.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.subSite",
          "path" : "ExplanationOfBenefit.item.subSite",
          "short" : "Anatomical sub-location",
          "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.subSite",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Surface"
            }],
            "strength" : "example",
            "description" : "The code for the tooth surface and surface combinations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.encounter",
          "path" : "ExplanationOfBenefit.item.encounter",
          "short" : "Encounters related to this billed item",
          "definition" : "A billed item may include goods or services provided in multiple encounters.",
          "requirements" : "Used in some jurisdictions to link clinical events to claim items.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.encounter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.noteNumber",
          "path" : "ExplanationOfBenefit.item.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Adjudication"
          }],
          "path" : "ExplanationOfBenefit.item.adjudication",
          "short" : "Adjudication details",
          "definition" : "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.",
          "requirements" : "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.id",
          "path" : "ExplanationOfBenefit.item.adjudication.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.extension",
          "path" : "ExplanationOfBenefit.item.adjudication.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.modifierExtension",
          "path" : "ExplanationOfBenefit.item.adjudication.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.category",
          "path" : "ExplanationOfBenefit.item.adjudication.category",
          "short" : "Type of adjudication information",
          "definition" : "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
          "comment" : "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
          "requirements" : "Needed to enable understanding of the context of the other information in the adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.adjudication.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Adjudication"
            }],
            "strength" : "example",
            "description" : "The adjudication codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.reason",
          "path" : "ExplanationOfBenefit.item.adjudication.reason",
          "short" : "Explanation of adjudication outcome",
          "definition" : "A code supporting the understanding of the adjudication result and explaining variance from expected amount.",
          "comment" : "For example, may indicate that the funds for this benefit type have been exhausted.",
          "requirements" : "To support understanding of variance from adjudication expectations.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.adjudication.reason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjudicationReason"
            }],
            "strength" : "example",
            "description" : "Adjudication reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-reason"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.amount",
          "path" : "ExplanationOfBenefit.item.adjudication.amount",
          "short" : "Monetary amount",
          "definition" : "Monetary amount associated with the category.",
          "comment" : "For example, amount submitted, eligible amount, co-payment, and benefit payable.",
          "requirements" : "Most adjuciation categories convey a monetary amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.adjudication.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.value",
          "path" : "ExplanationOfBenefit.item.adjudication.value",
          "short" : "Non-monitary value",
          "definition" : "A non-monetary value associated with the category. Mutually exclusive to the amount element above.",
          "comment" : "For example: eligible percentage or co-payment percentage.",
          "requirements" : "Some adjudication categories convey a percentage or a fixed value.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.adjudication.value",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Detail"
          }],
          "path" : "ExplanationOfBenefit.item.detail",
          "short" : "Additional items",
          "definition" : "Second-tier of goods and services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.id",
          "path" : "ExplanationOfBenefit.item.detail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.extension",
          "path" : "ExplanationOfBenefit.item.detail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.modifierExtension",
          "path" : "ExplanationOfBenefit.item.detail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.sequence",
          "path" : "ExplanationOfBenefit.item.detail.sequence",
          "short" : "Product or service provided",
          "definition" : "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.revenue",
          "path" : "ExplanationOfBenefit.item.detail.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.revenue",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.category",
          "path" : "ExplanationOfBenefit.item.detail.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision, oral-basic etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.productOrService",
          "path" : "ExplanationOfBenefit.item.detail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.modifier",
          "path" : "ExplanationOfBenefit.item.detail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.programCode",
          "path" : "ExplanationOfBenefit.item.detail.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.programCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.quantity",
          "path" : "ExplanationOfBenefit.item.detail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.unitPrice",
          "path" : "ExplanationOfBenefit.item.detail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.factor",
          "path" : "ExplanationOfBenefit.item.detail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.net",
          "path" : "ExplanationOfBenefit.item.detail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.udi",
          "path" : "ExplanationOfBenefit.item.detail.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.udi",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.noteNumber",
          "path" : "ExplanationOfBenefit.item.detail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.adjudication",
          "path" : "ExplanationOfBenefit.item.detail.adjudication",
          "short" : "Detail level adjudication details",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ExplanationOfBenefit.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SubDetail"
          }],
          "path" : "ExplanationOfBenefit.item.detail.subDetail",
          "short" : "Additional items",
          "definition" : "Third-tier of goods and services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.id",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.extension",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.modifierExtension",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.sequence",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.sequence",
          "short" : "Product or service provided",
          "definition" : "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.sequence",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.revenue",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.revenue",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.category",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision, oral-basic etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.productOrService",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.modifier",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.programCode",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.programCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.quantity",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.unitPrice",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.factor",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.net",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.udi",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.udi",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.noteNumber",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.adjudication",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.adjudication",
          "short" : "Subdetail level adjudication details",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.item.detail.subDetail.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ExplanationOfBenefit.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "740;600"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItem"
          }],
          "path" : "ExplanationOfBenefit.addItem",
          "short" : "Insurer added line items",
          "definition" : "The first-tier service adjudications for payor added product or service lines.",
          "requirements" : "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.id",
          "path" : "ExplanationOfBenefit.addItem.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.extension",
          "path" : "ExplanationOfBenefit.addItem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.modifierExtension",
          "path" : "ExplanationOfBenefit.addItem.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.itemSequence",
          "path" : "ExplanationOfBenefit.addItem.itemSequence",
          "short" : "Item sequence number",
          "definition" : "Claim items which this service line is intended to replace.",
          "requirements" : "Provides references to the claim items.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.itemSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detailSequence",
          "path" : "ExplanationOfBenefit.addItem.detailSequence",
          "short" : "Detail sequence number",
          "definition" : "The sequence number of the details within the claim item which this line is intended to replace.",
          "requirements" : "Provides references to the claim details within the claim item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detailSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.subDetailSequence",
          "path" : "ExplanationOfBenefit.addItem.subDetailSequence",
          "short" : "Subdetail sequence number",
          "definition" : "The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.",
          "requirements" : "Provides references to the claim sub-details within the claim detail.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.subDetailSequence",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.provider",
          "path" : "ExplanationOfBenefit.addItem.provider",
          "short" : "Authorized providers",
          "definition" : "The providers who are authorized for the services rendered to the patient.",
          "requirements" : "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.provider",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.productOrService",
          "path" : "ExplanationOfBenefit.addItem.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.modifier",
          "path" : "ExplanationOfBenefit.addItem.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.programCode",
          "path" : "ExplanationOfBenefit.addItem.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.programCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.serviced[x]",
          "path" : "ExplanationOfBenefit.addItem.serviced[x]",
          "short" : "Date or dates of service or product delivery",
          "definition" : "The date or dates when the service or product was supplied, performed or completed.",
          "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.serviced[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.location[x]",
          "path" : "ExplanationOfBenefit.addItem.location[x]",
          "short" : "Place of service or where product was supplied",
          "definition" : "Where the product or service was provided.",
          "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.location[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServicePlace"
            }],
            "strength" : "example",
            "description" : "Place where the service is rendered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.quantity",
          "path" : "ExplanationOfBenefit.addItem.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.unitPrice",
          "path" : "ExplanationOfBenefit.addItem.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.factor",
          "path" : "ExplanationOfBenefit.addItem.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.net",
          "path" : "ExplanationOfBenefit.addItem.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.bodySite",
          "path" : "ExplanationOfBenefit.addItem.bodySite",
          "short" : "Anatomical location",
          "definition" : "Physical service site on the patient (limb, tooth, etc.).",
          "comment" : "For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralSites"
            }],
            "strength" : "example",
            "description" : "The code for the teeth, quadrant, sextant and arch.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.subSite",
          "path" : "ExplanationOfBenefit.addItem.subSite",
          "short" : "Anatomical sub-location",
          "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.subSite",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Surface"
            }],
            "strength" : "example",
            "description" : "The code for the tooth surface and surface combinations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.noteNumber",
          "path" : "ExplanationOfBenefit.addItem.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.adjudication",
          "path" : "ExplanationOfBenefit.addItem.adjudication",
          "short" : "Added items adjudication",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ExplanationOfBenefit.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "740;600"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItemDetail"
          }],
          "path" : "ExplanationOfBenefit.addItem.detail",
          "short" : "Insurer added line items",
          "definition" : "The second-tier service adjudications for payor added services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.id",
          "path" : "ExplanationOfBenefit.addItem.detail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.extension",
          "path" : "ExplanationOfBenefit.addItem.detail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.modifierExtension",
          "path" : "ExplanationOfBenefit.addItem.detail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.productOrService",
          "path" : "ExplanationOfBenefit.addItem.detail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.modifier",
          "path" : "ExplanationOfBenefit.addItem.detail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.quantity",
          "path" : "ExplanationOfBenefit.addItem.detail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.unitPrice",
          "path" : "ExplanationOfBenefit.addItem.detail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.factor",
          "path" : "ExplanationOfBenefit.addItem.detail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.net",
          "path" : "ExplanationOfBenefit.addItem.detail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.noteNumber",
          "path" : "ExplanationOfBenefit.addItem.detail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.adjudication",
          "path" : "ExplanationOfBenefit.addItem.detail.adjudication",
          "short" : "Added items adjudication",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ExplanationOfBenefit.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "740;600"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItemDetailSubDetail"
          }],
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail",
          "short" : "Insurer added line items",
          "definition" : "The third-tier service adjudications for payor added services.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.id",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.extension",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.productOrService",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail.productOrService",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.modifier",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.quantity",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.factor",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.net",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail.net",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.adjudication",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.adjudication",
          "short" : "Added items adjudication",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.addItem.detail.subDetail.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ExplanationOfBenefit.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.adjudication",
          "path" : "ExplanationOfBenefit.adjudication",
          "short" : "Header-level adjudication",
          "definition" : "The adjudication results which are presented at the header level rather than at the line-item or add-item levels.",
          "requirements" : "Some insurers will receive line-items but provide the adjudication only at a summary or header-level.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.adjudication",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ExplanationOfBenefit.item.adjudication",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.total",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "'360;620"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Total"
          }],
          "path" : "ExplanationOfBenefit.total",
          "short" : "Adjudication totals",
          "definition" : "Categorized monetary totals for the adjudication.",
          "comment" : "Totals for amounts submitted, co-pays, benefits payable etc.",
          "requirements" : "To provide the requestor with financial totals by category for the adjudication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.total",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.total.id",
          "path" : "ExplanationOfBenefit.total.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.total.extension",
          "path" : "ExplanationOfBenefit.total.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.total.modifierExtension",
          "path" : "ExplanationOfBenefit.total.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.total.category",
          "path" : "ExplanationOfBenefit.total.category",
          "short" : "Type of adjudication information",
          "definition" : "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
          "comment" : "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
          "requirements" : "Needed to convey the type of total provided.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.total.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Adjudication"
            }],
            "strength" : "example",
            "description" : "The adjudication codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
          }
        },
        {
          "id" : "ExplanationOfBenefit.total.amount",
          "path" : "ExplanationOfBenefit.total.amount",
          "short" : "Financial total for the category",
          "definition" : "Monetary total amount associated with the category.",
          "requirements" : "Needed to convey the total monetary amount.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.total.amount",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.payment",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "360;650"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Payment"
          }],
          "path" : "ExplanationOfBenefit.payment",
          "short" : "Payment Details",
          "definition" : "Payment details for the adjudication of the claim.",
          "requirements" : "Needed to convey references to the financial instrument that has been used if payment has been made.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.payment.id",
          "path" : "ExplanationOfBenefit.payment.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payment.extension",
          "path" : "ExplanationOfBenefit.payment.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payment.modifierExtension",
          "path" : "ExplanationOfBenefit.payment.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payment.type",
          "path" : "ExplanationOfBenefit.payment.type",
          "short" : "Partial or complete payment",
          "definition" : "Whether this represents partial or complete payment of the benefits payable.",
          "requirements" : "To advise the requestor when the insurer believes all payments to have been completed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payment.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentType"
            }],
            "strength" : "example",
            "description" : "The type (partial, complete) of the payment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-paymenttype"
          }
        },
        {
          "id" : "ExplanationOfBenefit.payment.adjustment",
          "path" : "ExplanationOfBenefit.payment.adjustment",
          "short" : "Payment adjustment for non-claim issues",
          "definition" : "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.",
          "comment" : "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.",
          "requirements" : "To advise the requestor of adjustments applied to the payment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payment.adjustment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.payment.adjustmentReason",
          "path" : "ExplanationOfBenefit.payment.adjustmentReason",
          "short" : "Explanation for the variance",
          "definition" : "Reason for the payment adjustment.",
          "requirements" : "Needed to clarify the monetary adjustment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payment.adjustmentReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentAdjustmentReason"
            }],
            "strength" : "example",
            "description" : "Payment Adjustment reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payment-adjustment-reason"
          }
        },
        {
          "id" : "ExplanationOfBenefit.payment.date",
          "path" : "ExplanationOfBenefit.payment.date",
          "short" : "Expected date of payment",
          "definition" : "Estimated date the payment will be issued or the actual issue date of payment.",
          "requirements" : "To advise the payee when payment can be expected.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payment.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.payment.amount",
          "path" : "ExplanationOfBenefit.payment.amount",
          "short" : "Payable amount after adjustment",
          "definition" : "Benefits payable less any payment adjustment.",
          "requirements" : "Needed to provide the actual payment amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payment.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.payment.identifier",
          "path" : "ExplanationOfBenefit.payment.identifier",
          "short" : "Business identifier for the payment",
          "definition" : "Issuer's unique identifier for the payment instrument.",
          "comment" : "For example: EFT number or check number.",
          "requirements" : "Enable the receiver to reconcile when payment received.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.payment.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.formCode",
          "path" : "ExplanationOfBenefit.formCode",
          "short" : "Printed form identifier",
          "definition" : "A code for the form to be used for printing the content.",
          "comment" : "May be needed to identify specific jurisdictional forms.",
          "requirements" : "Needed to specify the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.formCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Forms"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The forms codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
          }
        },
        {
          "id" : "ExplanationOfBenefit.form",
          "path" : "ExplanationOfBenefit.form",
          "short" : "Printed reference or actual form",
          "definition" : "The actual form, by reference or inclusion, for printing the content or an EOB.",
          "comment" : "Needed to permit insurers to include the actual form.",
          "requirements" : "Needed to include the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.form",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.processNote",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Note"
          }],
          "path" : "ExplanationOfBenefit.processNote",
          "short" : "Note concerning adjudication",
          "definition" : "A note that describes or explains adjudication results in a human readable form.",
          "requirements" : "Provides the insurer specific textual explanations associated with the processing.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.processNote",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.processNote.id",
          "path" : "ExplanationOfBenefit.processNote.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.processNote.extension",
          "path" : "ExplanationOfBenefit.processNote.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.processNote.modifierExtension",
          "path" : "ExplanationOfBenefit.processNote.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.processNote.number",
          "path" : "ExplanationOfBenefit.processNote.number",
          "short" : "Note instance identifier",
          "definition" : "A number to uniquely identify a note entry.",
          "requirements" : "Necessary to provide a mechanism to link from adjudications.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.processNote.number",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.processNote.type",
          "path" : "ExplanationOfBenefit.processNote.type",
          "short" : "display | print | printoper",
          "definition" : "The business purpose of the note text.",
          "requirements" : "To convey the expectation for when the text is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.processNote.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NoteType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The presentation types of notes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/note-type|4.0.0"
          }
        },
        {
          "id" : "ExplanationOfBenefit.processNote.text",
          "path" : "ExplanationOfBenefit.processNote.text",
          "short" : "Note explanatory text",
          "definition" : "The explanation or description associated with the processing.",
          "requirements" : "Required to provide human readable explanation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.processNote.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.processNote.language",
          "path" : "ExplanationOfBenefit.processNote.language",
          "short" : "Language of the text",
          "definition" : "A code to define the language used in the text of the note.",
          "comment" : "Only required if the language is different from the resource language.",
          "requirements" : "Note text may vary from the resource defined language.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.processNote.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitPeriod",
          "path" : "ExplanationOfBenefit.benefitPeriod",
          "short" : "When the benefits are applicable",
          "definition" : "The term of the benefits documented in this response.",
          "comment" : "Not applicable when use=claim.",
          "requirements" : "Needed as coverages may be multi-year while benefits tend to be annual therefore a separate expression of the benefit period is needed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "BenefitBalance"
          }],
          "path" : "ExplanationOfBenefit.benefitBalance",
          "short" : "Balance by Benefit Category",
          "definition" : "Balance by Benefit Category.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.id",
          "path" : "ExplanationOfBenefit.benefitBalance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.extension",
          "path" : "ExplanationOfBenefit.benefitBalance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.modifierExtension",
          "path" : "ExplanationOfBenefit.benefitBalance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.category",
          "path" : "ExplanationOfBenefit.benefitBalance.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed to convey the category of service or product for which eligibility is sought.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision, oral-basic etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.excluded",
          "path" : "ExplanationOfBenefit.benefitBalance.excluded",
          "short" : "Excluded from the plan",
          "definition" : "True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.",
          "requirements" : "Needed to identify items that are specifically excluded from the coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.excluded",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.name",
          "path" : "ExplanationOfBenefit.benefitBalance.name",
          "short" : "Short name for the benefit",
          "definition" : "A short name or tag for the benefit.",
          "comment" : "For example: MED01, or DENT2.",
          "requirements" : "Required to align with other plan names.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.description",
          "path" : "ExplanationOfBenefit.benefitBalance.description",
          "short" : "Description of the benefit or services covered",
          "definition" : "A richer description of the benefit or services covered.",
          "comment" : "For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.",
          "requirements" : "Needed for human readable reference.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.network",
          "path" : "ExplanationOfBenefit.benefitBalance.network",
          "short" : "In or out of network",
          "definition" : "Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.",
          "requirements" : "Needed as in or out of network providers are treated differently under the coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.network",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitNetwork"
            }],
            "strength" : "example",
            "description" : "Code to classify in or out of network services.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-network"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.unit",
          "path" : "ExplanationOfBenefit.benefitBalance.unit",
          "short" : "Individual or family",
          "definition" : "Indicates if the benefits apply to an individual or to the family.",
          "requirements" : "Needed for the understanding of the benefits.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.unit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitUnit"
            }],
            "strength" : "example",
            "description" : "Unit covered/serviced - individual or family.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-unit"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.term",
          "path" : "ExplanationOfBenefit.benefitBalance.term",
          "short" : "Annual or lifetime",
          "definition" : "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.",
          "requirements" : "Needed for the understanding of the benefits.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.term",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitTerm"
            }],
            "strength" : "example",
            "description" : "Coverage unit - annual, lifetime.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-term"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Benefit"
          }],
          "path" : "ExplanationOfBenefit.benefitBalance.financial",
          "short" : "Benefit Summary",
          "definition" : "Benefits Used to date.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.financial",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.id",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.extension",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.modifierExtension",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.type",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.type",
          "short" : "Benefit classification",
          "definition" : "Classification of benefit being provided.",
          "comment" : "For example: deductible, visits, benefit amount.",
          "requirements" : "Needed to convey the nature of the benefit.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.financial.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitType"
            }],
            "strength" : "example",
            "description" : "Deductable, visits, co-pay, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-type"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.allowed[x]",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.allowed[x]",
          "short" : "Benefits allowed",
          "definition" : "The quantity of the benefit which is permitted under the coverage.",
          "requirements" : "Needed to convey the benefits offered under the coverage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.financial.allowed[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.used[x]",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.used[x]",
          "short" : "Benefits used",
          "definition" : "The quantity of the benefit which have been consumed to date.",
          "requirements" : "Needed to convey the benefits consumed to date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ExplanationOfBenefit.benefitBalance.financial.used[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          },
          {
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ExplanationOfBenefit",
          "path" : "ExplanationOfBenefit",
          "short" : "Explanation of Benefit resource",
          "definition" : "This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.",
          "alias" : ["EOB"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.identifier",
          "path" : "ExplanationOfBenefit.identifier",
          "short" : "Business Identifier for the resource",
          "definition" : "A unique identifier assigned to this explanation of benefit.",
          "requirements" : "Allows EOBs to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.status",
          "path" : "ExplanationOfBenefit.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ExplanationOfBenefitStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/explanationofbenefit-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.type",
          "path" : "ExplanationOfBenefit.type",
          "short" : "Category or discipline",
          "definition" : "The category of claim, e.g. oral, pharmacy, vision, institutional, professional.",
          "comment" : "The majority of jurisdictions use: oral, pharmacy, vision, professional and institutional, or variants on those terms, as the general styles of claims. The valueset is extensible to accommodate other jurisdictional requirements.",
          "requirements" : "Claim type determine the general sets of business rules applied for information requirements and adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimType"
            }],
            "strength" : "extensible",
            "description" : "The type or discipline-style of the claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.subType",
          "path" : "ExplanationOfBenefit.subType",
          "short" : "More granular claim type",
          "definition" : "A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.",
          "comment" : "This may contain the local bill type codes such as the US UB-04 bill type code.",
          "requirements" : "Some jurisdictions need a finer grained claim type for routing and adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ClaimSubType"
            }],
            "strength" : "example",
            "description" : "A more granular claim typecode.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-subtype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.use",
          "path" : "ExplanationOfBenefit.use",
          "short" : "claim | preauthorization | predetermination",
          "definition" : "A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.",
          "requirements" : "This element is required to understand the nature of the request for adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Use"
            }],
            "strength" : "required",
            "description" : "Complete, proposed, exploratory, other.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-use|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.patient",
          "path" : "ExplanationOfBenefit.patient",
          "short" : "The recipient of the products and services",
          "definition" : "The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for forecast reimbursement is sought.",
          "requirements" : "The patient must be supplied to the insurer so that confirmation of coverage and service history may be considered as part of the authorization and/or adjudiction.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.billablePeriod",
          "path" : "ExplanationOfBenefit.billablePeriod",
          "short" : "Relevant time frame for the claim",
          "definition" : "The period for which charges are being submitted.",
          "comment" : "Typically this would be today or in the past for a claim, and today or in the future for preauthorizations and prodeterminations. Typically line item dates of service should fall within the billing period if one is specified.",
          "requirements" : "A number jurisdictions required the submission of the billing period when submitting claims for example for hospital stays or long-term care.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.created",
          "path" : "ExplanationOfBenefit.created",
          "short" : "Response creation date",
          "definition" : "The date this resource was created.",
          "comment" : "This field is independent of the date of creation of the resource as it may reflect the creation date of a source document prior to digitization. Typically for claims all services must be completed as of this date.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.enterer",
          "path" : "ExplanationOfBenefit.enterer",
          "short" : "Author of the claim",
          "definition" : "Individual who created the claim, predetermination or preauthorization.",
          "requirements" : "Some jurisdictions require the contact information for personnel completing claims.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.agent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.insurer",
          "path" : "ExplanationOfBenefit.insurer",
          "short" : "Party responsible for reimbursement",
          "definition" : "The party responsible for authorization, adjudication and reimbursement.",
          "requirements" : "To be a valid claim, preauthorization or predetermination there must be a party who is responsible for adjudicating the contents against a policy which provides benefits for the patient.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.agent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.provider",
          "path" : "ExplanationOfBenefit.provider",
          "short" : "Party responsible for the claim",
          "definition" : "The provider which is responsible for the claim, predetermination or preauthorization.",
          "comment" : "Typically this field would be 1..1 where this party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.priority",
          "path" : "ExplanationOfBenefit.priority",
          "short" : "Desired processing urgency",
          "definition" : "The provider-required urgency of processing the request. Typical values include: stat, routine deferred.",
          "comment" : "If a claim processor is unable to complete the processing as per the priority then they should generate and error and not process the request.",
          "requirements" : "The provider may need to indicate their processing requirements so that the processor can indicate if they are unable to comply.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcessPriority"
            }],
            "strength" : "example",
            "description" : "The timeliness with which processing is required: stat, normal, deferred.",
            "valueSet" : "http://terminology.hl7.org/CodeSystem/processpriority"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "Request.priority"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.fundsReserveRequested",
          "path" : "ExplanationOfBenefit.fundsReserveRequested",
          "short" : "For whom to reserve funds",
          "definition" : "A code to indicate whether and for whom funds are to be reserved for future claims.",
          "comment" : "This field is only used for preauthorizations.",
          "requirements" : "In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.",
          "alias" : ["Fund pre-allocation"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundsReserve"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
          }
        },
        {
          "id" : "ExplanationOfBenefit.fundsReserve",
          "path" : "ExplanationOfBenefit.fundsReserve",
          "short" : "Funds reserved status",
          "definition" : "A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.",
          "comment" : "Fund would be release by a future claim quoting the preAuthRef of this response. Examples of values include: provider, patient, none.",
          "requirements" : "Needed to advise the submitting provider on whether the rquest for reservation of funds has been honored.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundsReserve"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "For whom funds are to be reserved: (Patient, Provider, None).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fundsreserve"
          }
        },
        {
          "id" : "ExplanationOfBenefit.related",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "RelatedClaim"
          }],
          "path" : "ExplanationOfBenefit.related",
          "short" : "Prior or corollary claims",
          "definition" : "Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.",
          "comment" : "For example,  for the original treatment and follow-up exams.",
          "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.related.claim",
          "path" : "ExplanationOfBenefit.related.claim",
          "short" : "Reference to the related claim",
          "definition" : "Reference to a related claim.",
          "requirements" : "For workplace or other accidents it is common to relate separate claims arising from the same event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.related.relationship",
          "path" : "ExplanationOfBenefit.related.relationship",
          "short" : "How the reference claim is related",
          "definition" : "A code to convey how the claims are related.",
          "comment" : "For example, prior claim or umbrella.",
          "requirements" : "Some insurers need a declaration of the type of relationship.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RelatedClaimRelationship"
            }],
            "strength" : "example",
            "description" : "Relationship of this claim to a related Claim.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/related-claim-relationship"
          }
        },
        {
          "id" : "ExplanationOfBenefit.related.reference",
          "path" : "ExplanationOfBenefit.related.reference",
          "short" : "File or case reference",
          "definition" : "An alternate organizational reference to the case or file to which this particular claim pertains.",
          "comment" : "For example, Property/Casualty insurer claim number or Workers Compensation case number.",
          "requirements" : "In cases where an event-triggered claim is being submitted to an insurer which requires a reference number to be specified on all exchanges.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.prescription",
          "path" : "ExplanationOfBenefit.prescription",
          "short" : "Prescription authorizing services or products",
          "definition" : "Prescription to support the dispensing of pharmacy, device or vision products.",
          "requirements" : "Required to authorize the dispensing of controlled substances and devices.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/VisionPrescription"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.originalPrescription",
          "path" : "ExplanationOfBenefit.originalPrescription",
          "short" : "Original prescription if superceded by fulfiller",
          "definition" : "Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.",
          "comment" : "For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new prescription for an alternate medication which has the same therapeutic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.",
          "requirements" : "Often required when a fulfiller varies what is fulfilled from that authorized on the original prescription.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payee",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Payee"
          }],
          "path" : "ExplanationOfBenefit.payee",
          "short" : "Recipient of benefits payable",
          "definition" : "The party to be reimbursed for cost of the products and services according to the terms of the policy.",
          "comment" : "Often providers agree to receive the benefits payable to reduce the near-term costs to the patient. The insurer may decline to pay the provider and may choose to pay the subscriber instead.",
          "requirements" : "The provider needs to specify who they wish to be reimbursed and the claims processor needs express who they will reimburse.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payee.type",
          "path" : "ExplanationOfBenefit.payee.type",
          "short" : "Category of recipient",
          "definition" : "Type of Party to be reimbursed: Subscriber, provider, other.",
          "requirements" : "Need to know who should receive payment with the most common situations being the Provider (assignment of benefits) or the Subscriber.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PayeeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "A code for the party to be reimbursed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payeetype"
          }
        },
        {
          "id" : "ExplanationOfBenefit.payee.party",
          "path" : "ExplanationOfBenefit.payee.party",
          "short" : "Recipient reference",
          "definition" : "Reference to the individual or organization to whom any payment will be made.",
          "comment" : "Not required if the payee is 'subscriber' or 'provider'.",
          "requirements" : "Need to provide demographics if the payee is not 'subscriber' nor 'provider'.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.referral",
          "path" : "ExplanationOfBenefit.referral",
          "short" : "Treatment Referral",
          "definition" : "A reference to a referral resource.",
          "comment" : "The referral resource which lists the date, practitioner, reason and other supporting information.",
          "requirements" : "Some insurers require proof of referral to pay for services or to pay specialist rates for services.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.cause"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.facility",
          "path" : "ExplanationOfBenefit.facility",
          "short" : "Servicing Facility",
          "definition" : "Facility where the services were provided.",
          "requirements" : "Insurance adjudication can be dependant on where services were delivered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.claim",
          "path" : "ExplanationOfBenefit.claim",
          "short" : "Claim reference",
          "definition" : "The business identifier for the instance of the adjudication request: claim predetermination or preauthorization.",
          "requirements" : "To provide a link to the original adjudication request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Claim"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.claimResponse",
          "path" : "ExplanationOfBenefit.claimResponse",
          "short" : "Claim response reference",
          "definition" : "The business identifier for the instance of the adjudication response: claim, predetermination or preauthorization response.",
          "requirements" : "To provide a link to the original adjudication response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.outcome",
          "path" : "ExplanationOfBenefit.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "The outcome of the claim, predetermination, or preauthorization processing.",
          "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
          "requirements" : "To advise the requestor of an overall processing outcome.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            }],
            "strength" : "required",
            "description" : "The result of the claim processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "ExplanationOfBenefit.disposition",
          "path" : "ExplanationOfBenefit.disposition",
          "short" : "Disposition Message",
          "definition" : "A human readable description of the status of the adjudication.",
          "requirements" : "Provided for user display.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.preAuthRef",
          "path" : "ExplanationOfBenefit.preAuthRef",
          "short" : "Preauthorization reference",
          "definition" : "Reference from the Insurer which is used in later communications which refers to this adjudication.",
          "comment" : "This value is only present on preauthorization adjudications.",
          "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.preAuthRefPeriod",
          "path" : "ExplanationOfBenefit.preAuthRefPeriod",
          "short" : "Preauthorization in-effect period",
          "definition" : "The timeframe during which the supplied preauthorization reference may be quoted on claims to obtain the adjudication as provided.",
          "comment" : "This value is only present on preauthorization adjudications.",
          "requirements" : "On subsequent claims, the insurer may require the provider to quote this value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "CareTeam"
          }],
          "path" : "ExplanationOfBenefit.careTeam",
          "short" : "Care Team members",
          "definition" : "The members of the team who provided the products and services.",
          "requirements" : "Common to identify the responsible and supporting practitioners.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.sequence",
          "path" : "ExplanationOfBenefit.careTeam.sequence",
          "short" : "Order of care team",
          "definition" : "A number to uniquely identify care team entries.",
          "requirements" : "Necessary to maintain the order of the care team and provide a mechanism to link individuals to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.provider",
          "path" : "ExplanationOfBenefit.careTeam.provider",
          "short" : "Practitioner or organization",
          "definition" : "Member of the team who provided the product or service.",
          "requirements" : "Often a regulatory requirement to specify the responsible provider.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.responsible",
          "path" : "ExplanationOfBenefit.careTeam.responsible",
          "short" : "Indicator of the lead practitioner",
          "definition" : "The party who is billing and/or responsible for the claimed products or services.",
          "comment" : "Responsible might not be required when there is only a single provider listed.",
          "requirements" : "When multiple parties are present it is required to distinguish the lead or responsible individual.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.role",
          "path" : "ExplanationOfBenefit.careTeam.role",
          "short" : "Function within the team",
          "definition" : "The lead, assisting or supervising practitioner and their discipline if a multidisciplinary team.",
          "comment" : "Role might not be required when there is only a single provider listed.",
          "requirements" : "When multiple parties are present it is required to distinguish the roles performed by each member.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CareTeamRole"
            }],
            "strength" : "example",
            "description" : "The role codes for the care team members.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-careteamrole"
          }
        },
        {
          "id" : "ExplanationOfBenefit.careTeam.qualification",
          "path" : "ExplanationOfBenefit.careTeam.qualification",
          "short" : "Practitioner credential or specialization",
          "definition" : "The qualification of the practitioner which is applicable for this service.",
          "requirements" : "Need to specify which qualification a provider is delivering the product or service under.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProviderQualification"
            }],
            "strength" : "example",
            "description" : "Provider professional qualifications.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provider-qualification"
          }
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SupportingInformation"
          }],
          "path" : "ExplanationOfBenefit.supportingInfo",
          "short" : "Supporting information",
          "definition" : "Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.",
          "comment" : "Often there are multiple jurisdiction specific valuesets which are required.",
          "requirements" : "Typically these information codes are required to support the services rendered or the adjudication of the services rendered.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.sequence",
          "path" : "ExplanationOfBenefit.supportingInfo.sequence",
          "short" : "Information instance identifier",
          "definition" : "A number to uniquely identify supporting information entries.",
          "requirements" : "Necessary to maintain the order of the supporting information items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.category",
          "path" : "ExplanationOfBenefit.supportingInfo.category",
          "short" : "Classification of the supplied information",
          "definition" : "The general class of the information supplied: information; exception; accident, employment; onset, etc.",
          "comment" : "This may contain a category for the local bill type codes.",
          "requirements" : "Required to group or associate information items with common characteristics. For example: admission information or prior treatments.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InformationCategory"
            }],
            "strength" : "example",
            "description" : "The valuset used for additional information category codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-informationcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.code",
          "path" : "ExplanationOfBenefit.supportingInfo.code",
          "short" : "Type of information",
          "definition" : "System and code pertaining to the specific information regarding special conditions relating to the setting, treatment or patient  for which care is sought.",
          "comment" : "This may contain the local bill type codes such as the US UB-04 bill type code.",
          "requirements" : "Required to identify the kind of additional information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InformationCode"
            }],
            "strength" : "example",
            "description" : "The valuset used for additional information codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-exception"
          }
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.timing[x]",
          "path" : "ExplanationOfBenefit.supportingInfo.timing[x]",
          "short" : "When it occurred",
          "definition" : "The date when or period to which this information refers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.value[x]",
          "path" : "ExplanationOfBenefit.supportingInfo.value[x]",
          "short" : "Data to be provided",
          "definition" : "Additional data or information such as resources, documents, images etc. including references to the data or the actual inclusion of the data.",
          "comment" : "Could be used to provide references to other resources, document. For example, could contain a PDF in an Attachment of the Police Report for an Accident.",
          "requirements" : "To convey the data content to be provided when the information is more than a simple code or period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.supportingInfo.reason",
          "path" : "ExplanationOfBenefit.supportingInfo.reason",
          "short" : "Explanation for the information",
          "definition" : "Provides the reason in the situation where a reason code is required in addition to the content.",
          "comment" : "For example: the reason for the additional stay, or why a tooth is  missing.",
          "requirements" : "Needed when the supporting information has both a date and amount/value and requires explanation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MissingReason"
            }],
            "strength" : "example",
            "description" : "Reason codes for the missing teeth.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/missing-tooth-reason"
          }
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Diagnosis"
          }],
          "path" : "ExplanationOfBenefit.diagnosis",
          "short" : "Pertinent diagnosis information",
          "definition" : "Information about diagnoses relevant to the claim items.",
          "requirements" : "Required for the adjudication by provided context for the services and product listed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.sequence",
          "path" : "ExplanationOfBenefit.diagnosis.sequence",
          "short" : "Diagnosis instance identifier",
          "definition" : "A number to uniquely identify diagnosis entries.",
          "comment" : "Diagnosis are presented in list order to their expected importance: primary, secondary, etc.",
          "requirements" : "Necessary to maintain the order of the diagnosis items and provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.diagnosis[x]",
          "path" : "ExplanationOfBenefit.diagnosis.diagnosis[x]",
          "short" : "Nature of illness or problem",
          "definition" : "The nature of illness or problem in a coded form or as a reference to an external defined Condition.",
          "requirements" : "Provides health context for the evaluation of the products and/or services.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10"
            }],
            "strength" : "example",
            "description" : "ICD10 Diagnostic codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10"
          }
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.type",
          "path" : "ExplanationOfBenefit.diagnosis.type",
          "short" : "Timing or nature of the diagnosis",
          "definition" : "When the condition was observed or the relative ranking.",
          "comment" : "For example: admitting, primary, secondary, discharge.",
          "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisType"
            }],
            "strength" : "example",
            "description" : "The type of the diagnosis: admitting, principal, discharge.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosistype"
          }
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.onAdmission",
          "path" : "ExplanationOfBenefit.diagnosis.onAdmission",
          "short" : "Present on admission",
          "definition" : "Indication of whether the diagnosis was present on admission to a facility.",
          "requirements" : "Many systems need to understand for adjudication if the diagnosis was present a time of admission.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisOnAdmission"
            }],
            "strength" : "example",
            "description" : "Present on admission.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosis-on-admission"
          }
        },
        {
          "id" : "ExplanationOfBenefit.diagnosis.packageCode",
          "path" : "ExplanationOfBenefit.diagnosis.packageCode",
          "short" : "Package billing code",
          "definition" : "A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.",
          "comment" : "For example, DRG (Diagnosis Related Group) or a bundled billing code. A patient may have a diagnosis of a Myocardio-infarction and a DRG for HeartAttack would assigned. The Claim item (and possible subsequent claims) would refer to the DRG for those line items that were for services related to the heart attack event.",
          "requirements" : "Required to relate the current  diagnosis to a package billing code that is then referenced on the individual claim items which are specific to the health condition covered by the package code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DiagnosisRelatedGroup"
            }],
            "strength" : "example",
            "description" : "The DRG codes associated with the diagnosis.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-diagnosisrelatedgroup"
          }
        },
        {
          "id" : "ExplanationOfBenefit.procedure",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Procedure"
          }],
          "path" : "ExplanationOfBenefit.procedure",
          "short" : "Clinical procedures performed",
          "definition" : "Procedures performed on the patient relevant to the billing items with the claim.",
          "requirements" : "The specific clinical invention are sometimes required to be provided to justify billing a greater than customary amount for a service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.procedure.sequence",
          "path" : "ExplanationOfBenefit.procedure.sequence",
          "short" : "Procedure instance identifier",
          "definition" : "A number to uniquely identify procedure entries.",
          "requirements" : "Necessary to provide a mechanism to link to claim details.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.procedure.type",
          "path" : "ExplanationOfBenefit.procedure.type",
          "short" : "Category of Procedure",
          "definition" : "When the condition was observed or the relative ranking.",
          "requirements" : "Often required to capture a particular diagnosis, for example: primary or discharge.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureType"
            }],
            "strength" : "example",
            "description" : "Example procedure type codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-procedure-type"
          }
        },
        {
          "id" : "ExplanationOfBenefit.procedure.date",
          "path" : "ExplanationOfBenefit.procedure.date",
          "short" : "When the procedure was performed",
          "definition" : "Date and optionally time the procedure was performed.",
          "requirements" : "Required for auditing purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.procedure.procedure[x]",
          "path" : "ExplanationOfBenefit.procedure.procedure[x]",
          "short" : "Specific clinical procedure",
          "definition" : "The code or reference to a Procedure resource which identifies the clinical intervention performed.",
          "requirements" : "This identifies the actual clinical procedure.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ICD10_Procedures"
            }],
            "strength" : "example",
            "description" : "ICD10 Procedure codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/icd-10-procedures"
          }
        },
        {
          "id" : "ExplanationOfBenefit.procedure.udi",
          "path" : "ExplanationOfBenefit.procedure.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.precedence",
          "path" : "ExplanationOfBenefit.precedence",
          "short" : "Precedence (primary, secondary, etc.)",
          "definition" : "This indicates the relative order of a series of EOBs related to different coverages for the same suite of services.",
          "requirements" : "Needed to coordinate between multiple EOBs for the same suite of services.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.insurance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Insurance"
          }],
          "path" : "ExplanationOfBenefit.insurance",
          "short" : "Patient insurance information",
          "definition" : "Financial instruments for reimbursement for the health care products and services specified on the claim.",
          "comment" : "All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'Coverage.subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.",
          "requirements" : "At least one insurer is required for a claim to be a claim.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Coverage"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.insurance.focal",
          "path" : "ExplanationOfBenefit.insurance.focal",
          "short" : "Coverage to be used for adjudication",
          "definition" : "A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.",
          "comment" : "A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example, a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.",
          "requirements" : "To identify which coverage in the list is being used to adjudicate this claim.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.insurance.coverage",
          "path" : "ExplanationOfBenefit.insurance.coverage",
          "short" : "Insurance information",
          "definition" : "Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.",
          "requirements" : "Required to allow the adjudicator to locate the correct policy and history within their information system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.insurance.preAuthRef",
          "path" : "ExplanationOfBenefit.insurance.preAuthRef",
          "short" : "Prior authorization reference number",
          "definition" : "Reference numbers previously provided by the insurer to the provider to be quoted on subsequent claims containing services or products related to the prior authorization.",
          "comment" : "This value is an alphanumeric string that may be provided over the phone, via text, via paper, or within a ClaimResponse resource and is not a FHIR Identifier.",
          "requirements" : "Providers must quote previously issued authorization reference numbers in order to obtain adjudication as previously advised on the Preauthorization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.accident",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Accident"
          }],
          "path" : "ExplanationOfBenefit.accident",
          "short" : "Details of the event",
          "definition" : "Details of a accident which resulted in injuries which required the products and services listed in the claim.",
          "requirements" : "When healthcare products and services are accident related, benefits may be payable under accident provisions of policies, such as automotive, etc before they are payable under normal health insurance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.accident.date",
          "path" : "ExplanationOfBenefit.accident.date",
          "short" : "When the incident occurred",
          "definition" : "Date of an accident event  related to the products and services contained in the claim.",
          "comment" : "The date of the accident has to precede the dates of the products and services but within a reasonable timeframe.",
          "requirements" : "Required for audit purposes and adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.accident.type",
          "path" : "ExplanationOfBenefit.accident.type",
          "short" : "The nature of the accident",
          "definition" : "The type or context of the accident event for the purposes of selection of potential insurance coverages and determination of coordination between insurers.",
          "requirements" : "Coverage may be dependant on the type of accident.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AccidentType"
            }],
            "strength" : "extensible",
            "description" : "Type of accident: work place, auto, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActIncidentCode"
          }
        },
        {
          "id" : "ExplanationOfBenefit.accident.location[x]",
          "path" : "ExplanationOfBenefit.accident.location[x]",
          "short" : "Where the event occurred",
          "definition" : "The physical location of the accident event.",
          "requirements" : "Required for audit purposes and determination of applicable insurance liability.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Item"
          }],
          "path" : "ExplanationOfBenefit.item",
          "short" : "Product or service provided",
          "definition" : "A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.sequence",
          "path" : "ExplanationOfBenefit.item.sequence",
          "short" : "Item instance identifier",
          "definition" : "A number to uniquely identify item entries.",
          "requirements" : "Necessary to provide a mechanism to link to items from within the claim and within the adjudication details of the ClaimResponse.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.careTeamSequence",
          "path" : "ExplanationOfBenefit.item.careTeamSequence",
          "short" : "Applicable care team members",
          "definition" : "Care team members related to this service or product.",
          "requirements" : "Need to identify the individuals and their roles in the provision of the product or service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.diagnosisSequence",
          "path" : "ExplanationOfBenefit.item.diagnosisSequence",
          "short" : "Applicable diagnoses",
          "definition" : "Diagnoses applicable for this service or product.",
          "requirements" : "Need to related the product or service to the associated diagnoses.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.procedureSequence",
          "path" : "ExplanationOfBenefit.item.procedureSequence",
          "short" : "Applicable procedures",
          "definition" : "Procedures applicable for this service or product.",
          "requirements" : "Need to provide any listed specific procedures to support the product or service being claimed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.informationSequence",
          "path" : "ExplanationOfBenefit.item.informationSequence",
          "short" : "Applicable exception and supporting information",
          "definition" : "Exceptions, special conditions and supporting information applicable for this service or product.",
          "requirements" : "Need to reference the supporting information items that relate directly to this product or service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.revenue",
          "path" : "ExplanationOfBenefit.item.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.category",
          "path" : "ExplanationOfBenefit.item.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision, oral-basic etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.productOrService",
          "path" : "ExplanationOfBenefit.item.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.modifier",
          "path" : "ExplanationOfBenefit.item.modifier",
          "short" : "Product or service billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.programCode",
          "path" : "ExplanationOfBenefit.item.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.serviced[x]",
          "path" : "ExplanationOfBenefit.item.serviced[x]",
          "short" : "Date or dates of service or product delivery",
          "definition" : "The date or dates when the service or product was supplied, performed or completed.",
          "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.location[x]",
          "path" : "ExplanationOfBenefit.item.location[x]",
          "short" : "Place of service or where product was supplied",
          "definition" : "Where the product or service was provided.",
          "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServicePlace"
            }],
            "strength" : "example",
            "description" : "Place where the service is rendered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.quantity",
          "path" : "ExplanationOfBenefit.item.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.unitPrice",
          "path" : "ExplanationOfBenefit.item.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.factor",
          "path" : "ExplanationOfBenefit.item.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.net",
          "path" : "ExplanationOfBenefit.item.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.udi",
          "path" : "ExplanationOfBenefit.item.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.bodySite",
          "path" : "ExplanationOfBenefit.item.bodySite",
          "short" : "Anatomical location",
          "definition" : "Physical service site on the patient (limb, tooth, etc.).",
          "comment" : "For example: Providing a tooth code, allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralSites"
            }],
            "strength" : "example",
            "description" : "The code for the teeth, quadrant, sextant and arch.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.subSite",
          "path" : "ExplanationOfBenefit.item.subSite",
          "short" : "Anatomical sub-location",
          "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Surface"
            }],
            "strength" : "example",
            "description" : "The code for the tooth surface and surface combinations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.encounter",
          "path" : "ExplanationOfBenefit.item.encounter",
          "short" : "Encounters related to this billed item",
          "definition" : "A billed item may include goods or services provided in multiple encounters.",
          "requirements" : "Used in some jurisdictions to link clinical events to claim items.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.noteNumber",
          "path" : "ExplanationOfBenefit.item.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Adjudication"
          }],
          "path" : "ExplanationOfBenefit.item.adjudication",
          "short" : "Adjudication details",
          "definition" : "If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.",
          "requirements" : "The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.category",
          "path" : "ExplanationOfBenefit.item.adjudication.category",
          "short" : "Type of adjudication information",
          "definition" : "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in-aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
          "comment" : "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
          "requirements" : "Needed to enable understanding of the context of the other information in the adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Adjudication"
            }],
            "strength" : "example",
            "description" : "The adjudication codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.reason",
          "path" : "ExplanationOfBenefit.item.adjudication.reason",
          "short" : "Explanation of adjudication outcome",
          "definition" : "A code supporting the understanding of the adjudication result and explaining variance from expected amount.",
          "comment" : "For example, may indicate that the funds for this benefit type have been exhausted.",
          "requirements" : "To support understanding of variance from adjudication expectations.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdjudicationReason"
            }],
            "strength" : "example",
            "description" : "Adjudication reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication-reason"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.amount",
          "path" : "ExplanationOfBenefit.item.adjudication.amount",
          "short" : "Monetary amount",
          "definition" : "Monetary amount associated with the category.",
          "comment" : "For example, amount submitted, eligible amount, co-payment, and benefit payable.",
          "requirements" : "Most adjuciation categories convey a monetary amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.adjudication.value",
          "path" : "ExplanationOfBenefit.item.adjudication.value",
          "short" : "Non-monitary value",
          "definition" : "A non-monetary value associated with the category. Mutually exclusive to the amount element above.",
          "comment" : "For example: eligible percentage or co-payment percentage.",
          "requirements" : "Some adjudication categories convey a percentage or a fixed value.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Detail"
          }],
          "path" : "ExplanationOfBenefit.item.detail",
          "short" : "Additional items",
          "definition" : "Second-tier of goods and services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.sequence",
          "path" : "ExplanationOfBenefit.item.detail.sequence",
          "short" : "Product or service provided",
          "definition" : "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.revenue",
          "path" : "ExplanationOfBenefit.item.detail.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.category",
          "path" : "ExplanationOfBenefit.item.detail.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include: Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision, oral-basic etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.productOrService",
          "path" : "ExplanationOfBenefit.item.detail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.modifier",
          "path" : "ExplanationOfBenefit.item.detail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.programCode",
          "path" : "ExplanationOfBenefit.item.detail.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.quantity",
          "path" : "ExplanationOfBenefit.item.detail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.unitPrice",
          "path" : "ExplanationOfBenefit.item.detail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.factor",
          "path" : "ExplanationOfBenefit.item.detail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.net",
          "path" : "ExplanationOfBenefit.item.detail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.udi",
          "path" : "ExplanationOfBenefit.item.detail.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.noteNumber",
          "path" : "ExplanationOfBenefit.item.detail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.adjudication",
          "path" : "ExplanationOfBenefit.item.detail.adjudication",
          "short" : "Detail level adjudication details",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ExplanationOfBenefit.item.adjudication"
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SubDetail"
          }],
          "path" : "ExplanationOfBenefit.item.detail.subDetail",
          "short" : "Additional items",
          "definition" : "Third-tier of goods and services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.sequence",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.sequence",
          "short" : "Product or service provided",
          "definition" : "A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items.",
          "requirements" : "The items to be processed for adjudication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.revenue",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.revenue",
          "short" : "Revenue or cost center code",
          "definition" : "The type of revenue or cost center providing the product and/or service.",
          "requirements" : "Needed in the processing of institutional claims.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RevenueCenter"
            }],
            "strength" : "example",
            "description" : "Codes for the revenue or cost centers supplying the service and/or products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-revenue-center"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.category",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed in the processing of institutional claims as this allows the insurer to determine whether a facial X-Ray is for dental, orthopedic, or facial surgery purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision, oral-basic etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.productOrService",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.modifier",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or outside of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.programCode",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.quantity",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.unitPrice",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.factor",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.net",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.udi",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.udi",
          "short" : "Unique device identifier",
          "definition" : "Unique Device Identifiers associated with this line item.",
          "requirements" : "The UDI code allows the insurer to obtain device level information on the product supplied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.noteNumber",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.item.detail.subDetail.adjudication",
          "path" : "ExplanationOfBenefit.item.detail.subDetail.adjudication",
          "short" : "Subdetail level adjudication details",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ExplanationOfBenefit.item.adjudication"
        },
        {
          "id" : "ExplanationOfBenefit.addItem",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "740;600"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItem"
          }],
          "path" : "ExplanationOfBenefit.addItem",
          "short" : "Insurer added line items",
          "definition" : "The first-tier service adjudications for payor added product or service lines.",
          "requirements" : "Insurers may redefine the provided product or service or may package and/or decompose groups of products and services. The addItems allows the insurer to provide their line item list with linkage to the submitted items/details/sub-details. In a preauthorization the insurer may use the addItem structure to provide additional information on authorized products and services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.itemSequence",
          "path" : "ExplanationOfBenefit.addItem.itemSequence",
          "short" : "Item sequence number",
          "definition" : "Claim items which this service line is intended to replace.",
          "requirements" : "Provides references to the claim items.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detailSequence",
          "path" : "ExplanationOfBenefit.addItem.detailSequence",
          "short" : "Detail sequence number",
          "definition" : "The sequence number of the details within the claim item which this line is intended to replace.",
          "requirements" : "Provides references to the claim details within the claim item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.subDetailSequence",
          "path" : "ExplanationOfBenefit.addItem.subDetailSequence",
          "short" : "Subdetail sequence number",
          "definition" : "The sequence number of the sub-details woithin the details within the claim item which this line is intended to replace.",
          "requirements" : "Provides references to the claim sub-details within the claim detail.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.provider",
          "path" : "ExplanationOfBenefit.addItem.provider",
          "short" : "Authorized providers",
          "definition" : "The providers who are authorized for the services rendered to the patient.",
          "requirements" : "Insurer may provide authorization specifically to a restricted set of providers rather than an open authorization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.productOrService",
          "path" : "ExplanationOfBenefit.addItem.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.modifier",
          "path" : "ExplanationOfBenefit.addItem.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.programCode",
          "path" : "ExplanationOfBenefit.addItem.programCode",
          "short" : "Program the product or service is provided under",
          "definition" : "Identifies the program under which this may be recovered.",
          "comment" : "For example: Neonatal program, child dental program or drug users recovery program.",
          "requirements" : "Commonly used in in the identification of publicly provided program focused on population segments or disease classifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramCode"
            }],
            "strength" : "example",
            "description" : "Program specific reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-program-code"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.serviced[x]",
          "path" : "ExplanationOfBenefit.addItem.serviced[x]",
          "short" : "Date or dates of service or product delivery",
          "definition" : "The date or dates when the service or product was supplied, performed or completed.",
          "requirements" : "Needed to determine whether the  service or product was provided during the term of the insurance coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.location[x]",
          "path" : "ExplanationOfBenefit.addItem.location[x]",
          "short" : "Place of service or where product was supplied",
          "definition" : "Where the product or service was provided.",
          "requirements" : "The location can alter whether the item was acceptable for insurance purposes or impact the determination of the benefit amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServicePlace"
            }],
            "strength" : "example",
            "description" : "Place where the service is rendered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-place"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.quantity",
          "path" : "ExplanationOfBenefit.addItem.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.unitPrice",
          "path" : "ExplanationOfBenefit.addItem.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.factor",
          "path" : "ExplanationOfBenefit.addItem.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.net",
          "path" : "ExplanationOfBenefit.addItem.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.bodySite",
          "path" : "ExplanationOfBenefit.addItem.bodySite",
          "short" : "Anatomical location",
          "definition" : "Physical service site on the patient (limb, tooth, etc.).",
          "comment" : "For example, providing a tooth code allows an insurer to identify a provider performing a filling on a tooth that was previously removed.",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralSites"
            }],
            "strength" : "example",
            "description" : "The code for the teeth, quadrant, sextant and arch.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/tooth"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.subSite",
          "path" : "ExplanationOfBenefit.addItem.subSite",
          "short" : "Anatomical sub-location",
          "definition" : "A region or surface of the bodySite, e.g. limb region or tooth surface(s).",
          "requirements" : "Allows insurer to validate specific procedures.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Surface"
            }],
            "strength" : "example",
            "description" : "The code for the tooth surface and surface combinations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/surface"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.noteNumber",
          "path" : "ExplanationOfBenefit.addItem.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.adjudication",
          "path" : "ExplanationOfBenefit.addItem.adjudication",
          "short" : "Added items adjudication",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ExplanationOfBenefit.item.adjudication"
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "740;600"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItemDetail"
          }],
          "path" : "ExplanationOfBenefit.addItem.detail",
          "short" : "Insurer added line items",
          "definition" : "The second-tier service adjudications for payor added services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.productOrService",
          "path" : "ExplanationOfBenefit.addItem.detail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.modifier",
          "path" : "ExplanationOfBenefit.addItem.detail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.quantity",
          "path" : "ExplanationOfBenefit.addItem.detail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.unitPrice",
          "path" : "ExplanationOfBenefit.addItem.detail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.factor",
          "path" : "ExplanationOfBenefit.addItem.detail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.net",
          "path" : "ExplanationOfBenefit.addItem.detail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.noteNumber",
          "path" : "ExplanationOfBenefit.addItem.detail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.adjudication",
          "path" : "ExplanationOfBenefit.addItem.detail.adjudication",
          "short" : "Added items adjudication",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ExplanationOfBenefit.item.adjudication"
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "740;600"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "AddedItemDetailSubDetail"
          }],
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail",
          "short" : "Insurer added line items",
          "definition" : "The third-tier service adjudications for payor added services.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.productOrService",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.productOrService",
          "short" : "Billing, service, product, or drug code",
          "definition" : "When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.",
          "comment" : "If this is an actual service or product line, i.e. not a Group, then use code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI). If a grouping item then use a group code to indicate the type of thing being grouped e.g. 'glasses' or 'compound'.",
          "requirements" : "Necessary to state what was provided or done.",
          "alias" : ["Drug Code",
          "Bill Code",
          "Service Code"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProduct"
            }],
            "strength" : "example",
            "description" : "Allowable service and product codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-uscls"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.modifier",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.modifier",
          "short" : "Service/Product billing modifiers",
          "definition" : "Item typification or modifiers codes to convey additional context for the product or service.",
          "comment" : "For example, in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.",
          "requirements" : "To support inclusion of the item for adjudication or to charge an elevated fee.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Modifiers"
            }],
            "strength" : "example",
            "description" : "Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/claim-modifiers"
          }
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.quantity",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.quantity",
          "short" : "Count of products or services",
          "definition" : "The number of repetitions of a service or product.",
          "requirements" : "Required when the product or service code does not convey the quantity provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.unitPrice",
          "short" : "Fee, charge or cost per item",
          "definition" : "If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.",
          "requirements" : "The amount charged to the patient by the provider for a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.factor",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.factor",
          "short" : "Price scaling factor",
          "definition" : "A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
          "comment" : "To show a 10% senior's discount, the value entered is: 0.90 (1.00 - 0.10).",
          "requirements" : "When discounts are provided to a patient (example: Senior's discount) then this must be documented for adjudication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.net",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.net",
          "short" : "Total item cost",
          "definition" : "The quantity times the unit price for an additional service or product or charge.",
          "comment" : "For example, the formula: quantity * unitPrice * factor  = net. Quantity and factor are assumed to be 1 if not supplied.",
          "requirements" : "Provides the total amount claimed  for the group (if a grouper) or the line item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.noteNumber",
          "short" : "Applicable note numbers",
          "definition" : "The numbers associated with notes below which apply to the adjudication of this item.",
          "requirements" : "Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.addItem.detail.subDetail.adjudication",
          "path" : "ExplanationOfBenefit.addItem.detail.subDetail.adjudication",
          "short" : "Added items adjudication",
          "definition" : "The adjudication results.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ExplanationOfBenefit.item.adjudication"
        },
        {
          "id" : "ExplanationOfBenefit.adjudication",
          "path" : "ExplanationOfBenefit.adjudication",
          "short" : "Header-level adjudication",
          "definition" : "The adjudication results which are presented at the header level rather than at the line-item or add-item levels.",
          "requirements" : "Some insurers will receive line-items but provide the adjudication only at a summary or header-level.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ExplanationOfBenefit.item.adjudication"
        },
        {
          "id" : "ExplanationOfBenefit.total",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "'360;620"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Total"
          }],
          "path" : "ExplanationOfBenefit.total",
          "short" : "Adjudication totals",
          "definition" : "Categorized monetary totals for the adjudication.",
          "comment" : "Totals for amounts submitted, co-pays, benefits payable etc.",
          "requirements" : "To provide the requestor with financial totals by category for the adjudication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.total.category",
          "path" : "ExplanationOfBenefit.total.category",
          "short" : "Type of adjudication information",
          "definition" : "A code to indicate the information type of this adjudication record. Information types may include: the value submitted, maximum values or percentages allowed or payable under the plan, amounts that the patient is responsible for in aggregate or pertaining to this item, amounts paid by other coverages, and the benefit payable for this item.",
          "comment" : "For example, codes indicating: Co-Pay, deductible, eligible, benefit, tax, etc.",
          "requirements" : "Needed to convey the type of total provided.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Adjudication"
            }],
            "strength" : "example",
            "description" : "The adjudication codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/adjudication"
          }
        },
        {
          "id" : "ExplanationOfBenefit.total.amount",
          "path" : "ExplanationOfBenefit.total.amount",
          "short" : "Financial total for the category",
          "definition" : "Monetary total amount associated with the category.",
          "requirements" : "Needed to convey the total monetary amount.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "isSummary" : true
        },
        {
          "id" : "ExplanationOfBenefit.payment",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "360;650"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Payment"
          }],
          "path" : "ExplanationOfBenefit.payment",
          "short" : "Payment Details",
          "definition" : "Payment details for the adjudication of the claim.",
          "requirements" : "Needed to convey references to the financial instrument that has been used if payment has been made.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payment.type",
          "path" : "ExplanationOfBenefit.payment.type",
          "short" : "Partial or complete payment",
          "definition" : "Whether this represents partial or complete payment of the benefits payable.",
          "requirements" : "To advise the requestor when the insurer believes all payments to have been completed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentType"
            }],
            "strength" : "example",
            "description" : "The type (partial, complete) of the payment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-paymenttype"
          }
        },
        {
          "id" : "ExplanationOfBenefit.payment.adjustment",
          "path" : "ExplanationOfBenefit.payment.adjustment",
          "short" : "Payment adjustment for non-claim issues",
          "definition" : "Total amount of all adjustments to this payment included in this transaction which are not related to this claim's adjudication.",
          "comment" : "Insurers will deduct amounts owing from the provider (adjustment), such as a prior overpayment, from the amount owing to the provider (benefits payable) when payment is made to the provider.",
          "requirements" : "To advise the requestor of adjustments applied to the payment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payment.adjustmentReason",
          "path" : "ExplanationOfBenefit.payment.adjustmentReason",
          "short" : "Explanation for the variance",
          "definition" : "Reason for the payment adjustment.",
          "requirements" : "Needed to clarify the monetary adjustment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentAdjustmentReason"
            }],
            "strength" : "example",
            "description" : "Payment Adjustment reason codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payment-adjustment-reason"
          }
        },
        {
          "id" : "ExplanationOfBenefit.payment.date",
          "path" : "ExplanationOfBenefit.payment.date",
          "short" : "Expected date of payment",
          "definition" : "Estimated date the payment will be issued or the actual issue date of payment.",
          "requirements" : "To advise the payee when payment can be expected.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payment.amount",
          "path" : "ExplanationOfBenefit.payment.amount",
          "short" : "Payable amount after adjustment",
          "definition" : "Benefits payable less any payment adjustment.",
          "requirements" : "Needed to provide the actual payment amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.payment.identifier",
          "path" : "ExplanationOfBenefit.payment.identifier",
          "short" : "Business identifier for the payment",
          "definition" : "Issuer's unique identifier for the payment instrument.",
          "comment" : "For example: EFT number or check number.",
          "requirements" : "Enable the receiver to reconcile when payment received.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.formCode",
          "path" : "ExplanationOfBenefit.formCode",
          "short" : "Printed form identifier",
          "definition" : "A code for the form to be used for printing the content.",
          "comment" : "May be needed to identify specific jurisdictional forms.",
          "requirements" : "Needed to specify the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Forms"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The forms codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
          }
        },
        {
          "id" : "ExplanationOfBenefit.form",
          "path" : "ExplanationOfBenefit.form",
          "short" : "Printed reference or actual form",
          "definition" : "The actual form, by reference or inclusion, for printing the content or an EOB.",
          "comment" : "Needed to permit insurers to include the actual form.",
          "requirements" : "Needed to include the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.processNote",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Note"
          }],
          "path" : "ExplanationOfBenefit.processNote",
          "short" : "Note concerning adjudication",
          "definition" : "A note that describes or explains adjudication results in a human readable form.",
          "requirements" : "Provides the insurer specific textual explanations associated with the processing.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.processNote.number",
          "path" : "ExplanationOfBenefit.processNote.number",
          "short" : "Note instance identifier",
          "definition" : "A number to uniquely identify a note entry.",
          "requirements" : "Necessary to provide a mechanism to link from adjudications.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.processNote.type",
          "path" : "ExplanationOfBenefit.processNote.type",
          "short" : "display | print | printoper",
          "definition" : "The business purpose of the note text.",
          "requirements" : "To convey the expectation for when the text is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NoteType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The presentation types of notes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/note-type|4.0.0"
          }
        },
        {
          "id" : "ExplanationOfBenefit.processNote.text",
          "path" : "ExplanationOfBenefit.processNote.text",
          "short" : "Note explanatory text",
          "definition" : "The explanation or description associated with the processing.",
          "requirements" : "Required to provide human readable explanation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.processNote.language",
          "path" : "ExplanationOfBenefit.processNote.language",
          "short" : "Language of the text",
          "definition" : "A code to define the language used in the text of the note.",
          "comment" : "Only required if the language is different from the resource language.",
          "requirements" : "Note text may vary from the resource defined language.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitPeriod",
          "path" : "ExplanationOfBenefit.benefitPeriod",
          "short" : "When the benefits are applicable",
          "definition" : "The term of the benefits documented in this response.",
          "comment" : "Not applicable when use=claim.",
          "requirements" : "Needed as coverages may be multi-year while benefits tend to be annual therefore a separate expression of the benefit period is needed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "BenefitBalance"
          }],
          "path" : "ExplanationOfBenefit.benefitBalance",
          "short" : "Balance by Benefit Category",
          "definition" : "Balance by Benefit Category.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.category",
          "path" : "ExplanationOfBenefit.benefitBalance.category",
          "short" : "Benefit classification",
          "definition" : "Code to identify the general type of benefits under which products and services are provided.",
          "comment" : "Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.",
          "requirements" : "Needed to convey the category of service or product for which eligibility is sought.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCategory"
            }],
            "strength" : "example",
            "description" : "Benefit categories such as: oral, medical, vision, oral-basic etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ex-benefitcategory"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.excluded",
          "path" : "ExplanationOfBenefit.benefitBalance.excluded",
          "short" : "Excluded from the plan",
          "definition" : "True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage.",
          "requirements" : "Needed to identify items that are specifically excluded from the coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.name",
          "path" : "ExplanationOfBenefit.benefitBalance.name",
          "short" : "Short name for the benefit",
          "definition" : "A short name or tag for the benefit.",
          "comment" : "For example: MED01, or DENT2.",
          "requirements" : "Required to align with other plan names.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.description",
          "path" : "ExplanationOfBenefit.benefitBalance.description",
          "short" : "Description of the benefit or services covered",
          "definition" : "A richer description of the benefit or services covered.",
          "comment" : "For example, 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.",
          "requirements" : "Needed for human readable reference.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.network",
          "path" : "ExplanationOfBenefit.benefitBalance.network",
          "short" : "In or out of network",
          "definition" : "Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers.",
          "requirements" : "Needed as in or out of network providers are treated differently under the coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitNetwork"
            }],
            "strength" : "example",
            "description" : "Code to classify in or out of network services.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-network"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.unit",
          "path" : "ExplanationOfBenefit.benefitBalance.unit",
          "short" : "Individual or family",
          "definition" : "Indicates if the benefits apply to an individual or to the family.",
          "requirements" : "Needed for the understanding of the benefits.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitUnit"
            }],
            "strength" : "example",
            "description" : "Unit covered/serviced - individual or family.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-unit"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.term",
          "path" : "ExplanationOfBenefit.benefitBalance.term",
          "short" : "Annual or lifetime",
          "definition" : "The term or period of the values such as 'maximum lifetime benefit' or 'maximum annual visits'.",
          "requirements" : "Needed for the understanding of the benefits.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitTerm"
            }],
            "strength" : "example",
            "description" : "Coverage unit - annual, lifetime.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-term"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Benefit"
          }],
          "path" : "ExplanationOfBenefit.benefitBalance.financial",
          "short" : "Benefit Summary",
          "definition" : "Benefits Used to date.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.type",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.type",
          "short" : "Benefit classification",
          "definition" : "Classification of benefit being provided.",
          "comment" : "For example: deductible, visits, benefit amount.",
          "requirements" : "Needed to convey the nature of the benefit.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitType"
            }],
            "strength" : "example",
            "description" : "Deductable, visits, co-pay, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/benefit-type"
          }
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.allowed[x]",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.allowed[x]",
          "short" : "Benefits allowed",
          "definition" : "The quantity of the benefit which is permitted under the coverage.",
          "requirements" : "Needed to convey the benefits offered under the coverage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Money"
          }]
        },
        {
          "id" : "ExplanationOfBenefit.benefitBalance.financial.used[x]",
          "path" : "ExplanationOfBenefit.benefitBalance.financial.used[x]",
          "short" : "Benefits used",
          "definition" : "The quantity of the benefit which have been consumed to date.",
          "requirements" : "Needed to convey the benefits consumed to date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          },
          {
            "code" : "Money"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "FamilyMemberHistory",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 FamilyMemberHistory 
ITU
DomainResource
Information about patient's relatives, relevant for patient
+ Rule: Can have age[x] or born[x], but not both
+ Rule: Can only have estimatedAge if age[x] is present
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Id(s) for this record
 instantiatesCanonical 
Σ
0..*
canonical(PlanDefinition | Questionnaire | ActivityDefinition | Measure | OperationDefinition)
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 status 
?!Σ
1..1
code
partial | completed | entered-in-error | health-unknown
FamilyHistoryStatus (Required)
 dataAbsentReason 
Σ
0..1
CodeableConcept
subject-unknown | withheld | unable-to-obtain | deferred
FamilyHistoryAbsentReason (Example)
 patient 
Σ
1..1
Reference(Patient)
Patient history is about
 date 
Σ
0..1
dateTime
When history was recorded or last updated
 name 
Σ
0..1
string
The family member described
 relationship 
Σ
1..1
CodeableConcept
Relationship to the subject
V3 Value SetFamilyMember (Example)
 sex 
Σ
0..1
CodeableConcept
male | female | other | unknown
Sex (Extensible)
 born[x] 
I
0..1
(approximate) date of birth
 bornPeriod
Period
 bornDate
date
 bornString
string
 age[x] 
ΣI
0..1
(approximate) age
 ageAge
Age
 ageRange
Range
 ageString
string
 estimatedAge 
ΣI
0..1
boolean
Age is estimated?
 deceased[x] 
Σ
0..1
Dead? How old/when?
 deceasedBoolean
boolean
 deceasedAge
Age
 deceasedRange
Range
 deceasedDate
date
 deceasedString
string
 reasonCode 
Σ
0..*
CodeableConcept
Why was family member history performed?
SNOMED CT Clinical Findings (Example)
 reasonReference 
Σ
0..*
Reference(Condition | Observation | AllergyIntolerance | QuestionnaireResponse | DiagnosticReport | DocumentReference)
Why was family member history performed?
 note 
0..*
Annotation
General note about related person
 condition 
0..*
BackboneElement
Condition that the related person had
 code 
1..1
CodeableConcept
Condition suffered by relation
Condition/Problem/Diagnosis Codes (Example)
 outcome 
0..1
CodeableConcept
deceased | permanent disability | etc.
Condition Outcome Codes (Example)
 contributedToDeath 
0..1
boolean
Whether the condition contributed to the cause of death
 onset[x] 
0..1
When condition first manifested
 onsetAge
Age
 onsetRange
Range
 onsetPeriod
Period
 onsetString
string
 note 
0..*
Annotation
Extra information about condition

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Summary"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/FamilyMemberHistory",
      "version" : "4.0.0",
      "name" : "FamilyMemberHistory",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "Significant health conditions for a person related to the patient relevant in the context of care for the patient.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "FamilyMemberHistory",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "FamilyMemberHistory",
          "path" : "FamilyMemberHistory",
          "short" : "Information about patient's relatives, relevant for patient",
          "definition" : "Significant health conditions for a person related to the patient relevant in the context of care for the patient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "FamilyMemberHistory",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "fhs-2",
            "severity" : "error",
            "human" : "Can only have estimatedAge if age[x] is present",
            "expression" : "age.exists() or estimatedAge.empty()",
            "xpath" : "exists(*[starts-with(local-name(.), 'age')]) or not(exists(f:estimatedAge))"
          },
          {
            "key" : "fhs-1",
            "severity" : "error",
            "human" : "Can have age[x] or born[x], but not both",
            "expression" : "age.empty() or born.empty()",
            "xpath" : "not (*[starts-with(local-name(.), 'age')] and *[starts-with(local-name(.), 'birth')])"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "Not in scope for v2"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "FamilyMemberHistory.id",
          "path" : "FamilyMemberHistory.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "FamilyMemberHistory.meta",
          "path" : "FamilyMemberHistory.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "FamilyMemberHistory.implicitRules",
          "path" : "FamilyMemberHistory.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "FamilyMemberHistory.language",
          "path" : "FamilyMemberHistory.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "FamilyMemberHistory.text",
          "path" : "FamilyMemberHistory.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "FamilyMemberHistory.contained",
          "path" : "FamilyMemberHistory.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "FamilyMemberHistory.extension",
          "path" : "FamilyMemberHistory.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "FamilyMemberHistory.modifierExtension",
          "path" : "FamilyMemberHistory.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "FamilyMemberHistory.identifier",
          "path" : "FamilyMemberHistory.identifier",
          "short" : "External Id(s) for this record",
          "definition" : "Business identifiers assigned to this family member history by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the family member history as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "FamilyMemberHistory.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "FamilyMemberHistory.instantiatesCanonical",
          "path" : "FamilyMemberHistory.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this FamilyMemberHistory.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "FamilyMemberHistory.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "FamilyMemberHistory.instantiatesUri",
          "path" : "FamilyMemberHistory.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this FamilyMemberHistory.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "FamilyMemberHistory.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "FamilyMemberHistory.status",
          "path" : "FamilyMemberHistory.status",
          "short" : "partial | completed | entered-in-error | health-unknown",
          "definition" : "A code specifying the status of the record of the family history of a specific family member.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FamilyHistoryStatus"
            }],
            "strength" : "required",
            "description" : "A code that identifies the status of the family history record.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/history-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "FamilyMemberHistory.dataAbsentReason",
          "path" : "FamilyMemberHistory.dataAbsentReason",
          "short" : "subject-unknown | withheld | unable-to-obtain | deferred",
          "definition" : "Describes why the family member's history is not available.",
          "requirements" : "This is a separate element to allow it to have a distinct binding from reasonCode.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.dataAbsentReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FamilyHistoryAbsentReason"
            }],
            "strength" : "example",
            "description" : "Codes describing the reason why a family member's history is not available.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/history-absent-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "FamilyMemberHistory.patient",
          "path" : "FamilyMemberHistory.patient",
          "short" : "Patient history is about",
          "definition" : "The person who this history concerns.",
          "alias" : ["Proband"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "FamilyMemberHistory.date",
          "path" : "FamilyMemberHistory.date",
          "short" : "When history was recorded or last updated",
          "definition" : "The date (and possibly time) when the family member history was recorded or last updated.",
          "comment" : "This should be captured even if the same as the date on the List aggregating the full family history.",
          "requirements" : "Allows determination of how current the summary is.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "FamilyMemberHistory.name",
          "path" : "FamilyMemberHistory.name",
          "short" : "The family member described",
          "definition" : "This will either be a name or a description; e.g. \"Aunt Susan\", \"my cousin with the red hair\".",
          "requirements" : "Allows greater ease in ensuring the same person is being talked about.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "name"
          }]
        },
        {
          "id" : "FamilyMemberHistory.relationship",
          "path" : "FamilyMemberHistory.relationship",
          "short" : "Relationship to the subject",
          "definition" : "The type of relationship this person has to the patient (father, mother, brother etc.).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.relationship",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FamilialRelationship"
            }],
            "strength" : "example",
            "description" : "The nature of the relationship between the patient and the related person being described in the family member history.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-FamilyMember"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "FamilyMemberHistory.sex",
          "path" : "FamilyMemberHistory.sex",
          "short" : "male | female | other | unknown",
          "definition" : "The birth sex of the family member.",
          "comment" : "This element should ideally reflect whether the individual is genetically male or female.  However, as reported information based on the knowledge of the patient or reporting friend/relative, there may be situations where the reported sex might not be totally accurate.  E.g. 'Aunt Sue' might be XY rather than XX.  Questions soliciting this information should be phrased to encourage capture of genetic sex where known.  However, systems performing analysis should also allow for the possibility of imprecision with this element.",
          "requirements" : "Not all relationship codes imply sex and the relative's sex can be relevant for risk assessments.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.sex",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Sex"
            }],
            "strength" : "extensible",
            "description" : "Codes describing the sex assigned at birth as documented on the birth registration.",
            "valueSet" : "http://build.fhir.org/valueset-administrative-gender.html"
          }
        },
        {
          "id" : "FamilyMemberHistory.born[x]",
          "path" : "FamilyMemberHistory.born[x]",
          "short" : "(approximate) date of birth",
          "definition" : "The actual or approximate date of birth of the relative.",
          "requirements" : "Allows calculation of the relative's age.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.born[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          },
          {
            "code" : "date"
          },
          {
            "code" : "string"
          }],
          "condition" : ["fhs-1"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "player[classCode=LIV, determinerCode=INSTANCE]. birthDate (could be URG)"
          }]
        },
        {
          "id" : "FamilyMemberHistory.age[x]",
          "path" : "FamilyMemberHistory.age[x]",
          "short" : "(approximate) age",
          "definition" : "The age of the relative at the time the family member history is recorded.",
          "comment" : "use estimatedAge to indicate whether the age is actual or not.",
          "requirements" : "While age can be calculated from date of birth, sometimes recording age directly is more natural for clinicians.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.age[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Age"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "string"
          }],
          "condition" : ["fhs-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ].act[classCode=OBS,moodCode=EVN, code=\"age\"].value"
          }]
        },
        {
          "id" : "FamilyMemberHistory.estimatedAge",
          "path" : "FamilyMemberHistory.estimatedAge",
          "short" : "Age is estimated?",
          "definition" : "If true, indicates that the age value specified is an estimated value.",
          "comment" : "This element is labeled as a modifier because the fact that age is estimated can/should change the results of any algorithm that calculates based on the specified age.",
          "requirements" : "Clinicians often prefer to specify an estimaged age rather than an age range.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.estimatedAge",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "It is unknown whether the age is an estimate or not",
          "condition" : ["fhs-2"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "FamilyMemberHistory.deceased[x]",
          "path" : "FamilyMemberHistory.deceased[x]",
          "short" : "Dead? How old/when?",
          "definition" : "Deceased flag or the actual or approximate age of the relative at the time of death for the family member history record.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "FamilyMemberHistory.deceased[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "date"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG)  For age, you'd hang an observation off the role"
          }]
        },
        {
          "id" : "FamilyMemberHistory.reasonCode",
          "path" : "FamilyMemberHistory.reasonCode",
          "short" : "Why was family member history performed?",
          "definition" : "Describes why the family member history occurred in coded or textual form.",
          "comment" : "Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "FamilyMemberHistory.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FamilyHistoryReason"
            }],
            "strength" : "example",
            "description" : "Codes indicating why the family member history was done.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "FamilyMemberHistory.reasonReference",
          "path" : "FamilyMemberHistory.reasonReference",
          "short" : "Why was family member history performed?",
          "definition" : "Indicates a Condition, Observation, AllergyIntolerance, or QuestionnaireResponse that justifies this family member history event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "FamilyMemberHistory.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/AllergyIntolerance",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "FamilyMemberHistory.note",
          "path" : "FamilyMemberHistory.note",
          "short" : "General note about related person",
          "definition" : "This property allows a non condition-specific note to the made about the related person. Ideally, the note would be in the condition property, but this is not always possible.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "FamilyMemberHistory.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value"
          }]
        },
        {
          "id" : "FamilyMemberHistory.condition",
          "path" : "FamilyMemberHistory.condition",
          "short" : "Condition that the related person had",
          "definition" : "The significant Conditions (or condition) that the family member had. This is a repeating section to allow a system to represent more than one condition per resource, though there is nothing stopping multiple resources - one per condition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "FamilyMemberHistory.condition",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION, value\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Flag 
TU
DomainResource
Key information to flag to healthcare providers
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier
 status 
?!Σ
1..1
code
active | inactive | entered-in-error
FlagStatus (Required)
 category 
Σ
0..*
CodeableConcept
Clinical, administrative, etc.
Flag Category (Example)
 code 
Σ
1..1
CodeableConcept
Coded or textual message to display to user
Flag Code (Example)
 subject 
Σ
1..1
Reference(Patient | Location | Group | Organization | Practitioner | PlanDefinition | Medication | Procedure)
Who/What is flag about?
 period 
Σ
0..1
Period
Time period when flag is active
 encounter 
Σ
0..1
Reference(Encounter)
Alert relevant during encounter
 author 
Σ
0..1
Reference(Device | Organization | Patient | Practitioner | PractitionerRole)
Flag creator

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Management"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Flag",
      "version" : "4.0.0",
      "name" : "Flag",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "Prospective warnings of potential issues when providing care to the patient.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Flag",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Flag",
          "path" : "Flag",
          "short" : "Key information to flag to healthcare providers",
          "definition" : "Prospective warnings of potential issues when providing care to the patient.",
          "alias" : ["Barriers to Care",
          "Alert",
          "Warning"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Flag",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=ISSUE, moodCode=EVN]"
          }]
        },
        {
          "id" : "Flag.id",
          "path" : "Flag.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Flag.meta",
          "path" : "Flag.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Flag.implicitRules",
          "path" : "Flag.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Flag.language",
          "path" : "Flag.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Flag.text",
          "path" : "Flag.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Flag.contained",
          "path" : "Flag.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Flag.extension",
          "path" : "Flag.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Flag.modifierExtension",
          "path" : "Flag.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Flag.identifier",
          "path" : "Flag.identifier",
          "short" : "Business identifier",
          "definition" : "Business identifiers assigned to this flag by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the flag as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Flag.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Flag.status",
          "path" : "Flag.status",
          "short" : "active | inactive | entered-in-error",
          "definition" : "Supports basic workflow.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Flag.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FlagStatus"
            }],
            "strength" : "required",
            "description" : "Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/flag-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Flag.category",
          "path" : "Flag.category",
          "short" : "Clinical, administrative, etc.",
          "definition" : "Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.",
          "comment" : "The value set will often need to be adjusted based on local business rules and usage context.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Flag.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FlagCategory"
            }],
            "strength" : "example",
            "description" : "A general category for flags for filtering/display purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/flag-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Flag.code",
          "path" : "Flag.code",
          "short" : "Coded or textual message to display to user",
          "definition" : "The coded value or textual component of the flag to display to the user.",
          "comment" : "If non-coded, use CodeableConcept.text.  This element should always be included in the narrative.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Flag.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FlagCode"
            }],
            "strength" : "example",
            "description" : "Detail codes identifying specific flagged issues.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/flag-code"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          }]
        },
        {
          "id" : "Flag.subject",
          "path" : "Flag.subject",
          "short" : "Who/What is flag about?",
          "definition" : "The patient, location, group, organization, or practitioner etc. this is about record this flag is associated with.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Flag.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT | LOCE | ASSIGNED]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Flag.period",
          "path" : "Flag.period",
          "short" : "Time period when flag is active",
          "definition" : "The period of time from the activation of the flag to inactivation of the flag. If the flag is active, the end of the period should be unspecified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Flag.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Flag.encounter",
          "path" : "Flag.encounter",
          "short" : "Alert relevant during encounter",
          "definition" : "This alert is only relevant during the encounter.",
          "comment" : "If both Flag.encounter and Flag.period are valued, then Flag.period.start shall not be before Encounter.period.start and Flag.period.end shall not be after Encounter.period.end.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Flag.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Flag.author",
          "path" : "Flag.author",
          "short" : "Flag creator",
          "definition" : "The person, organization or device that created the flag.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Flag.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Flag",
          "path" : "Flag",
          "short" : "Key information to flag to healthcare providers",
          "definition" : "Prospective warnings of potential issues when providing care to the patient.",
          "alias" : ["Barriers to Care",
          "Alert",
          "Warning"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Observation[classCode=ISSUE, moodCode=EVN]"
          }]
        },
        {
          "id" : "Flag.identifier",
          "path" : "Flag.identifier",
          "short" : "Business identifier",
          "definition" : "Business identifiers assigned to this flag by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the flag as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Flag.status",
          "path" : "Flag.status",
          "short" : "active | inactive | entered-in-error",
          "definition" : "Supports basic workflow.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FlagStatus"
            }],
            "strength" : "required",
            "description" : "Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/flag-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Flag.category",
          "path" : "Flag.category",
          "short" : "Clinical, administrative, etc.",
          "definition" : "Allows a flag to be divided into different categories like clinical, administrative etc. Intended to be used as a means of filtering which flags are displayed to particular user or in a given context.",
          "comment" : "The value set will often need to be adjusted based on local business rules and usage context.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FlagCategory"
            }],
            "strength" : "example",
            "description" : "A general category for flags for filtering/display purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/flag-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Flag.code",
          "path" : "Flag.code",
          "short" : "Coded or textual message to display to user",
          "definition" : "The coded value or textual component of the flag to display to the user.",
          "comment" : "If non-coded, use CodeableConcept.text.  This element should always be included in the narrative.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FlagCode"
            }],
            "strength" : "example",
            "description" : "Detail codes identifying specific flagged issues.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/flag-code"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          }]
        },
        {
          "id" : "Flag.subject",
          "path" : "Flag.subject",
          "short" : "Who/What is flag about?",
          "definition" : "The patient, location, group, organization, or practitioner etc. this is about record this flag is associated with.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT | LOCE | ASSIGNED]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Flag.period",
          "path" : "Flag.period",
          "short" : "Time period when flag is active",
          "definition" : "The period of time from the activation of the flag to inactivation of the flag. If the flag is active, the end of the period should be unspecified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Flag.encounter",
          "path" : "Flag.encounter",
          "short" : "Alert relevant during encounter",
          "definition" : "This alert is only relevant during the encounter.",
          "comment" : "If both Flag.encounter and Flag.period are valued, then Flag.period.start shall not be before Encounter.period.start and Flag.period.end shall not be after Encounter.period.end.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "Flag.author",
          "path" : "Flag.author",
          "short" : "Flag creator",
          "definition" : "The person, organization or device that created the flag.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Goal",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Goal",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Goal 
TU
DomainResource
Describes the intended objective(s) for a patient, group or organization
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
External Ids for this goal
 lifecycleStatus 
?!Σ
1..1
code
proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected
GoalLifecycleStatus (Required)
 achievementStatus 
Σ
0..1
CodeableConcept
in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable
Goal achievement status (Preferred)
 category 
Σ
0..*
CodeableConcept
E.g. Treatment, dietary, behavioral, etc.
Goal category (Example)
 priority 
Σ
0..1
CodeableConcept
high-priority | medium-priority | low-priority
Goal priority (Preferred)
 description 
Σ
1..1
CodeableConcept
Code or text describing goal
SNOMED CT Clinical Findings (Example)
 subject 
Σ
1..1
Reference(Patient | Group | Organization)
Who this goal is intended for
 start[x] 
Σ
0..1
When goal pursuit begins
Goal start event (Example)
 startDate
date
 startCodeableConcept
CodeableConcept
 target 
I
0..*
BackboneElement
Target outcome for the goal
+ Rule: Goal.target.measure is required if Goal.target.detail is populated
 measure 
ΣI
0..1
CodeableConcept
The parameter whose value is being tracked
LOINC Codes (Example)
 detail[x] 
ΣI
0..1
The target value to be achieved
 detailQuantity
Quantity
 detailRange
Range
 detailCodeableConcept
CodeableConcept
 detailString
string
 detailBoolean
boolean
 detailInteger
integer
 detailRatio
Ratio
 due[x] 
Σ
0..1
Reach goal on or before
 dueDate
date
 dueDuration
Duration
 statusDate 
Σ
0..1
date
When goal status took effect
 statusReason 
0..1
string
Reason for current status
 expressedBy 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
Who's responsible for creating Goal?
 addresses 
0..*
Reference(Condition | Observation | MedicationStatement | NutritionOrder | ServiceRequest | RiskAssessment)
Issues addressed by this goal
 note 
0..*
Annotation
Comments about the goal
 outcomeCode 
0..*
CodeableConcept
What result was achieved regarding the goal?
SNOMED CT Clinical Findings (Example)
 outcomeReference 
0..*
Reference(Observation)
Observation that resulted from goal

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Care Provision"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Goal",
      "version" : "4.0.0",
      "name" : "Goal",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Goal",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Goal",
          "path" : "Goal",
          "short" : "Describes the intended objective(s) for a patient, group or organization",
          "definition" : "Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.",
          "comment" : "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Goal",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "GOL.1"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode<=OBJ]."
          }]
        },
        {
          "id" : "Goal.id",
          "path" : "Goal.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Goal.meta",
          "path" : "Goal.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Goal.implicitRules",
          "path" : "Goal.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Goal.language",
          "path" : "Goal.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Goal.text",
          "path" : "Goal.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Goal.contained",
          "path" : "Goal.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Goal.extension",
          "path" : "Goal.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Goal.modifierExtension",
          "path" : "Goal.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Goal.identifier",
          "path" : "Goal.identifier",
          "short" : "External Ids for this goal",
          "definition" : "Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Goal.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Goal.lifecycleStatus",
          "path" : "Goal.lifecycleStatus",
          "short" : "proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected",
          "definition" : "The state of the goal throughout its lifecycle.",
          "comment" : "This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.",
          "requirements" : "Allows knowing whether goal needs to be further tracked.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Goal.lifecycleStatus",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalLifecycleStatus"
            }],
            "strength" : "required",
            "description" : "Codes that reflect the current state of a goal and whether the goal is still being targeted.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "GOL-18-goal life cycle status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode in-progress = active (classCode = OBJ) cancelled = aborted"
          }]
        },
        {
          "id" : "Goal.achievementStatus",
          "path" : "Goal.achievementStatus",
          "short" : "in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable",
          "definition" : "Describes the progression, or lack thereof, towards the goal against the target.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.achievementStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalAchievementStatus"
            }],
            "strength" : "preferred",
            "description" : "Indicates the progression, or lack thereof, towards the goal against the target.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-achievement"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".statusCode achieved = complete sustaining = active"
          }]
        },
        {
          "id" : "Goal.category",
          "path" : "Goal.category",
          "short" : "E.g. Treatment, dietary, behavioral, etc.",
          "definition" : "Indicates a category the goal falls within.",
          "requirements" : "Allows goals to be filtered and sorted.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Goal.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalCategory"
            }],
            "strength" : "example",
            "description" : "Codes for grouping and sorting goals.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Goal.priority",
          "path" : "Goal.priority",
          "short" : "high-priority | medium-priority | low-priority",
          "definition" : "Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.",
          "comment" : "Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives)\r\rThe ordinal extension on Coding can be used to convey a numerically comparable ranking to priority.  (Keep in mind that different coding systems may use a \"low value=important\".",
          "requirements" : "Used for sorting and presenting goals.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalPriority"
            }],
            "strength" : "preferred",
            "description" : "The level of importance associated with a goal.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-priority"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "Goal.description",
          "path" : "Goal.description",
          "short" : "Code or text describing goal",
          "definition" : "Human-readable and/or coded description of a specific desired objective of care, such as \"control blood pressure\" or \"negotiate an obstacle course\" or \"dance with child at wedding\".",
          "comment" : "If no code is available, use CodeableConcept.text.",
          "requirements" : "Without a description of what's trying to be achieved, element has no purpose.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Goal.description",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalDescription"
            }],
            "strength" : "example",
            "description" : "Codes providing the details of a particular goal.  This will generally be system or implementation guide-specific.  In many systems, only the text element will be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "GOL-3.2-goal ID.text"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Goal.subject",
          "path" : "Goal.subject",
          "short" : "Who this goal is intended for",
          "definition" : "Identifies the patient, group or organization for whom the goal is being established.",
          "requirements" : "Subject is optional to support annonymized reporting.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Goal.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-patient ID list"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PAT].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Goal.start[x]",
          "path" : "Goal.start[x]",
          "short" : "When goal pursuit begins",
          "definition" : "The date or event after which the goal should begin being pursued.",
          "requirements" : "Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.start[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalStartEvent"
            }],
            "strength" : "example",
            "description" : "Codes describing events that can trigger the initiation of a goal.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-start-event"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          }]
        },
        {
          "id" : "Goal.target",
          "path" : "Goal.target",
          "short" : "Target outcome for the goal",
          "definition" : "Indicates what should be done by when.",
          "comment" : "When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.",
          "requirements" : "Allows the progress of the goal to be monitored against an observation or due date.  Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Goal.target",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["gol-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "gol-1",
            "severity" : "error",
            "human" : "Goal.target.measure is required if Goal.target.detail is populated",
            "expression" : "(detail.exists() and measure.exists()) or detail.exists().not()",
            "xpath" : "(exists(f:*[starts-with(local-name(.), 'detail')]) and exists(f:measure)) or not(exists(f:*[starts-with(local-name(.), 'detail')]))"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Goal.target.id",
          "path" : "Goal.target.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Goal.target.extension",
          "path" : "Goal.target.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Goal.target.modifierExtension",
          "path" : "Goal.target.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Goal.target.measure",
          "path" : "Goal.target.measure",
          "short" : "The parameter whose value is being tracked",
          "definition" : "The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.target.measure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["gol-1"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalTargetMeasure"
            }],
            "strength" : "example",
            "description" : "Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          }
        },
        {
          "id" : "Goal.target.detail[x]",
          "path" : "Goal.target.detail[x]",
          "short" : "The target value to be achieved",
          "definition" : "The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value.",
          "comment" : "A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.target.detail[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "Ratio"
          }],
          "condition" : ["gol-1"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalTargetDetail"
            }],
            "strength" : "example",
            "description" : "Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal."
          }
        },
        {
          "id" : "Goal.target.due[x]",
          "path" : "Goal.target.due[x]",
          "short" : "Reach goal on or before",
          "definition" : "Indicates either the date or the duration after start by which the goal should be met.",
          "requirements" : "Identifies when the goal should be evaluated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.target.due[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Goal.statusDate",
          "path" : "Goal.statusDate",
          "short" : "When goal status took effect",
          "definition" : "Identifies when the current status.  I.e. When initially created, when achieved, when cancelled, etc.",
          "comment" : "To see the date for past statuses, query history.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.statusDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "Goal.statusReason",
          "path" : "Goal.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current status.",
          "comment" : "This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Goal.expressedBy",
          "path" : "Goal.expressedBy",
          "short" : "Who's responsible for creating Goal?",
          "definition" : "Indicates whose goal this is - patient goal, practitioner goal, etc.",
          "comment" : "This is the individual responsible for establishing the goal, not necessarily who recorded it.  (For that, use the Provenance resource.).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Goal.expressedBy",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "Goal.addresses",
          "path" : "Goal.addresses",
          "short" : "Issues addressed by this goal",
          "definition" : "The identified conditions and other health record elements that are intended to be addressed by the goal.",
          "requirements" : "Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Goal.addresses",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/RiskAssessment"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]"
          }]
        },
        {
          "id" : "Goal.note",
          "path" : "Goal.note",
          "short" : "Comments about the goal",
          "definition" : "Any comments related to the goal.",
          "comment" : "May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.",
          "requirements" : "There's a need to capture information about the goal that doesn't actually describe the goal.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Goal.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "GOL-16-goal evaluation + NTE?"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        },
        {
          "id" : "Goal.outcomeCode",
          "path" : "Goal.outcomeCode",
          "short" : "What result was achieved regarding the goal?",
          "definition" : "Identifies the change (or lack of change) at the point when the status of the goal is assessed.",
          "comment" : "Note that this should not duplicate the goal status.",
          "requirements" : "Outcome tracking is a key aspect of care planning.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Goal.outcomeCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalOutcome"
            }],
            "strength" : "example",
            "description" : "The result of the goal; e.g. \"25% increase in shoulder mobility\", \"Anxiety reduced to moderate levels\".  \"15 kg weight loss sustained over 6 months\".",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          }
        },
        {
          "id" : "Goal.outcomeReference",
          "path" : "Goal.outcomeReference",
          "short" : "Observation that resulted from goal",
          "definition" : "Details of what's changed (or not changed).",
          "comment" : "The goal outcome is independent of the outcome of the related activities.  For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured.",
          "requirements" : "Outcome tracking is a key aspect of care planning.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Goal.outcomeReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Goal",
          "path" : "Goal",
          "short" : "Describes the intended objective(s) for a patient, group or organization",
          "definition" : "Describes the intended objective(s) for a patient, group or organization care, for example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.",
          "comment" : "Goal can be achieving a particular change or merely maintaining a current state or even slowing a decline.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "v2",
            "map" : "GOL.1"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode<=OBJ]."
          }]
        },
        {
          "id" : "Goal.identifier",
          "path" : "Goal.identifier",
          "short" : "External Ids for this goal",
          "definition" : "Business identifiers assigned to this goal by the performer or other systems which remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "requirements" : "Allows identification of the goal as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Goal.lifecycleStatus",
          "path" : "Goal.lifecycleStatus",
          "short" : "proposed | planned | accepted | active | on-hold | completed | cancelled | entered-in-error | rejected",
          "definition" : "The state of the goal throughout its lifecycle.",
          "comment" : "This element is labeled as a modifier because the lifecycleStatus contains codes that mark the resource as not currently valid.",
          "requirements" : "Allows knowing whether goal needs to be further tracked.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalLifecycleStatus"
            }],
            "strength" : "required",
            "description" : "Codes that reflect the current state of a goal and whether the goal is still being targeted.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "GOL-18-goal life cycle status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode in-progress = active (classCode = OBJ) cancelled = aborted"
          }]
        },
        {
          "id" : "Goal.achievementStatus",
          "path" : "Goal.achievementStatus",
          "short" : "in-progress | improving | worsening | no-change | achieved | sustaining | not-achieved | no-progress | not-attainable",
          "definition" : "Describes the progression, or lack thereof, towards the goal against the target.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalAchievementStatus"
            }],
            "strength" : "preferred",
            "description" : "Indicates the progression, or lack thereof, towards the goal against the target.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-achievement"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".statusCode achieved = complete sustaining = active"
          }]
        },
        {
          "id" : "Goal.category",
          "path" : "Goal.category",
          "short" : "E.g. Treatment, dietary, behavioral, etc.",
          "definition" : "Indicates a category the goal falls within.",
          "requirements" : "Allows goals to be filtered and sorted.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalCategory"
            }],
            "strength" : "example",
            "description" : "Codes for grouping and sorting goals.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Goal.priority",
          "path" : "Goal.priority",
          "short" : "high-priority | medium-priority | low-priority",
          "definition" : "Identifies the mutually agreed level of importance associated with reaching/sustaining the goal.",
          "comment" : "Extensions are available to track priorities as established by each participant (i.e. Priority from the patient's perspective, different practitioners' perspectives, family member's perspectives)\r\rThe ordinal extension on Coding can be used to convey a numerically comparable ranking to priority.  (Keep in mind that different coding systems may use a \"low value=important\".",
          "requirements" : "Used for sorting and presenting goals.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalPriority"
            }],
            "strength" : "preferred",
            "description" : "The level of importance associated with a goal.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-priority"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "Goal.description",
          "path" : "Goal.description",
          "short" : "Code or text describing goal",
          "definition" : "Human-readable and/or coded description of a specific desired objective of care, such as \"control blood pressure\" or \"negotiate an obstacle course\" or \"dance with child at wedding\".",
          "comment" : "If no code is available, use CodeableConcept.text.",
          "requirements" : "Without a description of what's trying to be achieved, element has no purpose.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalDescription"
            }],
            "strength" : "example",
            "description" : "Codes providing the details of a particular goal.  This will generally be system or implementation guide-specific.  In many systems, only the text element will be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "GOL-3.2-goal ID.text"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Goal.subject",
          "path" : "Goal.subject",
          "short" : "Who this goal is intended for",
          "definition" : "Identifies the patient, group or organization for whom the goal is being established.",
          "requirements" : "Subject is optional to support annonymized reporting.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-patient ID list"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PAT].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Goal.start[x]",
          "path" : "Goal.start[x]",
          "short" : "When goal pursuit begins",
          "definition" : "The date or event after which the goal should begin being pursued.",
          "requirements" : "Goals can be established prior to there being an intention to start pursuing them; e.g. Goals for post-surgical recovery established prior to surgery.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalStartEvent"
            }],
            "strength" : "example",
            "description" : "Codes describing events that can trigger the initiation of a goal.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-start-event"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          }]
        },
        {
          "id" : "Goal.target",
          "path" : "Goal.target",
          "short" : "Target outcome for the goal",
          "definition" : "Indicates what should be done by when.",
          "comment" : "When multiple targets are present for a single goal instance, all targets must be met for the overall goal to be met.",
          "requirements" : "Allows the progress of the goal to be monitored against an observation or due date.  Target is 0..* to support Observations with multiple components, such as blood pressure goals with both a systolic and diastolic target.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["gol-1"],
          "constraint" : [{
            "key" : "gol-1",
            "severity" : "error",
            "human" : "Goal.target.measure is required if Goal.target.detail is populated",
            "expression" : "(detail.exists() and measure.exists()) or detail.exists().not()",
            "xpath" : "(exists(f:*[starts-with(local-name(.), 'detail')]) and exists(f:measure)) or not(exists(f:*[starts-with(local-name(.), 'detail')]))"
          }]
        },
        {
          "id" : "Goal.target.measure",
          "path" : "Goal.target.measure",
          "short" : "The parameter whose value is being tracked",
          "definition" : "The parameter whose value is being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["gol-1"],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalTargetMeasure"
            }],
            "strength" : "example",
            "description" : "Codes to identify the value being tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          }
        },
        {
          "id" : "Goal.target.detail[x]",
          "path" : "Goal.target.detail[x]",
          "short" : "The target value to be achieved",
          "definition" : "The target value of the focus to be achieved to signify the fulfillment of the goal, e.g. 150 pounds, 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any focus value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any focus value at or above the low value.",
          "comment" : "A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Goal.target.measure defines a coded value.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "Ratio"
          }],
          "condition" : ["gol-1"],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalTargetDetail"
            }],
            "strength" : "example",
            "description" : "Codes to identify the target value of the focus to be achieved to signify the fulfillment of the goal."
          }
        },
        {
          "id" : "Goal.target.due[x]",
          "path" : "Goal.target.due[x]",
          "short" : "Reach goal on or before",
          "definition" : "Indicates either the date or the duration after start by which the goal should be met.",
          "requirements" : "Identifies when the goal should be evaluated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          },
          {
            "code" : "Duration"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Goal.statusDate",
          "path" : "Goal.statusDate",
          "short" : "When goal status took effect",
          "definition" : "Identifies when the current status.  I.e. When initially created, when achieved, when cancelled, etc.",
          "comment" : "To see the date for past statuses, query history.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "Goal.statusReason",
          "path" : "Goal.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current status.",
          "comment" : "This will typically be captured for statuses such as rejected, on-hold or cancelled, but could be present for others.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Goal.expressedBy",
          "path" : "Goal.expressedBy",
          "short" : "Who's responsible for creating Goal?",
          "definition" : "Indicates whose goal this is - patient goal, practitioner goal, etc.",
          "comment" : "This is the individual responsible for establishing the goal, not necessarily who recorded it.  (For that, use the Provenance resource.).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "Goal.addresses",
          "path" : "Goal.addresses",
          "short" : "Issues addressed by this goal",
          "definition" : "The identified conditions and other health record elements that are intended to be addressed by the goal.",
          "requirements" : "Allows specific goals to explicitly linked to the concerns they're dealing with - makes the goal more understandable.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/RiskAssessment"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target[classCode=CONC]"
          }]
        },
        {
          "id" : "Goal.note",
          "path" : "Goal.note",
          "short" : "Comments about the goal",
          "definition" : "Any comments related to the goal.",
          "comment" : "May be used for progress notes, concerns or other related information that doesn't actually describe the goal itself.",
          "requirements" : "There's a need to capture information about the goal that doesn't actually describe the goal.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "GOL-16-goal evaluation + NTE?"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        },
        {
          "id" : "Goal.outcomeCode",
          "path" : "Goal.outcomeCode",
          "short" : "What result was achieved regarding the goal?",
          "definition" : "Identifies the change (or lack of change) at the point when the status of the goal is assessed.",
          "comment" : "Note that this should not duplicate the goal status.",
          "requirements" : "Outcome tracking is a key aspect of care planning.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalOutcome"
            }],
            "strength" : "example",
            "description" : "The result of the goal; e.g. \"25% increase in shoulder mobility\", \"Anxiety reduced to moderate levels\".  \"15 kg weight loss sustained over 6 months\".",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          }
        },
        {
          "id" : "Goal.outcomeReference",
          "path" : "Goal.outcomeReference",
          "short" : "Observation that resulted from goal",
          "definition" : "Details of what's changed (or not changed).",
          "comment" : "The goal outcome is independent of the outcome of the related activities.  For example, if the Goal is to achieve a target body weight of 150 lb and a care plan activity is defined to diet, then the care plan’s activity outcome could be calories consumed whereas goal outcome is an observation for the actual body weight measured.",
          "requirements" : "Outcome tracking is a key aspect of care planning.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/GraphDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "GraphDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 GraphDefinition 
ITU
DomainResource
Definition of a graph of resources
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this graph definition, represented as a URI (globally unique)
 version 
Σ
0..1
string
Business version of the graph definition
 name 
ΣI
1..1
string
Name for this graph definition (computer friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the graph definition
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for graph definition (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this graph definition is defined
 start 
Σ
1..1
code
Type of resource at which the graph starts
ResourceType (Required)
 profile 
0..1
canonical(StructureDefinition)
Profile on base resource
 link 
0..*
BackboneElement
Links this graph makes rules about
 path 
0..1
string
Path in the resource that contains the link
 sliceName 
0..1
string
Which slice (if profiled)
 min 
0..1
integer
Minimum occurrences for this link
 max 
0..1
string
Maximum occurrences for this link
 description 
0..1
string
Why this link is specified
 target 
0..*
BackboneElement
Potential target for the link
 type 
1..1
code
Type of resource this link refers to
ResourceType (Required)
 params 
0..1
string
Criteria for reverse lookup
 profile 
0..1
canonical(StructureDefinition)
Profile for the target resource
 compartment 
0..*
BackboneElement
Compartment Consistency Rules
 use 
1..1
code
condition | requirement
GraphCompartmentUse (Required)
 code 
1..1
code
Identifies the compartment
CompartmentType (Required)
 rule 
1..1
code
identical | matching | different | custom
GraphCompartmentRule (Required)
 expression 
0..1
string
Custom rule, as a FHIRPath expression
 description 
0..1
string
Documentation for FHIRPath expression
 link 
0..*
see link
Additional links from target resource

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/GraphDefinition",
      "version" : "4.0.0",
      "name" : "GraphDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A formal computable definition of a graph of resources - that is, a coherent set of resources that form a graph by following references. The Graph Definition resource defines a set and makes rules about the set.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "GraphDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "GraphDefinition",
          "path" : "GraphDefinition",
          "short" : "Definition of a graph of resources",
          "definition" : "A formal computable definition of a graph of resources - that is, a coherent set of resources that form a graph by following references. The Graph Definition resource defines a set and makes rules about the set.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GraphDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "gdf-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "GraphDefinition.id",
          "path" : "GraphDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "GraphDefinition.meta",
          "path" : "GraphDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "GraphDefinition.implicitRules",
          "path" : "GraphDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "GraphDefinition.language",
          "path" : "GraphDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "GraphDefinition.text",
          "path" : "GraphDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "GraphDefinition.contained",
          "path" : "GraphDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GraphDefinition.extension",
          "path" : "GraphDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GraphDefinition.modifierExtension",
          "path" : "GraphDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GraphDefinition.url",
          "path" : "GraphDefinition.url",
          "short" : "Canonical identifier for this graph definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this graph definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this graph definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the graph definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the graph definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "GraphDefinition.version",
          "path" : "GraphDefinition.version",
          "short" : "Business version of the graph definition",
          "definition" : "The identifier that is used to identify this version of the graph definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the graph definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different graph definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the graph definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "GraphDefinition.name",
          "path" : "GraphDefinition.name",
          "short" : "Name for this graph definition (computer friendly)",
          "definition" : "A natural language name identifying the graph definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "GraphDefinition.status",
          "path" : "GraphDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this graph definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of graph definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "GraphDefinition.experimental",
          "path" : "GraphDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this graph definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of graph definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level graph definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "GraphDefinition.date",
          "path" : "GraphDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the graph definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the graph definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the graph definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "GraphDefinition.publisher",
          "path" : "GraphDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the graph definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the graph definition is the organization or individual primarily responsible for the maintenance and upkeep of the graph definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the graph definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the graph definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "GraphDefinition.contact",
          "path" : "GraphDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GraphDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "GraphDefinition.description",
          "path" : "GraphDefinition.description",
          "short" : "Natural language description of the graph definition",
          "definition" : "A free text natural language description of the graph definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the graph definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the graph definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the graph definition is presumed to be the predominant language in the place the graph definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "GraphDefinition.useContext",
          "path" : "GraphDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate graph definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GraphDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "GraphDefinition.jurisdiction",
          "path" : "GraphDefinition.jurisdiction",
          "short" : "Intended jurisdiction for graph definition (if applicable)",
          "definition" : "A legal or geographic region in which the graph definition is intended to be used.",
          "comment" : "It may be possible for the graph definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GraphDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "GraphDefinition.purpose",
          "path" : "GraphDefinition.purpose",
          "short" : "Why this graph definition is defined",
          "definition" : "Explanation of why this graph definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the graph definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this graph definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "GraphDefinition.start",
          "path" : "GraphDefinition.start",
          "short" : "Type of resource at which the graph starts",
          "definition" : "The type of FHIR resource at which instances of this graph start.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.start",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.profile",
          "path" : "GraphDefinition.profile",
          "short" : "Profile on base resource",
          "definition" : "The profile that describes the use of the base resource.",
          "comment" : "The code does not include the '$' prefix that is always included in the URL when the operation is invoked.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.profile",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link",
          "path" : "GraphDefinition.link",
          "short" : "Links this graph makes rules about",
          "definition" : "Links this graph makes rules about.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GraphDefinition.link",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.id",
          "path" : "GraphDefinition.link.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "GraphDefinition.link.extension",
          "path" : "GraphDefinition.link.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "GraphDefinition.link.modifierExtension",
          "path" : "GraphDefinition.link.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GraphDefinition.link.path",
          "path" : "GraphDefinition.link.path",
          "short" : "Path in the resource that contains the link",
          "definition" : "A FHIR expression that identifies one of FHIR References to other resources.",
          "comment" : "The path expression cannot contain a resolve() function. If there is no path, the link is a reverse lookup, using target.params. If the path is \"*\" then this means all references in the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.path",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.sliceName",
          "path" : "GraphDefinition.link.sliceName",
          "short" : "Which slice (if profiled)",
          "definition" : "Which slice (if profiled).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.sliceName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.min",
          "path" : "GraphDefinition.link.min",
          "short" : "Minimum occurrences for this link",
          "definition" : "Minimum occurrences for this link.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.min",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.max",
          "path" : "GraphDefinition.link.max",
          "short" : "Maximum occurrences for this link",
          "definition" : "Maximum occurrences for this link.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.max",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.description",
          "path" : "GraphDefinition.link.description",
          "short" : "Why this link is specified",
          "definition" : "Information about why this link is of interest in this graph definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.target",
          "path" : "GraphDefinition.link.target",
          "short" : "Potential target for the link",
          "definition" : "Potential target for the link.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GraphDefinition.link.target",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.target.id",
          "path" : "GraphDefinition.link.target.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.extension",
          "path" : "GraphDefinition.link.target.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.modifierExtension",
          "path" : "GraphDefinition.link.target.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.type",
          "path" : "GraphDefinition.link.target.type",
          "short" : "Type of resource this link refers to",
          "definition" : "Type of resource this link refers to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.target.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.link.target.params",
          "path" : "GraphDefinition.link.target.params",
          "short" : "Criteria for reverse lookup",
          "definition" : "A set of parameters to look up.",
          "comment" : "At least one of the parameters must have the value {ref} which identifies the focus resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.target.params",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.target.profile",
          "path" : "GraphDefinition.link.target.profile",
          "short" : "Profile for the target resource",
          "definition" : "Profile for the target resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.target.profile",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.target.compartment",
          "path" : "GraphDefinition.link.target.compartment",
          "short" : "Compartment Consistency Rules",
          "definition" : "Compartment Consistency Rules.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GraphDefinition.link.target.compartment",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.target.compartment.id",
          "path" : "GraphDefinition.link.target.compartment.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.compartment.extension",
          "path" : "GraphDefinition.link.target.compartment.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.compartment.modifierExtension",
          "path" : "GraphDefinition.link.target.compartment.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.compartment.use",
          "path" : "GraphDefinition.link.target.compartment.use",
          "short" : "condition | requirement",
          "definition" : "Defines how the compartment rule is used - whether it it is used to test whether resources are subject to the rule, or whether it is a rule that must be followed.",
          "comment" : "All conditional rules are evaluated; if they are true, then the rules are evaluated.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.target.compartment.use",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GraphCompartmentUse"
            }],
            "strength" : "required",
            "description" : "Defines how a compartment rule is used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/graph-compartment-use|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.link.target.compartment.code",
          "path" : "GraphDefinition.link.target.compartment.code",
          "short" : "Identifies the compartment",
          "definition" : "Identifies the compartment.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.target.compartment.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompartmentCode"
            }],
            "strength" : "required",
            "description" : "Identifies a compartment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/compartment-type|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.link.target.compartment.rule",
          "path" : "GraphDefinition.link.target.compartment.rule",
          "short" : "identical | matching | different | custom",
          "definition" : "identical | matching | different | no-rule | custom.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.target.compartment.rule",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GraphCompartmentRule"
            }],
            "strength" : "required",
            "description" : "How a compartment must be linked.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.link.target.compartment.expression",
          "path" : "GraphDefinition.link.target.compartment.expression",
          "short" : "Custom rule, as a FHIRPath expression",
          "definition" : "Custom rule, as a FHIRPath expression.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.target.compartment.expression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.target.compartment.description",
          "path" : "GraphDefinition.link.target.compartment.description",
          "short" : "Documentation for FHIRPath expression",
          "definition" : "Documentation for FHIRPath expression.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GraphDefinition.link.target.compartment.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GraphDefinition.link.target.link",
          "path" : "GraphDefinition.link.target.link",
          "short" : "Additional links from target resource",
          "definition" : "Additional links from target resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GraphDefinition.link.target.link",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#GraphDefinition.link",
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "GraphDefinition",
          "path" : "GraphDefinition",
          "short" : "Definition of a graph of resources",
          "definition" : "A formal computable definition of a graph of resources - that is, a coherent set of resources that form a graph by following references. The Graph Definition resource defines a set and makes rules about the set.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "gdf-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "GraphDefinition.url",
          "path" : "GraphDefinition.url",
          "short" : "Canonical identifier for this graph definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this graph definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this graph definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the graph definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the graph definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "GraphDefinition.version",
          "path" : "GraphDefinition.version",
          "short" : "Business version of the graph definition",
          "definition" : "The identifier that is used to identify this version of the graph definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the graph definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different graph definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the graph definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "GraphDefinition.name",
          "path" : "GraphDefinition.name",
          "short" : "Name for this graph definition (computer friendly)",
          "definition" : "A natural language name identifying the graph definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "GraphDefinition.status",
          "path" : "GraphDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this graph definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of graph definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "GraphDefinition.experimental",
          "path" : "GraphDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this graph definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of graph definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level graph definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "GraphDefinition.date",
          "path" : "GraphDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the graph definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the graph definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the graph definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "GraphDefinition.publisher",
          "path" : "GraphDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the graph definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the graph definition is the organization or individual primarily responsible for the maintenance and upkeep of the graph definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the graph definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the graph definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "GraphDefinition.contact",
          "path" : "GraphDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "GraphDefinition.description",
          "path" : "GraphDefinition.description",
          "short" : "Natural language description of the graph definition",
          "definition" : "A free text natural language description of the graph definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the graph definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the graph definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the graph definition is presumed to be the predominant language in the place the graph definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "GraphDefinition.useContext",
          "path" : "GraphDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate graph definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "GraphDefinition.jurisdiction",
          "path" : "GraphDefinition.jurisdiction",
          "short" : "Intended jurisdiction for graph definition (if applicable)",
          "definition" : "A legal or geographic region in which the graph definition is intended to be used.",
          "comment" : "It may be possible for the graph definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "GraphDefinition.purpose",
          "path" : "GraphDefinition.purpose",
          "short" : "Why this graph definition is defined",
          "definition" : "Explanation of why this graph definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the graph definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this graph definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "GraphDefinition.start",
          "path" : "GraphDefinition.start",
          "short" : "Type of resource at which the graph starts",
          "definition" : "The type of FHIR resource at which instances of this graph start.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.profile",
          "path" : "GraphDefinition.profile",
          "short" : "Profile on base resource",
          "definition" : "The profile that describes the use of the base resource.",
          "comment" : "The code does not include the '$' prefix that is always included in the URL when the operation is invoked.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "GraphDefinition.link",
          "path" : "GraphDefinition.link",
          "short" : "Links this graph makes rules about",
          "definition" : "Links this graph makes rules about.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "GraphDefinition.link.path",
          "path" : "GraphDefinition.link.path",
          "short" : "Path in the resource that contains the link",
          "definition" : "A FHIR expression that identifies one of FHIR References to other resources.",
          "comment" : "The path expression cannot contain a resolve() function. If there is no path, the link is a reverse lookup, using target.params. If the path is \"*\" then this means all references in the resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "GraphDefinition.link.sliceName",
          "path" : "GraphDefinition.link.sliceName",
          "short" : "Which slice (if profiled)",
          "definition" : "Which slice (if profiled).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "GraphDefinition.link.min",
          "path" : "GraphDefinition.link.min",
          "short" : "Minimum occurrences for this link",
          "definition" : "Minimum occurrences for this link.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "GraphDefinition.link.max",
          "path" : "GraphDefinition.link.max",
          "short" : "Maximum occurrences for this link",
          "definition" : "Maximum occurrences for this link.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "GraphDefinition.link.description",
          "path" : "GraphDefinition.link.description",
          "short" : "Why this link is specified",
          "definition" : "Information about why this link is of interest in this graph definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "GraphDefinition.link.target",
          "path" : "GraphDefinition.link.target",
          "short" : "Potential target for the link",
          "definition" : "Potential target for the link.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.type",
          "path" : "GraphDefinition.link.target.type",
          "short" : "Type of resource this link refers to",
          "definition" : "Type of resource this link refers to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.link.target.params",
          "path" : "GraphDefinition.link.target.params",
          "short" : "Criteria for reverse lookup",
          "definition" : "A set of parameters to look up.",
          "comment" : "At least one of the parameters must have the value {ref} which identifies the focus resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.profile",
          "path" : "GraphDefinition.link.target.profile",
          "short" : "Profile for the target resource",
          "definition" : "Profile for the target resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "GraphDefinition.link.target.compartment",
          "path" : "GraphDefinition.link.target.compartment",
          "short" : "Compartment Consistency Rules",
          "definition" : "Compartment Consistency Rules.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.compartment.use",
          "path" : "GraphDefinition.link.target.compartment.use",
          "short" : "condition | requirement",
          "definition" : "Defines how the compartment rule is used - whether it it is used to test whether resources are subject to the rule, or whether it is a rule that must be followed.",
          "comment" : "All conditional rules are evaluated; if they are true, then the rules are evaluated.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GraphCompartmentUse"
            }],
            "strength" : "required",
            "description" : "Defines how a compartment rule is used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/graph-compartment-use|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.link.target.compartment.code",
          "path" : "GraphDefinition.link.target.compartment.code",
          "short" : "Identifies the compartment",
          "definition" : "Identifies the compartment.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompartmentCode"
            }],
            "strength" : "required",
            "description" : "Identifies a compartment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/compartment-type|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.link.target.compartment.rule",
          "path" : "GraphDefinition.link.target.compartment.rule",
          "short" : "identical | matching | different | custom",
          "definition" : "identical | matching | different | no-rule | custom.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GraphCompartmentRule"
            }],
            "strength" : "required",
            "description" : "How a compartment must be linked.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/graph-compartment-rule|4.0.0"
          }
        },
        {
          "id" : "GraphDefinition.link.target.compartment.expression",
          "path" : "GraphDefinition.link.target.compartment.expression",
          "short" : "Custom rule, as a FHIRPath expression",
          "definition" : "Custom rule, as a FHIRPath expression.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.compartment.description",
          "path" : "GraphDefinition.link.target.compartment.description",
          "short" : "Documentation for FHIRPath expression",
          "definition" : "Documentation for FHIRPath expression.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "GraphDefinition.link.target.link",
          "path" : "GraphDefinition.link.target.link",
          "short" : "Additional links from target resource",
          "definition" : "Additional links from target resource.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#GraphDefinition.link"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Group",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Group",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Group 
ITU
DomainResource
Group of multiple entities
+ Rule: Can only have members if group is "actual"
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique id
 active 
Σ
0..1
boolean
Whether this group's record is in active use
 type 
Σ
1..1
code
person | animal | practitioner | device | medication | substance
GroupType (Required)
 actual 
ΣI
1..1
boolean
Descriptive or actual
 code 
Σ
0..1
CodeableConcept
Kind of Group members
 name 
Σ
0..1
string
Label for Group
 quantity 
Σ
0..1
unsignedInt
Number of members
 managingEntity 
Σ
0..1
Reference(Organization | RelatedPerson | Practitioner | PractitionerRole)
Entity that is the custodian of the Group's definition
 characteristic 
0..*
BackboneElement
Include / Exclude group members by Trait
 code 
1..1
CodeableConcept
Kind of characteristic
 value[x] 
1..1
Value held by characteristic
 valueCodeableConcept
CodeableConcept
 valueBoolean
boolean
 valueQuantity
Quantity
 valueRange
Range
 valueReference
Reference()
 exclude 
1..1
boolean
Group includes or excludes
 period 
0..1
Period
Period over which characteristic is tested
 member 
I
0..*
BackboneElement
Who or what is in group
 entity 
1..1
Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)
Reference to the group member
 period 
0..1
Period
Period member belonged to the group
 inactive 
0..1
boolean
If member is no longer in group

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Individuals"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Group",
      "version" : "4.0.0",
      "name" : "Group",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "Represents a defined collection of entities that may be discussed or acted upon collectively but which are not expected to act collectively, and are not formally or legally recognized; i.e. a collection of entities that isn't an Organization.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Group",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Group",
          "path" : "Group",
          "short" : "Group of multiple entities",
          "definition" : "Represents a defined collection of entities that may be discussed or acted upon collectively but which are not expected to act collectively, and are not formally or legally recognized; i.e. a collection of entities that isn't an Organization.",
          "comment" : "If both Group.characteristic and Group.member are present, then the members are the individuals who were found who met the characteristic.  It's possible that there might be other candidate members who meet the characteristic and aren't (yet) in the list.  All members SHALL have the listed characteristics.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Group",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "grp-1",
            "severity" : "error",
            "human" : "Can only have members if group is \"actual\"",
            "expression" : "member.empty() or (actual = true)",
            "xpath" : "f:actual/@value=true() or not(exists(f:member))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Entity[determinerCode=\"GRP\" or determinerCode=\"GRP_KIND\"]"
          }]
        },
        {
          "id" : "Group.id",
          "path" : "Group.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Group.meta",
          "path" : "Group.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Group.implicitRules",
          "path" : "Group.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Group.language",
          "path" : "Group.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Group.text",
          "path" : "Group.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Group.contained",
          "path" : "Group.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Group.extension",
          "path" : "Group.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Group.modifierExtension",
          "path" : "Group.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Group.identifier",
          "path" : "Group.identifier",
          "short" : "Unique id",
          "definition" : "A unique business identifier for this group.",
          "requirements" : "Allows the group to be referenced from external specifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Group.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "unique(./id[displayable=\"true\" and scope=\"OBJ\"])"
          }]
        },
        {
          "id" : "Group.active",
          "path" : "Group.active",
          "short" : "Whether this group's record is in active use",
          "definition" : "Indicates whether the record for the group is available for use or is merely being retained for historical purposes.",
          "requirements" : "Need to be able to mark a group record as not to be used because it was created in error or is otherwise no longer available (e.g. a herd that no longer exists).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Group.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "./statusCode"
          }]
        },
        {
          "id" : "Group.type",
          "path" : "Group.type",
          "short" : "person | animal | practitioner | device | medication | substance",
          "definition" : "Identifies the broad classification of the kind of resources the group includes.",
          "comment" : "Group members SHALL be of the appropriate resource type (Patient for person or animal; or Practitioner, Device, Medication or Substance for the other types.).",
          "requirements" : "Identifies what type of resources the group is made up of.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Group.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupType"
            }],
            "strength" : "required",
            "description" : "Types of resources that are part of group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/group-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "person: ./classCode=\"PSN\"  animal: ./classCode=\"ANM\"  device: ./classCode=\"DEV\"  medication: ./classCode=\"MMAT\" and ./playedRole[isNormalRole() and classCode=\"THER\"]  food: ./classCode=\"FOOD\""
          }]
        },
        {
          "id" : "Group.actual",
          "path" : "Group.actual",
          "short" : "Descriptive or actual",
          "definition" : "If true, indicates that the resource refers to a specific group of real individuals.  If false, the group defines a set of intended individuals.",
          "requirements" : "There are use-cases for groups that define specific collections of individuals, and other groups that define \"types\" of intended individuals.  The requirements for both kinds of groups are similar, so we use a single resource, distinguished by this flag.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Group.actual",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "condition" : ["grp-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "true: ./determinerCode=\"GRP\"  false: ./determinerCode=\"GRP_KIND\""
          }]
        },
        {
          "id" : "Group.code",
          "path" : "Group.code",
          "short" : "Kind of Group members",
          "definition" : "Provides a specific type of resource the group includes; e.g. \"cow\", \"syringe\", etc.",
          "comment" : "This would generally be omitted for Person resources.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Group.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupKind"
            }],
            "strength" : "example",
            "description" : "Kind of particular resource; e.g. cow, syringe, lake, etc."
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "Group.name",
          "path" : "Group.name",
          "short" : "Label for Group",
          "definition" : "A label assigned to the group for human identification and communication.",
          "requirements" : "Used to identify the group in human communication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Group.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./name[type=\"ST\"]"
          }]
        },
        {
          "id" : "Group.quantity",
          "path" : "Group.quantity",
          "short" : "Number of members",
          "definition" : "A count of the number of resource instances that are part of the group.",
          "comment" : "Note that the quantity may be less than the number of members if some of the members are not active.",
          "requirements" : "Group size is a common defining characteristic.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Group.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./quantity"
          }]
        },
        {
          "id" : "Group.managingEntity",
          "path" : "Group.managingEntity",
          "short" : "Entity that is the custodian of the Group's definition",
          "definition" : "Entity responsible for defining and maintaining Group characteristics and/or registered members.",
          "comment" : "This does not strictly align with ownership of a herd or flock, but may suffice to represent that relationship in simple cases. More complex cases will require an extension.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Group.managingEntity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Group.characteristic",
          "path" : "Group.characteristic",
          "short" : "Include / Exclude group members by Trait",
          "definition" : "Identifies traits whose presence r absence is shared by members of the group.",
          "comment" : "All the identified characteristics must be true for an entity to a member of the group.",
          "requirements" : "Needs to be a generic mechanism for identifying what individuals can be part of a group.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Group.characteristic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./playedRole[isNormalRole()]/participation[isNormalParticipation() and typeCode=\"SBJ\"]/act[isNormalAct and classCode=\"OBS\" and moodCode=\"EVN\"]"
          }]
        },
        {
          "id" : "Group.characteristic.id",
          "path" : "Group.characteristic.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Group.characteristic.extension",
          "path" : "Group.characteristic.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Group.characteristic.modifierExtension",
          "path" : "Group.characteristic.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Group.characteristic.code",
          "path" : "Group.characteristic.code",
          "short" : "Kind of characteristic",
          "definition" : "A code that identifies the kind of trait being asserted.",
          "requirements" : "Need a formal way of identifying the characteristic being described.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Group.characteristic.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupCharacteristicKind"
            }],
            "strength" : "example",
            "description" : "List of characteristics used to describe group members; e.g. gender, age, owner, location, etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "Group.characteristic.value[x]",
          "path" : "Group.characteristic.value[x]",
          "short" : "Value held by characteristic",
          "definition" : "The value of the trait that holds (or does not hold - see 'exclude') for members of the group.",
          "comment" : "For Range, it means members of the group have a value that falls somewhere within the specified range.",
          "requirements" : "The value of the characteristic is what determines group membership.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Group.characteristic.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Reference"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupCharacteristicValue"
            }],
            "strength" : "example",
            "description" : "Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./value"
          }]
        },
        {
          "id" : "Group.characteristic.exclude",
          "path" : "Group.characteristic.exclude",
          "short" : "Group includes or excludes",
          "definition" : "If true, indicates the characteristic is one that is NOT held by members of the group.",
          "comment" : "This is labeled as \"Is Modifier\" because applications cannot wrongly include excluded members as included or vice versa.",
          "requirements" : "Sometimes group membership is determined by characteristics not possessed.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Group.characteristic.exclude",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./valueNegationInd"
          }]
        },
        {
          "id" : "Group.characteristic.period",
          "path" : "Group.characteristic.period",
          "short" : "Period over which characteristic is tested",
          "definition" : "The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Group.characteristic.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Group.member",
          "path" : "Group.member",
          "short" : "Who or what is in group",
          "definition" : "Identifies the resource instances that are members of the group.",
          "requirements" : "Often the only thing of interest about a group is \"who's in it\".",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Group.member",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["grp-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./scopedRole[isNormalRole() and classCode=\"MBR\"]/player"
          }]
        },
        {
          "id" : "Group.member.id",
          "path" : "Group.member.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Group.member.extension",
          "path" : "Group.member.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Group.member.modifierExtension",
          "path" : "Group.member.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Group.member.entity",
          "path" : "Group.member.entity",
          "short" : "Reference to the group member",
          "definition" : "A reference to the entity that is a member of the group. Must be consistent with Group.type. If the entity is another group, then the type must be the same.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Group.member.entity",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Group.member.period",
          "path" : "Group.member.period",
          "short" : "Period member belonged to the group",
          "definition" : "The period that the member was in the group, if known.",
          "requirements" : "Need to track who was in a group at a  particular time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Group.member.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "meaningWhenMissing" : "The member is in the group at this time",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Group.member.inactive",
          "path" : "Group.member.inactive",
          "short" : "If member is no longer in group",
          "definition" : "A flag to indicate that the member is no longer in the group, but previously may have been a member.",
          "requirements" : "Sometimes you don't know when someone stopped being in a group, but not when.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Group.member.inactive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "Members are considered active unless explicitly specified otherwise",
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Group",
          "path" : "Group",
          "short" : "Group of multiple entities",
          "definition" : "Represents a defined collection of entities that may be discussed or acted upon collectively but which are not expected to act collectively, and are not formally or legally recognized; i.e. a collection of entities that isn't an Organization.",
          "comment" : "If both Group.characteristic and Group.member are present, then the members are the individuals who were found who met the characteristic.  It's possible that there might be other candidate members who meet the characteristic and aren't (yet) in the list.  All members SHALL have the listed characteristics.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "grp-1",
            "severity" : "error",
            "human" : "Can only have members if group is \"actual\"",
            "expression" : "member.empty() or (actual = true)",
            "xpath" : "f:actual/@value=true() or not(exists(f:member))"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity[determinerCode=\"GRP\" or determinerCode=\"GRP_KIND\"]"
          }]
        },
        {
          "id" : "Group.identifier",
          "path" : "Group.identifier",
          "short" : "Unique id",
          "definition" : "A unique business identifier for this group.",
          "requirements" : "Allows the group to be referenced from external specifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "unique(./id[displayable=\"true\" and scope=\"OBJ\"])"
          }]
        },
        {
          "id" : "Group.active",
          "path" : "Group.active",
          "short" : "Whether this group's record is in active use",
          "definition" : "Indicates whether the record for the group is available for use or is merely being retained for historical purposes.",
          "requirements" : "Need to be able to mark a group record as not to be used because it was created in error or is otherwise no longer available (e.g. a herd that no longer exists).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "./statusCode"
          }]
        },
        {
          "id" : "Group.type",
          "path" : "Group.type",
          "short" : "person | animal | practitioner | device | medication | substance",
          "definition" : "Identifies the broad classification of the kind of resources the group includes.",
          "comment" : "Group members SHALL be of the appropriate resource type (Patient for person or animal; or Practitioner, Device, Medication or Substance for the other types.).",
          "requirements" : "Identifies what type of resources the group is made up of.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupType"
            }],
            "strength" : "required",
            "description" : "Types of resources that are part of group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/group-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "person: ./classCode=\"PSN\"  animal: ./classCode=\"ANM\"  device: ./classCode=\"DEV\"  medication: ./classCode=\"MMAT\" and ./playedRole[isNormalRole() and classCode=\"THER\"]  food: ./classCode=\"FOOD\""
          }]
        },
        {
          "id" : "Group.actual",
          "path" : "Group.actual",
          "short" : "Descriptive or actual",
          "definition" : "If true, indicates that the resource refers to a specific group of real individuals.  If false, the group defines a set of intended individuals.",
          "requirements" : "There are use-cases for groups that define specific collections of individuals, and other groups that define \"types\" of intended individuals.  The requirements for both kinds of groups are similar, so we use a single resource, distinguished by this flag.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "condition" : ["grp-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "true: ./determinerCode=\"GRP\"  false: ./determinerCode=\"GRP_KIND\""
          }]
        },
        {
          "id" : "Group.code",
          "path" : "Group.code",
          "short" : "Kind of Group members",
          "definition" : "Provides a specific type of resource the group includes; e.g. \"cow\", \"syringe\", etc.",
          "comment" : "This would generally be omitted for Person resources.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupKind"
            }],
            "strength" : "example",
            "description" : "Kind of particular resource; e.g. cow, syringe, lake, etc."
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "Group.name",
          "path" : "Group.name",
          "short" : "Label for Group",
          "definition" : "A label assigned to the group for human identification and communication.",
          "requirements" : "Used to identify the group in human communication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./name[type=\"ST\"]"
          }]
        },
        {
          "id" : "Group.quantity",
          "path" : "Group.quantity",
          "short" : "Number of members",
          "definition" : "A count of the number of resource instances that are part of the group.",
          "comment" : "Note that the quantity may be less than the number of members if some of the members are not active.",
          "requirements" : "Group size is a common defining characteristic.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./quantity"
          }]
        },
        {
          "id" : "Group.managingEntity",
          "path" : "Group.managingEntity",
          "short" : "Entity that is the custodian of the Group's definition",
          "definition" : "Entity responsible for defining and maintaining Group characteristics and/or registered members.",
          "comment" : "This does not strictly align with ownership of a herd or flock, but may suffice to represent that relationship in simple cases. More complex cases will require an extension.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true
        },
        {
          "id" : "Group.characteristic",
          "path" : "Group.characteristic",
          "short" : "Include / Exclude group members by Trait",
          "definition" : "Identifies traits whose presence r absence is shared by members of the group.",
          "comment" : "All the identified characteristics must be true for an entity to a member of the group.",
          "requirements" : "Needs to be a generic mechanism for identifying what individuals can be part of a group.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./playedRole[isNormalRole()]/participation[isNormalParticipation() and typeCode=\"SBJ\"]/act[isNormalAct and classCode=\"OBS\" and moodCode=\"EVN\"]"
          }]
        },
        {
          "id" : "Group.characteristic.code",
          "path" : "Group.characteristic.code",
          "short" : "Kind of characteristic",
          "definition" : "A code that identifies the kind of trait being asserted.",
          "requirements" : "Need a formal way of identifying the characteristic being described.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupCharacteristicKind"
            }],
            "strength" : "example",
            "description" : "List of characteristics used to describe group members; e.g. gender, age, owner, location, etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "Group.characteristic.value[x]",
          "path" : "Group.characteristic.value[x]",
          "short" : "Value held by characteristic",
          "definition" : "The value of the trait that holds (or does not hold - see 'exclude') for members of the group.",
          "comment" : "For Range, it means members of the group have a value that falls somewhere within the specified range.",
          "requirements" : "The value of the characteristic is what determines group membership.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Reference"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupCharacteristicValue"
            }],
            "strength" : "example",
            "description" : "Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./value"
          }]
        },
        {
          "id" : "Group.characteristic.exclude",
          "path" : "Group.characteristic.exclude",
          "short" : "Group includes or excludes",
          "definition" : "If true, indicates the characteristic is one that is NOT held by members of the group.",
          "comment" : "This is labeled as \"Is Modifier\" because applications cannot wrongly include excluded members as included or vice versa.",
          "requirements" : "Sometimes group membership is determined by characteristics not possessed.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./valueNegationInd"
          }]
        },
        {
          "id" : "Group.characteristic.period",
          "path" : "Group.characteristic.period",
          "short" : "Period over which characteristic is tested",
          "definition" : "The period over which the characteristic is tested; e.g. the patient had an operation during the month of June.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "Group.member",
          "path" : "Group.member",
          "short" : "Who or what is in group",
          "definition" : "Identifies the resource instances that are members of the group.",
          "requirements" : "Often the only thing of interest about a group is \"who's in it\".",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["grp-1"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./scopedRole[isNormalRole() and classCode=\"MBR\"]/player"
          }]
        },
        {
          "id" : "Group.member.entity",
          "path" : "Group.member.entity",
          "short" : "Reference to the group member",
          "definition" : "A reference to the entity that is a member of the group. Must be consistent with Group.type. If the entity is another group, then the type must be the same.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }]
        },
        {
          "id" : "Group.member.period",
          "path" : "Group.member.period",
          "short" : "Period member belonged to the group",
          "definition" : "The period that the member was in the group, if known.",
          "requirements" : "Need to track who was in a group at a  particular time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "meaningWhenMissing" : "The member is in the group at this time"
        },
        {
          "id" : "Group.member.inactive",
          "path" : "Group.member.inactive",
          "short" : "If member is no longer in group",
          "definition" : "A flag to indicate that the member is no longer in the group, but previously may have been a member.",
          "requirements" : "Sometimes you don't know when someone stopped being in a group, but not when.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "Members are considered active unless explicitly specified otherwise"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/GuidanceResponse",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "GuidanceResponse",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 GuidanceResponse 
TU
DomainResource
The formal response to a guidance request
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 requestIdentifier 
Σ
0..1
Identifier
The identifier of the request associated with this response, if any
 identifier 
Σ
0..*
Identifier
Business identifier
 module[x] 
Σ
1..1
What guidance was requested
 moduleUri
uri
 moduleCanonical
canonical()
 moduleCodeableConcept
CodeableConcept
 status 
?!Σ
1..1
code
success | data-requested | data-required | in-progress | failure | entered-in-error
GuidanceResponseStatus (Required)
 subject 
0..1
Reference(Patient | Group)
Patient the request was performed for
 encounter 
0..1
Reference(Encounter)
Encounter during which the response was returned
 occurrenceDateTime 
0..1
dateTime
When the guidance response was processed
 performer 
0..1
Reference(Device)
Device returning the guidance
 reasonCode 
0..*
CodeableConcept
Why guidance is needed
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
Why guidance is needed
 note 
0..*
Annotation
Additional notes about the response
 evaluationMessage 
0..*
Reference(OperationOutcome)
Messages resulting from the evaluation of the artifact or artifacts
 outputParameters 
0..1
Reference(Parameters)
The output parameters of the evaluation, if any
 result 
0..1
Reference(CarePlan | RequestGroup)
Proposed actions, if any
 dataRequirement 
0..*
DataRequirement
Additional required data

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Request & Response"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/GuidanceResponse",
      "version" : "4.0.0",
      "name" : "GuidanceResponse",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "A guidance response is the formal response to a guidance request, including any output parameters returned by the evaluation, as well as the description of any proposed actions to be taken.",
      "purpose" : "The GuidanceResponse resource supports recording the results of decision support interactions, reportability determination for public health, as well as the communication of additional data requirements for subsequent interactions.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "GuidanceResponse",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "GuidanceResponse",
          "path" : "GuidanceResponse",
          "short" : "The formal response to a guidance request",
          "definition" : "A guidance response is the formal response to a guidance request, including any output parameters returned by the evaluation, as well as the description of any proposed actions to be taken.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GuidanceResponse",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "GuidanceResponse.id",
          "path" : "GuidanceResponse.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "GuidanceResponse.meta",
          "path" : "GuidanceResponse.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "GuidanceResponse.implicitRules",
          "path" : "GuidanceResponse.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "GuidanceResponse.language",
          "path" : "GuidanceResponse.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "GuidanceResponse.text",
          "path" : "GuidanceResponse.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "GuidanceResponse.contained",
          "path" : "GuidanceResponse.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GuidanceResponse.extension",
          "path" : "GuidanceResponse.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GuidanceResponse.modifierExtension",
          "path" : "GuidanceResponse.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "GuidanceResponse.requestIdentifier",
          "path" : "GuidanceResponse.requestIdentifier",
          "short" : "The identifier of the request associated with this response, if any",
          "definition" : "The identifier of the request associated with this response. If an identifier was given as part of the request, it will be reproduced here to enable the requester to more easily identify the response in a multi-request scenario.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.requestIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          }]
        },
        {
          "id" : "GuidanceResponse.identifier",
          "path" : "GuidanceResponse.identifier",
          "short" : "Business identifier",
          "definition" : "Allows a service to provide  unique, business identifiers for the response.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GuidanceResponse.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "GuidanceResponse.module[x]",
          "path" : "GuidanceResponse.module[x]",
          "short" : "What guidance was requested",
          "definition" : "An identifier, CodeableConcept or canonical reference to the guidance that was requested.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.module[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUri | Event.instantiatesCanonical"
          }]
        },
        {
          "id" : "GuidanceResponse.status",
          "path" : "GuidanceResponse.status",
          "short" : "success | data-requested | data-required | in-progress | failure | entered-in-error",
          "definition" : "The status of the response. If the evaluation is completed successfully, the status will indicate success. However, in order to complete the evaluation, the engine may require more information. In this case, the status will be data-required, and the response will contain a description of the additional required information. If the evaluation completed successfully, but the engine determines that a potentially more accurate response could be provided if more data was available, the status will be data-requested, and the response will contain a description of the additional requested information.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GuidanceResponseStatus"
            }],
            "strength" : "required",
            "description" : "The status of a guidance response.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/guidance-response-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "GuidanceResponse.subject",
          "path" : "GuidanceResponse.subject",
          "short" : "Patient the request was performed for",
          "definition" : "The patient for which the request was processed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "GuidanceResponse.encounter",
          "path" : "GuidanceResponse.encounter",
          "short" : "Encounter during which the response was returned",
          "definition" : "The encounter during which this response was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official copmletion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "GuidanceResponse.occurrenceDateTime",
          "path" : "GuidanceResponse.occurrenceDateTime",
          "short" : "When the guidance response was processed",
          "definition" : "Indicates when the guidance response was processed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.occurrenceDateTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "GuidanceResponse.performer",
          "path" : "GuidanceResponse.performer",
          "short" : "Device returning the guidance",
          "definition" : "Provides a reference to the device that performed the guidance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.performer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "GuidanceResponse.reasonCode",
          "path" : "GuidanceResponse.reasonCode",
          "short" : "Why guidance is needed",
          "definition" : "Describes the reason for the guidance response in coded or textual form.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GuidanceResponse.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "GuidanceResponse.reasonReference",
          "path" : "GuidanceResponse.reasonReference",
          "short" : "Why guidance is needed",
          "definition" : "Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GuidanceResponse.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "GuidanceResponse.note",
          "path" : "GuidanceResponse.note",
          "short" : "Additional notes about the response",
          "definition" : "Provides a mechanism to communicate additional information about the response.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GuidanceResponse.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        },
        {
          "id" : "GuidanceResponse.evaluationMessage",
          "path" : "GuidanceResponse.evaluationMessage",
          "short" : "Messages resulting from the evaluation of the artifact or artifacts",
          "definition" : "Messages resulting from the evaluation of the artifact or artifacts. As part of evaluating the request, the engine may produce informational or warning messages. These messages will be provided by this element.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GuidanceResponse.evaluationMessage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/OperationOutcome"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GuidanceResponse.outputParameters",
          "path" : "GuidanceResponse.outputParameters",
          "short" : "The output parameters of the evaluation, if any",
          "definition" : "The output parameters of the evaluation, if any. Many modules will result in the return of specific resources such as procedure or communication requests that are returned as part of the operation result. However, modules may define specific outputs that would be returned as the result of the evaluation, and these would be returned in this element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.outputParameters",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Parameters"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GuidanceResponse.result",
          "path" : "GuidanceResponse.result",
          "short" : "Proposed actions, if any",
          "definition" : "The actions, if any, produced by the evaluation of the artifact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "GuidanceResponse.result",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/RequestGroup"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "GuidanceResponse.dataRequirement",
          "path" : "GuidanceResponse.dataRequirement",
          "short" : "Additional required data",
          "definition" : "If the evaluation could not be completed due to lack of information, or additional information would potentially result in a more accurate response, this element will a description of the data required in order to proceed with the evaluation. A subsequent request to the service should include this data.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "GuidanceResponse.dataRequirement",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "DataRequirement"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "GuidanceResponse",
          "path" : "GuidanceResponse",
          "short" : "The formal response to a guidance request",
          "definition" : "A guidance response is the formal response to a guidance request, including any output parameters returned by the evaluation, as well as the description of any proposed actions to be taken.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "GuidanceResponse.requestIdentifier",
          "path" : "GuidanceResponse.requestIdentifier",
          "short" : "The identifier of the request associated with this response, if any",
          "definition" : "The identifier of the request associated with this response. If an identifier was given as part of the request, it will be reproduced here to enable the requester to more easily identify the response in a multi-request scenario.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          }]
        },
        {
          "id" : "GuidanceResponse.identifier",
          "path" : "GuidanceResponse.identifier",
          "short" : "Business identifier",
          "definition" : "Allows a service to provide  unique, business identifiers for the response.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "GuidanceResponse.module[x]",
          "path" : "GuidanceResponse.module[x]",
          "short" : "What guidance was requested",
          "definition" : "An identifier, CodeableConcept or canonical reference to the guidance that was requested.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUri | Event.instantiatesCanonical"
          }]
        },
        {
          "id" : "GuidanceResponse.status",
          "path" : "GuidanceResponse.status",
          "short" : "success | data-requested | data-required | in-progress | failure | entered-in-error",
          "definition" : "The status of the response. If the evaluation is completed successfully, the status will indicate success. However, in order to complete the evaluation, the engine may require more information. In this case, the status will be data-required, and the response will contain a description of the additional required information. If the evaluation completed successfully, but the engine determines that a potentially more accurate response could be provided if more data was available, the status will be data-requested, and the response will contain a description of the additional requested information.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GuidanceResponseStatus"
            }],
            "strength" : "required",
            "description" : "The status of a guidance response.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/guidance-response-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "GuidanceResponse.subject",
          "path" : "GuidanceResponse.subject",
          "short" : "Patient the request was performed for",
          "definition" : "The patient for which the request was processed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "GuidanceResponse.encounter",
          "path" : "GuidanceResponse.encounter",
          "short" : "Encounter during which the response was returned",
          "definition" : "The encounter during which this response was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official copmletion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "GuidanceResponse.occurrenceDateTime",
          "path" : "GuidanceResponse.occurrenceDateTime",
          "short" : "When the guidance response was processed",
          "definition" : "Indicates when the guidance response was processed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "GuidanceResponse.performer",
          "path" : "GuidanceResponse.performer",
          "short" : "Device returning the guidance",
          "definition" : "Provides a reference to the device that performed the guidance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "GuidanceResponse.reasonCode",
          "path" : "GuidanceResponse.reasonCode",
          "short" : "Why guidance is needed",
          "definition" : "Describes the reason for the guidance response in coded or textual form.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "GuidanceResponse.reasonReference",
          "path" : "GuidanceResponse.reasonReference",
          "short" : "Why guidance is needed",
          "definition" : "Indicates the reason the request was initiated. This is typically provided as a parameter to the evaluation and echoed by the service, although for some use cases, such as subscription- or event-based scenarios, it may provide an indication of the cause for the response.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "GuidanceResponse.note",
          "path" : "GuidanceResponse.note",
          "short" : "Additional notes about the response",
          "definition" : "Provides a mechanism to communicate additional information about the response.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        },
        {
          "id" : "GuidanceResponse.evaluationMessage",
          "path" : "GuidanceResponse.evaluationMessage",
          "short" : "Messages resulting from the evaluation of the artifact or artifacts",
          "definition" : "Messages resulting from the evaluation of the artifact or artifacts. As part of evaluating the request, the engine may produce informational or warning messages. These messages will be provided by this element.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/OperationOutcome"]
          }]
        },
        {
          "id" : "GuidanceResponse.outputParameters",
          "path" : "GuidanceResponse.outputParameters",
          "short" : "The output parameters of the evaluation, if any",
          "definition" : "The output parameters of the evaluation, if any. Many modules will result in the return of specific resources such as procedure or communication requests that are returned as part of the operation result. However, modules may define specific outputs that would be returned as the result of the evaluation, and these would be returned in this element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Parameters"]
          }]
        },
        {
          "id" : "GuidanceResponse.result",
          "path" : "GuidanceResponse.result",
          "short" : "Proposed actions, if any",
          "definition" : "The actions, if any, produced by the evaluation of the artifact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/RequestGroup"]
          }]
        },
        {
          "id" : "GuidanceResponse.dataRequirement",
          "path" : "GuidanceResponse.dataRequirement",
          "short" : "Additional required data",
          "definition" : "If the evaluation could not be completed due to lack of information, or additional information would potentially result in a more accurate response, this element will a description of the data required in order to proceed with the evaluation. A subsequent request to the service should include this data.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "DataRequirement"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/HealthcareService",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "HealthcareService",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 HealthcareService 
TU
DomainResource
The details of a healthcare service available at a location
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External identifiers for this item
 active 
?!Σ
0..1
boolean
Whether this HealthcareService record is in active use
 providedBy 
Σ
0..1
Reference(Organization)
Organization that provides this service
 category 
Σ
0..*
CodeableConcept
Broad category of service being performed or delivered
Service category (Example)
 type 
Σ
0..*
CodeableConcept
Type of service that may be delivered or performed
Service type (Example)
 specialty 
Σ
0..*
CodeableConcept
Specialties handled by the HealthcareService
Practice Setting Code Value Set (Preferred)
 location 
Σ
0..*
Reference(Location)
Location(s) where service may be provided
 name 
Σ
0..1
string
Description of service as presented to a consumer while searching
 comment 
Σ
0..1
string
Additional description and/or any specific issues not covered elsewhere
 extraDetails 
0..1
markdown
Extra details about the service that can't be placed in the other fields
 photo 
Σ
0..1
Attachment
Facilitates quick identification of the service
 telecom 
0..*
ContactPoint
Contacts related to the healthcare service
 coverageArea 
0..*
Reference(Location)
Location(s) service is intended for/available to
 serviceProvisionCode 
0..*
CodeableConcept
Conditions under which service is available/offered
ServiceProvisionConditions (Example)
 eligibility 
0..*
BackboneElement
Specific eligibility requirements required to use the service
 code 
0..1
CodeableConcept
Coded value for the eligibility
 comment 
0..1
markdown
Describes the eligibility conditions for the service
 program 
0..*
CodeableConcept
Programs that this service is applicable to
Program (Example)
 characteristic 
0..*
CodeableConcept
Collection of characteristics (attributes)
 communication 
0..*
CodeableConcept
The language that this service is offered in
Common Languages (Preferred but limited to AllLanguages)
 referralMethod 
0..*
CodeableConcept
Ways that the service accepts referrals
ReferralMethod (Example)
 appointmentRequired 
0..1
boolean
If an appointment is required for access to this service
 availableTime 
0..*
BackboneElement
Times the Service Site is available
 daysOfWeek 
0..*
code
mon | tue | wed | thu | fri | sat | sun
DaysOfWeek (Required)
 allDay 
0..1
boolean
Always available? e.g. 24 hour service
 availableStartTime 
0..1
time
Opening time of day (ignored if allDay = true)
 availableEndTime 
0..1
time
Closing time of day (ignored if allDay = true)
 notAvailable 
0..*
BackboneElement
Not available during this time due to provided reason
 description 
1..1
string
Reason presented to the user explaining why time not available
 during 
0..1
Period
Service not available from this date
 availabilityExceptions 
0..1
string
Description of availability exceptions
 endpoint 
0..*
Reference(Endpoint)
Technical endpoints providing access to electronic services operated for the healthcare service

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/HealthcareService",
      "version" : "4.0.0",
      "name" : "HealthcareService",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "The details of a healthcare service available at a location.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "HealthcareService",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "HealthcareService",
          "path" : "HealthcareService",
          "short" : "The details of a healthcare service available at a location",
          "definition" : "The details of a healthcare service available at a location.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "act[classCode=ACT][moodCode=DEF]"
          }]
        },
        {
          "id" : "HealthcareService.id",
          "path" : "HealthcareService.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "HealthcareService.meta",
          "path" : "HealthcareService.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "HealthcareService.implicitRules",
          "path" : "HealthcareService.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "HealthcareService.language",
          "path" : "HealthcareService.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "HealthcareService.text",
          "path" : "HealthcareService.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "HealthcareService.contained",
          "path" : "HealthcareService.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "HealthcareService.extension",
          "path" : "HealthcareService.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "HealthcareService.modifierExtension",
          "path" : "HealthcareService.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "HealthcareService.identifier",
          "path" : "HealthcareService.identifier",
          "short" : "External identifiers for this item",
          "definition" : "External identifiers for this item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "HealthcareService.active",
          "path" : "HealthcareService.active",
          "short" : "Whether this HealthcareService record is in active use",
          "definition" : "This flag is used to mark the record to not be used. This is not used when a center is closed for maintenance, or for holidays, the notAvailable period is to be used for this.",
          "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "HealthcareService.providedBy",
          "path" : "HealthcareService.providedBy",
          "short" : "Organization that provides this service",
          "definition" : "The organization that provides this healthcare service.",
          "comment" : "This property is recommended to be the same as the Location's managingOrganization, and if not provided should be interpreted as such. If the Location does not have a managing Organization, then this property should be populated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.providedBy",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scopingRole.Organization"
          }]
        },
        {
          "id" : "HealthcareService.category",
          "path" : "HealthcareService.category",
          "short" : "Broad category of service being performed or delivered",
          "definition" : "Identifies the broad category of service being performed or delivered.",
          "comment" : "Selecting a Service Category then determines the list of relevant service types that can be selected in the primary service type.",
          "alias" : ["service category"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-category"
            }],
            "strength" : "example",
            "description" : "A category of the service(s) that could be provided.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "HealthcareService.type",
          "path" : "HealthcareService.type",
          "short" : "Type of service that may be delivered or performed",
          "definition" : "The specific type of service that may be delivered or performed.",
          "alias" : ["service type"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-type"
            }],
            "strength" : "example",
            "description" : "Additional details about where the content was created (e.g. clinical specialty).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].code"
          }]
        },
        {
          "id" : "HealthcareService.specialty",
          "path" : "HealthcareService.specialty",
          "short" : "Specialties handled by the HealthcareService",
          "definition" : "Collection of specialties handled by the service site. This is more of a medical term.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.specialty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-specialty"
            }],
            "strength" : "preferred",
            "description" : "A specialty that a healthcare service may provide.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].code"
          }]
        },
        {
          "id" : "HealthcareService.location",
          "path" : "HealthcareService.location",
          "short" : "Location(s) where service may be provided",
          "definition" : "The location(s) where this healthcare service may be provided.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.location",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".location.role[classCode=SDLOC]"
          }]
        },
        {
          "id" : "HealthcareService.name",
          "path" : "HealthcareService.name",
          "short" : "Description of service as presented to a consumer while searching",
          "definition" : "Further description of the service as it would be presented to a consumer while searching.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "HealthcareService.comment",
          "path" : "HealthcareService.comment",
          "short" : "Additional description and/or any specific issues not covered elsewhere",
          "definition" : "Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.",
          "comment" : "Would expect that a user would not see this information on a search results, and it would only be available when viewing the complete details of the service.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".location.role[classCode=SDLOC].desc"
          }]
        },
        {
          "id" : "HealthcareService.extraDetails",
          "path" : "HealthcareService.extraDetails",
          "short" : "Extra details about the service that can't be placed in the other fields",
          "definition" : "Extra details about the service that can't be placed in the other fields.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.extraDetails",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].text"
          }]
        },
        {
          "id" : "HealthcareService.photo",
          "path" : "HealthcareService.photo",
          "short" : "Facilitates quick identification of the service",
          "definition" : "If there is a photo/symbol associated with this HealthcareService, it may be included here to facilitate quick identification of the service in a list.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.photo",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=SBJ].observation.value"
          }]
        },
        {
          "id" : "HealthcareService.telecom",
          "path" : "HealthcareService.telecom",
          "short" : "Contacts related to the healthcare service",
          "definition" : "List of contacts related to this specific healthcare service.",
          "comment" : "If this is empty, then refer to the location's contacts.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "HealthcareService.coverageArea",
          "path" : "HealthcareService.coverageArea",
          "short" : "Location(s) service is intended for/available to",
          "definition" : "The location(s) that this service is available to (not where the service is provided).",
          "comment" : "The locations referenced by the coverage area can include both specific locations, including areas, and also conceptual domains too (mode = kind), such as a physical area (tri-state area) and some other attribute (covered by Example Care Organization). These types of Locations are often not managed by any specific organization. This could also include generic locations such as \"in-home\".",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.coverageArea",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".location.role[classCode=SDLOC].subjectOf.A_SpatialCoordinate"
          }]
        },
        {
          "id" : "HealthcareService.serviceProvisionCode",
          "path" : "HealthcareService.serviceProvisionCode",
          "short" : "Conditions under which service is available/offered",
          "definition" : "The code(s) that detail the conditions under which the healthcare service is available/offered.",
          "comment" : "The provision means being commissioned by, contractually obliged or financially sourced. Types of costings that may apply to this healthcare service, such if the service may be available for free, some discounts available, or fees apply.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.serviceProvisionCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProvisionConditions"
            }],
            "strength" : "example",
            "description" : "The code(s) that detail the conditions under which the healthcare service is available/offered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-provision-conditions"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT]"
          }]
        },
        {
          "id" : "HealthcareService.eligibility",
          "path" : "HealthcareService.eligibility",
          "short" : "Specific eligibility requirements required to use the service",
          "definition" : "Does this service have specific eligibility requirements that need to be met in order to use the service?",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.eligibility",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "HealthcareService.eligibility.id",
          "path" : "HealthcareService.eligibility.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "HealthcareService.eligibility.extension",
          "path" : "HealthcareService.eligibility.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "HealthcareService.eligibility.modifierExtension",
          "path" : "HealthcareService.eligibility.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "HealthcareService.eligibility.code",
          "path" : "HealthcareService.eligibility.code",
          "short" : "Coded value for the eligibility",
          "definition" : "Coded value for the eligibility.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.eligibility.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceEligibility"
            }],
            "strength" : "example",
            "description" : "Coded values underwhich a specific service is made available."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT]"
          }]
        },
        {
          "id" : "HealthcareService.eligibility.comment",
          "path" : "HealthcareService.eligibility.comment",
          "short" : "Describes the eligibility conditions for the service",
          "definition" : "Describes the eligibility conditions for the service.",
          "comment" : "The description of service eligibility should, in general, not exceed one or two paragraphs. It should be sufficient for a prospective consumer to determine if they are likely to be eligible or not. Where eligibility requirements and conditions are complex, it may simply be noted that an eligibility assessment is required. Where eligibility is determined by an outside source, such as an Act of Parliament, this should be noted, preferably with a reference to a commonly available copy of the source document such as a web page.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.eligibility.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT].text"
          }]
        },
        {
          "id" : "HealthcareService.program",
          "path" : "HealthcareService.program",
          "short" : "Programs that this service is applicable to",
          "definition" : "Programs that this service is applicable to.",
          "comment" : "Programs are often defined externally to an Organization, commonly by governments; e.g. Home and Community Care Programs, Homeless Program, ….",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.program",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Program"
            }],
            "strength" : "example",
            "description" : "Government or local programs that this service applies to.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/program"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PERT].observation"
          }]
        },
        {
          "id" : "HealthcareService.characteristic",
          "path" : "HealthcareService.characteristic",
          "short" : "Collection of characteristics (attributes)",
          "definition" : "Collection of characteristics (attributes).",
          "comment" : "These could be such things as is wheelchair accessible.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.characteristic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceCharacteristic"
            }],
            "strength" : "example",
            "description" : "A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy)."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PERT].observation"
          }]
        },
        {
          "id" : "HealthcareService.communication",
          "path" : "HealthcareService.communication",
          "short" : "The language that this service is offered in",
          "definition" : "Some services are specifically made available in multiple languages, this property permits a directory to declare the languages this is offered in. Typically this is only provided where a service operates in communities with mixed languages used.",
          "comment" : "When using this property it indicates that the service is available with this language, it is not derived from the practitioners, and not all are required to use this language, just that this language is available while scheduling.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.communication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "HealthcareService.referralMethod",
          "path" : "HealthcareService.referralMethod",
          "short" : "Ways that the service accepts referrals",
          "definition" : "Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.referralMethod",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ReferralMethod"
            }],
            "strength" : "example",
            "description" : "The methods of referral can be used when referring to a specific HealthCareService resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-referral-method"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PERT].observation"
          }]
        },
        {
          "id" : "HealthcareService.appointmentRequired",
          "path" : "HealthcareService.appointmentRequired",
          "short" : "If an appointment is required for access to this service",
          "definition" : "Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be provided by the Organization. Indicates if an appointment is required for access to this service.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.appointmentRequired",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PERT].observation"
          }]
        },
        {
          "id" : "HealthcareService.availableTime",
          "path" : "HealthcareService.availableTime",
          "short" : "Times the Service Site is available",
          "definition" : "A collection of times that the Service Site is available.",
          "comment" : "More detailed availability information may be provided in associated Schedule/Slot resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.availableTime",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.id",
          "path" : "HealthcareService.availableTime.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.extension",
          "path" : "HealthcareService.availableTime.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.modifierExtension",
          "path" : "HealthcareService.availableTime.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.daysOfWeek",
          "path" : "HealthcareService.availableTime.daysOfWeek",
          "short" : "mon | tue | wed | thu | fri | sat | sun",
          "definition" : "Indicates which days of the week are available between the start and end Times.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.availableTime.daysOfWeek",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DaysOfWeek"
            }],
            "strength" : "required",
            "description" : "The days of the week.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/days-of-week|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.allDay",
          "path" : "HealthcareService.availableTime.allDay",
          "short" : "Always available? e.g. 24 hour service",
          "definition" : "Is this always available? (hence times are irrelevant) e.g. 24 hour service.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.availableTime.allDay",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.availableStartTime",
          "path" : "HealthcareService.availableTime.availableStartTime",
          "short" : "Opening time of day (ignored if allDay = true)",
          "definition" : "The opening time of day. Note: If the AllDay flag is set, then this time is ignored.",
          "comment" : "The time zone is expected to be for where this HealthcareService is provided at.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.availableTime.availableStartTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "time"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.availableEndTime",
          "path" : "HealthcareService.availableTime.availableEndTime",
          "short" : "Closing time of day (ignored if allDay = true)",
          "definition" : "The closing time of day. Note: If the AllDay flag is set, then this time is ignored.",
          "comment" : "The time zone is expected to be for where this HealthcareService is provided at.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.availableTime.availableEndTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "time"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable",
          "path" : "HealthcareService.notAvailable",
          "short" : "Not available during this time due to provided reason",
          "definition" : "The HealthcareService is not available during this period of time due to the provided reason.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.notAvailable",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable.id",
          "path" : "HealthcareService.notAvailable.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable.extension",
          "path" : "HealthcareService.notAvailable.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable.modifierExtension",
          "path" : "HealthcareService.notAvailable.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable.description",
          "path" : "HealthcareService.notAvailable.description",
          "short" : "Reason presented to the user explaining why time not available",
          "definition" : "The reason that can be presented to the user as to why this time is not available.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.notAvailable.description",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable.during",
          "path" : "HealthcareService.notAvailable.during",
          "short" : "Service not available from this date",
          "definition" : "Service is not available (seasonally or for a public holiday) from this date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.notAvailable.during",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availabilityExceptions",
          "path" : "HealthcareService.availabilityExceptions",
          "short" : "Description of availability exceptions",
          "definition" : "A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "HealthcareService.availabilityExceptions",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.endpoint",
          "path" : "HealthcareService.endpoint",
          "short" : "Technical endpoints providing access to electronic services operated for the healthcare service",
          "definition" : "Technical endpoints providing access to services operated for the specific healthcare services defined at this resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "HealthcareService.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "HealthcareService",
          "path" : "HealthcareService",
          "short" : "The details of a healthcare service available at a location",
          "definition" : "The details of a healthcare service available at a location.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "act[classCode=ACT][moodCode=DEF]"
          }]
        },
        {
          "id" : "HealthcareService.identifier",
          "path" : "HealthcareService.identifier",
          "short" : "External identifiers for this item",
          "definition" : "External identifiers for this item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "HealthcareService.active",
          "path" : "HealthcareService.active",
          "short" : "Whether this HealthcareService record is in active use",
          "definition" : "This flag is used to mark the record to not be used. This is not used when a center is closed for maintenance, or for holidays, the notAvailable period is to be used for this.",
          "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "HealthcareService.providedBy",
          "path" : "HealthcareService.providedBy",
          "short" : "Organization that provides this service",
          "definition" : "The organization that provides this healthcare service.",
          "comment" : "This property is recommended to be the same as the Location's managingOrganization, and if not provided should be interpreted as such. If the Location does not have a managing Organization, then this property should be populated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scopingRole.Organization"
          }]
        },
        {
          "id" : "HealthcareService.category",
          "path" : "HealthcareService.category",
          "short" : "Broad category of service being performed or delivered",
          "definition" : "Identifies the broad category of service being performed or delivered.",
          "comment" : "Selecting a Service Category then determines the list of relevant service types that can be selected in the primary service type.",
          "alias" : ["service category"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-category"
            }],
            "strength" : "example",
            "description" : "A category of the service(s) that could be provided.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "HealthcareService.type",
          "path" : "HealthcareService.type",
          "short" : "Type of service that may be delivered or performed",
          "definition" : "The specific type of service that may be delivered or performed.",
          "alias" : ["service type"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-type"
            }],
            "strength" : "example",
            "description" : "Additional details about where the content was created (e.g. clinical specialty).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].code"
          }]
        },
        {
          "id" : "HealthcareService.specialty",
          "path" : "HealthcareService.specialty",
          "short" : "Specialties handled by the HealthcareService",
          "definition" : "Collection of specialties handled by the service site. This is more of a medical term.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-specialty"
            }],
            "strength" : "preferred",
            "description" : "A specialty that a healthcare service may provide.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].code"
          }]
        },
        {
          "id" : "HealthcareService.location",
          "path" : "HealthcareService.location",
          "short" : "Location(s) where service may be provided",
          "definition" : "The location(s) where this healthcare service may be provided.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".location.role[classCode=SDLOC]"
          }]
        },
        {
          "id" : "HealthcareService.name",
          "path" : "HealthcareService.name",
          "short" : "Description of service as presented to a consumer while searching",
          "definition" : "Further description of the service as it would be presented to a consumer while searching.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "HealthcareService.comment",
          "path" : "HealthcareService.comment",
          "short" : "Additional description and/or any specific issues not covered elsewhere",
          "definition" : "Any additional description of the service and/or any specific issues not covered by the other attributes, which can be displayed as further detail under the serviceName.",
          "comment" : "Would expect that a user would not see this information on a search results, and it would only be available when viewing the complete details of the service.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".location.role[classCode=SDLOC].desc"
          }]
        },
        {
          "id" : "HealthcareService.extraDetails",
          "path" : "HealthcareService.extraDetails",
          "short" : "Extra details about the service that can't be placed in the other fields",
          "definition" : "Extra details about the service that can't be placed in the other fields.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=COMP.act[classCode=ACT][moodCode=DEF].text"
          }]
        },
        {
          "id" : "HealthcareService.photo",
          "path" : "HealthcareService.photo",
          "short" : "Facilitates quick identification of the service",
          "definition" : "If there is a photo/symbol associated with this HealthcareService, it may be included here to facilitate quick identification of the service in a list.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=SBJ].observation.value"
          }]
        },
        {
          "id" : "HealthcareService.telecom",
          "path" : "HealthcareService.telecom",
          "short" : "Contacts related to the healthcare service",
          "definition" : "List of contacts related to this specific healthcare service.",
          "comment" : "If this is empty, then refer to the location's contacts.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "HealthcareService.coverageArea",
          "path" : "HealthcareService.coverageArea",
          "short" : "Location(s) service is intended for/available to",
          "definition" : "The location(s) that this service is available to (not where the service is provided).",
          "comment" : "The locations referenced by the coverage area can include both specific locations, including areas, and also conceptual domains too (mode = kind), such as a physical area (tri-state area) and some other attribute (covered by Example Care Organization). These types of Locations are often not managed by any specific organization. This could also include generic locations such as \"in-home\".",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".location.role[classCode=SDLOC].subjectOf.A_SpatialCoordinate"
          }]
        },
        {
          "id" : "HealthcareService.serviceProvisionCode",
          "path" : "HealthcareService.serviceProvisionCode",
          "short" : "Conditions under which service is available/offered",
          "definition" : "The code(s) that detail the conditions under which the healthcare service is available/offered.",
          "comment" : "The provision means being commissioned by, contractually obliged or financially sourced. Types of costings that may apply to this healthcare service, such if the service may be available for free, some discounts available, or fees apply.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceProvisionConditions"
            }],
            "strength" : "example",
            "description" : "The code(s) that detail the conditions under which the healthcare service is available/offered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-provision-conditions"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT]"
          }]
        },
        {
          "id" : "HealthcareService.eligibility",
          "path" : "HealthcareService.eligibility",
          "short" : "Specific eligibility requirements required to use the service",
          "definition" : "Does this service have specific eligibility requirements that need to be met in order to use the service?",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "HealthcareService.eligibility.code",
          "path" : "HealthcareService.eligibility.code",
          "short" : "Coded value for the eligibility",
          "definition" : "Coded value for the eligibility.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceEligibility"
            }],
            "strength" : "example",
            "description" : "Coded values underwhich a specific service is made available."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT]"
          }]
        },
        {
          "id" : "HealthcareService.eligibility.comment",
          "path" : "HealthcareService.eligibility.comment",
          "short" : "Describes the eligibility conditions for the service",
          "definition" : "Describes the eligibility conditions for the service.",
          "comment" : "The description of service eligibility should, in general, not exceed one or two paragraphs. It should be sufficient for a prospective consumer to determine if they are likely to be eligible or not. Where eligibility requirements and conditions are complex, it may simply be noted that an eligibility assessment is required. Where eligibility is determined by an outside source, such as an Act of Parliament, this should be noted, preferably with a reference to a commonly available copy of the source document such as a web page.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PRCN].observation[moodCode=EVN.CRT].text"
          }]
        },
        {
          "id" : "HealthcareService.program",
          "path" : "HealthcareService.program",
          "short" : "Programs that this service is applicable to",
          "definition" : "Programs that this service is applicable to.",
          "comment" : "Programs are often defined externally to an Organization, commonly by governments; e.g. Home and Community Care Programs, Homeless Program, ….",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Program"
            }],
            "strength" : "example",
            "description" : "Government or local programs that this service applies to.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/program"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PERT].observation"
          }]
        },
        {
          "id" : "HealthcareService.characteristic",
          "path" : "HealthcareService.characteristic",
          "short" : "Collection of characteristics (attributes)",
          "definition" : "Collection of characteristics (attributes).",
          "comment" : "These could be such things as is wheelchair accessible.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceCharacteristic"
            }],
            "strength" : "example",
            "description" : "A custom attribute that could be provided at a service (e.g. Wheelchair accessibiliy)."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PERT].observation"
          }]
        },
        {
          "id" : "HealthcareService.communication",
          "path" : "HealthcareService.communication",
          "short" : "The language that this service is offered in",
          "definition" : "Some services are specifically made available in multiple languages, this property permits a directory to declare the languages this is offered in. Typically this is only provided where a service operates in communities with mixed languages used.",
          "comment" : "When using this property it indicates that the service is available with this language, it is not derived from the practitioners, and not all are required to use this language, just that this language is available while scheduling.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "HealthcareService.referralMethod",
          "path" : "HealthcareService.referralMethod",
          "short" : "Ways that the service accepts referrals",
          "definition" : "Ways that the service accepts referrals, if this is not provided then it is implied that no referral is required.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ReferralMethod"
            }],
            "strength" : "example",
            "description" : "The methods of referral can be used when referring to a specific HealthCareService resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-referral-method"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PERT].observation"
          }]
        },
        {
          "id" : "HealthcareService.appointmentRequired",
          "path" : "HealthcareService.appointmentRequired",
          "short" : "If an appointment is required for access to this service",
          "definition" : "Indicates whether or not a prospective consumer will require an appointment for a particular service at a site to be provided by the Organization. Indicates if an appointment is required for access to this service.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actrelationship[typeCode=PERT].observation"
          }]
        },
        {
          "id" : "HealthcareService.availableTime",
          "path" : "HealthcareService.availableTime",
          "short" : "Times the Service Site is available",
          "definition" : "A collection of times that the Service Site is available.",
          "comment" : "More detailed availability information may be provided in associated Schedule/Slot resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.daysOfWeek",
          "path" : "HealthcareService.availableTime.daysOfWeek",
          "short" : "mon | tue | wed | thu | fri | sat | sun",
          "definition" : "Indicates which days of the week are available between the start and end Times.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DaysOfWeek"
            }],
            "strength" : "required",
            "description" : "The days of the week.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/days-of-week|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.allDay",
          "path" : "HealthcareService.availableTime.allDay",
          "short" : "Always available? e.g. 24 hour service",
          "definition" : "Is this always available? (hence times are irrelevant) e.g. 24 hour service.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.availableStartTime",
          "path" : "HealthcareService.availableTime.availableStartTime",
          "short" : "Opening time of day (ignored if allDay = true)",
          "definition" : "The opening time of day. Note: If the AllDay flag is set, then this time is ignored.",
          "comment" : "The time zone is expected to be for where this HealthcareService is provided at.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "time"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availableTime.availableEndTime",
          "path" : "HealthcareService.availableTime.availableEndTime",
          "short" : "Closing time of day (ignored if allDay = true)",
          "definition" : "The closing time of day. Note: If the AllDay flag is set, then this time is ignored.",
          "comment" : "The time zone is expected to be for where this HealthcareService is provided at.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "time"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable",
          "path" : "HealthcareService.notAvailable",
          "short" : "Not available during this time due to provided reason",
          "definition" : "The HealthcareService is not available during this period of time due to the provided reason.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable.description",
          "path" : "HealthcareService.notAvailable.description",
          "short" : "Reason presented to the user explaining why time not available",
          "definition" : "The reason that can be presented to the user as to why this time is not available.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "HealthcareService.notAvailable.during",
          "path" : "HealthcareService.notAvailable.during",
          "short" : "Service not available from this date",
          "definition" : "Service is not available (seasonally or for a public holiday) from this date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.availabilityExceptions",
          "path" : "HealthcareService.availabilityExceptions",
          "short" : "Description of availability exceptions",
          "definition" : "A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "HealthcareService.endpoint",
          "path" : "HealthcareService.endpoint",
          "short" : "Technical endpoints providing access to electronic services operated for the healthcare service",
          "definition" : "Technical endpoints providing access to services operated for the specific healthcare services defined at this resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ImagingStudy",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ImagingStudy 
TU
DomainResource
A set of images produced in single study (one or more series of references images)
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Identifiers for the whole study
 status 
?!Σ
1..1
code
registered | available | cancelled | entered-in-error | unknown
ImagingStudyStatus (Required)
 modality 
Σ
0..*
Coding
All series modality if actual acquisition modalities
AcquisitionModality (Extensible)
 subject 
Σ
1..1
Reference(Patient | Device | Group)
Who or what is the subject of the study
 encounter 
Σ
0..1
Reference(Encounter)
Encounter with which this imaging study is associated
 started 
Σ
0..1
dateTime
When the study was started
 basedOn 
Σ
0..*
Reference(CarePlan | ServiceRequest | Appointment | AppointmentResponse | Task)
Request fulfilled
 referrer 
Σ
0..1
Reference(Practitioner | PractitionerRole)
Referring physician
 interpreter 
Σ
0..*
Reference(Practitioner | PractitionerRole)
Who interpreted images
 endpoint 
Σ
0..*
Reference(Endpoint)
Study access endpoint
 numberOfSeries 
Σ
0..1
unsignedInt
Number of Study Related Series
 numberOfInstances 
Σ
0..1
unsignedInt
Number of Study Related Instances
 procedureReference 
Σ
0..1
Reference(Procedure)
The performed Procedure reference
 procedureCode 
Σ
0..*
CodeableConcept
The performed procedure code
ImagingProcedureCode (Extensible)
 location 
Σ
0..1
Reference(Location)
Where ImagingStudy occurred
 reasonCode 
Σ
0..*
CodeableConcept
Why the study was requested
Procedure Reason Codes (Example)
 reasonReference 
Σ
0..*
Reference(Condition | Observation | Media | DiagnosticReport | DocumentReference)
Why was study performed
 note 
Σ
0..*
Annotation
User-defined comments
 description 
Σ
0..1
string
Institution-generated description
 series 
Σ
0..*
BackboneElement
Each study has one or more series of instances
 uid 
Σ
1..1
id
DICOM Series Instance UID for the series
 number 
Σ
0..1
unsignedInt
Numeric identifier of this series
 modality 
Σ
1..1
Coding
The modality of the instances in the series
AcquisitionModality (Extensible)
 description 
Σ
0..1
string
A short human readable summary of the series
 numberOfInstances 
Σ
0..1
unsignedInt
Number of Series Related Instances
 endpoint 
Σ
0..*
Reference(Endpoint)
Series access endpoint
 bodySite 
Σ
0..1
Coding
Body part examined
SNOMED CT Body Structures (Example)
 laterality 
Σ
0..1
Coding
Body part laterality
Laterality (Example)
 specimen 
Σ
0..*
Reference(Specimen)
Specimen imaged
 started 
Σ
0..1
dateTime
When the series started
 performer 
Σ
0..*
BackboneElement
Who performed the series
 function 
Σ
0..1
CodeableConcept
Type of performance
ImagingStudy series performer function (Extensible)
 actor 
Σ
1..1
Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)
Who performed the series
 instance 
0..*
BackboneElement
A single SOP instance from the series
 uid 
1..1
id
DICOM SOP Instance UID
 sopClass 
1..1
Coding
DICOM class type
sopClass (Extensible)
 number 
0..1
unsignedInt
The number of this instance in the series
 title 
0..1
string
Description of instance

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Diagnostics"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "ii"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
      "version" : "4.0.0",
      "name" : "ImagingStudy",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Imaging Integration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/imagemgt/index.cfm"
        }]
      }],
      "description" : "Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "dicom",
        "uri" : "http://nema.org/dicom",
        "name" : "DICOM Tag Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ImagingStudy",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ImagingStudy",
          "path" : "ImagingStudy",
          "short" : "A set of images produced in single study (one or more series of references images)",
          "definition" : "Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=COMPOSITION, moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "Reference IHE radiology TF vol 2 table 4.14-1"
          }]
        },
        {
          "id" : "ImagingStudy.id",
          "path" : "ImagingStudy.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImagingStudy.meta",
          "path" : "ImagingStudy.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImagingStudy.implicitRules",
          "path" : "ImagingStudy.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ImagingStudy.language",
          "path" : "ImagingStudy.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ImagingStudy.text",
          "path" : "ImagingStudy.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ImagingStudy.contained",
          "path" : "ImagingStudy.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImagingStudy.extension",
          "path" : "ImagingStudy.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImagingStudy.modifierExtension",
          "path" : "ImagingStudy.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImagingStudy.identifier",
          "path" : "ImagingStudy.identifier",
          "short" : "Identifiers for the whole study",
          "definition" : "Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.",
          "comment" : "See discussion under [Imaging Study Implementation Notes](imagingstudy.html#notes) for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.",
          "requirements" : "If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see [DICOM PS 3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).",
          "alias" : ["StudyInstanceUID",
          "AccessionNumber"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id"
          },
          {
            "identity" : "dicom",
            "map" : "StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)"
          }]
        },
        {
          "id" : "ImagingStudy.status",
          "path" : "ImagingStudy.status",
          "short" : "registered | available | cancelled | entered-in-error | unknown",
          "definition" : "The current state of the ImagingStudy.",
          "comment" : "Unknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingStudyStatus"
            }],
            "strength" : "required",
            "description" : "The status of the ImagingStudy.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ImagingStudy.modality",
          "path" : "ImagingStudy.modality",
          "short" : "All series modality if actual acquisition modalities",
          "definition" : "A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).",
          "alias" : ["ModalitiesInStudy"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.modality",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingModality"
            }],
            "strength" : "extensible",
            "description" : "Type of acquired data in the instance.",
            "valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0061)"
          }]
        },
        {
          "id" : "ImagingStudy.subject",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"
          }],
          "path" : "ImagingStudy.subject",
          "short" : "Who or what is the subject of the study",
          "definition" : "The subject, typically a patient, of the imaging study.",
          "comment" : "QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0010/*)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ImagingStudy.encounter",
          "path" : "ImagingStudy.encounter",
          "short" : "Encounter with which this imaging study is associated",
          "definition" : "The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.",
          "comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "ImagingStudy.started",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1"
          }],
          "path" : "ImagingStudy.started",
          "short" : "When the study was started",
          "definition" : "Date and time the study started.",
          "alias" : ["StudyDate",
          "StudyTime"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.started",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "example" : [{
            "label" : "General",
            "valueDateTime" : "2011-01-01T11:01:20+03:00"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0020)+(0008,0030)"
          }]
        },
        {
          "id" : "ImagingStudy.basedOn",
          "path" : "ImagingStudy.basedOn",
          "short" : "Request fulfilled",
          "definition" : "A list of the diagnostic requests that resulted in this imaging study being performed.",
          "requirements" : "To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/Appointment",
            "http://hl7.org/fhir/StructureDefinition/AppointmentResponse",
            "http://hl7.org/fhir/StructureDefinition/Task"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.cause"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]"
          },
          {
            "identity" : "dicom",
            "map" : "(0032,1064)"
          }]
        },
        {
          "id" : "ImagingStudy.referrer",
          "path" : "ImagingStudy.referrer",
          "short" : "Referring physician",
          "definition" : "The requesting/referring physician.",
          "alias" : ["ReferringPhysiciansName"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.referrer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.cause"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0090)+(0008,0096)"
          }]
        },
        {
          "id" : "ImagingStudy.interpreter",
          "path" : "ImagingStudy.interpreter",
          "short" : "Who interpreted images",
          "definition" : "Who read the study and interpreted the images or other content.",
          "alias" : ["Name of Physician(s) Reading Study"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.interpreter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1060)"
          }]
        },
        {
          "id" : "ImagingStudy.endpoint",
          "path" : "ImagingStudy.endpoint",
          "short" : "Study access endpoint",
          "definition" : "The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType.",
          "comment" : "Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.",
          "requirements" : "Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Not supported"
          }]
        },
        {
          "id" : "ImagingStudy.numberOfSeries",
          "path" : "ImagingStudy.numberOfSeries",
          "short" : "Number of Study Related Series",
          "definition" : "Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.",
          "alias" : ["NumberOfStudyRelatedSeries"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.numberOfSeries",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,1206)"
          }]
        },
        {
          "id" : "ImagingStudy.numberOfInstances",
          "path" : "ImagingStudy.numberOfInstances",
          "short" : "Number of Study Related Instances",
          "definition" : "Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.",
          "alias" : ["NumberOfStudyRelatedInstances"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.numberOfInstances",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,1208)"
          }]
        },
        {
          "id" : "ImagingStudy.procedureReference",
          "path" : "ImagingStudy.procedureReference",
          "short" : "The performed Procedure reference",
          "definition" : "The procedure which this ImagingStudy was part of.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.procedureReference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1032)"
          }]
        },
        {
          "id" : "ImagingStudy.procedureCode",
          "path" : "ImagingStudy.procedureCode",
          "short" : "The performed procedure code",
          "definition" : "The code for the performed procedure type.",
          "alias" : ["ProcedureCodeSequence"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.procedureCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingProcedureCode"
            }],
            "strength" : "extensible",
            "description" : "The performed procedure type.",
            "valueSet" : "http://www.rsna.org/RadLex_Playbook.aspx"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1032)"
          }]
        },
        {
          "id" : "ImagingStudy.location",
          "path" : "ImagingStudy.location",
          "short" : "Where ImagingStudy occurred",
          "definition" : "The principal physical location where the ImagingStudy was performed.",
          "requirements" : "Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.7"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1040) | (0040,0243)"
          }]
        },
        {
          "id" : "ImagingStudy.reasonCode",
          "path" : "ImagingStudy.reasonCode",
          "short" : "Why the study was requested",
          "definition" : "Description of clinical condition indicating why the ImagingStudy was requested.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingReason"
            }],
            "strength" : "example",
            "description" : "The reason for the study.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          },
          {
            "identity" : "dicom",
            "map" : "(0040,1002)"
          }]
        },
        {
          "id" : "ImagingStudy.reasonReference",
          "path" : "ImagingStudy.reasonReference",
          "short" : "Why was study performed",
          "definition" : "Indicates another resource whose existence justifies this Study.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Media",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "ImagingStudy.note",
          "path" : "ImagingStudy.note",
          "short" : "User-defined comments",
          "definition" : "Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : "unknown"
          }]
        },
        {
          "id" : "ImagingStudy.description",
          "path" : "ImagingStudy.description",
          "short" : "Institution-generated description",
          "definition" : "The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.",
          "alias" : ["StudyDescription"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1030)"
          }]
        },
        {
          "id" : "ImagingStudy.series",
          "path" : "ImagingStudy.series",
          "short" : "Each study has one or more series of instances",
          "definition" : "Each study has one or more series of images or other content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.series",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]"
          }]
        },
        {
          "id" : "ImagingStudy.series.id",
          "path" : "ImagingStudy.series.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImagingStudy.series.extension",
          "path" : "ImagingStudy.series.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImagingStudy.series.modifierExtension",
          "path" : "ImagingStudy.series.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImagingStudy.series.uid",
          "path" : "ImagingStudy.series.uid",
          "short" : "DICOM Series Instance UID for the series",
          "definition" : "The DICOM Series Instance UID for the series.",
          "comment" : "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
          "requirements" : "DICOM Series Instance UID.",
          "alias" : ["SeriesInstanceUID"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.uid",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "example" : [{
            "label" : "General",
            "valueId" : "2.16.124.113543.6003.2588828330.45298.17418.2723805630"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,000E)"
          }]
        },
        {
          "id" : "ImagingStudy.series.number",
          "path" : "ImagingStudy.series.number",
          "short" : "Numeric identifier of this series",
          "definition" : "The numeric identifier of this series in the study.",
          "alias" : ["SeriesNumber"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.number",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "example" : [{
            "label" : "General",
            "valueUnsignedInt" : 3
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,0011)"
          }]
        },
        {
          "id" : "ImagingStudy.series.modality",
          "path" : "ImagingStudy.series.modality",
          "short" : "The modality of the instances in the series",
          "definition" : "The modality of this series sequence.",
          "alias" : ["Modality"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.modality",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingModality"
            }],
            "strength" : "extensible",
            "description" : "Type of acquired data in the instance.",
            "valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0060)"
          }]
        },
        {
          "id" : "ImagingStudy.series.description",
          "path" : "ImagingStudy.series.description",
          "short" : "A short human readable summary of the series",
          "definition" : "A description of the series.",
          "alias" : ["SeriesDescription"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "example" : [{
            "label" : "General",
            "valueString" : "CT Surview 180"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,103E)"
          }]
        },
        {
          "id" : "ImagingStudy.series.numberOfInstances",
          "path" : "ImagingStudy.series.numberOfInstances",
          "short" : "Number of Series Related Instances",
          "definition" : "Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.",
          "alias" : ["NumberOfSeriesRelatedInstances"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.numberOfInstances",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,1209)"
          }]
        },
        {
          "id" : "ImagingStudy.series.endpoint",
          "path" : "ImagingStudy.series.endpoint",
          "short" : "Series access endpoint",
          "definition" : "The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType.",
          "comment" : "Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances.",
          "requirements" : "Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.series.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Not supported"
          }]
        },
        {
          "id" : "ImagingStudy.series.bodySite",
          "path" : "ImagingStudy.series.bodySite",
          "short" : "Body part examined",
          "definition" : "The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.",
          "alias" : ["BodyPartExamined"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".targetSiteCode"
          },
          {
            "identity" : "dicom",
            "map" : "(0018,0015)"
          }]
        },
        {
          "id" : "ImagingStudy.series.laterality",
          "path" : "ImagingStudy.series.laterality",
          "short" : "Body part laterality",
          "definition" : "The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.laterality",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Laterality"
            }],
            "strength" : "example",
            "description" : "Codes describing body site laterality (left, right, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/bodysite-laterality"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".targetSiteCode"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,0060)"
          }]
        },
        {
          "id" : "ImagingStudy.series.specimen",
          "path" : "ImagingStudy.series.specimen",
          "short" : "Specimen imaged",
          "definition" : "The specimen imaged, e.g., for whole slide imaging of a biopsy.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.series.specimen",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role[classCode=SPEC]"
          },
          {
            "identity" : "dicom",
            "map" : "(0040,0551) + (0040,0562)"
          }]
        },
        {
          "id" : "ImagingStudy.series.started",
          "path" : "ImagingStudy.series.started",
          "short" : "When the series started",
          "definition" : "The date and time the series was started.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.started",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0021) + (0008,0031)"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer",
          "path" : "ImagingStudy.series.performer",
          "short" : "Who performed the series",
          "definition" : "Indicates who or what performed the series and how they were involved.",
          "comment" : "If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.",
          "requirements" : "The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.",
          "alias" : ["PerformingPhysicianName",
          "OperatorName"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.series.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer.id",
          "path" : "ImagingStudy.series.performer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer.extension",
          "path" : "ImagingStudy.series.performer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer.modifierExtension",
          "path" : "ImagingStudy.series.performer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer.function",
          "path" : "ImagingStudy.series.performer.function",
          "short" : "Type of performance",
          "definition" : "Distinguishes the type of involvement of the performer in the series.",
          "requirements" : "Allows disambiguation of the types of involvement of different performers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.performer.function",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EventPerformerFunction"
            }],
            "strength" : "extensible",
            "description" : "The type of involvement of the performer.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/series-performer-function"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer.actor",
          "path" : "ImagingStudy.series.performer.actor",
          "short" : "Who performed the series",
          "definition" : "Indicates who or what performed the series.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.performer.actor",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance",
          "path" : "ImagingStudy.series.instance",
          "short" : "A single SOP instance from the series",
          "definition" : "A single SOP instance within the series, e.g. an image, or presentation state.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImagingStudy.series.instance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.id",
          "path" : "ImagingStudy.series.instance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.extension",
          "path" : "ImagingStudy.series.instance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.modifierExtension",
          "path" : "ImagingStudy.series.instance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.uid",
          "path" : "ImagingStudy.series.instance.uid",
          "short" : "DICOM SOP Instance UID",
          "definition" : "The DICOM SOP Instance UID for this image or other DICOM content.",
          "comment" : "See  [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html#sect_C.12.1).",
          "requirements" : "DICOM SOP Instance UID.",
          "alias" : ["SOPInstanceUID"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.instance.uid",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "example" : [{
            "label" : "General",
            "valueId" : "2.16.124.113543.6003.189642796.63084.16748.2599092903"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0018)"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.sopClass",
          "path" : "ImagingStudy.series.instance.sopClass",
          "short" : "DICOM class type",
          "definition" : "DICOM instance  type.",
          "alias" : ["SOPClassUID"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.instance.sopClass",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "sopClass"
            }],
            "strength" : "extensible",
            "description" : "The sopClass for the instance.",
            "valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=\"sop class\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0016)"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.number",
          "path" : "ImagingStudy.series.instance.number",
          "short" : "The number of this instance in the series",
          "definition" : "The number of instance in the series.",
          "alias" : ["InstanceNumber"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.instance.number",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "example" : [{
            "label" : "General",
            "valueUnsignedInt" : 1
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,0013)"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.title",
          "path" : "ImagingStudy.series.instance.title",
          "short" : "Description of instance",
          "definition" : "The description of the instance.",
          "comment" : "Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImagingStudy.series.instance.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".title"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ImagingStudy",
          "path" : "ImagingStudy",
          "short" : "A set of images produced in single study (one or more series of references images)",
          "definition" : "Representation of the content produced in a DICOM imaging study. A study comprises a set of series, each of which includes a set of Service-Object Pair Instances (SOP Instances - images or other data) acquired or produced in a common context.  A series is of only one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of different modalities.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=COMPOSITION, moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "Reference IHE radiology TF vol 2 table 4.14-1"
          }]
        },
        {
          "id" : "ImagingStudy.identifier",
          "path" : "ImagingStudy.identifier",
          "short" : "Identifiers for the whole study",
          "definition" : "Identifiers for the ImagingStudy such as DICOM Study Instance UID, and Accession Number.",
          "comment" : "See discussion under [Imaging Study Implementation Notes](imagingstudy.html#notes) for encoding of DICOM Study Instance UID. Accession Number should use ACSN Identifier type.",
          "requirements" : "If one or more series elements are present in the ImagingStudy, then there shall be one DICOM Study UID identifier (see [DICOM PS 3.3 C.7.2](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html).",
          "alias" : ["StudyInstanceUID",
          "AccessionNumber"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id and .inboundRelationship[typeCode=COMP].source[classCode=ACSN, moodCode=EVN].id"
          },
          {
            "identity" : "dicom",
            "map" : "StudyInstanceUID (0020,000D) | Accession Number and Issuer (0080,0050)+(0080,0051) | Study ID (0020,0010)"
          }]
        },
        {
          "id" : "ImagingStudy.status",
          "path" : "ImagingStudy.status",
          "short" : "registered | available | cancelled | entered-in-error | unknown",
          "definition" : "The current state of the ImagingStudy.",
          "comment" : "Unknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingStudyStatus"
            }],
            "strength" : "required",
            "description" : "The status of the ImagingStudy.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/imagingstudy-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ImagingStudy.modality",
          "path" : "ImagingStudy.modality",
          "short" : "All series modality if actual acquisition modalities",
          "definition" : "A list of all the series.modality values that are actual acquisition modalities, i.e. those in the DICOM Context Group 29 (value set OID 1.2.840.10008.6.1.19).",
          "alias" : ["ModalitiesInStudy"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingModality"
            }],
            "strength" : "extensible",
            "description" : "Type of acquired data in the instance.",
            "valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0061)"
          }]
        },
        {
          "id" : "ImagingStudy.subject",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.2.2.html"
          }],
          "path" : "ImagingStudy.subject",
          "short" : "Who or what is the subject of the study",
          "definition" : "The subject, typically a patient, of the imaging study.",
          "comment" : "QA phantoms can be recorded with a Device; multiple subjects (such as mice) can be recorded with a Group.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0010/*)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ImagingStudy.encounter",
          "path" : "ImagingStudy.encounter",
          "short" : "Encounter with which this imaging study is associated",
          "definition" : "The healthcare event (e.g. a patient and healthcare provider interaction) during which this ImagingStudy is made.",
          "comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission test).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "ImagingStudy.started",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "dicom=http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.2.html#sect_C.7.2.1"
          }],
          "path" : "ImagingStudy.started",
          "short" : "When the study was started",
          "definition" : "Date and time the study started.",
          "alias" : ["StudyDate",
          "StudyTime"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "example" : [{
            "label" : "General",
            "valueDateTime" : "2011-01-01T11:01:20+03:00"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0020)+(0008,0030)"
          }]
        },
        {
          "id" : "ImagingStudy.basedOn",
          "path" : "ImagingStudy.basedOn",
          "short" : "Request fulfilled",
          "definition" : "A list of the diagnostic requests that resulted in this imaging study being performed.",
          "requirements" : "To support grouped procedures (one imaging study supporting multiple ordered procedures, e.g. chest/abdomen/pelvis CT).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/Appointment",
            "http://hl7.org/fhir/StructureDefinition/AppointmentResponse",
            "http://hl7.org/fhir/StructureDefinition/Task"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.cause"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO]"
          },
          {
            "identity" : "dicom",
            "map" : "(0032,1064)"
          }]
        },
        {
          "id" : "ImagingStudy.referrer",
          "path" : "ImagingStudy.referrer",
          "short" : "Referring physician",
          "definition" : "The requesting/referring physician.",
          "alias" : ["ReferringPhysiciansName"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.cause"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=DGIMG, moodCode=RQO].participation[typeCode=AUT].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0090)+(0008,0096)"
          }]
        },
        {
          "id" : "ImagingStudy.interpreter",
          "path" : "ImagingStudy.interpreter",
          "short" : "Who interpreted images",
          "definition" : "Who read the study and interpreted the images or other content.",
          "alias" : ["Name of Physician(s) Reading Study"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1060)"
          }]
        },
        {
          "id" : "ImagingStudy.endpoint",
          "path" : "ImagingStudy.endpoint",
          "short" : "Study access endpoint",
          "definition" : "The network service providing access (e.g., query, view, or retrieval) for the study. See implementation notes for information about using DICOM endpoints. A study-level endpoint applies to each series in the study, unless overridden by a series-level endpoint with the same Endpoint.connectionType.",
          "comment" : "Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG), formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances; or IHE Invoke Image Display (IID), which provides standard invocation of an imaging web viewer.",
          "requirements" : "Access methods for viewing (e.g., IHE’s IID profile) or retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the study or the study’s series or instances. The study-level baseLocation applies to each series in the study, unless overridden in series by a series-level baseLocation of the same type.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Not supported"
          }]
        },
        {
          "id" : "ImagingStudy.numberOfSeries",
          "path" : "ImagingStudy.numberOfSeries",
          "short" : "Number of Study Related Series",
          "definition" : "Number of Series in the Study. This value given may be larger than the number of series elements this Resource contains due to resource availability, security, or other factors. This element should be present if any series elements are present.",
          "alias" : ["NumberOfStudyRelatedSeries"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=OBSSER, moodCode=EVN].repeatNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,1206)"
          }]
        },
        {
          "id" : "ImagingStudy.numberOfInstances",
          "path" : "ImagingStudy.numberOfInstances",
          "short" : "Number of Study Related Instances",
          "definition" : "Number of SOP Instances in Study. This value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.",
          "alias" : ["NumberOfStudyRelatedInstances"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,1208)"
          }]
        },
        {
          "id" : "ImagingStudy.procedureReference",
          "path" : "ImagingStudy.procedureReference",
          "short" : "The performed Procedure reference",
          "definition" : "The procedure which this ImagingStudy was part of.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1032)"
          }]
        },
        {
          "id" : "ImagingStudy.procedureCode",
          "path" : "ImagingStudy.procedureCode",
          "short" : "The performed procedure code",
          "definition" : "The code for the performed procedure type.",
          "alias" : ["ProcedureCodeSequence"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingProcedureCode"
            }],
            "strength" : "extensible",
            "description" : "The performed procedure type.",
            "valueSet" : "http://www.rsna.org/RadLex_Playbook.aspx"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=PROC, moodCode=EVN]"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1032)"
          }]
        },
        {
          "id" : "ImagingStudy.location",
          "path" : "ImagingStudy.location",
          "short" : "Where ImagingStudy occurred",
          "definition" : "The principal physical location where the ImagingStudy was performed.",
          "requirements" : "Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.7"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1040) | (0040,0243)"
          }]
        },
        {
          "id" : "ImagingStudy.reasonCode",
          "path" : "ImagingStudy.reasonCode",
          "short" : "Why the study was requested",
          "definition" : "Description of clinical condition indicating why the ImagingStudy was requested.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingReason"
            }],
            "strength" : "example",
            "description" : "The reason for the study.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          },
          {
            "identity" : "dicom",
            "map" : "(0040,1002)"
          }]
        },
        {
          "id" : "ImagingStudy.reasonReference",
          "path" : "ImagingStudy.reasonReference",
          "short" : "Why was study performed",
          "definition" : "Indicates another resource whose existence justifies this Study.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Media",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "ImagingStudy.note",
          "path" : "ImagingStudy.note",
          "short" : "User-defined comments",
          "definition" : "Per the recommended DICOM mapping, this element is derived from the Study Description attribute (0008,1030). Observations or findings about the imaging study should be recorded in another resource, e.g. Observation, and not in this element.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : "unknown"
          }]
        },
        {
          "id" : "ImagingStudy.description",
          "path" : "ImagingStudy.description",
          "short" : "Institution-generated description",
          "definition" : "The Imaging Manager description of the study. Institution-generated description or classification of the Study (component) performed.",
          "alias" : ["StudyDescription"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,1030)"
          }]
        },
        {
          "id" : "ImagingStudy.series",
          "path" : "ImagingStudy.series",
          "short" : "Each study has one or more series of instances",
          "definition" : "Each study has one or more series of images or other content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBSSER, moodCode=EVN]"
          }]
        },
        {
          "id" : "ImagingStudy.series.uid",
          "path" : "ImagingStudy.series.uid",
          "short" : "DICOM Series Instance UID for the series",
          "definition" : "The DICOM Series Instance UID for the series.",
          "comment" : "See [DICOM PS3.3 C.7.3](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.7.3.html).",
          "requirements" : "DICOM Series Instance UID.",
          "alias" : ["SeriesInstanceUID"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "example" : [{
            "label" : "General",
            "valueId" : "2.16.124.113543.6003.2588828330.45298.17418.2723805630"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,000E)"
          }]
        },
        {
          "id" : "ImagingStudy.series.number",
          "path" : "ImagingStudy.series.number",
          "short" : "Numeric identifier of this series",
          "definition" : "The numeric identifier of this series in the study.",
          "alias" : ["SeriesNumber"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "example" : [{
            "label" : "General",
            "valueUnsignedInt" : 3
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[type=COMP, source[classCode=COMPOSITION, moodCode=EVN]].sequenceNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,0011)"
          }]
        },
        {
          "id" : "ImagingStudy.series.modality",
          "path" : "ImagingStudy.series.modality",
          "short" : "The modality of the instances in the series",
          "definition" : "The modality of this series sequence.",
          "alias" : ["Modality"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImagingModality"
            }],
            "strength" : "extensible",
            "description" : "Type of acquired data in the instance.",
            "valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part16/sect_CID_29.html"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0060)"
          }]
        },
        {
          "id" : "ImagingStudy.series.description",
          "path" : "ImagingStudy.series.description",
          "short" : "A short human readable summary of the series",
          "definition" : "A description of the series.",
          "alias" : ["SeriesDescription"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "example" : [{
            "label" : "General",
            "valueString" : "CT Surview 180"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,103E)"
          }]
        },
        {
          "id" : "ImagingStudy.series.numberOfInstances",
          "path" : "ImagingStudy.series.numberOfInstances",
          "short" : "Number of Series Related Instances",
          "definition" : "Number of SOP Instances in the Study. The value given may be larger than the number of instance elements this resource contains due to resource availability, security, or other factors. This element should be present if any instance elements are present.",
          "alias" : ["NumberOfSeriesRelatedInstances"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP, subsetCode=SUMM].target[classCode=DGIMG, moodCode=EVN].repeatNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,1209)"
          }]
        },
        {
          "id" : "ImagingStudy.series.endpoint",
          "path" : "ImagingStudy.series.endpoint",
          "short" : "Series access endpoint",
          "definition" : "The network service providing access (e.g., query, view, or retrieval) for this series. See implementation notes for information about using DICOM endpoints. A series-level endpoint, if present, has precedence over a study-level endpoint with the same Endpoint.connectionType.",
          "comment" : "Typical endpoint types include DICOM WADO-RS, which is used to retrieve DICOM instances in native or rendered (e.g., JPG, PNG) formats using a RESTful API; DICOM WADO-URI, which can similarly retrieve native or rendered instances, except using an HTTP query-based approach; and DICOM QIDO-RS, which allows RESTful query for DICOM information without retrieving the actual instances.",
          "requirements" : "Access methods for retrieving (e.g., DICOM’s WADO-URI and WADO-RS) the series or the series’ instances. A baseLocation specified at the series level has precedence over a baseLocation of the same type specified at the study level.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Not supported"
          }]
        },
        {
          "id" : "ImagingStudy.series.bodySite",
          "path" : "ImagingStudy.series.bodySite",
          "short" : "Body part examined",
          "definition" : "The anatomic structures examined. See DICOM Part 16 Annex L (http://dicom.nema.org/medical/dicom/current/output/chtml/part16/chapter_L.html) for DICOM to SNOMED-CT mappings. The bodySite may indicate the laterality of body part imaged; if so, it shall be consistent with any content of ImagingStudy.series.laterality.",
          "alias" : ["BodyPartExamined"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".targetSiteCode"
          },
          {
            "identity" : "dicom",
            "map" : "(0018,0015)"
          }]
        },
        {
          "id" : "ImagingStudy.series.laterality",
          "path" : "ImagingStudy.series.laterality",
          "short" : "Body part laterality",
          "definition" : "The laterality of the (possibly paired) anatomic structures examined. E.g., the left knee, both lungs, or unpaired abdomen. If present, shall be consistent with any laterality information indicated in ImagingStudy.series.bodySite.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Laterality"
            }],
            "strength" : "example",
            "description" : "Codes describing body site laterality (left, right, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/bodysite-laterality"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".targetSiteCode"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,0060)"
          }]
        },
        {
          "id" : "ImagingStudy.series.specimen",
          "path" : "ImagingStudy.series.specimen",
          "short" : "Specimen imaged",
          "definition" : "The specimen imaged, e.g., for whole slide imaging of a biopsy.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role[classCode=SPEC]"
          },
          {
            "identity" : "dicom",
            "map" : "(0040,0551) + (0040,0562)"
          }]
        },
        {
          "id" : "ImagingStudy.series.started",
          "path" : "ImagingStudy.series.started",
          "short" : "When the series started",
          "definition" : "The date and time the series was started.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0021) + (0008,0031)"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer",
          "path" : "ImagingStudy.series.performer",
          "short" : "Who performed the series",
          "definition" : "Indicates who or what performed the series and how they were involved.",
          "comment" : "If the person who performed the series is not known, their Organization may be recorded. A patient, or related person, may be the performer, e.g. for patient-captured images.",
          "requirements" : "The performer is recorded at the series level, since each series in a study may be performed by a different performer, at different times, and using different devices. A series may be performed by multiple performers.",
          "alias" : ["PerformingPhysicianName",
          "OperatorName"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role"
          },
          {
            "identity" : "dicom",
            "map" : "(0008, 1050) | (0008, 1052) | (0008, 1070) | (0008, 1072)"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer.function",
          "path" : "ImagingStudy.series.performer.function",
          "short" : "Type of performance",
          "definition" : "Distinguishes the type of involvement of the performer in the series.",
          "requirements" : "Allows disambiguation of the types of involvement of different performers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EventPerformerFunction"
            }],
            "strength" : "extensible",
            "description" : "The type of involvement of the performer.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/series-performer-function"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role"
          }]
        },
        {
          "id" : "ImagingStudy.series.performer.actor",
          "path" : "ImagingStudy.series.performer.actor",
          "short" : "Who performed the series",
          "definition" : "Indicates who or what performed the series.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance",
          "path" : "ImagingStudy.series.instance",
          "short" : "A single SOP instance from the series",
          "definition" : "A single SOP instance within the series, e.g. an image, or presentation state.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=DGIMG, moodCode=EVN]"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.uid",
          "path" : "ImagingStudy.series.instance.uid",
          "short" : "DICOM SOP Instance UID",
          "definition" : "The DICOM SOP Instance UID for this image or other DICOM content.",
          "comment" : "See  [DICOM PS3.3 C.12.1](http://dicom.nema.org/medical/dicom/current/output/chtml/part03/sect_C.12.html#sect_C.12.1).",
          "requirements" : "DICOM SOP Instance UID.",
          "alias" : ["SOPInstanceUID"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "example" : [{
            "label" : "General",
            "valueId" : "2.16.124.113543.6003.189642796.63084.16748.2599092903"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0018)"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.sopClass",
          "path" : "ImagingStudy.series.instance.sopClass",
          "short" : "DICOM class type",
          "definition" : "DICOM instance  type.",
          "alias" : ["SOPClassUID"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "sopClass"
            }],
            "strength" : "extensible",
            "description" : "The sopClass for the instance.",
            "valueSet" : "http://dicom.nema.org/medical/dicom/current/output/chtml/part04/sect_B.5.html#table_B.5-1"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP]. source[classCode=OBS, moodCode=EVN, code=\"sop class\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0016)"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.number",
          "path" : "ImagingStudy.series.instance.number",
          "short" : "The number of this instance in the series",
          "definition" : "The number of instance in the series.",
          "alias" : ["InstanceNumber"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "example" : [{
            "label" : "General",
            "valueUnsignedInt" : 1
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP, source[classCode=OBSSER, moodCode=EVN]].sequenceNumber"
          },
          {
            "identity" : "dicom",
            "map" : "(0020,0013)"
          }]
        },
        {
          "id" : "ImagingStudy.series.instance.title",
          "path" : "ImagingStudy.series.instance.title",
          "short" : "Description of instance",
          "definition" : "The description of the instance.",
          "comment" : "Particularly for post-acquisition analytic objects, such as SR, presentation states, value mapping, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".title"
          },
          {
            "identity" : "dicom",
            "map" : "(0008,0008) | (0007,0080) | (0040,A043) + (0008,0104) | (0042,0010)"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Immunization",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Immunization",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Immunization 
TU
DomainResource
Immunization event information
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business identifier
 status 
?!Σ
1..1
code
completed | entered-in-error | not-done
Immunization Status Codes (Required)
 statusReason 
0..1
CodeableConcept
Reason not done
Immunization Status Reason Codes (Example)
 vaccineCode 
Σ
1..1
CodeableConcept
Vaccine product administered
Vaccine Administered Value Set (Example)
 patient 
Σ
1..1
Reference(Patient)
Who was immunized
 encounter 
0..1
Reference(Encounter)
Encounter immunization was part of
 occurrence[x] 
Σ
1..1
Vaccine administration date
 occurrenceDateTime
dateTime
 occurrenceString
string
 recorded 
0..1
dateTime
When the immunization was first captured in the subject's record
 primarySource 
Σ
0..1
boolean
Indicates context the data was recorded in
 reportOrigin 
0..1
CodeableConcept
Indicates the source of a secondarily reported record
Immunization Origin Codes (Example)
 location 
0..1
Reference(Location)
Where immunization occurred
 manufacturer 
0..1
Reference(Organization)
Vaccine manufacturer
 lotNumber 
0..1
string
Vaccine lot number
 expirationDate 
0..1
date
Vaccine expiration date
 site 
0..1
CodeableConcept
Body site vaccine  was administered
Codes for Immunization Site of Administration (Example)
 route 
0..1
CodeableConcept
How vaccine entered body
Immunization Route Codes (Example)
 doseQuantity 
0..1
SimpleQuantity
Amount of vaccine administered
 performer 
Σ
0..*
BackboneElement
Who performed event
 function 
Σ
0..1
CodeableConcept
What type of performance was done
Immunization Function Codes (Extensible)
 actor 
Σ
1..1
Reference(Practitioner | PractitionerRole | Organization)
Individual or organization who was performing
 note 
Σ
0..*
Annotation
Additional immunization notes
 reasonCode 
0..*
CodeableConcept
Why immunization occurred
Immunization Reason Codes (Example)
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport)
Why immunization occurred
 isSubpotent 
?!Σ
0..1
boolean
Dose potency
 subpotentReason 
0..*
CodeableConcept
Reason for being subpotent
Immunization Subpotent Reason (Example)
 education 
I
0..*
BackboneElement
Educational material presented to patient
+ Rule: One of documentType or reference SHALL be present
 documentType 
0..1
string
Educational material document identifier
 reference 
0..1
uri
Educational material reference pointer
 publicationDate 
0..1
dateTime
Educational material publication date
 presentationDate 
0..1
dateTime
Educational material presentation date
 programEligibility 
0..*
CodeableConcept
Patient eligibility for a vaccination program
Immunization Program Eligibility (Example)
 fundingSource 
0..1
CodeableConcept
Funding source for the vaccine
Immunization Funding Source (Example)
 reaction 
0..*
BackboneElement
Details of a reaction that follows immunization
 date 
0..1
dateTime
When reaction started
 detail 
0..1
Reference(Observation)
Additional information on reaction
 reported 
0..1
boolean
Indicates self-reported reaction
 protocolApplied 
0..*
BackboneElement
Protocol followed by the provider
 series 
0..1
string
Name of vaccine series
 authority 
0..1
Reference(Organization)
Who is responsible for publishing the recommendations
 targetDisease 
0..*
CodeableConcept
Vaccine preventatable disease being targetted
Immunization Target Disease Codes (Example)
 doseNumber[x] 
1..1
Dose number within series
 doseNumberPositiveInt
positiveInt
 doseNumberString
string
 seriesDoses[x] 
0..1
Recommended number of doses for immunity
 seriesDosesPositiveInt
positiveInt
 seriesDosesString
string

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pher"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Immunization",
      "version" : "4.0.0",
      "name" : "Immunization",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Public Health and Emergency Response)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pher/index.cfm"
        }]
      }],
      "description" : "Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "cda",
        "uri" : "http://hl7.org/v3/cda",
        "name" : "CDA (R2)"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Immunization",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Immunization",
          "path" : "Immunization",
          "short" : "Immunization event information",
          "definition" : "Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "VXU_V04"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration"
          }]
        },
        {
          "id" : "Immunization.id",
          "path" : "Immunization.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Immunization.meta",
          "path" : "Immunization.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Immunization.implicitRules",
          "path" : "Immunization.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Immunization.language",
          "path" : "Immunization.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Immunization.text",
          "path" : "Immunization.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Immunization.contained",
          "path" : "Immunization.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.extension",
          "path" : "Immunization.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.modifierExtension",
          "path" : "Immunization.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.identifier",
          "path" : "Immunization.identifier",
          "short" : "Business identifier",
          "definition" : "A unique identifier assigned to this immunization record.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"
          }]
        },
        {
          "id" : "Immunization.status",
          "path" : "Immunization.status",
          "short" : "completed | entered-in-error | not-done",
          "definition" : "Indicates the current status of the immunization event.",
          "comment" : "Will generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Immunization.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationStatus"
            }],
            "strength" : "required",
            "description" : "A set of codes indicating the current status of an Immunization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }]
        },
        {
          "id" : "Immunization.statusReason",
          "path" : "Immunization.statusReason",
          "short" : "Reason not done",
          "definition" : "Indicates the reason the immunization event was not performed.",
          "comment" : "This is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationStatusReason"
            }],
            "strength" : "example",
            "description" : "The reason why a vaccine was not administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-status-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "Immunization.vaccineCode",
          "path" : "Immunization.vaccineCode",
          "short" : "Vaccine product administered",
          "definition" : "Vaccine that was administered or was to be administered.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Immunization.vaccineCode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VaccineCode"
            }],
            "strength" : "example",
            "description" : "The code for vaccine product administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-5"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"
          }]
        },
        {
          "id" : "Immunization.patient",
          "path" : "Immunization.patient",
          "short" : "Who was immunized",
          "definition" : "The patient who either received or did not receive the immunization.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Immunization.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[ttypeCode=].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Immunization.encounter",
          "path" : "Immunization.encounter",
          "short" : "Encounter immunization was part of",
          "definition" : "The visit or admission or other contact between patient and health care provider the immunization was performed as part of.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : "component->EncounterEvent"
          }]
        },
        {
          "id" : "Immunization.occurrence[x]",
          "path" : "Immunization.occurrence[x]",
          "short" : "Vaccine administration date",
          "definition" : "Date vaccine administered or was to be administered.",
          "comment" : "When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Immunization.occurrence[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"
          }]
        },
        {
          "id" : "Immunization.recorded",
          "path" : "Immunization.recorded",
          "short" : "When the immunization was first captured in the subject's record",
          "definition" : "The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.recorded",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Immunization.primarySource",
          "path" : "Immunization.primarySource",
          "short" : "Indicates context the data was recorded in",
          "definition" : "An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.",
          "comment" : "Reflects the “reliability” of the content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.primarySource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9"
          },
          {
            "identity" : "rim",
            "map" : "immunization.uncertaintycode (if primary source=false, uncertainty=U)"
          }]
        },
        {
          "id" : "Immunization.reportOrigin",
          "path" : "Immunization.reportOrigin",
          "short" : "Indicates the source of a secondarily reported record",
          "definition" : "The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.",
          "comment" : "Should not be populated if primarySource = True, not required even if primarySource = False.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.reportOrigin",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationReportOrigin"
            }],
            "strength" : "example",
            "description" : "The source of the data for a record which is not from a primary source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-origin"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)"
          }]
        },
        {
          "id" : "Immunization.location",
          "path" : "Immunization.location",
          "short" : "Where immunization occurred",
          "definition" : "The service delivery location where the vaccine administration occurred.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-27  (or RXA-11, deprecated as of v2.7)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].COCT_MT240000UV"
          }]
        },
        {
          "id" : "Immunization.manufacturer",
          "path" : "Immunization.manufacturer",
          "short" : "Vaccine manufacturer",
          "definition" : "Name of vaccine manufacturer.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.manufacturer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-17"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"
          }]
        },
        {
          "id" : "Immunization.lotNumber",
          "path" : "Immunization.lotNumber",
          "short" : "Vaccine lot number",
          "definition" : "Lot number of the  vaccine product.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.lotNumber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-15"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"
          }]
        },
        {
          "id" : "Immunization.expirationDate",
          "path" : "Immunization.expirationDate",
          "short" : "Vaccine expiration date",
          "definition" : "Date vaccine batch expires.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.expirationDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-16"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
          }]
        },
        {
          "id" : "Immunization.site",
          "path" : "Immunization.site",
          "short" : "Body site vaccine  was administered",
          "definition" : "Body site where vaccine was administered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.site",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationSite"
            }],
            "strength" : "example",
            "description" : "The site at which the vaccine was administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-site"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-2"
          },
          {
            "identity" : "rim",
            "map" : "observation.targetSiteCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"
          }]
        },
        {
          "id" : "Immunization.route",
          "path" : "Immunization.route",
          "short" : "How vaccine entered body",
          "definition" : "The path by which the vaccine product is taken into the body.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.route",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRoute"
            }],
            "strength" : "example",
            "description" : "The route by which the vaccine was administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-route"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-1"
          },
          {
            "identity" : "rim",
            "map" : ".routeCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"
          }]
        },
        {
          "id" : "Immunization.doseQuantity",
          "path" : "Immunization.doseQuantity",
          "short" : "Amount of vaccine administered",
          "definition" : "The quantity of vaccine product that was administered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.doseQuantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-6 / RXA-7"
          },
          {
            "identity" : "rim",
            "map" : ".doseQuantity"
          }]
        },
        {
          "id" : "Immunization.performer",
          "path" : "Immunization.performer",
          "short" : "Who performed event",
          "definition" : "Indicates who performed the immunization event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "ORC-12 / RXA-10"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Immunization.performer.id",
          "path" : "Immunization.performer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Immunization.performer.extension",
          "path" : "Immunization.performer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Immunization.performer.modifierExtension",
          "path" : "Immunization.performer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.performer.function",
          "path" : "Immunization.performer.function",
          "short" : "What type of performance was done",
          "definition" : "Describes the type of performance (e.g. ordering provider, administering provider, etc.).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.performer.function",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationFunction"
            }],
            "strength" : "extensible",
            "description" : "The role a practitioner or organization plays in the immunization event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-function"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "rim",
            "map" : ".participation.functionCode"
          }]
        },
        {
          "id" : "Immunization.performer.actor",
          "path" : "Immunization.performer.actor",
          "short" : "Individual or organization who was performing",
          "definition" : "The practitioner or organization who performed the action.",
          "comment" : "When the individual practitioner who performed the action is known, it is best to send.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Immunization.performer.actor",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "Immunization.note",
          "path" : "Immunization.note",
          "short" : "Additional immunization notes",
          "definition" : "Extra information about the immunization that is not conveyed by the other attributes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 48767-8"
          },
          {
            "identity" : "rim",
            "map" : "note"
          }]
        },
        {
          "id" : "Immunization.reasonCode",
          "path" : "Immunization.reasonCode",
          "short" : "Why immunization occurred",
          "definition" : "Reasons why the vaccine was administered.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationReason"
            }],
            "strength" : "example",
            "description" : "The reason why a vaccine was administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "rim",
            "map" : "[actionNegationInd=false].reasonCode"
          }]
        },
        {
          "id" : "Immunization.reasonReference",
          "path" : "Immunization.reasonReference",
          "short" : "Why immunization occurred",
          "definition" : "Condition, Observation or DiagnosticReport that supports why the immunization was administered.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.isSubpotent",
          "path" : "Immunization.isSubpotent",
          "short" : "Dose potency",
          "definition" : "Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.",
          "comment" : "Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.isSubpotent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "By default, a dose should be considered to be potent.",
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-20 = PA (partial administration)"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.subpotentReason",
          "path" : "Immunization.subpotentReason",
          "short" : "Reason for being subpotent",
          "definition" : "Reason why a dose is considered to be subpotent.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.subpotentReason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubpotentReason"
            }],
            "strength" : "example",
            "description" : "The reason why a dose is considered to be subpotent.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education",
          "path" : "Immunization.education",
          "short" : "Educational material presented to patient",
          "definition" : "Educational material presented to the patient (or guardian) at the time of vaccine administration.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.education",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "imm-1",
            "severity" : "error",
            "human" : "One of documentType or reference SHALL be present",
            "expression" : "documentType.exists() or reference.exists()",
            "xpath" : "exists(f:documentType) or exists(f:reference)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.id",
          "path" : "Immunization.education.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Immunization.education.extension",
          "path" : "Immunization.education.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Immunization.education.modifierExtension",
          "path" : "Immunization.education.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.documentType",
          "path" : "Immunization.education.documentType",
          "short" : "Educational material document identifier",
          "definition" : "Identifier of the material presented to the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.education.documentType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 69764-9"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.reference",
          "path" : "Immunization.education.reference",
          "short" : "Educational material reference pointer",
          "definition" : "Reference pointer to the educational material given to the patient if the information was on line.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.education.reference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.publicationDate",
          "path" : "Immunization.education.publicationDate",
          "short" : "Educational material publication date",
          "definition" : "Date the educational material was published.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.education.publicationDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 29768-9"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.presentationDate",
          "path" : "Immunization.education.presentationDate",
          "short" : "Educational material presentation date",
          "definition" : "Date the educational material was given to the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.education.presentationDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 29769-7"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.programEligibility",
          "path" : "Immunization.programEligibility",
          "short" : "Patient eligibility for a vaccination program",
          "definition" : "Indicates a patient's eligibility for a funding program.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.programEligibility",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramEligibility"
            }],
            "strength" : "example",
            "description" : "The patient's eligibility for a vaccation program.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-program-eligibility"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 64994-7"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.fundingSource",
          "path" : "Immunization.fundingSource",
          "short" : "Funding source for the vaccine",
          "definition" : "Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.fundingSource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundingSource"
            }],
            "strength" : "example",
            "description" : "The source of funding used to purchase the vaccine administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-funding-source"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.reaction",
          "path" : "Immunization.reaction",
          "short" : "Details of a reaction that follows immunization",
          "definition" : "Categorical data indicating that an adverse event is associated in time to an immunization.",
          "comment" : "A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.reaction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=obs].code"
          }]
        },
        {
          "id" : "Immunization.reaction.id",
          "path" : "Immunization.reaction.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Immunization.reaction.extension",
          "path" : "Immunization.reaction.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Immunization.reaction.modifierExtension",
          "path" : "Immunization.reaction.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.reaction.date",
          "path" : "Immunization.reaction.date",
          "short" : "When reaction started",
          "definition" : "Date of reaction to the immunization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.reaction.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Immunization.reaction.detail",
          "path" : "Immunization.reaction.detail",
          "short" : "Additional information on reaction",
          "definition" : "Details of the reaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.reaction.detail",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          }]
        },
        {
          "id" : "Immunization.reaction.reported",
          "path" : "Immunization.reaction.reported",
          "short" : "Indicates self-reported reaction",
          "definition" : "Self-reported indicator.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.reaction.reported",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "(HL7 v2 doesn't seem to provide for this)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
          }]
        },
        {
          "id" : "Immunization.protocolApplied",
          "path" : "Immunization.protocolApplied",
          "short" : "Protocol followed by the provider",
          "definition" : "The protocol (set of recommendations) being followed by the provider who administered the dose.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.protocolApplied",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.id",
          "path" : "Immunization.protocolApplied.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.extension",
          "path" : "Immunization.protocolApplied.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.modifierExtension",
          "path" : "Immunization.protocolApplied.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.series",
          "path" : "Immunization.protocolApplied.series",
          "short" : "Name of vaccine series",
          "definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.protocolApplied.series",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.authority",
          "path" : "Immunization.protocolApplied.authority",
          "short" : "Who is responsible for publishing the recommendations",
          "definition" : "Indicates the authority who published the protocol (e.g. ACIP) that is being followed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.protocolApplied.authority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.targetDisease",
          "path" : "Immunization.protocolApplied.targetDisease",
          "short" : "Vaccine preventatable disease being targetted",
          "definition" : "The vaccine preventable disease the dose is being administered against.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Immunization.protocolApplied.targetDisease",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TargetDisease"
            }],
            "strength" : "example",
            "description" : "The vaccine preventable disease the dose is being administered for.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-target-disease"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.doseNumber[x]",
          "path" : "Immunization.protocolApplied.doseNumber[x]",
          "short" : "Dose number within series",
          "definition" : "Nominal position in a series.",
          "comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Immunization.protocolApplied.doseNumber[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.seriesDoses[x]",
          "path" : "Immunization.protocolApplied.seriesDoses[x]",
          "short" : "Recommended number of doses for immunity",
          "definition" : "The recommended number of doses to achieve immunity.",
          "comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Immunization.protocolApplied.seriesDoses[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Immunization",
          "path" : "Immunization",
          "short" : "Immunization event information",
          "definition" : "Describes the event of a patient being administered a vaccine or a record of an immunization as reported by a patient, a clinician or another party.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "VXU_V04"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration"
          }]
        },
        {
          "id" : "Immunization.identifier",
          "path" : "Immunization.identifier",
          "short" : "Business identifier",
          "definition" : "A unique identifier assigned to this immunization record.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/id"
          }]
        },
        {
          "id" : "Immunization.status",
          "path" : "Immunization.status",
          "short" : "completed | entered-in-error | not-done",
          "definition" : "Indicates the current status of the immunization event.",
          "comment" : "Will generally be set to show that the immunization has been completed or not done.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains statuses entered-in-error and not-done which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationStatus"
            }],
            "strength" : "required",
            "description" : "A set of codes indicating the current status of an Immunization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }]
        },
        {
          "id" : "Immunization.statusReason",
          "path" : "Immunization.statusReason",
          "short" : "Reason not done",
          "definition" : "Indicates the reason the immunization event was not performed.",
          "comment" : "This is generally only used for the status of \"not-done\". The reason for performing the immunization event is captured in reasonCode, not here.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationStatusReason"
            }],
            "strength" : "example",
            "description" : "The reason why a vaccine was not administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-status-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "Immunization.vaccineCode",
          "path" : "Immunization.vaccineCode",
          "short" : "Vaccine product administered",
          "definition" : "Vaccine that was administered or was to be administered.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VaccineCode"
            }],
            "strength" : "example",
            "description" : "The code for vaccine product administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-5"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/realmCode/code"
          }]
        },
        {
          "id" : "Immunization.patient",
          "path" : "Immunization.patient",
          "short" : "Who was immunized",
          "definition" : "The patient who either received or did not receive the immunization.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[ttypeCode=].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Immunization.encounter",
          "path" : "Immunization.encounter",
          "short" : "Encounter immunization was part of",
          "definition" : "The visit or admission or other contact between patient and health care provider the immunization was performed as part of.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : "component->EncounterEvent"
          }]
        },
        {
          "id" : "Immunization.occurrence[x]",
          "path" : "Immunization.occurrence[x]",
          "short" : "Vaccine administration date",
          "definition" : "Date vaccine administered or was to be administered.",
          "comment" : "When immunizations are given a specific date and time should always be known.   When immunizations are patient reported, a specific date might not be known.  Although partial dates are allowed, an adult patient might not be able to recall the year a childhood immunization was given. An exact date is always preferable, but the use of the String data type is acceptable when an exact date is not known. A small number of vaccines (e.g. live oral typhoid vaccine) are given as a series of patient self-administered dose over a span of time. In cases like this, often, only the first dose (typically a provider supervised dose) is recorded with the occurrence indicating the date/time of the first dose.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/effectiveTime/value"
          }]
        },
        {
          "id" : "Immunization.recorded",
          "path" : "Immunization.recorded",
          "short" : "When the immunization was first captured in the subject's record",
          "definition" : "The date the occurrence of the immunization was first captured in the record - potentially significantly after the occurrence of the event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Immunization.primarySource",
          "path" : "Immunization.primarySource",
          "short" : "Indicates context the data was recorded in",
          "definition" : "An indication that the content of the record is based on information from the person who administered the vaccine. This reflects the context under which the data was originally recorded.",
          "comment" : "Reflects the “reliability” of the content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9"
          },
          {
            "identity" : "rim",
            "map" : "immunization.uncertaintycode (if primary source=false, uncertainty=U)"
          }]
        },
        {
          "id" : "Immunization.reportOrigin",
          "path" : "Immunization.reportOrigin",
          "short" : "Indicates the source of a secondarily reported record",
          "definition" : "The source of the data when the report of the immunization event is not based on information from the person who administered the vaccine.",
          "comment" : "Should not be populated if primarySource = True, not required even if primarySource = False.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationReportOrigin"
            }],
            "strength" : "example",
            "description" : "The source of the data for a record which is not from a primary source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-origin"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported) .participation[typeCode=INF].role[classCode=LIC] (this syntax for health care professional) .participation[typeCode=INF].role[classCode=PRS] (this syntax for family member)"
          }]
        },
        {
          "id" : "Immunization.location",
          "path" : "Immunization.location",
          "short" : "Where immunization occurred",
          "definition" : "The service delivery location where the vaccine administration occurred.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-27  (or RXA-11, deprecated as of v2.7)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].COCT_MT240000UV"
          }]
        },
        {
          "id" : "Immunization.manufacturer",
          "path" : "Immunization.manufacturer",
          "short" : "Vaccine manufacturer",
          "definition" : "Name of vaccine manufacturer.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-17"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=ORG]"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacuturerOrganization/name"
          }]
        },
        {
          "id" : "Immunization.lotNumber",
          "path" : "Immunization.lotNumber",
          "short" : "Vaccine lot number",
          "definition" : "Lot number of the  vaccine product.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-15"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].id"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/consumable/manfacturedProduct/manufacturedMaterial/lotNumberText"
          }]
        },
        {
          "id" : "Immunization.expirationDate",
          "path" : "Immunization.expirationDate",
          "short" : "Vaccine expiration date",
          "definition" : "Date vaccine batch expires.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-16"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
          }]
        },
        {
          "id" : "Immunization.site",
          "path" : "Immunization.site",
          "short" : "Body site vaccine  was administered",
          "definition" : "Body site where vaccine was administered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationSite"
            }],
            "strength" : "example",
            "description" : "The site at which the vaccine was administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-site"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-2"
          },
          {
            "identity" : "rim",
            "map" : "observation.targetSiteCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/approachSiteCode/code"
          }]
        },
        {
          "id" : "Immunization.route",
          "path" : "Immunization.route",
          "short" : "How vaccine entered body",
          "definition" : "The path by which the vaccine product is taken into the body.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRoute"
            }],
            "strength" : "example",
            "description" : "The route by which the vaccine was administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-route"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-1"
          },
          {
            "identity" : "rim",
            "map" : ".routeCode"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument/component/StructuredBody/component/section/entry/substanceAdministration/routeCode/code"
          }]
        },
        {
          "id" : "Immunization.doseQuantity",
          "path" : "Immunization.doseQuantity",
          "short" : "Amount of vaccine administered",
          "definition" : "The quantity of vaccine product that was administered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-6 / RXA-7"
          },
          {
            "identity" : "rim",
            "map" : ".doseQuantity"
          }]
        },
        {
          "id" : "Immunization.performer",
          "path" : "Immunization.performer",
          "short" : "Who performed event",
          "definition" : "Indicates who performed the immunization event.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "v2",
            "map" : "ORC-12 / RXA-10"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Immunization.performer.function",
          "path" : "Immunization.performer.function",
          "short" : "What type of performance was done",
          "definition" : "Describes the type of performance (e.g. ordering provider, administering provider, etc.).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationFunction"
            }],
            "strength" : "extensible",
            "description" : "The role a practitioner or organization plays in the immunization event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-function"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "rim",
            "map" : ".participation.functionCode"
          }]
        },
        {
          "id" : "Immunization.performer.actor",
          "path" : "Immunization.performer.actor",
          "short" : "Individual or organization who was performing",
          "definition" : "The practitioner or organization who performed the action.",
          "comment" : "When the individual practitioner who performed the action is known, it is best to send.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "Immunization.note",
          "path" : "Immunization.note",
          "short" : "Additional immunization notes",
          "definition" : "Extra information about the immunization that is not conveyed by the other attributes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 48767-8"
          },
          {
            "identity" : "rim",
            "map" : "note"
          }]
        },
        {
          "id" : "Immunization.reasonCode",
          "path" : "Immunization.reasonCode",
          "short" : "Why immunization occurred",
          "definition" : "Reasons why the vaccine was administered.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationReason"
            }],
            "strength" : "example",
            "description" : "The reason why a vaccine was administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "rim",
            "map" : "[actionNegationInd=false].reasonCode"
          }]
        },
        {
          "id" : "Immunization.reasonReference",
          "path" : "Immunization.reasonReference",
          "short" : "Why immunization occurred",
          "definition" : "Condition, Observation or DiagnosticReport that supports why the immunization was administered.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.isSubpotent",
          "path" : "Immunization.isSubpotent",
          "short" : "Dose potency",
          "definition" : "Indication if a dose is considered to be subpotent. By default, a dose should be considered to be potent.",
          "comment" : "Typically, the recognition of the dose being sub-potent is retrospective, after the administration (ex. notification of a manufacturer recall after administration). However, in the case of a partial administration (the patient moves unexpectedly and only some of the dose is actually administered), subpotency may be recognized immediately, but it is still important to record the event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "By default, a dose should be considered to be potent.",
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because an immunization event with a subpotent vaccine doesn't protect the patient the same way as a potent dose.",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-20 = PA (partial administration)"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.subpotentReason",
          "path" : "Immunization.subpotentReason",
          "short" : "Reason for being subpotent",
          "definition" : "Reason why a dose is considered to be subpotent.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubpotentReason"
            }],
            "strength" : "example",
            "description" : "The reason why a dose is considered to be subpotent.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-subpotent-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education",
          "path" : "Immunization.education",
          "short" : "Educational material presented to patient",
          "definition" : "Educational material presented to the patient (or guardian) at the time of vaccine administration.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "imm-1",
            "severity" : "error",
            "human" : "One of documentType or reference SHALL be present",
            "expression" : "documentType.exists() or reference.exists()",
            "xpath" : "exists(f:documentType) or exists(f:reference)"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.documentType",
          "path" : "Immunization.education.documentType",
          "short" : "Educational material document identifier",
          "definition" : "Identifier of the material presented to the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 69764-9"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.reference",
          "path" : "Immunization.education.reference",
          "short" : "Educational material reference pointer",
          "definition" : "Reference pointer to the educational material given to the patient if the information was on line.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.publicationDate",
          "path" : "Immunization.education.publicationDate",
          "short" : "Educational material publication date",
          "definition" : "Date the educational material was published.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 29768-9"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.education.presentationDate",
          "path" : "Immunization.education.presentationDate",
          "short" : "Educational material presentation date",
          "definition" : "Date the educational material was given to the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 29769-7"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.programEligibility",
          "path" : "Immunization.programEligibility",
          "short" : "Patient eligibility for a vaccination program",
          "definition" : "Indicates a patient's eligibility for a funding program.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProgramEligibility"
            }],
            "strength" : "example",
            "description" : "The patient's eligibility for a vaccation program.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-program-eligibility"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 64994-7"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.fundingSource",
          "path" : "Immunization.fundingSource",
          "short" : "Funding source for the vaccine",
          "definition" : "Indicates the source of the vaccine actually administered. This may be different than the patient eligibility (e.g. the patient may be eligible for a publically purchased vaccine but due to inventory issues, vaccine purchased with private funds was actually administered).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FundingSource"
            }],
            "strength" : "example",
            "description" : "The source of funding used to purchase the vaccine administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-funding-source"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.reaction",
          "path" : "Immunization.reaction",
          "short" : "Details of a reaction that follows immunization",
          "definition" : "Categorical data indicating that an adverse event is associated in time to an immunization.",
          "comment" : "A reaction may be an indication of an allergy or intolerance and, if this is determined to be the case, it should be recorded as a new AllergyIntolerance resource instance as most systems will not query against past Immunization.reaction elements.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=obs].code"
          }]
        },
        {
          "id" : "Immunization.reaction.date",
          "path" : "Immunization.reaction.date",
          "short" : "When reaction started",
          "definition" : "Date of reaction to the immunization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-14 (ideally this would be reported in an IAM segment, but IAM is not part of the HL7 v2 VXU message - most likely would appear in OBX segments if at all)"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Immunization.reaction.detail",
          "path" : "Immunization.reaction.detail",
          "short" : "Additional information on reaction",
          "definition" : "Details of the reaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          }]
        },
        {
          "id" : "Immunization.reaction.reported",
          "path" : "Immunization.reaction.reported",
          "short" : "Indicates self-reported reaction",
          "definition" : "Self-reported indicator.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "(HL7 v2 doesn't seem to provide for this)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT] (this syntax for self-reported=true)"
          }]
        },
        {
          "id" : "Immunization.protocolApplied",
          "path" : "Immunization.protocolApplied",
          "short" : "Protocol followed by the provider",
          "definition" : "The protocol (set of recommendations) being followed by the provider who administered the dose.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.series",
          "path" : "Immunization.protocolApplied.series",
          "short" : "Name of vaccine series",
          "definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.authority",
          "path" : "Immunization.protocolApplied.authority",
          "short" : "Who is responsible for publishing the recommendations",
          "definition" : "Indicates the authority who published the protocol (e.g. ACIP) that is being followed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.targetDisease",
          "path" : "Immunization.protocolApplied.targetDisease",
          "short" : "Vaccine preventatable disease being targetted",
          "definition" : "The vaccine preventable disease the dose is being administered against.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TargetDisease"
            }],
            "strength" : "example",
            "description" : "The vaccine preventable disease the dose is being administered for.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-target-disease"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.doseNumber[x]",
          "path" : "Immunization.protocolApplied.doseNumber[x]",
          "short" : "Dose number within series",
          "definition" : "Nominal position in a series.",
          "comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Immunization.protocolApplied.seriesDoses[x]",
          "path" : "Immunization.protocolApplied.seriesDoses[x]",
          "short" : "Recommended number of doses for immunity",
          "definition" : "The recommended number of doses to achieve immunity.",
          "comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ImmunizationEvaluation",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ImmunizationEvaluation 
TU
DomainResource
Immunization evaluation information
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business identifier
 status 
?!Σ
1..1
code
completed | entered-in-error
Immunization Evaluation Status Codes (Required)
 patient 
Σ
1..1
Reference(Patient)
Who this evaluation is for
 date 
0..1
dateTime
Date evaluation was performed
 authority 
0..1
Reference(Organization)
Who is responsible for publishing the recommendations
 targetDisease 
Σ
1..1
CodeableConcept
Evaluation target disease
Immunization Evaluation Target Disease Codes (Example)
 immunizationEvent 
Σ
1..1
Reference(Immunization)
Immunization being evaluated
 doseStatus 
Σ
1..1
CodeableConcept
Status of the dose relative to published recommendations
Immunization Evaluation Dose Status codes (Example)
 doseStatusReason 
0..*
CodeableConcept
Reason for the dose status
Immunization Evaluation Dose Status Reason codes (Example)
 description 
0..1
string
Evaluation notes
 series 
0..1
string
Name of vaccine series
 doseNumber[x] 
0..1
Dose number within series
 doseNumberPositiveInt
positiveInt
 doseNumberString
string
 seriesDoses[x] 
0..1
Recommended number of doses for immunity
 seriesDosesPositiveInt
positiveInt
 seriesDosesString
string

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pher"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation",
      "version" : "4.0.0",
      "name" : "ImmunizationEvaluation",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Public Health and Emergency Response)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pher/index.cfm"
        }]
      }],
      "description" : "Describes a comparison of an immunization event against published recommendations to determine if the administration is \"valid\" in relation to those  recommendations.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ImmunizationEvaluation",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ImmunizationEvaluation",
          "path" : "ImmunizationEvaluation",
          "short" : "Immunization evaluation information",
          "definition" : "Describes a comparison of an immunization event against published recommendations to determine if the administration is \"valid\" in relation to those  recommendations.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationEvaluation",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "RSP_K11"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.id",
          "path" : "ImmunizationEvaluation.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImmunizationEvaluation.meta",
          "path" : "ImmunizationEvaluation.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImmunizationEvaluation.implicitRules",
          "path" : "ImmunizationEvaluation.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ImmunizationEvaluation.language",
          "path" : "ImmunizationEvaluation.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ImmunizationEvaluation.text",
          "path" : "ImmunizationEvaluation.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.contained",
          "path" : "ImmunizationEvaluation.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.extension",
          "path" : "ImmunizationEvaluation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.modifierExtension",
          "path" : "ImmunizationEvaluation.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.identifier",
          "path" : "ImmunizationEvaluation.identifier",
          "short" : "Business identifier",
          "definition" : "A unique identifier assigned to this immunization evaluation record.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationEvaluation.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.status",
          "path" : "ImmunizationEvaluation.status",
          "short" : "completed | entered-in-error",
          "definition" : "Indicates the current status of the evaluation of the vaccination administration event.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid).",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationEvaluationStatus"
            }],
            "strength" : "required",
            "description" : "The status of the evaluation being done.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.patient",
          "path" : "ImmunizationEvaluation.patient",
          "short" : "Who this evaluation is for",
          "definition" : "The individual for whom the evaluation is being done.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.date",
          "path" : "ImmunizationEvaluation.date",
          "short" : "Date evaluation was performed",
          "definition" : "The date the evaluation of the vaccine administration event was performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrenceDateTime"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.authority",
          "path" : "ImmunizationEvaluation.authority",
          "short" : "Who is responsible for publishing the recommendations",
          "definition" : "Indicates the authority who published the protocol (e.g. ACIP).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.authority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 59779-9 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.targetDisease",
          "path" : "ImmunizationEvaluation.targetDisease",
          "short" : "Evaluation target disease",
          "definition" : "The vaccine preventable disease the dose is being evaluated against.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.targetDisease",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvaluationTargetDisease"
            }],
            "strength" : "example",
            "description" : "The vaccine preventable disease the dose is being evaluated against.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-target-disease"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.immunizationEvent",
          "path" : "ImmunizationEvaluation.immunizationEvent",
          "short" : "Immunization being evaluated",
          "definition" : "The vaccine administration event being evaluated.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.immunizationEvent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImmunizationEvaluation.doseStatus",
          "path" : "ImmunizationEvaluation.doseStatus",
          "short" : "Status of the dose relative to published recommendations",
          "definition" : "Indicates if the dose is valid or not valid with respect to the published recommendations.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.doseStatus",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvaluationDoseStatus"
            }],
            "strength" : "example",
            "description" : "The status of the administered dose relative to the published recommendations for the target disease.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 59781-5 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.doseStatusReason",
          "path" : "ImmunizationEvaluation.doseStatusReason",
          "short" : "Reason for the dose status",
          "definition" : "Provides an explanation as to why the vaccine administration event is valid or not relative to the published recommendations.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationEvaluation.doseStatusReason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvaluationDoseStatusReason"
            }],
            "strength" : "example",
            "description" : "The reason the dose status was assigned.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status-reason"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30982-3 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.description",
          "path" : "ImmunizationEvaluation.description",
          "short" : "Evaluation notes",
          "definition" : "Additional information about the evaluation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 48767-8 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.series",
          "path" : "ImmunizationEvaluation.series",
          "short" : "Name of vaccine series",
          "definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.series",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImmunizationEvaluation.doseNumber[x]",
          "path" : "ImmunizationEvaluation.doseNumber[x]",
          "short" : "Dose number within series",
          "definition" : "Nominal position in a series.",
          "comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.doseNumber[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30973-2 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.seriesDoses[x]",
          "path" : "ImmunizationEvaluation.seriesDoses[x]",
          "short" : "Recommended number of doses for immunity",
          "definition" : "The recommended number of doses to achieve immunity.",
          "comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationEvaluation.seriesDoses[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 59782-3 )"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ImmunizationEvaluation",
          "path" : "ImmunizationEvaluation",
          "short" : "Immunization evaluation information",
          "definition" : "Describes a comparison of an immunization event against published recommendations to determine if the administration is \"valid\" in relation to those  recommendations.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "RSP_K11"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.identifier",
          "path" : "ImmunizationEvaluation.identifier",
          "short" : "Business identifier",
          "definition" : "A unique identifier assigned to this immunization evaluation record.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.status",
          "path" : "ImmunizationEvaluation.status",
          "short" : "completed | entered-in-error",
          "definition" : "Indicates the current status of the evaluation of the vaccination administration event.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid).",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationEvaluationStatus"
            }],
            "strength" : "required",
            "description" : "The status of the evaluation being done.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.patient",
          "path" : "ImmunizationEvaluation.patient",
          "short" : "Who this evaluation is for",
          "definition" : "The individual for whom the evaluation is being done.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.date",
          "path" : "ImmunizationEvaluation.date",
          "short" : "Date evaluation was performed",
          "definition" : "The date the evaluation of the vaccine administration event was performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrenceDateTime"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.authority",
          "path" : "ImmunizationEvaluation.authority",
          "short" : "Who is responsible for publishing the recommendations",
          "definition" : "Indicates the authority who published the protocol (e.g. ACIP).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 59779-9 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.targetDisease",
          "path" : "ImmunizationEvaluation.targetDisease",
          "short" : "Evaluation target disease",
          "definition" : "The vaccine preventable disease the dose is being evaluated against.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvaluationTargetDisease"
            }],
            "strength" : "example",
            "description" : "The vaccine preventable disease the dose is being evaluated against.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-target-disease"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.immunizationEvent",
          "path" : "ImmunizationEvaluation.immunizationEvent",
          "short" : "Immunization being evaluated",
          "definition" : "The vaccine administration event being evaluated.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ImmunizationEvaluation.doseStatus",
          "path" : "ImmunizationEvaluation.doseStatus",
          "short" : "Status of the dose relative to published recommendations",
          "definition" : "Indicates if the dose is valid or not valid with respect to the published recommendations.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvaluationDoseStatus"
            }],
            "strength" : "example",
            "description" : "The status of the administered dose relative to the published recommendations for the target disease.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 59781-5 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.doseStatusReason",
          "path" : "ImmunizationEvaluation.doseStatusReason",
          "short" : "Reason for the dose status",
          "definition" : "Provides an explanation as to why the vaccine administration event is valid or not relative to the published recommendations.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EvaluationDoseStatusReason"
            }],
            "strength" : "example",
            "description" : "The reason the dose status was assigned.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-evaluation-dose-status-reason"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30982-3 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.description",
          "path" : "ImmunizationEvaluation.description",
          "short" : "Evaluation notes",
          "definition" : "Additional information about the evaluation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 48767-8 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.series",
          "path" : "ImmunizationEvaluation.series",
          "short" : "Name of vaccine series",
          "definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.doseNumber[x]",
          "path" : "ImmunizationEvaluation.doseNumber[x]",
          "short" : "Dose number within series",
          "definition" : "Nominal position in a series.",
          "comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30973-2 )"
          }]
        },
        {
          "id" : "ImmunizationEvaluation.seriesDoses[x]",
          "path" : "ImmunizationEvaluation.seriesDoses[x]",
          "short" : "Recommended number of doses for immunity",
          "definition" : "The recommended number of doses to achieve immunity.",
          "comment" : "The use of an integer is preferred if known. A string should only be used in cases where an integer is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 59782-3 )"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ImmunizationRecommendation",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ImmunizationRecommendation 
TU
DomainResource
Guidance or advice relating to an immunization
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier
 patient 
Σ
1..1
Reference(Patient)
Who this profile is for
 date 
Σ
1..1
dateTime
Date recommendation(s) created
 authority 
0..1
Reference(Organization)
Who is responsible for protocol
 recommendation 
ΣI
1..*
BackboneElement
Vaccine administration recommendations
+ Rule: One of vaccineCode or targetDisease SHALL be present
 vaccineCode 
Σ
0..*
CodeableConcept
Vaccine  or vaccine group recommendation applies to
Vaccine Administered Value Set (Example)
 targetDisease 
Σ
0..1
CodeableConcept
Disease to be immunized against
Immunization Recommendation Target Disease Codes (Example)
 contraindicatedVaccineCode 
Σ
0..*
CodeableConcept
Vaccine which is contraindicated to fulfill the recommendation
Vaccine Administered Value Set (Example)
 forecastStatus 
?!Σ
1..1
CodeableConcept
Vaccine recommendation status
Immunization Recommendation Status Codes (Example)
 forecastReason 
Σ
0..*
CodeableConcept
Vaccine administration status reason
Immunization Recommendation Reason Codes (Example)
 dateCriterion 
0..*
BackboneElement
Dates governing proposed immunization
 code 
1..1
CodeableConcept
Type of date
Immunization Recommendation Date Criterion Codes (Example)
 value 
1..1
dateTime
Recommended date
 description 
0..1
string
Protocol details
 series 
0..1
string
Name of vaccination series
 doseNumber[x] 
Σ
0..1
Recommended dose number within series
 doseNumberPositiveInt
positiveInt
 doseNumberString
string
 seriesDoses[x] 
0..1
Recommended number of doses for immunity
 seriesDosesPositiveInt
positiveInt
 seriesDosesString
string
 supportingImmunization 
0..*
Reference(Immunization | ImmunizationEvaluation)
Past immunizations supporting recommendation
 supportingPatientInformation 
0..*
Reference(Any)
Patient observations supporting recommendation

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pher"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
      "version" : "4.0.0",
      "name" : "ImmunizationRecommendation",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Public Health and Emergency Response)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pher/index.cfm"
        }]
      }],
      "description" : "A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ImmunizationRecommendation",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ImmunizationRecommendation",
          "path" : "ImmunizationRecommendation",
          "short" : "Guidance or advice relating to an immunization",
          "definition" : "A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "VXU_V04"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration[moodCode=RMD]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.id",
          "path" : "ImmunizationRecommendation.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImmunizationRecommendation.meta",
          "path" : "ImmunizationRecommendation.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImmunizationRecommendation.implicitRules",
          "path" : "ImmunizationRecommendation.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ImmunizationRecommendation.language",
          "path" : "ImmunizationRecommendation.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ImmunizationRecommendation.text",
          "path" : "ImmunizationRecommendation.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.contained",
          "path" : "ImmunizationRecommendation.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.extension",
          "path" : "ImmunizationRecommendation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.modifierExtension",
          "path" : "ImmunizationRecommendation.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.identifier",
          "path" : "ImmunizationRecommendation.identifier",
          "short" : "Business identifier",
          "definition" : "A unique identifier assigned to this particular recommendation record.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.patient",
          "path" : "ImmunizationRecommendation.patient",
          "short" : "Who this profile is for",
          "definition" : "The patient the recommendation(s) are for.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[typeCode=SUBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.date",
          "path" : "ImmunizationRecommendation.date",
          "short" : "Date recommendation(s) created",
          "definition" : "The date the immunization recommendation(s) were created.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.date",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "v2",
            "map" : "OBX-15"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[typeCode=AUTH].time"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.authority",
          "path" : "ImmunizationRecommendation.authority",
          "short" : "Who is responsible for protocol",
          "definition" : "Indicates the authority who published the protocol (e.g. ACIP).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.authority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 59779-9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation",
          "path" : "ImmunizationRecommendation.recommendation",
          "short" : "Vaccine administration recommendations",
          "definition" : "Vaccine administration recommendations.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "imr-1",
            "severity" : "error",
            "human" : "One of vaccineCode or targetDisease SHALL be present",
            "expression" : "vaccineCode.exists() or targetDisease.exists()",
            "xpath" : "exists(f:vaccineCode) or exists(f:targetDisease)"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode='COMP'].target[classCode=SBADM, moodCode=RMD]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.id",
          "path" : "ImmunizationRecommendation.recommendation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.extension",
          "path" : "ImmunizationRecommendation.recommendation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.modifierExtension",
          "path" : "ImmunizationRecommendation.recommendation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.vaccineCode",
          "path" : "ImmunizationRecommendation.recommendation.vaccineCode",
          "short" : "Vaccine  or vaccine group recommendation applies to",
          "definition" : "Vaccine(s) or vaccine group that pertain to the recommendation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.vaccineCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VaccineCode"
            }],
            "strength" : "example",
            "description" : "The type of vaccine administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[typeCode=CSM].role[classCode=ADMM].code"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.targetDisease",
          "path" : "ImmunizationRecommendation.recommendation.targetDisease",
          "short" : "Disease to be immunized against",
          "definition" : "The targeted disease for the recommendation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.targetDisease",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TargetDisease"
            }],
            "strength" : "example",
            "description" : "The disease that the recommended vaccination targets.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[typeCode=CSM].role[classCode=ADMM].code"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
          "path" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
          "short" : "Vaccine which is contraindicated to fulfill the recommendation",
          "definition" : "Vaccine(s) which should not be used to fulfill the recommendation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VaccineCode"
            }],
            "strength" : "example",
            "description" : "The type of vaccine administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
          }
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.forecastStatus",
          "path" : "ImmunizationRecommendation.recommendation.forecastStatus",
          "short" : "Vaccine recommendation status",
          "definition" : "Indicates the patient status with respect to the path to immunity for the target disease.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.forecastStatus",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc) or not  (contraindicated, complete, etc).",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRecommendationStatus"
            }],
            "strength" : "example",
            "description" : "The patient's status with respect to a vaccination protocol.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-status"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 59783-1"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code=\"Immunization Forecast Status\"].value"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.forecastReason",
          "path" : "ImmunizationRecommendation.recommendation.forecastReason",
          "short" : "Vaccine administration status reason",
          "definition" : "The reason for the assigned forecast status.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.forecastReason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRecommendationReason"
            }],
            "strength" : "example",
            "description" : "The reason for the patient's status with respect to a vaccination protocol.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-reason"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 30982-3"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion",
          "short" : "Dates governing proposed immunization",
          "definition" : "Vaccine date recommendations.  For example, earliest date to administer, latest date to administer, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.dateCriterion",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given, 59778-1 = Dose is overdue"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=true]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion.id",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion.extension",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion.code",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion.code",
          "short" : "Type of date",
          "definition" : "Date classification of recommendation.  For example, earliest date to give, latest date to give, etc.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.dateCriterion.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRecommendationDateCriterion"
            }],
            "strength" : "example",
            "description" : "Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion.value",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion.value",
          "short" : "Recommended date",
          "definition" : "The date whose meaning is specified by dateCriterion.code.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.dateCriterion.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.description",
          "path" : "ImmunizationRecommendation.recommendation.description",
          "short" : "Protocol details",
          "definition" : "Contains the description about the protocol under which the vaccine was administered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 30956-7"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.series",
          "path" : "ImmunizationRecommendation.recommendation.series",
          "short" : "Name of vaccination series",
          "definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.series",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-5-administered code"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.doseNumber[x]",
          "path" : "ImmunizationRecommendation.recommendation.doseNumber[x]",
          "short" : "Recommended dose number within series",
          "definition" : "Nominal position of the recommended dose in a series (e.g. dose 2 is the next recommended dose).",
          "comment" : "The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.doseNumber[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 30973-2"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=INT]].sequenceNumber"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.seriesDoses[x]",
          "path" : "ImmunizationRecommendation.recommendation.seriesDoses[x]",
          "short" : "Recommended number of doses for immunity",
          "definition" : "The recommended number of doses to achieve immunity.",
          "comment" : "The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.seriesDoses[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 59782-3"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=DEF]].sequenceNumber"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.supportingImmunization",
          "path" : "ImmunizationRecommendation.recommendation.supportingImmunization",
          "short" : "Past immunizations supporting recommendation",
          "definition" : "Immunization event history and/or evaluation that supports the status and recommendation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.supportingImmunization",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "? No clear way to associate in HL7 v2 or IG"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code=\"immunization\"]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.supportingPatientInformation",
          "path" : "ImmunizationRecommendation.recommendation.supportingPatientInformation",
          "short" : "Patient observations supporting recommendation",
          "definition" : "Patient Information that supports the status and recommendation.  This includes patient observations, adverse reactions and allergy/intolerance information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImmunizationRecommendation.recommendation.supportingPatientInformation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine administered^CVX'), could contain the reason the vaccine was not administered"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ImmunizationRecommendation",
          "path" : "ImmunizationRecommendation",
          "short" : "Guidance or advice relating to an immunization",
          "definition" : "A patient's point-in-time set of recommendations (i.e. forecasting) according to a published schedule with optional supporting justification.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "VXU_V04"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration[moodCode=RMD]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.identifier",
          "path" : "ImmunizationRecommendation.identifier",
          "short" : "Business identifier",
          "definition" : "A unique identifier assigned to this particular recommendation record.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.patient",
          "path" : "ImmunizationRecommendation.patient",
          "short" : "Who this profile is for",
          "definition" : "The patient the recommendation(s) are for.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[typeCode=SUBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.date",
          "path" : "ImmunizationRecommendation.date",
          "short" : "Date recommendation(s) created",
          "definition" : "The date the immunization recommendation(s) were created.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "v2",
            "map" : "OBX-15"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[typeCode=AUTH].time"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.authority",
          "path" : "ImmunizationRecommendation.authority",
          "short" : "Who is responsible for protocol",
          "definition" : "Indicates the authority who published the protocol (e.g. ACIP).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 59779-9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation",
          "path" : "ImmunizationRecommendation.recommendation",
          "short" : "Vaccine administration recommendations",
          "definition" : "Vaccine administration recommendations.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "imr-1",
            "severity" : "error",
            "human" : "One of vaccineCode or targetDisease SHALL be present",
            "expression" : "vaccineCode.exists() or targetDisease.exists()",
            "xpath" : "exists(f:vaccineCode) or exists(f:targetDisease)"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode='COMP'].target[classCode=SBADM, moodCode=RMD]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.vaccineCode",
          "path" : "ImmunizationRecommendation.recommendation.vaccineCode",
          "short" : "Vaccine  or vaccine group recommendation applies to",
          "definition" : "Vaccine(s) or vaccine group that pertain to the recommendation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VaccineCode"
            }],
            "strength" : "example",
            "description" : "The type of vaccine administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[typeCode=CSM].role[classCode=ADMM].code"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.targetDisease",
          "path" : "ImmunizationRecommendation.recommendation.targetDisease",
          "short" : "Disease to be immunized against",
          "definition" : "The targeted disease for the recommendation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TargetDisease"
            }],
            "strength" : "example",
            "description" : "The disease that the recommended vaccination targets.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-target-disease"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = ( 30956-7 | 38890-0 )"
          },
          {
            "identity" : "rim",
            "map" : ".partipication[typeCode=CSM].role[classCode=ADMM].code"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
          "path" : "ImmunizationRecommendation.recommendation.contraindicatedVaccineCode",
          "short" : "Vaccine which is contraindicated to fulfill the recommendation",
          "definition" : "Vaccine(s) which should not be used to fulfill the recommendation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VaccineCode"
            }],
            "strength" : "example",
            "description" : "The type of vaccine administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vaccine-code"
          }
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.forecastStatus",
          "path" : "ImmunizationRecommendation.recommendation.forecastStatus",
          "short" : "Vaccine recommendation status",
          "definition" : "Indicates the patient status with respect to the path to immunity for the target disease.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the forecastStatus indicates whether a patient needs additional doses (due, overdue, etc) or not  (contraindicated, complete, etc).",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRecommendationStatus"
            }],
            "strength" : "example",
            "description" : "The patient's status with respect to a vaccination protocol.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-status"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 59783-1"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ] .source[classCode=OBS, moodCode=EVN, code=\"Immunization Forecast Status\"].value"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.forecastReason",
          "path" : "ImmunizationRecommendation.recommendation.forecastReason",
          "short" : "Vaccine administration status reason",
          "definition" : "The reason for the assigned forecast status.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRecommendationReason"
            }],
            "strength" : "example",
            "description" : "The reason for the patient's status with respect to a vaccination protocol.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-reason"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 30982-3"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion",
          "short" : "Dates governing proposed immunization",
          "definition" : "Vaccine date recommendations.  For example, earliest date to administer, latest date to administer, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3: 30980-7 = Next dose recommended, 59777-3 = Latest next dose should be given, 59778-1 = Dose is overdue"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode='LIMIT'].target[classCode=OBS, moodCode=EVN, isCriterionInd=true]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion.code",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion.code",
          "short" : "Type of date",
          "definition" : "Date classification of recommendation.  For example, earliest date to give, latest date to give, etc.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ImmunizationRecommendationDateCriterion"
            }],
            "strength" : "example",
            "description" : "Classifies date criterion with respect to conveying information about a patient's vaccination status (e.g. due date, latest to give date, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/immunization-recommendation-date-criterion"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.dateCriterion.value",
          "path" : "ImmunizationRecommendation.recommendation.dateCriterion.value",
          "short" : "Recommended date",
          "definition" : "The date whose meaning is specified by dateCriterion.code.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5"
          },
          {
            "identity" : "rim",
            "map" : ".value"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.description",
          "path" : "ImmunizationRecommendation.recommendation.description",
          "short" : "Protocol details",
          "definition" : "Contains the description about the protocol under which the vaccine was administered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 30956-7"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.series",
          "path" : "ImmunizationRecommendation.recommendation.series",
          "short" : "Name of vaccination series",
          "definition" : "One possible path to achieve presumed immunity against a disease - within the context of an authority.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-5-administered code"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.doseNumber[x]",
          "path" : "ImmunizationRecommendation.recommendation.doseNumber[x]",
          "short" : "Recommended dose number within series",
          "definition" : "Nominal position of the recommended dose in a series (e.g. dose 2 is the next recommended dose).",
          "comment" : "The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 30973-2"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=INT]].sequenceNumber"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.seriesDoses[x]",
          "path" : "ImmunizationRecommendation.recommendation.seriesDoses[x]",
          "short" : "Recommended number of doses for immunity",
          "definition" : "The recommended number of doses to achieve immunity.",
          "comment" : "The use of an integer is prefered if known. A string should only be used in cases where an interger is not available (such as when documenting a recurring booster dose).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 : OBX-3 = 59782-3"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP, .source[classCode=SBADM, moodCode=DEF]].sequenceNumber"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.supportingImmunization",
          "path" : "ImmunizationRecommendation.recommendation.supportingImmunization",
          "short" : "Past immunizations supporting recommendation",
          "definition" : "Immunization event history and/or evaluation that supports the status and recommendation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationEvaluation"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "? No clear way to associate in HL7 v2 or IG"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target[classCode=SBADM, moodCode=EVN, code=\"immunization\"]"
          }]
        },
        {
          "id" : "ImmunizationRecommendation.recommendation.supportingPatientInformation",
          "path" : "ImmunizationRecommendation.recommendation.supportingPatientInformation",
          "short" : "Patient observations supporting recommendation",
          "definition" : "Patient Information that supports the status and recommendation.  This includes patient observations, adverse reactions and allergy/intolerance information.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "OBX If OBX is associated with ( RXA : RXA-5-administered code = '998^No vaccine administered^CVX'), could contain the reason the vaccine was not administered"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ImplementationGuide",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ImplementationGuide",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ImplementationGuide 
ITU
DomainResource
A set of rules about how FHIR is used
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: If a resource has a fhirVersion, it must be oe of the versions defined for the Implementation Guide
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
1..1
uri
Canonical identifier for this implementation guide, represented as a URI (globally unique)
 version 
Σ
0..1
string
Business version of the implementation guide
 name 
ΣI
1..1
string
Name for this implementation guide (computer friendly)
 title 
Σ
0..1
string
Name for this implementation guide (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the implementation guide
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for implementation guide (if applicable)
Jurisdiction (Extensible)
 copyright 
0..1
markdown
Use and/or publishing restrictions
 packageId 
Σ
1..1
id
NPM Package name for IG
 license 
Σ
0..1
code
SPDX license code for this IG (or not-open-source)
SPDXLicense (Required)
 fhirVersion 
Σ
1..*
code
FHIR Version(s) this Implementation Guide targets
FHIRVersion (Required)
 dependsOn 
Σ
0..*
BackboneElement
Another Implementation guide this depends on
 uri 
Σ
1..1
canonical(ImplementationGuide)
Identity of the IG that this depends on
 packageId 
Σ
0..1
id
NPM Package name for IG this depends on
 version 
Σ
0..1
string
Version of the IG
 global 
Σ
0..*
BackboneElement
Profiles that apply globally
 type 
Σ
1..1
code
Type this profile applies to
ResourceType (Required)
 profile 
Σ
1..1
canonical(StructureDefinition)
Profile that all resources must conform to
 definition 
I
0..1
BackboneElement
Information needed to build the IG
+ Rule: If a resource has a groupingId, it must refer to a grouping defined in the Implementation Guide
 grouping 
0..*
BackboneElement
Grouping used to present related resources in the IG
 name 
1..1
string
Descriptive name for the package
 description 
0..1
string
Human readable text describing the package
 resource 
1..*
BackboneElement
Resource in the implementation guide
 reference 
1..1
Reference(Any)
Location of the resource
 fhirVersion 
0..*
code
Versions this applies to (if different to IG)
FHIRVersion (Required)
 name 
0..1
string
Human Name for the resource
 description 
0..1
string
Reason why included in guide
 example[x] 
0..1
Is an example/What is this an example of?
 exampleBoolean
boolean
 exampleCanonical
canonical(StructureDefinition)
 groupingId 
0..1
id
Grouping this is part of
 page 
0..1
BackboneElement
Page/Section in the Guide
 name[x] 
1..1
Where to find that page
 nameUrl
url
 nameReference
Reference(Binary)
 title 
1..1
string
Short title shown for navigational assistance
 generation 
1..1
code
html | markdown | xml | generated
GuidePageGeneration (Required)
 page 
0..*
see page
Nested Pages / Sections
 parameter 
0..*
BackboneElement
Defines how IG is built by tools
 code 
1..1
code
apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template
GuideParameterCode (Required)
 value 
1..1
string
Value for named type
 template 
0..*
BackboneElement
A template for building resources
 code 
1..1
code
Type of template specified
 source 
1..1
string
The source location for the template
 scope 
0..1
string
The scope in which the template applies
 manifest 
0..1
BackboneElement
Information about an assembled IG
 rendering 
Σ
0..1
url
Location of rendered implementation guide
 resource 
Σ
1..*
BackboneElement
Resource in the implementation guide
 reference 
Σ
1..1
Reference(Any)
Location of the resource
 example[x] 
0..1
Is an example/What is this an example of?
 exampleBoolean
boolean
 exampleCanonical
canonical(StructureDefinition)
 relativePath 
0..1
url
Relative path for page in IG
 page 
0..*
BackboneElement
HTML page within the parent IG
 name 
1..1
string
HTML page name
 title 
0..1
string
Title of the page, for references
 anchor 
0..*
string
Anchor available on the page
 image 
0..*
string
Image within the IG
 other 
0..*
string
Additional linkable file in IG

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ImplementationGuide",
      "version" : "4.0.0",
      "name" : "ImplementationGuide",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts.",
      "purpose" : "An implementation guide is able to define default profiles that must apply to any use of a resource, so validation services may need to take one or more implementation guide resources when validating.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ImplementationGuide",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ImplementationGuide",
          "path" : "ImplementationGuide",
          "short" : "A set of rules about how FHIR is used",
          "definition" : "A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "ig-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "ig-2",
            "severity" : "error",
            "human" : "If a resource has a fhirVersion, it must be oe of the versions defined for the Implementation Guide",
            "expression" : "definition.resource.fhirVersion.all(%context.fhirVersion contains $this)",
            "xpath" : "count(for $id in (f:resource/f:fhirVersion) return $id[not(ancestor::f:fhirVersion/@value=$id/@value)])=0"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.id",
          "path" : "ImplementationGuide.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.meta",
          "path" : "ImplementationGuide.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.implicitRules",
          "path" : "ImplementationGuide.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.language",
          "path" : "ImplementationGuide.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ImplementationGuide.text",
          "path" : "ImplementationGuide.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ImplementationGuide.contained",
          "path" : "ImplementationGuide.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.extension",
          "path" : "ImplementationGuide.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.modifierExtension",
          "path" : "ImplementationGuide.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.url",
          "path" : "ImplementationGuide.url",
          "short" : "Canonical identifier for this implementation guide, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this implementation guide when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this implementation guide is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the implementation guide is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the implementation guide to be referenced by a single globally unique identifier. This is required to allow hosting Implementation Guides on multiple different servers, and to allow for the editorial process.",
          "alias" : ["url",
          "authoritative-url",
          "destination",
          "identity"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ImplementationGuide.version",
          "path" : "ImplementationGuide.version",
          "short" : "Business version of the implementation guide",
          "definition" : "The identifier that is used to identify this version of the implementation guide when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the implementation guide author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different implementation guide instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the implementation guide with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ImplementationGuide.name",
          "path" : "ImplementationGuide.name",
          "short" : "Name for this implementation guide (computer friendly)",
          "definition" : "A natural language name identifying the implementation guide. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.title",
          "path" : "ImplementationGuide.title",
          "short" : "Name for this implementation guide (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the implementation guide.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ImplementationGuide.status",
          "path" : "ImplementationGuide.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this implementation guide. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of implementation guides that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ImplementationGuide.experimental",
          "path" : "ImplementationGuide.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this implementation guide is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of implementation guides that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level implementation guide.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ImplementationGuide.date",
          "path" : "ImplementationGuide.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the implementation guide was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the implementation guide changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the implementation guide. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ImplementationGuide.publisher",
          "path" : "ImplementationGuide.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the implementation guide.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the implementation guide is the organization or individual primarily responsible for the maintenance and upkeep of the implementation guide. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the implementation guide. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the implementation guide.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ImplementationGuide.contact",
          "path" : "ImplementationGuide.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ImplementationGuide.description",
          "path" : "ImplementationGuide.description",
          "short" : "Natural language description of the implementation guide",
          "definition" : "A free text natural language description of the implementation guide from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the implementation guide was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the implementation guide as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the implementation guide is presumed to be the predominant language in the place the implementation guide was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "ImplementationGuide.useContext",
          "path" : "ImplementationGuide.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate implementation guide instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ImplementationGuide.jurisdiction",
          "path" : "ImplementationGuide.jurisdiction",
          "short" : "Intended jurisdiction for implementation guide (if applicable)",
          "definition" : "A legal or geographic region in which the implementation guide is intended to be used.",
          "comment" : "It may be possible for the implementation guide to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ImplementationGuide.copyright",
          "path" : "ImplementationGuide.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the implementation guide and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the implementation guide.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the implementation guide and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ImplementationGuide.packageId",
          "path" : "ImplementationGuide.packageId",
          "short" : "NPM Package name for IG",
          "definition" : "The NPM package name for this Implementation Guide, used in the NPM package distribution, which is the primary mechanism by which FHIR based tooling manages IG dependencies. This value must be globally unique, and should be assigned with care.",
          "comment" : "Many (if not all) IG publishing tools will require that this element be present. For implementation guides published through HL7 or the FHIR foundation, the FHIR product director assigns package IDs.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.packageId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.license",
          "path" : "ImplementationGuide.license",
          "short" : "SPDX license code for this IG (or not-open-source)",
          "definition" : "The license that applies to this Implementation Guide, using an SPDX license code, or 'not-open-source'.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.license",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SPDXLicense"
            }],
            "strength" : "required",
            "description" : "The license that applies to an Implementation Guide (using an SPDX license Identifiers, or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed to be used (https://spdx.org/licenses/).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/spdx-license|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.fhirVersion",
          "path" : "ImplementationGuide.fhirVersion",
          "short" : "FHIR Version(s) this Implementation Guide targets",
          "definition" : "The version(s) of the FHIR specification that this ImplementationGuide targets - e.g. describes how to use. The value of this element is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.0.0. for this version.",
          "comment" : "Most implementation guides target a single version - e.g. they describe how to use a particular version, and the profiles and examples etc are valid for that version. But some implementation guides describe how to use multiple different versions of FHIR to solve the same problem, or in concert with each other. Typically, the requirement to support multiple versions arises as implementation matures and different implementation communities are stuck at different versions by regulation or market dynamics.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.fhirVersion",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRVersion"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "All published FHIR Versions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.dependsOn",
          "path" : "ImplementationGuide.dependsOn",
          "short" : "Another Implementation guide this depends on",
          "definition" : "Another implementation guide that this implementation depends on. Typically, an implementation guide uses value sets, profiles etc.defined in other implementation guides.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.dependsOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.dependsOn.id",
          "path" : "ImplementationGuide.dependsOn.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.dependsOn.extension",
          "path" : "ImplementationGuide.dependsOn.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.dependsOn.modifierExtension",
          "path" : "ImplementationGuide.dependsOn.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.dependsOn.uri",
          "path" : "ImplementationGuide.dependsOn.uri",
          "short" : "Identity of the IG that this depends on",
          "definition" : "A canonical reference to the Implementation guide for the dependency.",
          "comment" : "Usually, A canonical reference to the implementation guide is the same as the master location at which the implementation guide is published.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.dependsOn.uri",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImplementationGuide"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.dependsOn.packageId",
          "path" : "ImplementationGuide.dependsOn.packageId",
          "short" : "NPM Package name for IG this depends on",
          "definition" : "The NPM package name for the Implementation Guide that this IG depends on.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.dependsOn.packageId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.dependsOn.version",
          "path" : "ImplementationGuide.dependsOn.version",
          "short" : "Version of the IG",
          "definition" : "The version of the IG that is depended on, when the correct version is required to understand the IG correctly.",
          "comment" : "This follows the syntax of the NPM packaging version field - see [[reference]].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.dependsOn.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.global",
          "path" : "ImplementationGuide.global",
          "short" : "Profiles that apply globally",
          "definition" : "A set of profiles that all resources covered by this implementation guide must conform to.",
          "comment" : "See [Default Profiles](implementationguide.html#default) for a discussion of which resources are 'covered' by an implementation guide.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.global",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.global.id",
          "path" : "ImplementationGuide.global.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.global.extension",
          "path" : "ImplementationGuide.global.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.global.modifierExtension",
          "path" : "ImplementationGuide.global.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.global.type",
          "path" : "ImplementationGuide.global.type",
          "short" : "Type this profile applies to",
          "definition" : "The type of resource that all instances must conform to.",
          "comment" : "The type must match that of the profile that is referred to but is made explicit here as a denormalization so that a system processing the implementation guide resource knows which resources the profile applies to even if the profile itself is not available.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.global.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.global.profile",
          "path" : "ImplementationGuide.global.profile",
          "short" : "Profile that all resources must conform to",
          "definition" : "A reference to the profile that all instances must conform to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.global.profile",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.definition",
          "path" : "ImplementationGuide.definition",
          "short" : "Information needed to build the IG",
          "definition" : "The information needed by an IG publisher tool to publish the whole implementation guide.",
          "comment" : "Principally, this consists of information abuot source resource and file locations, and build parameters and templates.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "ig-1",
            "severity" : "error",
            "human" : "If a resource has a groupingId, it must refer to a grouping defined in the Implementation Guide",
            "expression" : "resource.groupingId.all(%context.grouping.id contains $this)",
            "xpath" : "count(for $id in (f:resource/f:groupingId) return $id[not(ancestor::f:grouping/@id=$id/@value)])=0"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.id",
          "path" : "ImplementationGuide.definition.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.extension",
          "path" : "ImplementationGuide.definition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.modifierExtension",
          "path" : "ImplementationGuide.definition.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.grouping",
          "path" : "ImplementationGuide.definition.grouping",
          "short" : "Grouping used to present related resources in the IG",
          "definition" : "A logical group of resources. Logical groups can be used when building pages.",
          "comment" : "Groupings are arbitrary sub-divisions of content. Typically, they are used to help build Table of Contents automatically.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.definition.grouping",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.grouping.id",
          "path" : "ImplementationGuide.definition.grouping.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.grouping.extension",
          "path" : "ImplementationGuide.definition.grouping.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.grouping.modifierExtension",
          "path" : "ImplementationGuide.definition.grouping.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.grouping.name",
          "path" : "ImplementationGuide.definition.grouping.name",
          "short" : "Descriptive name for the package",
          "definition" : "The human-readable title to display for the package of resources when rendering the implementation guide.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.grouping.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.grouping.description",
          "path" : "ImplementationGuide.definition.grouping.description",
          "short" : "Human readable text describing the package",
          "definition" : "Human readable text describing the package.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.grouping.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.resource",
          "path" : "ImplementationGuide.definition.resource",
          "short" : "Resource in the implementation guide",
          "definition" : "A resource that is part of the implementation guide. Conformance resources (value set, structure definition, capability statements etc.) are obvious candidates for inclusion, but any kind of resource can be included as an example resource.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.definition.resource",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.resource.id",
          "path" : "ImplementationGuide.definition.resource.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource.extension",
          "path" : "ImplementationGuide.definition.resource.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource.modifierExtension",
          "path" : "ImplementationGuide.definition.resource.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource.reference",
          "path" : "ImplementationGuide.definition.resource.reference",
          "short" : "Location of the resource",
          "definition" : "Where this resource is found.",
          "comment" : "Usually this is a relative URL that locates the resource within the implementation guide. If you authoring an implementation guide, and will publish it using the FHIR publication tooling, use a URI that may point to a resource, or to one of various alternative representations (e.g. spreadsheet). The tooling will convert this when it publishes it.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.resource.reference",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.resource.fhirVersion",
          "path" : "ImplementationGuide.definition.resource.fhirVersion",
          "short" : "Versions this applies to (if different to IG)",
          "definition" : "Indicates the FHIR Version(s) this artifact is intended to apply to. If no versions are specified, the resource is assumed to apply to all the versions stated in ImplementationGuide.fhirVersion.",
          "comment" : "The resource SHALL be valid against all the versions it is specified to apply to. If the resource referred to is a StructureDefinition, the fhirVersion stated in the StructureDefinition cannot disagree with the version specified here; the specified versions SHALL include the version specified by the StructureDefinition, and may include additional versions using the [applicable-version](extension-structuredefinition-applicable-version.html) extension.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.definition.resource.fhirVersion",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRVersion"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "All published FHIR Versions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.definition.resource.name",
          "path" : "ImplementationGuide.definition.resource.name",
          "short" : "Human Name for the resource",
          "definition" : "A human assigned name for the resource. All resources SHOULD have a name, but the name may be extracted from the resource (e.g. ValueSet.name).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.resource.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.resource.description",
          "path" : "ImplementationGuide.definition.resource.description",
          "short" : "Reason why included in guide",
          "definition" : "A description of the reason that a resource has been included in the implementation guide.",
          "comment" : "This is mostly used with examples to explain why it is present (though they can have extensive comments in the examples).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.resource.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.resource.example[x]",
          "path" : "ImplementationGuide.definition.resource.example[x]",
          "short" : "Is an example/What is this an example of?",
          "definition" : "If true or a reference, indicates the resource is an example instance.  If a reference is present, indicates that the example is an example of the specified profile.",
          "comment" : "Examples: \n\n* StructureDefinition -> Any \n* ValueSet -> expansion \n* OperationDefinition -> Parameters \n* Questionnaire -> QuestionnaireResponse.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.resource.example[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.resource.groupingId",
          "path" : "ImplementationGuide.definition.resource.groupingId",
          "short" : "Grouping this is part of",
          "definition" : "Reference to the id of the grouping this resource appears in.",
          "comment" : "This must correspond to a package.id element within this implementation guide.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.resource.groupingId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.page",
          "path" : "ImplementationGuide.definition.page",
          "short" : "Page/Section in the Guide",
          "definition" : "A page / section in the implementation guide. The root page is the implementation guide home page.",
          "comment" : "Pages automatically become sections if they have sub-pages. By convention, the home page is called index.html.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.page",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.page.id",
          "path" : "ImplementationGuide.definition.page.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.page.extension",
          "path" : "ImplementationGuide.definition.page.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.page.modifierExtension",
          "path" : "ImplementationGuide.definition.page.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.page.name[x]",
          "path" : "ImplementationGuide.definition.page.name[x]",
          "short" : "Where to find that page",
          "definition" : "The source address for the page.",
          "comment" : "The publishing tool will autogenerate source for list (source = n/a) and inject included implementations for include (source = uri of guide to include).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.page.name[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Binary"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.page.title",
          "path" : "ImplementationGuide.definition.page.title",
          "short" : "Short title shown for navigational assistance",
          "definition" : "A short title used to represent this page in navigational structures such as table of contents, bread crumbs, etc.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.page.title",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.page.generation",
          "path" : "ImplementationGuide.definition.page.generation",
          "short" : "html | markdown | xml | generated",
          "definition" : "A code that indicates how the page is generated.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.page.generation",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GuidePageGeneration"
            }],
            "strength" : "required",
            "description" : "A code that indicates how the page is generated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/guide-page-generation|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.definition.page.page",
          "path" : "ImplementationGuide.definition.page.page",
          "short" : "Nested Pages / Sections",
          "definition" : "Nested Pages/Sections under this page.",
          "comment" : "The implementation guide breadcrumbs are generated from this structure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.definition.page.page",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ImplementationGuide.definition.page",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.parameter",
          "path" : "ImplementationGuide.definition.parameter",
          "short" : "Defines how IG is built by tools",
          "definition" : "Defines how IG is built by tools.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.definition.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.parameter.id",
          "path" : "ImplementationGuide.definition.parameter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.parameter.extension",
          "path" : "ImplementationGuide.definition.parameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.parameter.modifierExtension",
          "path" : "ImplementationGuide.definition.parameter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.parameter.code",
          "path" : "ImplementationGuide.definition.parameter.code",
          "short" : "apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template",
          "definition" : "apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.parameter.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GuideParameterCode"
            }],
            "strength" : "required",
            "description" : "Code of parameter that is input to the guide.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/guide-parameter-code|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.definition.parameter.value",
          "path" : "ImplementationGuide.definition.parameter.value",
          "short" : "Value for named type",
          "definition" : "Value for named type.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.parameter.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.template",
          "path" : "ImplementationGuide.definition.template",
          "short" : "A template for building resources",
          "definition" : "A template for building resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.definition.template",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.template.id",
          "path" : "ImplementationGuide.definition.template.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.template.extension",
          "path" : "ImplementationGuide.definition.template.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.template.modifierExtension",
          "path" : "ImplementationGuide.definition.template.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.template.code",
          "path" : "ImplementationGuide.definition.template.code",
          "short" : "Type of template specified",
          "definition" : "Type of template specified.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.template.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.template.source",
          "path" : "ImplementationGuide.definition.template.source",
          "short" : "The source location for the template",
          "definition" : "The source location for the template.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.template.source",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.definition.template.scope",
          "path" : "ImplementationGuide.definition.template.scope",
          "short" : "The scope in which the template applies",
          "definition" : "The scope in which the template applies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.definition.template.scope",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest",
          "path" : "ImplementationGuide.manifest",
          "short" : "Information about an assembled IG",
          "definition" : "Information about an assembled implementation guide, created by the publication tooling.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.manifest",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest.id",
          "path" : "ImplementationGuide.manifest.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.extension",
          "path" : "ImplementationGuide.manifest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.modifierExtension",
          "path" : "ImplementationGuide.manifest.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.rendering",
          "path" : "ImplementationGuide.manifest.rendering",
          "short" : "Location of rendered implementation guide",
          "definition" : "A pointer to official web page, PDF or other rendering of the implementation guide.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.manifest.rendering",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.manifest.resource",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ManifestResource"
          }],
          "path" : "ImplementationGuide.manifest.resource",
          "short" : "Resource in the implementation guide",
          "definition" : "A resource that is part of the implementation guide. Conformance resources (value set, structure definition, capability statements etc.) are obvious candidates for inclusion, but any kind of resource can be included as an example resource.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.manifest.resource",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.manifest.resource.id",
          "path" : "ImplementationGuide.manifest.resource.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.resource.extension",
          "path" : "ImplementationGuide.manifest.resource.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.resource.modifierExtension",
          "path" : "ImplementationGuide.manifest.resource.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.resource.reference",
          "path" : "ImplementationGuide.manifest.resource.reference",
          "short" : "Location of the resource",
          "definition" : "Where this resource is found.",
          "comment" : "Usually this is a relative URL that locates the resource within the implementation guide. If you authoring an implementation guide, and will publish it using the FHIR publication tooling, use a URI that may point to a resource, or to one of various alternative representations (e.g. spreadsheet). The tooling will convert this when it publishes it.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.manifest.resource.reference",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.manifest.resource.example[x]",
          "path" : "ImplementationGuide.manifest.resource.example[x]",
          "short" : "Is an example/What is this an example of?",
          "definition" : "If true or a reference, indicates the resource is an example instance.  If a reference is present, indicates that the example is an example of the specified profile.",
          "comment" : "Typically, conformance resources and knowledge resources are directly part of the implementation guide, with their normal meaning, and patient linked resources are usually examples. However this is not always true.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.manifest.resource.example[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest.resource.relativePath",
          "path" : "ImplementationGuide.manifest.resource.relativePath",
          "short" : "Relative path for page in IG",
          "definition" : "The relative path for primary page for this resource within the IG.",
          "comment" : "Appending 'rendering' + \"/\" + this should resolve to the resource page.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.manifest.resource.relativePath",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest.page",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ManifestPage"
          }],
          "path" : "ImplementationGuide.manifest.page",
          "short" : "HTML page within the parent IG",
          "definition" : "Information about a page within the IG.",
          "requirements" : "Allows validation of hyperlinks from a derived IG to this IG without a local copy of the IG.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.manifest.page",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest.page.id",
          "path" : "ImplementationGuide.manifest.page.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.page.extension",
          "path" : "ImplementationGuide.manifest.page.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.page.modifierExtension",
          "path" : "ImplementationGuide.manifest.page.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.page.name",
          "path" : "ImplementationGuide.manifest.page.name",
          "short" : "HTML page name",
          "definition" : "Relative path to the page.",
          "comment" : "Appending 'rendering' + \"/\" + this should resolve to the page.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.manifest.page.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest.page.title",
          "path" : "ImplementationGuide.manifest.page.title",
          "short" : "Title of the page, for references",
          "definition" : "Label for the page intended for human display.",
          "requirements" : "Allows generation of labels for markdown-generated hyperlinks.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ImplementationGuide.manifest.page.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest.page.anchor",
          "path" : "ImplementationGuide.manifest.page.anchor",
          "short" : "Anchor available on the page",
          "definition" : "The name of an anchor available on the page.",
          "comment" : "Appending 'rendering' + \"/\" + page.name + \"#\" + page.anchor should resolve to the anchor.",
          "requirements" : "Allows validation of hyperlinks from a derived IG to this IG without a local copy of the IG.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.manifest.page.anchor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest.image",
          "path" : "ImplementationGuide.manifest.image",
          "short" : "Image within the IG",
          "definition" : "Indicates a relative path to an image that exists within the IG.",
          "requirements" : "Allows validation of image links from a derived IG to this IG without a local copy of the IG.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.manifest.image",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ImplementationGuide.manifest.other",
          "path" : "ImplementationGuide.manifest.other",
          "short" : "Additional linkable file in IG",
          "definition" : "Indicates the relative path of an additional non-page, non-image file that is part of the IG - e.g. zip, jar and similar files that could be the target of a hyperlink in a derived IG.",
          "requirements" : "Allows validation of links from a derived IG to this IG without a local copy of the IG.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ImplementationGuide.manifest.other",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ImplementationGuide",
          "path" : "ImplementationGuide",
          "short" : "A set of rules about how FHIR is used",
          "definition" : "A set of rules of how a particular interoperability or standards problem is solved - typically through the use of FHIR resources. This resource is used to gather all the parts of an implementation guide into a logical whole and to publish a computable definition of all the parts.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "ig-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "ig-2",
            "severity" : "error",
            "human" : "If a resource has a fhirVersion, it must be oe of the versions defined for the Implementation Guide",
            "expression" : "definition.resource.fhirVersion.all(%context.fhirVersion contains $this)",
            "xpath" : "count(for $id in (f:resource/f:fhirVersion) return $id[not(ancestor::f:fhirVersion/@value=$id/@value)])=0"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ImplementationGuide.url",
          "path" : "ImplementationGuide.url",
          "short" : "Canonical identifier for this implementation guide, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this implementation guide when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this implementation guide is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the implementation guide is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the implementation guide to be referenced by a single globally unique identifier. This is required to allow hosting Implementation Guides on multiple different servers, and to allow for the editorial process.",
          "alias" : ["url",
          "authoritative-url",
          "destination",
          "identity"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ImplementationGuide.version",
          "path" : "ImplementationGuide.version",
          "short" : "Business version of the implementation guide",
          "definition" : "The identifier that is used to identify this version of the implementation guide when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the implementation guide author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different implementation guide instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the implementation guide with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ImplementationGuide.name",
          "path" : "ImplementationGuide.name",
          "short" : "Name for this implementation guide (computer friendly)",
          "definition" : "A natural language name identifying the implementation guide. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.title",
          "path" : "ImplementationGuide.title",
          "short" : "Name for this implementation guide (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the implementation guide.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ImplementationGuide.status",
          "path" : "ImplementationGuide.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this implementation guide. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of implementation guides that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ImplementationGuide.experimental",
          "path" : "ImplementationGuide.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this implementation guide is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of implementation guides that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level implementation guide.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ImplementationGuide.date",
          "path" : "ImplementationGuide.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the implementation guide was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the implementation guide changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the implementation guide. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ImplementationGuide.publisher",
          "path" : "ImplementationGuide.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the implementation guide.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the implementation guide is the organization or individual primarily responsible for the maintenance and upkeep of the implementation guide. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the implementation guide. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the implementation guide.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ImplementationGuide.contact",
          "path" : "ImplementationGuide.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ImplementationGuide.description",
          "path" : "ImplementationGuide.description",
          "short" : "Natural language description of the implementation guide",
          "definition" : "A free text natural language description of the implementation guide from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the implementation guide was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the implementation guide as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the implementation guide is presumed to be the predominant language in the place the implementation guide was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "ImplementationGuide.useContext",
          "path" : "ImplementationGuide.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate implementation guide instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ImplementationGuide.jurisdiction",
          "path" : "ImplementationGuide.jurisdiction",
          "short" : "Intended jurisdiction for implementation guide (if applicable)",
          "definition" : "A legal or geographic region in which the implementation guide is intended to be used.",
          "comment" : "It may be possible for the implementation guide to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ImplementationGuide.copyright",
          "path" : "ImplementationGuide.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the implementation guide and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the implementation guide.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the implementation guide and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ImplementationGuide.packageId",
          "path" : "ImplementationGuide.packageId",
          "short" : "NPM Package name for IG",
          "definition" : "The NPM package name for this Implementation Guide, used in the NPM package distribution, which is the primary mechanism by which FHIR based tooling manages IG dependencies. This value must be globally unique, and should be assigned with care.",
          "comment" : "Many (if not all) IG publishing tools will require that this element be present. For implementation guides published through HL7 or the FHIR foundation, the FHIR product director assigns package IDs.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.license",
          "path" : "ImplementationGuide.license",
          "short" : "SPDX license code for this IG (or not-open-source)",
          "definition" : "The license that applies to this Implementation Guide, using an SPDX license code, or 'not-open-source'.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SPDXLicense"
            }],
            "strength" : "required",
            "description" : "The license that applies to an Implementation Guide (using an SPDX license Identifiers, or 'not-open-source'). The binding is required but new SPDX license Identifiers are allowed to be used (https://spdx.org/licenses/).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/spdx-license|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.fhirVersion",
          "path" : "ImplementationGuide.fhirVersion",
          "short" : "FHIR Version(s) this Implementation Guide targets",
          "definition" : "The version(s) of the FHIR specification that this ImplementationGuide targets - e.g. describes how to use. The value of this element is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.0.0. for this version.",
          "comment" : "Most implementation guides target a single version - e.g. they describe how to use a particular version, and the profiles and examples etc are valid for that version. But some implementation guides describe how to use multiple different versions of FHIR to solve the same problem, or in concert with each other. Typically, the requirement to support multiple versions arises as implementation matures and different implementation communities are stuck at different versions by regulation or market dynamics.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRVersion"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "All published FHIR Versions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.dependsOn",
          "path" : "ImplementationGuide.dependsOn",
          "short" : "Another Implementation guide this depends on",
          "definition" : "Another implementation guide that this implementation depends on. Typically, an implementation guide uses value sets, profiles etc.defined in other implementation guides.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.dependsOn.uri",
          "path" : "ImplementationGuide.dependsOn.uri",
          "short" : "Identity of the IG that this depends on",
          "definition" : "A canonical reference to the Implementation guide for the dependency.",
          "comment" : "Usually, A canonical reference to the implementation guide is the same as the master location at which the implementation guide is published.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ImplementationGuide"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.dependsOn.packageId",
          "path" : "ImplementationGuide.dependsOn.packageId",
          "short" : "NPM Package name for IG this depends on",
          "definition" : "The NPM package name for the Implementation Guide that this IG depends on.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.dependsOn.version",
          "path" : "ImplementationGuide.dependsOn.version",
          "short" : "Version of the IG",
          "definition" : "The version of the IG that is depended on, when the correct version is required to understand the IG correctly.",
          "comment" : "This follows the syntax of the NPM packaging version field - see [[reference]].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.global",
          "path" : "ImplementationGuide.global",
          "short" : "Profiles that apply globally",
          "definition" : "A set of profiles that all resources covered by this implementation guide must conform to.",
          "comment" : "See [Default Profiles](implementationguide.html#default) for a discussion of which resources are 'covered' by an implementation guide.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.global.type",
          "path" : "ImplementationGuide.global.type",
          "short" : "Type this profile applies to",
          "definition" : "The type of resource that all instances must conform to.",
          "comment" : "The type must match that of the profile that is referred to but is made explicit here as a denormalization so that a system processing the implementation guide resource knows which resources the profile applies to even if the profile itself is not available.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.global.profile",
          "path" : "ImplementationGuide.global.profile",
          "short" : "Profile that all resources must conform to",
          "definition" : "A reference to the profile that all instances must conform to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.definition",
          "path" : "ImplementationGuide.definition",
          "short" : "Information needed to build the IG",
          "definition" : "The information needed by an IG publisher tool to publish the whole implementation guide.",
          "comment" : "Principally, this consists of information abuot source resource and file locations, and build parameters and templates.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ig-1",
            "severity" : "error",
            "human" : "If a resource has a groupingId, it must refer to a grouping defined in the Implementation Guide",
            "expression" : "resource.groupingId.all(%context.grouping.id contains $this)",
            "xpath" : "count(for $id in (f:resource/f:groupingId) return $id[not(ancestor::f:grouping/@id=$id/@value)])=0"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.grouping",
          "path" : "ImplementationGuide.definition.grouping",
          "short" : "Grouping used to present related resources in the IG",
          "definition" : "A logical group of resources. Logical groups can be used when building pages.",
          "comment" : "Groupings are arbitrary sub-divisions of content. Typically, they are used to help build Table of Contents automatically.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.grouping.name",
          "path" : "ImplementationGuide.definition.grouping.name",
          "short" : "Descriptive name for the package",
          "definition" : "The human-readable title to display for the package of resources when rendering the implementation guide.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.grouping.description",
          "path" : "ImplementationGuide.definition.grouping.description",
          "short" : "Human readable text describing the package",
          "definition" : "Human readable text describing the package.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource",
          "path" : "ImplementationGuide.definition.resource",
          "short" : "Resource in the implementation guide",
          "definition" : "A resource that is part of the implementation guide. Conformance resources (value set, structure definition, capability statements etc.) are obvious candidates for inclusion, but any kind of resource can be included as an example resource.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource.reference",
          "path" : "ImplementationGuide.definition.resource.reference",
          "short" : "Location of the resource",
          "definition" : "Where this resource is found.",
          "comment" : "Usually this is a relative URL that locates the resource within the implementation guide. If you authoring an implementation guide, and will publish it using the FHIR publication tooling, use a URI that may point to a resource, or to one of various alternative representations (e.g. spreadsheet). The tooling will convert this when it publishes it.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource.fhirVersion",
          "path" : "ImplementationGuide.definition.resource.fhirVersion",
          "short" : "Versions this applies to (if different to IG)",
          "definition" : "Indicates the FHIR Version(s) this artifact is intended to apply to. If no versions are specified, the resource is assumed to apply to all the versions stated in ImplementationGuide.fhirVersion.",
          "comment" : "The resource SHALL be valid against all the versions it is specified to apply to. If the resource referred to is a StructureDefinition, the fhirVersion stated in the StructureDefinition cannot disagree with the version specified here; the specified versions SHALL include the version specified by the StructureDefinition, and may include additional versions using the [applicable-version](extension-structuredefinition-applicable-version.html) extension.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRVersion"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "All published FHIR Versions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.definition.resource.name",
          "path" : "ImplementationGuide.definition.resource.name",
          "short" : "Human Name for the resource",
          "definition" : "A human assigned name for the resource. All resources SHOULD have a name, but the name may be extracted from the resource (e.g. ValueSet.name).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource.description",
          "path" : "ImplementationGuide.definition.resource.description",
          "short" : "Reason why included in guide",
          "definition" : "A description of the reason that a resource has been included in the implementation guide.",
          "comment" : "This is mostly used with examples to explain why it is present (though they can have extensive comments in the examples).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource.example[x]",
          "path" : "ImplementationGuide.definition.resource.example[x]",
          "short" : "Is an example/What is this an example of?",
          "definition" : "If true or a reference, indicates the resource is an example instance.  If a reference is present, indicates that the example is an example of the specified profile.",
          "comment" : "Examples: \n\n* StructureDefinition -> Any \n* ValueSet -> expansion \n* OperationDefinition -> Parameters \n* Questionnaire -> QuestionnaireResponse.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "ImplementationGuide.definition.resource.groupingId",
          "path" : "ImplementationGuide.definition.resource.groupingId",
          "short" : "Grouping this is part of",
          "definition" : "Reference to the id of the grouping this resource appears in.",
          "comment" : "This must correspond to a package.id element within this implementation guide.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.page",
          "path" : "ImplementationGuide.definition.page",
          "short" : "Page/Section in the Guide",
          "definition" : "A page / section in the implementation guide. The root page is the implementation guide home page.",
          "comment" : "Pages automatically become sections if they have sub-pages. By convention, the home page is called index.html.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.page.name[x]",
          "path" : "ImplementationGuide.definition.page.name[x]",
          "short" : "Where to find that page",
          "definition" : "The source address for the page.",
          "comment" : "The publishing tool will autogenerate source for list (source = n/a) and inject included implementations for include (source = uri of guide to include).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "url"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Binary"]
          }]
        },
        {
          "id" : "ImplementationGuide.definition.page.title",
          "path" : "ImplementationGuide.definition.page.title",
          "short" : "Short title shown for navigational assistance",
          "definition" : "A short title used to represent this page in navigational structures such as table of contents, bread crumbs, etc.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.page.generation",
          "path" : "ImplementationGuide.definition.page.generation",
          "short" : "html | markdown | xml | generated",
          "definition" : "A code that indicates how the page is generated.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GuidePageGeneration"
            }],
            "strength" : "required",
            "description" : "A code that indicates how the page is generated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/guide-page-generation|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.definition.page.page",
          "path" : "ImplementationGuide.definition.page.page",
          "short" : "Nested Pages / Sections",
          "definition" : "Nested Pages/Sections under this page.",
          "comment" : "The implementation guide breadcrumbs are generated from this structure.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ImplementationGuide.definition.page"
        },
        {
          "id" : "ImplementationGuide.definition.parameter",
          "path" : "ImplementationGuide.definition.parameter",
          "short" : "Defines how IG is built by tools",
          "definition" : "Defines how IG is built by tools.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.parameter.code",
          "path" : "ImplementationGuide.definition.parameter.code",
          "short" : "apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template",
          "definition" : "apply | path-resource | path-pages | path-tx-cache | expansion-parameter | rule-broken-links | generate-xml | generate-json | generate-turtle | html-template.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GuideParameterCode"
            }],
            "strength" : "required",
            "description" : "Code of parameter that is input to the guide.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/guide-parameter-code|4.0.0"
          }
        },
        {
          "id" : "ImplementationGuide.definition.parameter.value",
          "path" : "ImplementationGuide.definition.parameter.value",
          "short" : "Value for named type",
          "definition" : "Value for named type.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.template",
          "path" : "ImplementationGuide.definition.template",
          "short" : "A template for building resources",
          "definition" : "A template for building resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.template.code",
          "path" : "ImplementationGuide.definition.template.code",
          "short" : "Type of template specified",
          "definition" : "Type of template specified.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.template.source",
          "path" : "ImplementationGuide.definition.template.source",
          "short" : "The source location for the template",
          "definition" : "The source location for the template.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.definition.template.scope",
          "path" : "ImplementationGuide.definition.template.scope",
          "short" : "The scope in which the template applies",
          "definition" : "The scope in which the template applies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest",
          "path" : "ImplementationGuide.manifest",
          "short" : "Information about an assembled IG",
          "definition" : "Information about an assembled implementation guide, created by the publication tooling.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.rendering",
          "path" : "ImplementationGuide.manifest.rendering",
          "short" : "Location of rendered implementation guide",
          "definition" : "A pointer to official web page, PDF or other rendering of the implementation guide.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.manifest.resource",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ManifestResource"
          }],
          "path" : "ImplementationGuide.manifest.resource",
          "short" : "Resource in the implementation guide",
          "definition" : "A resource that is part of the implementation guide. Conformance resources (value set, structure definition, capability statements etc.) are obvious candidates for inclusion, but any kind of resource can be included as an example resource.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.manifest.resource.reference",
          "path" : "ImplementationGuide.manifest.resource.reference",
          "short" : "Location of the resource",
          "definition" : "Where this resource is found.",
          "comment" : "Usually this is a relative URL that locates the resource within the implementation guide. If you authoring an implementation guide, and will publish it using the FHIR publication tooling, use a URI that may point to a resource, or to one of various alternative representations (e.g. spreadsheet). The tooling will convert this when it publishes it.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ImplementationGuide.manifest.resource.example[x]",
          "path" : "ImplementationGuide.manifest.resource.example[x]",
          "short" : "Is an example/What is this an example of?",
          "definition" : "If true or a reference, indicates the resource is an example instance.  If a reference is present, indicates that the example is an example of the specified profile.",
          "comment" : "Typically, conformance resources and knowledge resources are directly part of the implementation guide, with their normal meaning, and patient linked resources are usually examples. However this is not always true.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.resource.relativePath",
          "path" : "ImplementationGuide.manifest.resource.relativePath",
          "short" : "Relative path for page in IG",
          "definition" : "The relative path for primary page for this resource within the IG.",
          "comment" : "Appending 'rendering' + \"/\" + this should resolve to the resource page.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.page",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ManifestPage"
          }],
          "path" : "ImplementationGuide.manifest.page",
          "short" : "HTML page within the parent IG",
          "definition" : "Information about a page within the IG.",
          "requirements" : "Allows validation of hyperlinks from a derived IG to this IG without a local copy of the IG.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.page.name",
          "path" : "ImplementationGuide.manifest.page.name",
          "short" : "HTML page name",
          "definition" : "Relative path to the page.",
          "comment" : "Appending 'rendering' + \"/\" + this should resolve to the page.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.page.title",
          "path" : "ImplementationGuide.manifest.page.title",
          "short" : "Title of the page, for references",
          "definition" : "Label for the page intended for human display.",
          "requirements" : "Allows generation of labels for markdown-generated hyperlinks.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.page.anchor",
          "path" : "ImplementationGuide.manifest.page.anchor",
          "short" : "Anchor available on the page",
          "definition" : "The name of an anchor available on the page.",
          "comment" : "Appending 'rendering' + \"/\" + page.name + \"#\" + page.anchor should resolve to the anchor.",
          "requirements" : "Allows validation of hyperlinks from a derived IG to this IG without a local copy of the IG.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.image",
          "path" : "ImplementationGuide.manifest.image",
          "short" : "Image within the IG",
          "definition" : "Indicates a relative path to an image that exists within the IG.",
          "requirements" : "Allows validation of image links from a derived IG to this IG without a local copy of the IG.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ImplementationGuide.manifest.other",
          "path" : "ImplementationGuide.manifest.other",
          "short" : "Additional linkable file in IG",
          "definition" : "Indicates the relative path of an additional non-page, non-image file that is part of the IG - e.g. zip, jar and similar files that could be the target of a hyperlink in a derived IG.",
          "requirements" : "Allows validation of links from a derived IG to this IG without a local copy of the IG.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/InsurancePlan",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "InsurancePlan",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 InsurancePlan 
ITU
DomainResource
Details of a Health Insurance product/plan provided by an organization
+ Rule: The organization SHALL at least have a name or an idendtifier, and possibly more than one
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
ΣI
0..*
Identifier
Business Identifier for Product
 status 
?!Σ
0..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 type 
Σ
0..*
CodeableConcept
Kind of product
Insurance plan type (Example)
 name 
ΣI
0..1
string
Official name
 alias 
0..*
string
Alternate names
 period 
0..1
Period
When the product is available
 ownedBy 
Σ
0..1
Reference(Organization)
Plan issuer
 administeredBy 
Σ
0..1
Reference(Organization)
Product administrator
 coverageArea 
Σ
0..*
Reference(Location)
Where product applies
 contact 
0..*
BackboneElement
Contact for the product
 purpose 
0..1
CodeableConcept
The type of contact
Contact entity type (Extensible)
 name 
0..1
HumanName
A name associated with the contact
 telecom 
0..*
ContactPoint
Contact details (telephone, email, etc.)  for a contact
 address 
0..1
Address
Visiting or postal addresses for the contact
 endpoint 
0..*
Reference(Endpoint)
Technical endpoint
 network 
0..*
Reference(Organization)
What networks are Included
 coverage 
0..*
BackboneElement
Coverage details
 type 
1..1
CodeableConcept
Type of coverage
 network 
0..*
Reference(Organization)
What networks provide coverage
 benefit 
1..*
BackboneElement
List of benefits
 type 
1..1
CodeableConcept
Type of benefit
 requirement 
0..1
string
Referral requirements
 limit 
0..*
BackboneElement
Benefit limits
 value 
0..1
Quantity
Maximum value allowed
 code 
0..1
CodeableConcept
Benefit limit details
 plan 
0..*
BackboneElement
Plan details
 identifier 
Σ
0..*
Identifier
Business Identifier for Product
 type 
0..1
CodeableConcept
Type of plan
 coverageArea 
Σ
0..*
Reference(Location)
Where product applies
 network 
0..*
Reference(Organization)
What networks provide coverage
 generalCost 
0..*
BackboneElement
Overall costs
 type 
0..1
CodeableConcept
Type of cost
 groupSize 
0..1
positiveInt
Number of enrollees
 cost 
0..1
Money
Cost value
 comment 
0..1
string
Additional cost information
 specificCost 
0..*
BackboneElement
Specific costs
 category 
1..1
CodeableConcept
General category of benefit
 benefit 
0..*
BackboneElement
Benefits list
 type 
1..1
CodeableConcept
Type of specific benefit
 cost 
0..*
BackboneElement
List of the costs
 type 
1..1
CodeableConcept
Type of cost
 applicability 
0..1
CodeableConcept
in-network | out-of-network | other
Benefit cost applicability (Required)
 qualifiers 
0..*
CodeableConcept
Additional information about the cost
 value 
0..1
Quantity
The actual cost value

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.General"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/InsurancePlan",
      "version" : "4.0.0",
      "name" : "InsurancePlan",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "Details of a Health Insurance product/plan provided by an organization.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "InsurancePlan",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "InsurancePlan",
          "path" : "InsurancePlan",
          "short" : "Details of a Health Insurance product/plan provided by an organization",
          "definition" : "Details of a Health Insurance product/plan provided by an organization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "ipn-1",
            "severity" : "error",
            "human" : "The organization SHALL at least have a name or an idendtifier, and possibly more than one",
            "expression" : "(identifier.count() + name.count()) > 0",
            "xpath" : "count(f:identifier | f:name) > 0"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "InsurancePlan.id",
          "path" : "InsurancePlan.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.meta",
          "path" : "InsurancePlan.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.implicitRules",
          "path" : "InsurancePlan.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.language",
          "path" : "InsurancePlan.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "InsurancePlan.text",
          "path" : "InsurancePlan.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "InsurancePlan.contained",
          "path" : "InsurancePlan.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.extension",
          "path" : "InsurancePlan.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.modifierExtension",
          "path" : "InsurancePlan.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.identifier",
          "path" : "InsurancePlan.identifier",
          "short" : "Business Identifier for Product",
          "definition" : "Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "condition" : ["ipn-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".scopes[Role](classCode=IDENT)"
          }]
        },
        {
          "id" : "InsurancePlan.status",
          "path" : "InsurancePlan.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The current state of the health insurance product.",
          "requirements" : "Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "Default interpretation is active.",
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains codes which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "InsurancePlan.type",
          "path" : "InsurancePlan.type",
          "short" : "Kind of product",
          "definition" : "The kind of health insurance product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InsurancePlanType"
            }],
            "strength" : "example",
            "description" : "Used to categorize the product/plan.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/insuranceplan-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "InsurancePlan.name",
          "path" : "InsurancePlan.name",
          "short" : "Official name",
          "definition" : "Official name of the health insurance product as designated by the owner.",
          "comment" : "If the name of the product/plan changes, consider putting the old name in the alias column so that it can still be located through searches.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["ipn-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "InsurancePlan.alias",
          "path" : "InsurancePlan.alias",
          "short" : "Alternate names",
          "definition" : "A list of alternate names that the product is known as, or was known as in the past.",
          "comment" : "There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the product/plan.",
          "requirements" : "Over time products/plans go through many changes and can be known by different names.\n\nFor searching knowing previous names that the product/plan was known by can be very useful.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.alias",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "InsurancePlan.period",
          "path" : "InsurancePlan.period",
          "short" : "When the product is available",
          "definition" : "The period of time that the health insurance product is available.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.ownedBy",
          "path" : "InsurancePlan.ownedBy",
          "short" : "Plan issuer",
          "definition" : "The entity that is providing  the health insurance product and underwriting the risk.  This is typically an insurance carriers, other third-party payers, or health plan sponsors comonly referred to as 'payers'.",
          "alias" : ["Payer"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.ownedBy",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.administeredBy",
          "path" : "InsurancePlan.administeredBy",
          "short" : "Product administrator",
          "definition" : "An organization which administer other services such as underwriting, customer service and/or claims processing on behalf of the health insurance product owner.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.administeredBy",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.coverageArea",
          "path" : "InsurancePlan.coverageArea",
          "short" : "Where product applies",
          "definition" : "The geographic region in which a health insurance product's benefits apply.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.coverageArea",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.contact",
          "path" : "InsurancePlan.contact",
          "short" : "Contact for the product",
          "definition" : "The contact for the health insurance product for a certain purpose.",
          "comment" : "Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.",
          "requirements" : "Need to keep track of assigned contact points within bigger organization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".contactParty"
          }]
        },
        {
          "id" : "InsurancePlan.contact.id",
          "path" : "InsurancePlan.contact.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.contact.extension",
          "path" : "InsurancePlan.contact.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.contact.modifierExtension",
          "path" : "InsurancePlan.contact.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.contact.purpose",
          "path" : "InsurancePlan.contact.purpose",
          "short" : "The type of contact",
          "definition" : "Indicates a purpose for which the contact can be reached.",
          "requirements" : "Need to distinguish between multiple contact persons.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.contact.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContactPartyType"
            }],
            "strength" : "extensible",
            "description" : "The purpose for which you would contact a contact party.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contactentity-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./type"
          }]
        },
        {
          "id" : "InsurancePlan.contact.name",
          "path" : "InsurancePlan.contact.name",
          "short" : "A name associated with the contact",
          "definition" : "A name associated with the contact.",
          "requirements" : "Need to be able to track the person by name.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.contact.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "HumanName"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./name"
          }]
        },
        {
          "id" : "InsurancePlan.contact.telecom",
          "path" : "InsurancePlan.contact.telecom",
          "short" : "Contact details (telephone, email, etc.)  for a contact",
          "definition" : "A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.contact.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./telecom"
          }]
        },
        {
          "id" : "InsurancePlan.contact.address",
          "path" : "InsurancePlan.contact.address",
          "short" : "Visiting or postal addresses for the contact",
          "definition" : "Visiting or postal addresses for the contact.",
          "requirements" : "May need to keep track of a contact party's address for contacting, billing or reporting requirements.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.contact.address",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Address"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./addr"
          }]
        },
        {
          "id" : "InsurancePlan.endpoint",
          "path" : "InsurancePlan.endpoint",
          "short" : "Technical endpoint",
          "definition" : "The technical endpoints providing access to services operated for the health insurance product.",
          "requirements" : "Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.network",
          "path" : "InsurancePlan.network",
          "short" : "What networks are Included",
          "definition" : "Reference to the network included in the health insurance product.",
          "comment" : "Networks are represented as a hierarchy of organization resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.network",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage",
          "path" : "InsurancePlan.coverage",
          "short" : "Coverage details",
          "definition" : "Details about the coverage offered by the insurance product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.coverage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage.id",
          "path" : "InsurancePlan.coverage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.extension",
          "path" : "InsurancePlan.coverage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.modifierExtension",
          "path" : "InsurancePlan.coverage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.type",
          "path" : "InsurancePlan.coverage.type",
          "short" : "Type of coverage",
          "definition" : "Type of coverage  (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.coverage.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage.network",
          "path" : "InsurancePlan.coverage.network",
          "short" : "What networks provide coverage",
          "definition" : "Reference to the network that providing the type of coverage.",
          "comment" : "Networks are represented as a hierarchy of organization resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.coverage.network",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage.benefit",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "CoverageBenefit"
          }],
          "path" : "InsurancePlan.coverage.benefit",
          "short" : "List of benefits",
          "definition" : "Specific benefits under this type of coverage.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.coverage.benefit",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage.benefit.id",
          "path" : "InsurancePlan.coverage.benefit.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.extension",
          "path" : "InsurancePlan.coverage.benefit.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.modifierExtension",
          "path" : "InsurancePlan.coverage.benefit.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.type",
          "path" : "InsurancePlan.coverage.benefit.type",
          "short" : "Type of benefit",
          "definition" : "Type of benefit (primary care; speciality care; inpatient; outpatient).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.coverage.benefit.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage.benefit.requirement",
          "path" : "InsurancePlan.coverage.benefit.requirement",
          "short" : "Referral requirements",
          "definition" : "The referral requirements to have access/coverage for this benefit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.coverage.benefit.requirement",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit",
          "path" : "InsurancePlan.coverage.benefit.limit",
          "short" : "Benefit limits",
          "definition" : "The specific limits on the benefit.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.coverage.benefit.limit",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit.id",
          "path" : "InsurancePlan.coverage.benefit.limit.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit.extension",
          "path" : "InsurancePlan.coverage.benefit.limit.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit.modifierExtension",
          "path" : "InsurancePlan.coverage.benefit.limit.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit.value",
          "path" : "InsurancePlan.coverage.benefit.limit.value",
          "short" : "Maximum value allowed",
          "definition" : "The maximum amount of a service item a plan will pay for a covered benefit.  For examples. wellness visits, or eyeglasses.",
          "comment" : "May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.coverage.benefit.limit.value",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit.code",
          "path" : "InsurancePlan.coverage.benefit.limit.code",
          "short" : "Benefit limit details",
          "definition" : "The specific limit on the benefit.",
          "comment" : "Use `CodeableConcept.text` element if the data is free (uncoded) text.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.coverage.benefit.limit.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan",
          "path" : "InsurancePlan.plan",
          "short" : "Plan details",
          "definition" : "Details about an insurance plan.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.id",
          "path" : "InsurancePlan.plan.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.extension",
          "path" : "InsurancePlan.plan.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.modifierExtension",
          "path" : "InsurancePlan.plan.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.plan.identifier",
          "path" : "InsurancePlan.plan.identifier",
          "short" : "Business Identifier for Product",
          "definition" : "Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".scopes[Role](classCode=IDENT)"
          }]
        },
        {
          "id" : "InsurancePlan.plan.type",
          "path" : "InsurancePlan.plan.type",
          "short" : "Type of plan",
          "definition" : "Type of plan. For example, \"Platinum\" or \"High Deductable\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.coverageArea",
          "path" : "InsurancePlan.plan.coverageArea",
          "short" : "Where product applies",
          "definition" : "The geographic region in which a health insurance plan's benefits apply.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan.coverageArea",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.plan.network",
          "path" : "InsurancePlan.plan.network",
          "short" : "What networks provide coverage",
          "definition" : "Reference to the network that providing the type of coverage.",
          "comment" : "Networks are represented as a hierarchy of organization resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan.network",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.generalCost",
          "path" : "InsurancePlan.plan.generalCost",
          "short" : "Overall costs",
          "definition" : "Overall costs associated with the plan.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan.generalCost",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.generalCost.id",
          "path" : "InsurancePlan.plan.generalCost.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.generalCost.extension",
          "path" : "InsurancePlan.plan.generalCost.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.generalCost.modifierExtension",
          "path" : "InsurancePlan.plan.generalCost.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.plan.generalCost.type",
          "path" : "InsurancePlan.plan.generalCost.type",
          "short" : "Type of cost",
          "definition" : "Type of cost.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.generalCost.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.generalCost.groupSize",
          "path" : "InsurancePlan.plan.generalCost.groupSize",
          "short" : "Number of enrollees",
          "definition" : "Number of participants enrolled in the plan.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.generalCost.groupSize",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.generalCost.cost",
          "path" : "InsurancePlan.plan.generalCost.cost",
          "short" : "Cost value",
          "definition" : "Value of the cost.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.generalCost.cost",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.generalCost.comment",
          "path" : "InsurancePlan.plan.generalCost.comment",
          "short" : "Additional cost information",
          "definition" : "Additional information about the general costs associated with this plan.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.generalCost.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.specificCost",
          "path" : "InsurancePlan.plan.specificCost",
          "short" : "Specific costs",
          "definition" : "Costs associated with the coverage provided by the product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.specificCost.id",
          "path" : "InsurancePlan.plan.specificCost.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.extension",
          "path" : "InsurancePlan.plan.specificCost.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.modifierExtension",
          "path" : "InsurancePlan.plan.specificCost.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.category",
          "path" : "InsurancePlan.plan.specificCost.category",
          "short" : "General category of benefit",
          "definition" : "General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost.category",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "PlanBenefit"
          }],
          "path" : "InsurancePlan.plan.specificCost.benefit",
          "short" : "Benefits list",
          "definition" : "List of the specific benefits under this category of benefit.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost.benefit",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.id",
          "path" : "InsurancePlan.plan.specificCost.benefit.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.extension",
          "path" : "InsurancePlan.plan.specificCost.benefit.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.modifierExtension",
          "path" : "InsurancePlan.plan.specificCost.benefit.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.type",
          "path" : "InsurancePlan.plan.specificCost.benefit.type",
          "short" : "Type of specific benefit",
          "definition" : "Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost.benefit.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost",
          "short" : "List of the costs",
          "definition" : "List of the costs associated with a specific benefit.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost.benefit.cost",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.id",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.extension",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.modifierExtension",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.type",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.type",
          "short" : "Type of cost",
          "definition" : "Type of cost (copay; individual cap; family cap; coinsurance; deductible).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost.benefit.cost.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.applicability",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.applicability",
          "short" : "in-network | out-of-network | other",
          "definition" : "Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost.benefit.cost.applicability",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCostApplicability"
            }],
            "strength" : "required",
            "description" : "Whether the cost applies to in-network or out-of-network providers.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.0"
          }
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.qualifiers",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.qualifiers",
          "short" : "Additional information about the cost",
          "definition" : "Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost.benefit.cost.qualifiers",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.value",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.value",
          "short" : "The actual cost value",
          "definition" : "The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "InsurancePlan.plan.specificCost.benefit.cost.value",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "InsurancePlan",
          "path" : "InsurancePlan",
          "short" : "Details of a Health Insurance product/plan provided by an organization",
          "definition" : "Details of a Health Insurance product/plan provided by an organization.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "ipn-1",
            "severity" : "error",
            "human" : "The organization SHALL at least have a name or an idendtifier, and possibly more than one",
            "expression" : "(identifier.count() + name.count()) > 0",
            "xpath" : "count(f:identifier | f:name) > 0"
          }]
        },
        {
          "id" : "InsurancePlan.identifier",
          "path" : "InsurancePlan.identifier",
          "short" : "Business Identifier for Product",
          "definition" : "Business identifiers assigned to this health insurance product which remain constant as the resource is updated and propagates from server to server.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "condition" : ["ipn-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".scopes[Role](classCode=IDENT)"
          }]
        },
        {
          "id" : "InsurancePlan.status",
          "path" : "InsurancePlan.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The current state of the health insurance product.",
          "requirements" : "Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "Default interpretation is active.",
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains codes which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "InsurancePlan.type",
          "path" : "InsurancePlan.type",
          "short" : "Kind of product",
          "definition" : "The kind of health insurance product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InsurancePlanType"
            }],
            "strength" : "example",
            "description" : "Used to categorize the product/plan.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/insuranceplan-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "InsurancePlan.name",
          "path" : "InsurancePlan.name",
          "short" : "Official name",
          "definition" : "Official name of the health insurance product as designated by the owner.",
          "comment" : "If the name of the product/plan changes, consider putting the old name in the alias column so that it can still be located through searches.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["ipn-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "InsurancePlan.alias",
          "path" : "InsurancePlan.alias",
          "short" : "Alternate names",
          "definition" : "A list of alternate names that the product is known as, or was known as in the past.",
          "comment" : "There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the product/plan.",
          "requirements" : "Over time products/plans go through many changes and can be known by different names.\n\nFor searching knowing previous names that the product/plan was known by can be very useful.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "InsurancePlan.period",
          "path" : "InsurancePlan.period",
          "short" : "When the product is available",
          "definition" : "The period of time that the health insurance product is available.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        },
        {
          "id" : "InsurancePlan.ownedBy",
          "path" : "InsurancePlan.ownedBy",
          "short" : "Plan issuer",
          "definition" : "The entity that is providing  the health insurance product and underwriting the risk.  This is typically an insurance carriers, other third-party payers, or health plan sponsors comonly referred to as 'payers'.",
          "alias" : ["Payer"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.administeredBy",
          "path" : "InsurancePlan.administeredBy",
          "short" : "Product administrator",
          "definition" : "An organization which administer other services such as underwriting, customer service and/or claims processing on behalf of the health insurance product owner.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.coverageArea",
          "path" : "InsurancePlan.coverageArea",
          "short" : "Where product applies",
          "definition" : "The geographic region in which a health insurance product's benefits apply.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.contact",
          "path" : "InsurancePlan.contact",
          "short" : "Contact for the product",
          "definition" : "The contact for the health insurance product for a certain purpose.",
          "comment" : "Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.",
          "requirements" : "Need to keep track of assigned contact points within bigger organization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".contactParty"
          }]
        },
        {
          "id" : "InsurancePlan.contact.purpose",
          "path" : "InsurancePlan.contact.purpose",
          "short" : "The type of contact",
          "definition" : "Indicates a purpose for which the contact can be reached.",
          "requirements" : "Need to distinguish between multiple contact persons.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContactPartyType"
            }],
            "strength" : "extensible",
            "description" : "The purpose for which you would contact a contact party.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contactentity-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./type"
          }]
        },
        {
          "id" : "InsurancePlan.contact.name",
          "path" : "InsurancePlan.contact.name",
          "short" : "A name associated with the contact",
          "definition" : "A name associated with the contact.",
          "requirements" : "Need to be able to track the person by name.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "HumanName"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./name"
          }]
        },
        {
          "id" : "InsurancePlan.contact.telecom",
          "path" : "InsurancePlan.contact.telecom",
          "short" : "Contact details (telephone, email, etc.)  for a contact",
          "definition" : "A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./telecom"
          }]
        },
        {
          "id" : "InsurancePlan.contact.address",
          "path" : "InsurancePlan.contact.address",
          "short" : "Visiting or postal addresses for the contact",
          "definition" : "Visiting or postal addresses for the contact.",
          "requirements" : "May need to keep track of a contact party's address for contacting, billing or reporting requirements.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Address"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./addr"
          }]
        },
        {
          "id" : "InsurancePlan.endpoint",
          "path" : "InsurancePlan.endpoint",
          "short" : "Technical endpoint",
          "definition" : "The technical endpoints providing access to services operated for the health insurance product.",
          "requirements" : "Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "InsurancePlan.network",
          "path" : "InsurancePlan.network",
          "short" : "What networks are Included",
          "definition" : "Reference to the network included in the health insurance product.",
          "comment" : "Networks are represented as a hierarchy of organization resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "InsurancePlan.coverage",
          "path" : "InsurancePlan.coverage",
          "short" : "Coverage details",
          "definition" : "Details about the coverage offered by the insurance product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.type",
          "path" : "InsurancePlan.coverage.type",
          "short" : "Type of coverage",
          "definition" : "Type of coverage  (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.network",
          "path" : "InsurancePlan.coverage.network",
          "short" : "What networks provide coverage",
          "definition" : "Reference to the network that providing the type of coverage.",
          "comment" : "Networks are represented as a hierarchy of organization resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "CoverageBenefit"
          }],
          "path" : "InsurancePlan.coverage.benefit",
          "short" : "List of benefits",
          "definition" : "Specific benefits under this type of coverage.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.type",
          "path" : "InsurancePlan.coverage.benefit.type",
          "short" : "Type of benefit",
          "definition" : "Type of benefit (primary care; speciality care; inpatient; outpatient).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.requirement",
          "path" : "InsurancePlan.coverage.benefit.requirement",
          "short" : "Referral requirements",
          "definition" : "The referral requirements to have access/coverage for this benefit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit",
          "path" : "InsurancePlan.coverage.benefit.limit",
          "short" : "Benefit limits",
          "definition" : "The specific limits on the benefit.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit.value",
          "path" : "InsurancePlan.coverage.benefit.limit.value",
          "short" : "Maximum value allowed",
          "definition" : "The maximum amount of a service item a plan will pay for a covered benefit.  For examples. wellness visits, or eyeglasses.",
          "comment" : "May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }]
        },
        {
          "id" : "InsurancePlan.coverage.benefit.limit.code",
          "path" : "InsurancePlan.coverage.benefit.limit.code",
          "short" : "Benefit limit details",
          "definition" : "The specific limit on the benefit.",
          "comment" : "Use `CodeableConcept.text` element if the data is free (uncoded) text.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.plan",
          "path" : "InsurancePlan.plan",
          "short" : "Plan details",
          "definition" : "Details about an insurance plan.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "InsurancePlan.plan.identifier",
          "path" : "InsurancePlan.plan.identifier",
          "short" : "Business Identifier for Product",
          "definition" : "Business identifiers assigned to this health insurance plan which remain constant as the resource is updated and propagates from server to server.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".scopes[Role](classCode=IDENT)"
          }]
        },
        {
          "id" : "InsurancePlan.plan.type",
          "path" : "InsurancePlan.plan.type",
          "short" : "Type of plan",
          "definition" : "Type of plan. For example, \"Platinum\" or \"High Deductable\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.plan.coverageArea",
          "path" : "InsurancePlan.plan.coverageArea",
          "short" : "Where product applies",
          "definition" : "The geographic region in which a health insurance plan's benefits apply.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true
        },
        {
          "id" : "InsurancePlan.plan.network",
          "path" : "InsurancePlan.plan.network",
          "short" : "What networks provide coverage",
          "definition" : "Reference to the network that providing the type of coverage.",
          "comment" : "Networks are represented as a hierarchy of organization resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "InsurancePlan.plan.generalCost",
          "path" : "InsurancePlan.plan.generalCost",
          "short" : "Overall costs",
          "definition" : "Overall costs associated with the plan.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "InsurancePlan.plan.generalCost.type",
          "path" : "InsurancePlan.plan.generalCost.type",
          "short" : "Type of cost",
          "definition" : "Type of cost.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.plan.generalCost.groupSize",
          "path" : "InsurancePlan.plan.generalCost.groupSize",
          "short" : "Number of enrollees",
          "definition" : "Number of participants enrolled in the plan.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }]
        },
        {
          "id" : "InsurancePlan.plan.generalCost.cost",
          "path" : "InsurancePlan.plan.generalCost.cost",
          "short" : "Cost value",
          "definition" : "Value of the cost.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "InsurancePlan.plan.generalCost.comment",
          "path" : "InsurancePlan.plan.generalCost.comment",
          "short" : "Additional cost information",
          "definition" : "Additional information about the general costs associated with this plan.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost",
          "path" : "InsurancePlan.plan.specificCost",
          "short" : "Specific costs",
          "definition" : "Costs associated with the coverage provided by the product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.category",
          "path" : "InsurancePlan.plan.specificCost.category",
          "short" : "General category of benefit",
          "definition" : "General category of benefit (Medical; Dental; Vision; Drug; Mental Health; Substance Abuse; Hospice, Home Health).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "PlanBenefit"
          }],
          "path" : "InsurancePlan.plan.specificCost.benefit",
          "short" : "Benefits list",
          "definition" : "List of the specific benefits under this category of benefit.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.type",
          "path" : "InsurancePlan.plan.specificCost.benefit.type",
          "short" : "Type of specific benefit",
          "definition" : "Type of specific benefit (preventative; primary care office visit; speciality office visit; hospitalization; emergency room; urgent care).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost",
          "short" : "List of the costs",
          "definition" : "List of the costs associated with a specific benefit.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.type",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.type",
          "short" : "Type of cost",
          "definition" : "Type of cost (copay; individual cap; family cap; coinsurance; deductible).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.applicability",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.applicability",
          "short" : "in-network | out-of-network | other",
          "definition" : "Whether the cost applies to in-network or out-of-network providers (in-network; out-of-network; other).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BenefitCostApplicability"
            }],
            "strength" : "required",
            "description" : "Whether the cost applies to in-network or out-of-network providers.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/insuranceplan-applicability|4.0.0"
          }
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.qualifiers",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.qualifiers",
          "short" : "Additional information about the cost",
          "definition" : "Additional information about the cost, such as information about funding sources (e.g. HSA, HRA, FSA, RRA).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "InsurancePlan.plan.specificCost.benefit.cost.value",
          "path" : "InsurancePlan.plan.specificCost.benefit.cost.value",
          "short" : "The actual cost value",
          "definition" : "The actual cost value. (some of the costs may be represented as percentages rather than currency, e.g. 10% coinsurance).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Invoice",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Invoice",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Invoice 
TU
DomainResource
Invoice containing ChargeItems from an Account
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business Identifier for item
 status 
?!Σ
1..1
code
draft | issued | balanced | cancelled | entered-in-error
InvoiceStatus (Required)
 cancelledReason 
0..1
string
Reason for cancellation of this Invoice
 type 
Σ
0..1
CodeableConcept
Type of Invoice
 subject 
Σ
0..1
Reference(Patient | Group)
Recipient(s) of goods and services
 recipient 
Σ
0..1
Reference(Organization | Patient | RelatedPerson)
Recipient of this invoice
 date 
Σ
0..1
dateTime
Invoice date / posting date
 participant 
0..*
BackboneElement
Participant in creation of this Invoice
 role 
0..1
CodeableConcept
Type of involvement in creation of this Invoice
 actor 
1..1
Reference(Practitioner | Organization | Patient | PractitionerRole | Device | RelatedPerson)
Individual who was involved
 issuer 
0..1
Reference(Organization)
Issuing Organization of Invoice
 account 
0..1
Reference(Account)
Account that is being balanced
 lineItem 
0..*
BackboneElement
Line items of this Invoice
 sequence 
0..1
positiveInt
Sequence number of line item
 chargeItem[x] 
1..1
Reference to ChargeItem containing details of this line item or an inline billing code
 chargeItemReference
Reference(ChargeItem)
 chargeItemCodeableConcept
CodeableConcept
 priceComponent 
0..*
BackboneElement
Components of total line item price
 type 
1..1
code
base | surcharge | deduction | discount | tax | informational
InvoicePriceComponentType (Required)
 code 
0..1
CodeableConcept
Code identifying the specific component
 factor 
0..1
decimal
Factor used for calculating this component
 amount 
0..1
Money
Monetary amount associated with this component
 totalPriceComponent 
0..*
see priceComponent
Components of Invoice total
 totalNet 
Σ
0..1
Money
Net total of this Invoice
 totalGross 
Σ
0..1
Money
Gross total of this Invoice
 paymentTerms 
0..1
markdown
Payment details
 note 
0..*
Annotation
Comments made about the invoice

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Billing"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Invoice",
      "version" : "4.0.0",
      "name" : "Invoice",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Invoice",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Invoice",
          "path" : "Invoice",
          "short" : "Invoice containing ChargeItems from an Account",
          "definition" : "Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Invoice",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "FT1"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode=EVN]"
          }]
        },
        {
          "id" : "Invoice.id",
          "path" : "Invoice.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Invoice.meta",
          "path" : "Invoice.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Invoice.implicitRules",
          "path" : "Invoice.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Invoice.language",
          "path" : "Invoice.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Invoice.text",
          "path" : "Invoice.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Invoice.contained",
          "path" : "Invoice.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Invoice.extension",
          "path" : "Invoice.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Invoice.modifierExtension",
          "path" : "Invoice.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Invoice.identifier",
          "path" : "Invoice.identifier",
          "short" : "Business Identifier for item",
          "definition" : "Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments.",
          "requirements" : "Allows Identification of this Invoice instance.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Invoice.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "FT1.2"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "Invoice.status",
          "path" : "Invoice.status",
          "short" : "draft | issued | balanced | cancelled | entered-in-error",
          "definition" : "The current state of the Invoice.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Invoice.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InvoiceStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of an Invoice.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/invoice-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Invoice.cancelledReason",
          "path" : "Invoice.cancelledReason",
          "short" : "Reason for cancellation of this Invoice",
          "definition" : "In case of Invoice cancellation a reason must be given (entered in error, superseded by corrected invoice etc.).",
          "comment" : "Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.cancelledReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Invoice.type",
          "path" : "Invoice.type",
          "short" : "Type of Invoice",
          "definition" : "Type of Invoice depending on domain, realm an usage (e.g. internal/external, dental, preliminary).",
          "alias" : ["type"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "FT1.7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Invoice.subject",
          "path" : "Invoice.subject",
          "short" : "Recipient(s) of goods and services",
          "definition" : "The individual or set of individuals receiving the goods and services billed in this invoice.",
          "requirements" : "Links the event to the Patient context.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PAT in proximity to FT1 segment"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Invoice.recipient",
          "path" : "Invoice.recipient",
          "short" : "Recipient of this invoice",
          "definition" : "The individual or Organization responsible for balancing of this invoice.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.recipient",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1 in proximity to FT1 segment"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "Invoice.date",
          "path" : "Invoice.date",
          "short" : "Invoice date / posting date",
          "definition" : "Date/time(s) of when this Invoice was posted.",
          "comment" : "The list of types may be constrained as appropriate for the type of charge item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Invoice.participant",
          "path" : "Invoice.participant",
          "short" : "Participant in creation of this Invoice",
          "definition" : "Indicates who or what performed or participated in the charged service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Invoice.participant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Invoice.participant.id",
          "path" : "Invoice.participant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Invoice.participant.extension",
          "path" : "Invoice.participant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Invoice.participant.modifierExtension",
          "path" : "Invoice.participant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Invoice.participant.role",
          "path" : "Invoice.participant.role",
          "short" : "Type of involvement in creation of this Invoice",
          "definition" : "Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.participant.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation.functionCode"
          }]
        },
        {
          "id" : "Invoice.participant.actor",
          "path" : "Invoice.participant.actor",
          "short" : "Individual who was involved",
          "definition" : "The device, practitioner, etc. who performed or participated in the service.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Invoice.participant.actor",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "Invoice.issuer",
          "path" : "Invoice.issuer",
          "short" : "Issuing Organization of Invoice",
          "definition" : "The organizationissuing the Invoice.",
          "comment" : "Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.issuer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "Invoice.account",
          "path" : "Invoice.account",
          "short" : "Account that is being balanced",
          "definition" : "Account which is supposed to be balanced with this Invoice.",
          "comment" : "Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.account",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Invoice.lineItem",
          "path" : "Invoice.lineItem",
          "short" : "Line items of this Invoice",
          "definition" : "Each line item represents one charge for goods and services rendered. Details such as date, code and amount are found in the referenced ChargeItem resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Invoice.lineItem",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Invoice.lineItem.id",
          "path" : "Invoice.lineItem.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Invoice.lineItem.extension",
          "path" : "Invoice.lineItem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Invoice.lineItem.modifierExtension",
          "path" : "Invoice.lineItem.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Invoice.lineItem.sequence",
          "path" : "Invoice.lineItem.sequence",
          "short" : "Sequence number of line item",
          "definition" : "Sequence in which the items appear on the invoice.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.lineItem.sequence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Invoice.lineItem.chargeItem[x]",
          "path" : "Invoice.lineItem.chargeItem[x]",
          "short" : "Reference to ChargeItem containing details of this line item or an inline billing code",
          "definition" : "The ChargeItem contains information such as the billing code, date, amount etc. If no further details are required for the lineItem, inline billing codes can be added using the CodeableConcept data type instead of the Reference.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Invoice.lineItem.chargeItem[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItem"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent",
          "path" : "Invoice.lineItem.priceComponent",
          "short" : "Components of total line item price",
          "definition" : "The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice as to how the prices have been calculated.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Invoice.lineItem.priceComponent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.id",
          "path" : "Invoice.lineItem.priceComponent.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.extension",
          "path" : "Invoice.lineItem.priceComponent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.modifierExtension",
          "path" : "Invoice.lineItem.priceComponent.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.type",
          "path" : "Invoice.lineItem.priceComponent.type",
          "short" : "base | surcharge | deduction | discount | tax | informational",
          "definition" : "This code identifies the type of the component.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Invoice.lineItem.priceComponent.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InvoicePriceComponentType"
            }],
            "strength" : "required",
            "description" : "Codes indicating the kind of the price component.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "v2",
            "map" : "FT1.7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.code",
          "path" : "Invoice.lineItem.priceComponent.code",
          "short" : "Code identifying the specific component",
          "definition" : "A code that identifies the component. Codes may be used to differentiate between kinds of taxes, surcharges, discounts etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.lineItem.priceComponent.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "v2",
            "map" : "FT1.7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.factor",
          "path" : "Invoice.lineItem.priceComponent.factor",
          "short" : "Factor used for calculating this component",
          "definition" : "The factor that has been applied on the base price for calculating this component.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.lineItem.priceComponent.factor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.amount",
          "path" : "Invoice.lineItem.priceComponent.amount",
          "short" : "Monetary amount associated with this component",
          "definition" : "The amount calculated for this component.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.lineItem.priceComponent.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "Invoice.totalPriceComponent",
          "path" : "Invoice.totalPriceComponent",
          "short" : "Components of Invoice total",
          "definition" : "The total amount for the Invoice may be calculated as the sum of the line items with surcharges/deductions that apply in certain conditions.  The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the total price was calculated.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Invoice.totalPriceComponent",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Invoice.lineItem.priceComponent",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Invoice.totalNet",
          "path" : "Invoice.totalNet",
          "short" : "Net total of this Invoice",
          "definition" : "Invoice total , taxes excluded.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.totalNet",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "Invoice.totalGross",
          "path" : "Invoice.totalGross",
          "short" : "Gross total of this Invoice",
          "definition" : "Invoice total, tax included.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.totalGross",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "Invoice.paymentTerms",
          "path" : "Invoice.paymentTerms",
          "short" : "Payment details",
          "definition" : "Payment details such as banking details, period of payment, deductibles, methods of payment.",
          "comment" : "Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Invoice.paymentTerms",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Invoice.note",
          "path" : "Invoice.note",
          "short" : "Comments made about the invoice",
          "definition" : "Comments made about the invoice by the issuer, subject, or other participants.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Invoice.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Invoice",
          "path" : "Invoice",
          "short" : "Invoice containing ChargeItems from an Account",
          "definition" : "Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode=EVN]"
          }]
        },
        {
          "id" : "Invoice.identifier",
          "path" : "Invoice.identifier",
          "short" : "Business Identifier for item",
          "definition" : "Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments.",
          "requirements" : "Allows Identification of this Invoice instance.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "FT1.2"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "Invoice.status",
          "path" : "Invoice.status",
          "short" : "draft | issued | balanced | cancelled | entered-in-error",
          "definition" : "The current state of the Invoice.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InvoiceStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of an Invoice.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/invoice-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Invoice.cancelledReason",
          "path" : "Invoice.cancelledReason",
          "short" : "Reason for cancellation of this Invoice",
          "definition" : "In case of Invoice cancellation a reason must be given (entered in error, superseded by corrected invoice etc.).",
          "comment" : "Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : false
        },
        {
          "id" : "Invoice.type",
          "path" : "Invoice.type",
          "short" : "Type of Invoice",
          "definition" : "Type of Invoice depending on domain, realm an usage (e.g. internal/external, dental, preliminary).",
          "alias" : ["type"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "FT1.7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Invoice.subject",
          "path" : "Invoice.subject",
          "short" : "Recipient(s) of goods and services",
          "definition" : "The individual or set of individuals receiving the goods and services billed in this invoice.",
          "requirements" : "Links the event to the Patient context.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PAT in proximity to FT1 segment"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Invoice.recipient",
          "path" : "Invoice.recipient",
          "short" : "Recipient of this invoice",
          "definition" : "The individual or Organization responsible for balancing of this invoice.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1 in proximity to FT1 segment"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "Invoice.date",
          "path" : "Invoice.date",
          "short" : "Invoice date / posting date",
          "definition" : "Date/time(s) of when this Invoice was posted.",
          "comment" : "The list of types may be constrained as appropriate for the type of charge item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Invoice.participant",
          "path" : "Invoice.participant",
          "short" : "Participant in creation of this Invoice",
          "definition" : "Indicates who or what performed or participated in the charged service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Invoice.participant.role",
          "path" : "Invoice.participant.role",
          "short" : "Type of involvement in creation of this Invoice",
          "definition" : "Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation.functionCode"
          }]
        },
        {
          "id" : "Invoice.participant.actor",
          "path" : "Invoice.participant.actor",
          "short" : "Individual who was involved",
          "definition" : "The device, practitioner, etc. who performed or participated in the service.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "Invoice.issuer",
          "path" : "Invoice.issuer",
          "short" : "Issuing Organization of Invoice",
          "definition" : "The organizationissuing the Invoice.",
          "comment" : "Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "Invoice.account",
          "path" : "Invoice.account",
          "short" : "Account that is being balanced",
          "definition" : "Account which is supposed to be balanced with this Invoice.",
          "comment" : "Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Account"]
          }],
          "isSummary" : false
        },
        {
          "id" : "Invoice.lineItem",
          "path" : "Invoice.lineItem",
          "short" : "Line items of this Invoice",
          "definition" : "Each line item represents one charge for goods and services rendered. Details such as date, code and amount are found in the referenced ChargeItem resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Invoice.lineItem.sequence",
          "path" : "Invoice.lineItem.sequence",
          "short" : "Sequence number of line item",
          "definition" : "Sequence in which the items appear on the invoice.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "isSummary" : false
        },
        {
          "id" : "Invoice.lineItem.chargeItem[x]",
          "path" : "Invoice.lineItem.chargeItem[x]",
          "short" : "Reference to ChargeItem containing details of this line item or an inline billing code",
          "definition" : "The ChargeItem contains information such as the billing code, date, amount etc. If no further details are required for the lineItem, inline billing codes can be added using the CodeableConcept data type instead of the Reference.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ChargeItem"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent",
          "path" : "Invoice.lineItem.priceComponent",
          "short" : "Components of total line item price",
          "definition" : "The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice as to how the prices have been calculated.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.type",
          "path" : "Invoice.lineItem.priceComponent.type",
          "short" : "base | surcharge | deduction | discount | tax | informational",
          "definition" : "This code identifies the type of the component.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "InvoicePriceComponentType"
            }],
            "strength" : "required",
            "description" : "Codes indicating the kind of the price component.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/invoice-priceComponentType|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "v2",
            "map" : "FT1.7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.code",
          "path" : "Invoice.lineItem.priceComponent.code",
          "short" : "Code identifying the specific component",
          "definition" : "A code that identifies the component. Codes may be used to differentiate between kinds of taxes, surcharges, discounts etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "v2",
            "map" : "FT1.7"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.factor",
          "path" : "Invoice.lineItem.priceComponent.factor",
          "short" : "Factor used for calculating this component",
          "definition" : "The factor that has been applied on the base price for calculating this component.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "Invoice.lineItem.priceComponent.amount",
          "path" : "Invoice.lineItem.priceComponent.amount",
          "short" : "Monetary amount associated with this component",
          "definition" : "The amount calculated for this component.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "Invoice.totalPriceComponent",
          "path" : "Invoice.totalPriceComponent",
          "short" : "Components of Invoice total",
          "definition" : "The total amount for the Invoice may be calculated as the sum of the line items with surcharges/deductions that apply in certain conditions.  The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the total price was calculated.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Invoice.lineItem.priceComponent",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EVN.5 or by domain"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "Invoice.totalNet",
          "path" : "Invoice.totalNet",
          "short" : "Net total of this Invoice",
          "definition" : "Invoice total , taxes excluded.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "Invoice.totalGross",
          "path" : "Invoice.totalGross",
          "short" : "Gross total of this Invoice",
          "definition" : "Invoice total, tax included.",
          "comment" : "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes  (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "FT1.22"
          }]
        },
        {
          "id" : "Invoice.paymentTerms",
          "path" : "Invoice.paymentTerms",
          "short" : "Payment details",
          "definition" : "Payment details such as banking details, period of payment, deductibles, methods of payment.",
          "comment" : "Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : false
        },
        {
          "id" : "Invoice.note",
          "path" : "Invoice.note",
          "short" : "Comments made about the invoice",
          "definition" : "Comments made about the invoice by the issuer, subject, or other participants.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Library",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Library",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Library 
ITU
DomainResource
Represents a library of quality improvement components
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this library, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the library
 version 
Σ
0..1
string
Business version of the library
 name 
ΣI
0..1
string
Name for this library (computer friendly)
 title 
Σ
0..1
string
Name for this library (human friendly)
 subtitle 
0..1
string
Subordinate title of the library
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 type 
Σ
1..1
CodeableConcept
logic-library | model-definition | asset-collection | module-definition
LibraryType (Extensible)
 subject[x] 
0..1
Type of individual the library content is focused on
Subject type (Extensible)
 subjectCodeableConcept
CodeableConcept
 subjectReference
Reference(Group)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the library
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for library (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this library is defined
 usage 
0..1
string
Describes the clinical usage of the library
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the library was approved by publisher
 lastReviewDate 
0..1
date
When the library was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the library is expected to be used
 topic 
0..*
CodeableConcept
E.g. Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 parameter 
0..*
ParameterDefinition
Parameters defined by the library
 dataRequirement 
0..*
DataRequirement
What data is referenced by this library
 content 
Σ
0..*
Attachment
Contents of the library, either embedded or referenced

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Management"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Library",
      "version" : "4.0.0",
      "name" : "Library",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose existing knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Library",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Library",
          "path" : "Library",
          "short" : "Represents a library of quality improvement components",
          "definition" : "The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose existing knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "lib-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=GROUPER;moodCode=EVN]"
          }]
        },
        {
          "id" : "Library.id",
          "path" : "Library.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Library.meta",
          "path" : "Library.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Library.implicitRules",
          "path" : "Library.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Library.language",
          "path" : "Library.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Library.text",
          "path" : "Library.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Library.contained",
          "path" : "Library.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Library.extension",
          "path" : "Library.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Library.modifierExtension",
          "path" : "Library.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Library.url",
          "path" : "Library.url",
          "short" : "Canonical identifier for this library, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this library when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this library is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the library is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the library to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier[scope=BUSN;reliability=ISS]"
          }]
        },
        {
          "id" : "Library.identifier",
          "path" : "Library.identifier",
          "short" : "Additional identifier for the library",
          "definition" : "A formal identifier that is used to identify this library when it is represented in other formats, or referenced in a specification, model, design or an instance. e.g. CMS or NQF identifiers for a measure artifact. Note that at least one identifier is required for non-experimental active artifacts.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this library outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.version",
          "path" : "Library.version",
          "short" : "Business version of the library",
          "definition" : "The identifier that is used to identify this version of the library when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the library author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different library instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the library with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.name",
          "path" : "Library.name",
          "short" : "Name for this library (computer friendly)",
          "definition" : "A natural language name identifying the library. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Library.title",
          "path" : "Library.title",
          "short" : "Name for this library (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the library.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "Library.subtitle",
          "path" : "Library.subtitle",
          "short" : "Subordinate title of the library",
          "definition" : "An explanatory or alternate title for the library giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Library.status",
          "path" : "Library.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this library. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of libraries that are appropriate for use vs. not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Library.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Library.experimental",
          "path" : "Library.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this library is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of librarys that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level library.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.type",
          "path" : "Library.type",
          "short" : "logic-library | model-definition | asset-collection | module-definition",
          "definition" : "Identifies the type of library such as a Logic Library, Model Definition, Asset Collection, or Module Definition.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Library.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LibraryType"
            }],
            "strength" : "extensible",
            "description" : "The type of knowledge asset this library contains.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/library-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Library.subject[x]",
          "path" : "Library.subject[x]",
          "short" : "Type of individual the library content is focused on",
          "definition" : "A code or group definition that describes the intended subject of the contents of the library.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.subject[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          }
        },
        {
          "id" : "Library.date",
          "path" : "Library.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the library was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the library changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the library. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Library.publisher",
          "path" : "Library.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the library.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the library is the organization or individual primarily responsible for the maintenance and upkeep of the library. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the library. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the library.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "Library.contact",
          "path" : "Library.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CALLBCK].role"
          }]
        },
        {
          "id" : "Library.description",
          "path" : "Library.description",
          "short" : "Natural language description of the library",
          "definition" : "A free text natural language description of the library from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the library was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the library as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the library is presumed to be the predominant language in the place the library was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Library.useContext",
          "path" : "Library.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate library instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.jurisdiction",
          "path" : "Library.jurisdiction",
          "short" : "Intended jurisdiction for library (if applicable)",
          "definition" : "A legal or geographic region in which the library is intended to be used.",
          "comment" : "It may be possible for the library to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.purpose",
          "path" : "Library.purpose",
          "short" : "Why this library is defined",
          "definition" : "Explanation of why this library is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the library. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this library.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode.text"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.usage",
          "path" : "Library.usage",
          "short" : "Describes the clinical usage of the library",
          "definition" : "A detailed description of how the library is used from a clinical perspective.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.usage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.copyright",
          "path" : "Library.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the library and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the library.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the library and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.approvalDate",
          "path" : "Library.approvalDate",
          "short" : "When the library was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].act[classCode=CACT;moodCode=EVN;code=\"approval\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.lastReviewDate",
          "path" : "Library.lastReviewDate",
          "short" : "When the library was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"; subsetCode=\"RECENT\"].act[classCode=CACT;moodCode=EVN;code=\"review\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.effectivePeriod",
          "path" : "Library.effectivePeriod",
          "short" : "When the library is expected to be used",
          "definition" : "The period during which the library content was or is planned to be in active use.",
          "comment" : "The effective period for a library  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the library are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Library.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.topic",
          "path" : "Library.topic",
          "short" : "E.g. Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the library. Topics provide a high-level categorization of the library that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the library so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.author",
          "path" : "Library.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "Library.editor",
          "path" : "Library.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Library.reviewer",
          "path" : "Library.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Library.endorser",
          "path" : "Library.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Library.relatedArtifact",
          "path" : "Library.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Libraries must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV w/ inversionInd=true; No support for citation}"
          }]
        },
        {
          "id" : "Library.parameter",
          "path" : "Library.parameter",
          "short" : "Parameters defined by the library",
          "definition" : "The parameter element defines parameters used by the library.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ParameterDefinition"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.dataRequirement",
          "path" : "Library.dataRequirement",
          "short" : "What data is referenced by this library",
          "definition" : "Describes a set of data that must be provided in order to be able to successfully perform the computations defined by the library.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.dataRequirement",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "DataRequirement"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.content",
          "path" : "Library.content",
          "short" : "Contents of the library, either embedded or referenced",
          "definition" : "The content of the library as an Attachment. The content may be a reference to a url, or may be directly embedded as a base-64 string. Either way, the contentType of the attachment determines how to interpret the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Library.content",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Library",
          "path" : "Library",
          "short" : "Represents a library of quality improvement components",
          "definition" : "The Library resource is a general-purpose container for knowledge asset definitions. It can be used to describe and expose existing knowledge assets such as logic libraries and information model descriptions, as well as to describe a collection of knowledge assets.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "lib-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act[classCode=GROUPER;moodCode=EVN]"
          }]
        },
        {
          "id" : "Library.url",
          "path" : "Library.url",
          "short" : "Canonical identifier for this library, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this library when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this library is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the library is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the library to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier[scope=BUSN;reliability=ISS]"
          }]
        },
        {
          "id" : "Library.identifier",
          "path" : "Library.identifier",
          "short" : "Additional identifier for the library",
          "definition" : "A formal identifier that is used to identify this library when it is represented in other formats, or referenced in a specification, model, design or an instance. e.g. CMS or NQF identifiers for a measure artifact. Note that at least one identifier is required for non-experimental active artifacts.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this library outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.version",
          "path" : "Library.version",
          "short" : "Business version of the library",
          "definition" : "The identifier that is used to identify this version of the library when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the library author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different library instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the library with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.name",
          "path" : "Library.name",
          "short" : "Name for this library (computer friendly)",
          "definition" : "A natural language name identifying the library. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Library.title",
          "path" : "Library.title",
          "short" : "Name for this library (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the library.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "Library.subtitle",
          "path" : "Library.subtitle",
          "short" : "Subordinate title of the library",
          "definition" : "An explanatory or alternate title for the library giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Library.status",
          "path" : "Library.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this library. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of libraries that are appropriate for use vs. not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Library.experimental",
          "path" : "Library.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this library is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of librarys that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level library.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.type",
          "path" : "Library.type",
          "short" : "logic-library | model-definition | asset-collection | module-definition",
          "definition" : "Identifies the type of library such as a Logic Library, Model Definition, Asset Collection, or Module Definition.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LibraryType"
            }],
            "strength" : "extensible",
            "description" : "The type of knowledge asset this library contains.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/library-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Library.subject[x]",
          "path" : "Library.subject[x]",
          "short" : "Type of individual the library content is focused on",
          "definition" : "A code or group definition that describes the intended subject of the contents of the library.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          }
        },
        {
          "id" : "Library.date",
          "path" : "Library.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the library was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the library changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the library. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Library.publisher",
          "path" : "Library.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the library.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the library is the organization or individual primarily responsible for the maintenance and upkeep of the library. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the library. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the library.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "Library.contact",
          "path" : "Library.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CALLBCK].role"
          }]
        },
        {
          "id" : "Library.description",
          "path" : "Library.description",
          "short" : "Natural language description of the library",
          "definition" : "A free text natural language description of the library from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the library was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the library as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the library is presumed to be the predominant language in the place the library was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Library.useContext",
          "path" : "Library.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate library instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.jurisdiction",
          "path" : "Library.jurisdiction",
          "short" : "Intended jurisdiction for library (if applicable)",
          "definition" : "A legal or geographic region in which the library is intended to be used.",
          "comment" : "It may be possible for the library to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.purpose",
          "path" : "Library.purpose",
          "short" : "Why this library is defined",
          "definition" : "Explanation of why this library is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the library. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this library.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode.text"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.usage",
          "path" : "Library.usage",
          "short" : "Describes the clinical usage of the library",
          "definition" : "A detailed description of how the library is used from a clinical perspective.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.copyright",
          "path" : "Library.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the library and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the library.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the library and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.approvalDate",
          "path" : "Library.approvalDate",
          "short" : "When the library was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].act[classCode=CACT;moodCode=EVN;code=\"approval\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.lastReviewDate",
          "path" : "Library.lastReviewDate",
          "short" : "When the library was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"; subsetCode=\"RECENT\"].act[classCode=CACT;moodCode=EVN;code=\"review\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.effectivePeriod",
          "path" : "Library.effectivePeriod",
          "short" : "When the library is expected to be used",
          "definition" : "The period during which the library content was or is planned to be in active use.",
          "comment" : "The effective period for a library  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the library are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Library.topic",
          "path" : "Library.topic",
          "short" : "E.g. Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the library. Topics provide a high-level categorization of the library that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the library so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.author",
          "path" : "Library.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "Library.editor",
          "path" : "Library.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "Library.reviewer",
          "path" : "Library.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Library.endorser",
          "path" : "Library.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Library.relatedArtifact",
          "path" : "Library.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Libraries must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV w/ inversionInd=true; No support for citation}"
          }]
        },
        {
          "id" : "Library.parameter",
          "path" : "Library.parameter",
          "short" : "Parameters defined by the library",
          "definition" : "The parameter element defines parameters used by the library.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ParameterDefinition"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.dataRequirement",
          "path" : "Library.dataRequirement",
          "short" : "What data is referenced by this library",
          "definition" : "Describes a set of data that must be provided in order to be able to successfully perform the computations defined by the library.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "DataRequirement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Library.content",
          "path" : "Library.content",
          "short" : "Contents of the library, either embedded or referenced",
          "definition" : "The content of the library as an Attachment. The content may be a reference to a url, or may be directly embedded as a base-64 string. Either way, the contentType of the attachment determines how to interpret the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Attachment"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Linkage",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Linkage",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Linkage 
ΣITU
DomainResource
Links records for 'same' item
+ Rule: Must have at least two items
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 active 
Σ
0..1
boolean
Whether this linkage assertion is active or not
 author 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization)
Who is responsible for linkages
 item 
ΣI
1..*
BackboneElement
Item to be linked
 type 
Σ
1..1
code
source | alternate | historical
LinkageType (Required)
 resource 
Σ
1..1
Reference(Any)
Resource being linked

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Other"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Linkage",
      "version" : "4.0.0",
      "name" : "Linkage",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "Identifies two or more records (resource instances) that refer to the same real-world \"occurrence\".",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Linkage",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Linkage",
          "path" : "Linkage",
          "short" : "Links records for 'same' item",
          "definition" : "Identifies two or more records (resource instances) that refer to the same real-world \"occurrence\".",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Linkage",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "lnk-1",
            "severity" : "error",
            "human" : "Must have at least two items",
            "expression" : "item.count()>1",
            "xpath" : "count(f:item)>1"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "N/A - RIM doesn't know how to do this"
          }]
        },
        {
          "id" : "Linkage.id",
          "path" : "Linkage.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Linkage.meta",
          "path" : "Linkage.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Linkage.implicitRules",
          "path" : "Linkage.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Linkage.language",
          "path" : "Linkage.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Linkage.text",
          "path" : "Linkage.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Linkage.contained",
          "path" : "Linkage.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Linkage.extension",
          "path" : "Linkage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Linkage.modifierExtension",
          "path" : "Linkage.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Linkage.active",
          "path" : "Linkage.active",
          "short" : "Whether this linkage assertion is active or not",
          "definition" : "Indicates whether the asserted set of linkages are considered to be \"in effect\".",
          "comment" : "If false, any asserted linkages should not be considered current/relevant/applicable.",
          "requirements" : "Need to be able to mark a linkage record as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Linkage.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Linkage.author",
          "path" : "Linkage.author",
          "short" : "Who is responsible for linkages",
          "definition" : "Identifies the user or organization responsible for asserting the linkages as well as the user or organization who establishes the context in which the nature of each linkage is evaluated.",
          "requirements" : "\"Primary\" for the same set of linked resources may be different from different user's/organization's perspectives.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Linkage.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "Linkage.item",
          "path" : "Linkage.item",
          "short" : "Item to be linked",
          "definition" : "Identifies which record considered as the reference to the same real-world occurrence as well as how the items should be evaluated within the collection of linked items.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Linkage.item",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["lnk-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Linkage.item.id",
          "path" : "Linkage.item.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Linkage.item.extension",
          "path" : "Linkage.item.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Linkage.item.modifierExtension",
          "path" : "Linkage.item.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Linkage.item.type",
          "path" : "Linkage.item.type",
          "short" : "source | alternate | historical",
          "definition" : "Distinguishes which item is \"source of truth\" (if any) and which items are no longer considered to be current representations.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Linkage.item.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LinkageType"
            }],
            "strength" : "required",
            "description" : "Used to distinguish different roles a resource can play within a set of linked resources.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/linkage-type|4.0.0"
          }
        },
        {
          "id" : "Linkage.item.resource",
          "path" : "Linkage.item.resource",
          "short" : "Resource being linked",
          "definition" : "The resource instance being linked as part of the group.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Linkage.item.resource",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Linkage",
          "path" : "Linkage",
          "short" : "Links records for 'same' item",
          "definition" : "Identifies two or more records (resource instances) that refer to the same real-world \"occurrence\".",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "lnk-1",
            "severity" : "error",
            "human" : "Must have at least two items",
            "expression" : "item.count()>1",
            "xpath" : "count(f:item)>1"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - RIM doesn't know how to do this"
          }]
        },
        {
          "id" : "Linkage.active",
          "path" : "Linkage.active",
          "short" : "Whether this linkage assertion is active or not",
          "definition" : "Indicates whether the asserted set of linkages are considered to be \"in effect\".",
          "comment" : "If false, any asserted linkages should not be considered current/relevant/applicable.",
          "requirements" : "Need to be able to mark a linkage record as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Linkage.author",
          "path" : "Linkage.author",
          "short" : "Who is responsible for linkages",
          "definition" : "Identifies the user or organization responsible for asserting the linkages as well as the user or organization who establishes the context in which the nature of each linkage is evaluated.",
          "requirements" : "\"Primary\" for the same set of linked resources may be different from different user's/organization's perspectives.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "Linkage.item",
          "path" : "Linkage.item",
          "short" : "Item to be linked",
          "definition" : "Identifies which record considered as the reference to the same real-world occurrence as well as how the items should be evaluated within the collection of linked items.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["lnk-1"],
          "isSummary" : true
        },
        {
          "id" : "Linkage.item.type",
          "path" : "Linkage.item.type",
          "short" : "source | alternate | historical",
          "definition" : "Distinguishes which item is \"source of truth\" (if any) and which items are no longer considered to be current representations.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LinkageType"
            }],
            "strength" : "required",
            "description" : "Used to distinguish different roles a resource can play within a set of linked resources.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/linkage-type|4.0.0"
          }
        },
        {
          "id" : "Linkage.item.resource",
          "path" : "Linkage.item.resource",
          "short" : "Resource being linked",
          "definition" : "The resource instance being linked as part of the group.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/List",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "List",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 List 
ITU
DomainResource
A list is a curated collection of resources
+ Rule: A list can only have an emptyReason if it is empty
+ Rule: The deleted flag can only be used if the mode of the list is "changes"
+ Rule: An entry date can only be used if the mode of the list is "working"
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business identifier
 status 
?!Σ
1..1
code
current | retired | entered-in-error
ListStatus (Required)
 mode 
?!Σ
1..1
code
working | snapshot | changes
ListMode (Required)
 title 
Σ
0..1
string
Descriptive name for the list
 code 
Σ
0..1
CodeableConcept
What the purpose of this list is
Example Use Codes for List (Example)
 subject 
Σ
0..1
Reference(Patient | Group | Device | Location)
If all resources have the same subject
 encounter 
0..1
Reference(Encounter)
Context in which list created
 date 
Σ
0..1
dateTime
When the list was prepared
 source 
Σ
0..1
Reference(Practitioner | PractitionerRole | Patient | Device)
Who and/or what defined the list contents (aka Author)
 orderedBy 
0..1
CodeableConcept
What order the list has
List Order Codes (Preferred)
 note 
0..*
Annotation
Comments about the list
 entry 
I
0..*
BackboneElement
Entries in the list
 flag 
0..1
CodeableConcept
Status/Workflow information about this item
Patient Medicine Change Types (Example)
 deleted 
?!I
0..1
boolean
If this item is actually marked as deleted
 date 
0..1
dateTime
When item added to list
 item 
1..1
Reference(Any)
Actual entry
 emptyReason 
I
0..1
CodeableConcept
Why list is empty
List Empty Reasons (Preferred)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Management"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/List",
      "version" : "4.0.0",
      "name" : "List",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A list is a curated collection of resources.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "List",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "List",
          "path" : "List",
          "short" : "A list is a curated collection of resources",
          "definition" : "A list is a curated collection of resources.",
          "alias" : ["Collection",
          "WorkingList",
          "Organizer"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "List",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "lst-3",
            "severity" : "error",
            "human" : "An entry date can only be used if the mode of the list is \"working\"",
            "expression" : "mode = 'working' or entry.date.empty()",
            "xpath" : "(f:mode/@value = 'working') or not(exists(f:entry/f:date))"
          },
          {
            "key" : "lst-2",
            "severity" : "error",
            "human" : "The deleted flag can only be used if the mode of the list is \"changes\"",
            "expression" : "mode = 'changes' or entry.deleted.empty()",
            "xpath" : "(f:mode/@value = 'changes') or not(exists(f:entry/f:deleted))"
          },
          {
            "key" : "lst-1",
            "severity" : "error",
            "human" : "A list can only have an emptyReason if it is empty",
            "expression" : "emptyReason.empty() or entry.empty()",
            "xpath" : "not(exists(f:emptyReason) and exists(f:entry))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode 1"
          }]
        },
        {
          "id" : "List.note",
          "path" : "List.note",
          "short" : "Comments about the list",
          "definition" : "Comments that apply to the overall list.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "List.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].act.text"
          }]
        },
        {
          "id" : "List.entry",
          "path" : "List.entry",
          "short" : "Entries in the list",
          "definition" : "Entries in this list.",
          "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "List.entry",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["lst-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          }]
        },
        {
          "id" : "List.entry.id",
          "path" : "List.entry.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "List.entry.extension",
          "path" : "List.entry.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "List.entry.modifierExtension",
          "path" : "List.entry.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "List.entry.flag",
          "path" : "List.entry.flag",
          "short" : "Status/Workflow information about this item",
          "definition" : "The flag allows the system constructing the list to indicate the role and significance of the item in the list.",
          "comment" : "The flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is \"changes\".",
          "requirements" : "This field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "List.entry.flag",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ListItemFlag"
            }],
            "strength" : "example",
            "description" : "Codes that provide further information about the reason and meaning of the item in the list.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/list-item-flag"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          }]
        },
        {
          "id" : "List.entry.deleted",
          "path" : "List.entry.deleted",
          "short" : "If this item is actually marked as deleted",
          "definition" : "True if this item is marked as deleted in the list.",
          "comment" : "If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is \"changes\". A deleted entry should be displayed in narrative as deleted.  This element is labeled as a modifier because it indicates that an item is (to be) no longer in the list.",
          "requirements" : "The flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as \"deleted\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "List.entry.deleted",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "List items are generally only treated as deleted when this element explicitly carries a value of true. Systems SHOULD always populate this value when mode is 'changes'",
          "condition" : ["lst-2"],
          "isModifier" : true,
          "isModifierReason" : "If deleted is true, then the item included in the list isn't actually part of the list anymore",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "added: .updateMode=(\"A\",\"AR\")  retained: .updateMode=\"NC\"  updated: .updateMode=\"R\"  deleted: .updateMode=\"D\""
          }]
        },
        {
          "id" : "List.entry.date",
          "path" : "List.entry.date",
          "short" : "When item added to list",
          "definition" : "When this item was added to the list.",
          "requirements" : "The date may be significant for understanding the meaning of items in a working list.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "List.entry.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".availabilityTime"
          }]
        },
        {
          "id" : "List.entry.item",
          "path" : "List.entry.item",
          "short" : "Actual entry",
          "definition" : "A reference to the actual resource from which data was derived.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "List.entry.item",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".target or .role or .role.entity"
          }]
        },
        {
          "id" : "List.emptyReason",
          "path" : "List.emptyReason",
          "short" : "Why list is empty",
          "definition" : "If the list is empty, why the list is empty.",
          "comment" : "The various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
          "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "List.emptyReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["lst-1"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ListEmptyReason"
            }],
            "strength" : "preferred",
            "description" : "If a list is empty, why it is empty.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code 1"
          }]
        },
        {
          "id" : "List.note",
          "path" : "List.note",
          "short" : "Comments about the list",
          "definition" : "Comments that apply to the overall list.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].act.text"
          }]
        },
        {
          "id" : "List.entry",
          "path" : "List.entry",
          "short" : "Entries in the list",
          "definition" : "Entries in this list.",
          "comment" : "If there are no entries in the list, an emptyReason SHOULD be provided.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["lst-1"],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP] or  .participation[typeCode=SBJ]"
          }]
        },
        {
          "id" : "List.entry.flag",
          "path" : "List.entry.flag",
          "short" : "Status/Workflow information about this item",
          "definition" : "The flag allows the system constructing the list to indicate the role and significance of the item in the list.",
          "comment" : "The flag can only be understood in the context of the List.code. If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Deleted can only be used if the List.mode is \"changes\".",
          "requirements" : "This field is present to support various clinical uses of lists, such as a discharge summary medication list, where flags specify whether the medication was added, modified, or deleted from the list.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ListItemFlag"
            }],
            "strength" : "example",
            "description" : "Codes that provide further information about the reason and meaning of the item in the list.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/list-item-flag"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
          }]
        },
        {
          "id" : "List.entry.deleted",
          "path" : "List.entry.deleted",
          "short" : "If this item is actually marked as deleted",
          "definition" : "True if this item is marked as deleted in the list.",
          "comment" : "If the flag means that the entry has actually been deleted from the list, the deleted element SHALL be true. Both flag and deleted can only be used if the List.mode is \"changes\". A deleted entry should be displayed in narrative as deleted.  This element is labeled as a modifier because it indicates that an item is (to be) no longer in the list.",
          "requirements" : "The flag element may contain codes that an application processing the list does not understand. However there can be no ambiguity if a list item is actually marked as \"deleted\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "List items are generally only treated as deleted when this element explicitly carries a value of true. Systems SHOULD always populate this value when mode is 'changes'",
          "condition" : ["lst-2"],
          "isModifier" : true,
          "isModifierReason" : "If deleted is true, then the item included in the list isn't actually part of the list anymore",
          "mapping" : [{
            "identity" : "rim",
            "map" : "added: .updateMode=(\"A\",\"AR\")  retained: .updateMode=\"NC\"  updated: .updateMode=\"R\"  deleted: .updateMode=\"D\""
          }]
        },
        {
          "id" : "List.entry.date",
          "path" : "List.entry.date",
          "short" : "When item added to list",
          "definition" : "When this item was added to the list.",
          "requirements" : "The date may be significant for understanding the meaning of items in a working list.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".availabilityTime"
          }]
        },
        {
          "id" : "List.entry.item",
          "path" : "List.entry.item",
          "short" : "Actual entry",
          "definition" : "A reference to the actual resource from which data was derived.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".target or .role or .role.entity"
          }]
        },
        {
          "id" : "List.emptyReason",
          "path" : "List.emptyReason",
          "short" : "Why list is empty",
          "definition" : "If the list is empty, why the list is empty.",
          "comment" : "The various reasons for an empty list make a significant interpretation to its interpretation. Note that this code is for use when the entire list has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
          "requirements" : "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["lst-1"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ListEmptyReason"
            }],
            "strength" : "preferred",
            "description" : "If a list is empty, why it is empty.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/list-empty-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ,code\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Location 
TU
DomainResource
Details and position information for a physical place
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique code or number identifying the location to its users
 status 
?!Σ
0..1
code
active | suspended | inactive
LocationStatus (Required)
 operationalStatus 
Σ
0..1
Coding
The operational status of the location (typically only for a bed/room)
v2 BED STATUS (Preferred)
 name 
Σ
0..1
string
Name of the location as used by humans
 alias 
0..*
string
A list of alternate names that the location is known as, or was known as, in the past
 description 
Σ
0..1
string
Additional details about the location that could be displayed as further information to identify the location beyond its name
 mode 
Σ
0..1
code
instance | kind
LocationMode (Required)
 type 
Σ
0..*
CodeableConcept
Type of function performed
V3 Value SetServiceDeliveryLocationRoleType (Extensible)
 telecom 
0..*
ContactPoint
Contact details of the location
 address 
0..1
Address
Physical location
 physicalType 
Σ
0..1
CodeableConcept
Physical form of the location
Location type (Example)
 position 
0..1
BackboneElement
The absolute geographic location
 longitude 
1..1
decimal
Longitude with WGS84 datum
 latitude 
1..1
decimal
Latitude with WGS84 datum
 altitude 
0..1
decimal
Altitude with WGS84 datum
 managingOrganization 
Σ
0..1
Reference(Organization)
Organization responsible for provisioning and upkeep
 partOf 
0..1
Reference(Location)
Another Location this one is physically a part of
 hoursOfOperation 
0..*
BackboneElement
What days/times during a week is this location usually open
 daysOfWeek 
0..*
code
mon | tue | wed | thu | fri | sat | sun
DaysOfWeek (Required)
 allDay 
0..1
boolean
The Location is open all day
 openingTime 
0..1
time
Time that the Location opens
 closingTime 
0..1
time
Time that the Location closes
 availabilityExceptions 
0..1
string
Description of availability exceptions
 endpoint 
0..*
Reference(Endpoint)
Technical endpoints providing access to services operated for the location

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Location",
      "version" : "4.0.0",
      "name" : "Location",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Location",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Location",
          "path" : "Location",
          "short" : "Details and position information for a physical place",
          "definition" : "Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Location",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : ".Role[classCode=SDLC]"
          }]
        },
        {
          "id" : "Location.id",
          "path" : "Location.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Location.meta",
          "path" : "Location.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Location.implicitRules",
          "path" : "Location.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Location.language",
          "path" : "Location.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Location.text",
          "path" : "Location.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Location.contained",
          "path" : "Location.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Location.extension",
          "path" : "Location.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Location.modifierExtension",
          "path" : "Location.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Location.identifier",
          "path" : "Location.identifier",
          "short" : "Unique code or number identifying the location to its users",
          "definition" : "Unique code or number identifying the location to its users.",
          "requirements" : "Organization label locations in registries, need to keep track of those.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Location.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Location.status",
          "path" : "Location.status",
          "short" : "active | suspended | inactive",
          "definition" : "The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LocationStatus"
            }],
            "strength" : "required",
            "description" : "Indicates whether the location is still in use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/location-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Location.operationalStatus",
          "path" : "Location.operationalStatus",
          "short" : "The operational status of the location (typically only for a bed/room)",
          "definition" : "The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.operationalStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OperationalStatus"
            }],
            "strength" : "preferred",
            "description" : "The operational status if the location (where typically a bed/room).",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0116"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Location.name",
          "path" : "Location.name",
          "short" : "Name of the location as used by humans",
          "definition" : "Name of the location as used by humans. Does not need to be unique.",
          "comment" : "If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "Location.alias",
          "path" : "Location.alias",
          "short" : "A list of alternate names that the location is known as, or was known as, in the past",
          "definition" : "A list of alternate names that the location is known as, or was known as, in the past.",
          "comment" : "There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.",
          "requirements" : "Over time locations and organizations go through many changes and can be known by different names.\n\nFor searching knowing previous names that the location was known by can be very useful.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Location.alias",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "Location.description",
          "path" : "Location.description",
          "short" : "Additional details about the location that could be displayed as further information to identify the location beyond its name",
          "definition" : "Description of the Location, which helps in finding or referencing the place.",
          "requirements" : "Humans need additional information to verify a correct location has been identified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity[classCode=PLC determinerCode=INSTANCE].desc"
          }]
        },
        {
          "id" : "Location.mode",
          "path" : "Location.mode",
          "short" : "instance | kind",
          "definition" : "Indicates whether a resource instance represents a specific location or a class of locations.",
          "comment" : "This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.",
          "requirements" : "When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.mode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LocationMode"
            }],
            "strength" : "required",
            "description" : "Indicates whether a resource instance represents a specific location or a class of locations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/location-mode|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".playingEntity[classCode=PLC].determinerCode"
          }]
        },
        {
          "id" : "Location.type",
          "path" : "Location.type",
          "short" : "Type of function performed",
          "definition" : "Indicates the type of function performed at the location.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Location.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LocationType"
            }],
            "strength" : "extensible",
            "description" : "Indicates the type of function performed at the location.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Location.telecom",
          "path" : "Location.telecom",
          "short" : "Contact details of the location",
          "definition" : "The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Location.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "Location.address",
          "path" : "Location.address",
          "short" : "Physical location",
          "definition" : "Physical location.",
          "comment" : "Additional addresses should be recorded using another instance of the Location resource, or via the Organization.",
          "requirements" : "If locations can be visited, we need to keep track of their address.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.address",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Address"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".addr"
          }]
        },
        {
          "id" : "Location.physicalType",
          "path" : "Location.physicalType",
          "short" : "Physical form of the location",
          "definition" : "Physical form of the location, e.g. building, room, vehicle, road.",
          "requirements" : "For purposes of showing relevant locations in queries, we need to categorize locations.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.physicalType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PhysicalType"
            }],
            "strength" : "example",
            "description" : "Physical form of the location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/location-physical-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".playingEntity [classCode=PLC].code"
          }]
        },
        {
          "id" : "Location.position",
          "path" : "Location.position",
          "short" : "The absolute geographic location",
          "definition" : "The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).",
          "requirements" : "For mobile applications and automated route-finding knowing the exact location of the Location is required.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.position",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity [classCode=PLC determinerCode=INSTANCE].positionText"
          }]
        },
        {
          "id" : "Location.position.id",
          "path" : "Location.position.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Location.position.extension",
          "path" : "Location.position.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Location.position.modifierExtension",
          "path" : "Location.position.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Location.position.longitude",
          "path" : "Location.position.longitude",
          "short" : "Longitude with WGS84 datum",
          "definition" : "Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Location.position.longitude",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"
          }]
        },
        {
          "id" : "Location.position.latitude",
          "path" : "Location.position.latitude",
          "short" : "Latitude with WGS84 datum",
          "definition" : "Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Location.position.latitude",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"
          }]
        },
        {
          "id" : "Location.position.altitude",
          "path" : "Location.position.altitude",
          "short" : "Altitude with WGS84 datum",
          "definition" : "Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.position.altitude",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"
          }]
        },
        {
          "id" : "Location.managingOrganization",
          "path" : "Location.managingOrganization",
          "short" : "Organization responsible for provisioning and upkeep",
          "definition" : "The organization responsible for the provisioning and upkeep of the location.",
          "comment" : "This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.",
          "requirements" : "Need to know who manages the location.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.managingOrganization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scopingEntity[classCode=ORG determinerKind=INSTANCE]"
          }]
        },
        {
          "id" : "Location.partOf",
          "path" : "Location.partOf",
          "short" : "Another Location this one is physically a part of",
          "definition" : "Another Location of which this Location is physically a part of.",
          "requirements" : "For purposes of location, display and identification, knowing which locations are located within other locations is important.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.partOf",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundLink[typeCode=PART].source[classCode=SDLC]"
          }]
        },
        {
          "id" : "Location.hoursOfOperation",
          "path" : "Location.hoursOfOperation",
          "short" : "What days/times during a week is this location usually open",
          "definition" : "What days/times during a week is this location usually open.",
          "comment" : "This type of information is commonly found published in directories and on websites informing customers when the facility is available.\n\nSpecific services within the location may have their own hours which could be shorter (or longer) than the locations hours.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Location.hoursOfOperation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.id",
          "path" : "Location.hoursOfOperation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.extension",
          "path" : "Location.hoursOfOperation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.modifierExtension",
          "path" : "Location.hoursOfOperation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.daysOfWeek",
          "path" : "Location.hoursOfOperation.daysOfWeek",
          "short" : "mon | tue | wed | thu | fri | sat | sun",
          "definition" : "Indicates which days of the week are available between the start and end Times.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Location.hoursOfOperation.daysOfWeek",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DaysOfWeek"
            }],
            "strength" : "required",
            "description" : "The days of the week.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/days-of-week|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.allDay",
          "path" : "Location.hoursOfOperation.allDay",
          "short" : "The Location is open all day",
          "definition" : "The Location is open all day.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.hoursOfOperation.allDay",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.openingTime",
          "path" : "Location.hoursOfOperation.openingTime",
          "short" : "Time that the Location opens",
          "definition" : "Time that the Location opens.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.hoursOfOperation.openingTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "time"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.closingTime",
          "path" : "Location.hoursOfOperation.closingTime",
          "short" : "Time that the Location closes",
          "definition" : "Time that the Location closes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.hoursOfOperation.closingTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "time"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.availabilityExceptions",
          "path" : "Location.availabilityExceptions",
          "short" : "Description of availability exceptions",
          "definition" : "A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Location.availabilityExceptions",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Location.endpoint",
          "path" : "Location.endpoint",
          "short" : "Technical endpoints providing access to services operated for the location",
          "definition" : "Technical endpoints providing access to services operated for the location.",
          "requirements" : "Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Location.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Location",
          "path" : "Location",
          "short" : "Details and position information for a physical place",
          "definition" : "Details and position information for a physical place where services are provided and resources and participants may be stored, found, contained, or accommodated.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : ".Role[classCode=SDLC]"
          }]
        },
        {
          "id" : "Location.identifier",
          "path" : "Location.identifier",
          "short" : "Unique code or number identifying the location to its users",
          "definition" : "Unique code or number identifying the location to its users.",
          "requirements" : "Organization label locations in registries, need to keep track of those.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Location.status",
          "path" : "Location.status",
          "short" : "active | suspended | inactive",
          "definition" : "The status property covers the general availability of the resource, not the current value which may be covered by the operationStatus, or by a schedule/slots if they are configured for the location.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LocationStatus"
            }],
            "strength" : "required",
            "description" : "Indicates whether the location is still in use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/location-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Location.operationalStatus",
          "path" : "Location.operationalStatus",
          "short" : "The operational status of the location (typically only for a bed/room)",
          "definition" : "The operational status covers operation values most relevant to beds (but can also apply to rooms/units/chairs/etc. such as an isolation unit/dialysis chair). This typically covers concepts such as contamination, housekeeping, and other activities like maintenance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OperationalStatus"
            }],
            "strength" : "preferred",
            "description" : "The operational status if the location (where typically a bed/room).",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0116"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Location.name",
          "path" : "Location.name",
          "short" : "Name of the location as used by humans",
          "definition" : "Name of the location as used by humans. Does not need to be unique.",
          "comment" : "If the name of a location changes, consider putting the old name in the alias column so that it can still be located through searches.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "Location.alias",
          "path" : "Location.alias",
          "short" : "A list of alternate names that the location is known as, or was known as, in the past",
          "definition" : "A list of alternate names that the location is known as, or was known as, in the past.",
          "comment" : "There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the location.",
          "requirements" : "Over time locations and organizations go through many changes and can be known by different names.\n\nFor searching knowing previous names that the location was known by can be very useful.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "Location.description",
          "path" : "Location.description",
          "short" : "Additional details about the location that could be displayed as further information to identify the location beyond its name",
          "definition" : "Description of the Location, which helps in finding or referencing the place.",
          "requirements" : "Humans need additional information to verify a correct location has been identified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity[classCode=PLC determinerCode=INSTANCE].desc"
          }]
        },
        {
          "id" : "Location.mode",
          "path" : "Location.mode",
          "short" : "instance | kind",
          "definition" : "Indicates whether a resource instance represents a specific location or a class of locations.",
          "comment" : "This is labeled as a modifier because whether or not the location is a class of locations changes how it can be used and understood.",
          "requirements" : "When using a Location resource for scheduling or orders, we need to be able to refer to a class of Locations instead of a specific Location.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LocationMode"
            }],
            "strength" : "required",
            "description" : "Indicates whether a resource instance represents a specific location or a class of locations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/location-mode|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".playingEntity[classCode=PLC].determinerCode"
          }]
        },
        {
          "id" : "Location.type",
          "path" : "Location.type",
          "short" : "Type of function performed",
          "definition" : "Indicates the type of function performed at the location.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LocationType"
            }],
            "strength" : "extensible",
            "description" : "Indicates the type of function performed at the location.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Location.telecom",
          "path" : "Location.telecom",
          "short" : "Contact details of the location",
          "definition" : "The contact details of communication devices available at the location. This can include phone numbers, fax numbers, mobile numbers, email addresses and web sites.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "Location.address",
          "path" : "Location.address",
          "short" : "Physical location",
          "definition" : "Physical location.",
          "comment" : "Additional addresses should be recorded using another instance of the Location resource, or via the Organization.",
          "requirements" : "If locations can be visited, we need to keep track of their address.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Address"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".addr"
          }]
        },
        {
          "id" : "Location.physicalType",
          "path" : "Location.physicalType",
          "short" : "Physical form of the location",
          "definition" : "Physical form of the location, e.g. building, room, vehicle, road.",
          "requirements" : "For purposes of showing relevant locations in queries, we need to categorize locations.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PhysicalType"
            }],
            "strength" : "example",
            "description" : "Physical form of the location.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/location-physical-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".playingEntity [classCode=PLC].code"
          }]
        },
        {
          "id" : "Location.position",
          "path" : "Location.position",
          "short" : "The absolute geographic location",
          "definition" : "The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).",
          "requirements" : "For mobile applications and automated route-finding knowing the exact location of the Location is required.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity [classCode=PLC determinerCode=INSTANCE].positionText"
          }]
        },
        {
          "id" : "Location.position.longitude",
          "path" : "Location.position.longitude",
          "short" : "Longitude with WGS84 datum",
          "definition" : "Longitude. The value domain and the interpretation are the same as for the text of the longitude element in KML (see notes below).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"
          }]
        },
        {
          "id" : "Location.position.latitude",
          "path" : "Location.position.latitude",
          "short" : "Latitude with WGS84 datum",
          "definition" : "Latitude. The value domain and the interpretation are the same as for the text of the latitude element in KML (see notes below).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"
          }]
        },
        {
          "id" : "Location.position.altitude",
          "path" : "Location.position.altitude",
          "short" : "Altitude with WGS84 datum",
          "definition" : "Altitude. The value domain and the interpretation are the same as for the text of the altitude element in KML (see notes below).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "(RIM Opted not to map the sub-elements of GPS location, is now an OBS)"
          }]
        },
        {
          "id" : "Location.managingOrganization",
          "path" : "Location.managingOrganization",
          "short" : "Organization responsible for provisioning and upkeep",
          "definition" : "The organization responsible for the provisioning and upkeep of the location.",
          "comment" : "This can also be used as the part of the organization hierarchy where this location provides services. These services can be defined through the HealthcareService resource.",
          "requirements" : "Need to know who manages the location.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scopingEntity[classCode=ORG determinerKind=INSTANCE]"
          }]
        },
        {
          "id" : "Location.partOf",
          "path" : "Location.partOf",
          "short" : "Another Location this one is physically a part of",
          "definition" : "Another Location of which this Location is physically a part of.",
          "requirements" : "For purposes of location, display and identification, knowing which locations are located within other locations is important.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundLink[typeCode=PART].source[classCode=SDLC]"
          }]
        },
        {
          "id" : "Location.hoursOfOperation",
          "path" : "Location.hoursOfOperation",
          "short" : "What days/times during a week is this location usually open",
          "definition" : "What days/times during a week is this location usually open.",
          "comment" : "This type of information is commonly found published in directories and on websites informing customers when the facility is available.\n\nSpecific services within the location may have their own hours which could be shorter (or longer) than the locations hours.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.daysOfWeek",
          "path" : "Location.hoursOfOperation.daysOfWeek",
          "short" : "mon | tue | wed | thu | fri | sat | sun",
          "definition" : "Indicates which days of the week are available between the start and end Times.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DaysOfWeek"
            }],
            "strength" : "required",
            "description" : "The days of the week.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/days-of-week|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.allDay",
          "path" : "Location.hoursOfOperation.allDay",
          "short" : "The Location is open all day",
          "definition" : "The Location is open all day.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.openingTime",
          "path" : "Location.hoursOfOperation.openingTime",
          "short" : "Time that the Location opens",
          "definition" : "Time that the Location opens.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "time"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.hoursOfOperation.closingTime",
          "path" : "Location.hoursOfOperation.closingTime",
          "short" : "Time that the Location closes",
          "definition" : "Time that the Location closes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "time"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Location.availabilityExceptions",
          "path" : "Location.availabilityExceptions",
          "short" : "Description of availability exceptions",
          "definition" : "A description of when the locations opening ours are different to normal, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as detailed in the opening hours Times.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Location.endpoint",
          "path" : "Location.endpoint",
          "short" : "Technical endpoints providing access to services operated for the location",
          "definition" : "Technical endpoints providing access to services operated for the location.",
          "requirements" : "Organizations may have different systems at different locations that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Measure",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Measure",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Measure 
ITU
DomainResource
A quality measure definition
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: Stratifier SHALL be either a single criteria or a set of criteria components
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this measure, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the measure
 version 
Σ
0..1
string
Business version of the measure
 name 
ΣI
0..1
string
Name for this measure (computer friendly)
 title 
Σ
0..1
string
Name for this measure (human friendly)
 subtitle 
0..1
string
Subordinate title of the measure
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 subject[x] 
0..1
E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Subject type (Extensible)
 subjectCodeableConcept
CodeableConcept
 subjectReference
Reference(Group)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the measure
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for measure (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this measure is defined
 usage 
0..1
string
Describes the clinical usage of the measure
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the measure was approved by publisher
 lastReviewDate 
0..1
date
When the measure was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the measure is expected to be used
 topic 
0..*
CodeableConcept
The category of the measure, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 library 
0..*
canonical(Library)
Logic used by the measure
 disclaimer 
Σ
0..1
markdown
Disclaimer for use of the measure or its referenced content
 scoring 
Σ
0..1
CodeableConcept
proportion | ratio | continuous-variable | cohort
MeasureScoring (Extensible)
 compositeScoring 
Σ
0..1
CodeableConcept
opportunity | all-or-nothing | linear | weighted
CompositeMeasureScoring (Extensible)
 type 
Σ
0..*
CodeableConcept
process | outcome | structure | patient-reported-outcome | composite
MeasureType (Extensible)
 riskAdjustment 
Σ
0..1
string
How risk adjustment is applied for this measure
 rateAggregation 
Σ
0..1
string
How is rate aggregation performed for this measure
 rationale 
Σ
0..1
markdown
Detailed description of why the measure exists
 clinicalRecommendationStatement 
Σ
0..1
markdown
Summary of clinical guidelines
 improvementNotation 
Σ
0..1
CodeableConcept
increase | decrease
MeasureImprovementNotation (Required)
 definition 
Σ
0..*
markdown
Defined terms used in the measure documentation
 guidance 
Σ
0..1
markdown
Additional guidance for implementers
 group 
0..*
BackboneElement
Population criteria group
 code 
0..1
CodeableConcept
Meaning of the group
 description 
0..1
string
Summary description
 population 
0..*
BackboneElement
Population criteria
 code 
0..1
CodeableConcept
initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
MeasurePopulationType (Extensible)
 description 
0..1
string
The human readable description of this population criteria
 criteria 
1..1
Expression
The criteria that defines this population
 stratifier 
0..*
BackboneElement
Stratifier criteria for the measure
 code 
0..1
CodeableConcept
Meaning of the stratifier
 description 
0..1
string
The human readable description of this stratifier
 criteria 
0..1
Expression
How the measure should be stratified
 component 
0..*
BackboneElement
Stratifier criteria component for the measure
 code 
0..1
CodeableConcept
Meaning of the stratifier component
 description 
0..1
string
The human readable description of this stratifier component
 criteria 
1..1
Expression
Component of how the measure should be stratified
 supplementalData 
0..*
BackboneElement
What other data should be reported with the measure
 code 
0..1
CodeableConcept
Meaning of the supplemental data
 usage 
0..*
CodeableConcept
supplemental-data | risk-adjustment-factor
MeasureDataUsage (Extensible)
 description 
0..1
string
The human readable description of this supplemental data
 criteria 
1..1
Expression
Expression describing additional data to be reported

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Quality Reporting & Testing"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cqi"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Measure",
      "version" : "4.0.0",
      "name" : "Measure",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Quality Information)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi/index.cfm"
        }]
      }],
      "description" : "The Measure resource provides the definition of a quality measure.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Measure",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Measure",
          "path" : "Measure",
          "short" : "A quality measure definition",
          "definition" : "The Measure resource provides the definition of a quality measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "mea-1",
            "severity" : "error",
            "human" : "Stratifier SHALL be either a single criteria or a set of criteria components",
            "expression" : "group.stratifier.all((code | description | criteria).exists() xor component.exists())",
            "xpath" : "exists(f:group/stratifier/code) or exists(f:group/stratifier/component)"
          },
          {
            "key" : "mea-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "Measure.id",
          "path" : "Measure.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.meta",
          "path" : "Measure.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.implicitRules",
          "path" : "Measure.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Measure.language",
          "path" : "Measure.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Measure.text",
          "path" : "Measure.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Measure.contained",
          "path" : "Measure.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Measure.extension",
          "path" : "Measure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Measure.modifierExtension",
          "path" : "Measure.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Measure.url",
          "path" : "Measure.url",
          "short" : "Canonical identifier for this measure, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this measure when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this measure is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the measure is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the measure to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Measure.identifier",
          "path" : "Measure.identifier",
          "short" : "Additional identifier for the measure",
          "definition" : "A formal identifier that is used to identify this measure when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this measure outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.version",
          "path" : "Measure.version",
          "short" : "Business version of the measure",
          "definition" : "The identifier that is used to identify this version of the measure when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the measure author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different measure instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the measure with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "Measure.name",
          "path" : "Measure.name",
          "short" : "Name for this measure (computer friendly)",
          "definition" : "A natural language name identifying the measure. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.title",
          "path" : "Measure.title",
          "short" : "Name for this measure (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the measure.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "Measure.subtitle",
          "path" : "Measure.subtitle",
          "short" : "Subordinate title of the measure",
          "definition" : "An explanatory or alternate title for the measure giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.status",
          "path" : "Measure.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this measure. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of measures that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Measure.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Measure.experimental",
          "path" : "Measure.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this measure is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of measures that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level measure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Measure.subject[x]",
          "path" : "Measure.subject[x]",
          "short" : "E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device",
          "definition" : "The intended subjects for the measure. If this element is not provided, a Patient subject is assumed, but the subject of the measure can be anything.",
          "comment" : "The subject of the measure is critical in interpreting the criteria definitions, as the logic in the measures is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.subject[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          }
        },
        {
          "id" : "Measure.date",
          "path" : "Measure.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the measure was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the measure changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "Measure.publisher",
          "path" : "Measure.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the measure.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the measure.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "Measure.contact",
          "path" : "Measure.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "Measure.description",
          "path" : "Measure.description",
          "short" : "Natural language description of the measure",
          "definition" : "A free text natural language description of the measure from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the measure is presumed to be the predominant language in the place the measure was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "Measure.useContext",
          "path" : "Measure.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate measure instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "Measure.jurisdiction",
          "path" : "Measure.jurisdiction",
          "short" : "Intended jurisdiction for measure (if applicable)",
          "definition" : "A legal or geographic region in which the measure is intended to be used.",
          "comment" : "It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "Measure.purpose",
          "path" : "Measure.purpose",
          "short" : "Why this measure is defined",
          "definition" : "Explanation of why this measure is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the measure. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this measure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.usage",
          "path" : "Measure.usage",
          "short" : "Describes the clinical usage of the measure",
          "definition" : "A detailed description, from a clinical perspective, of how the measure is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.usage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.copyright",
          "path" : "Measure.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the measure and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the measure.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the measure and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.approvalDate",
          "path" : "Measure.approvalDate",
          "short" : "When the measure was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.lastReviewDate",
          "path" : "Measure.lastReviewDate",
          "short" : "When the measure was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.effectivePeriod",
          "path" : "Measure.effectivePeriod",
          "short" : "When the measure is expected to be used",
          "definition" : "The period during which the measure content was or is planned to be in active use.",
          "comment" : "The effective period for a measure  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the measure are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.topic",
          "path" : "Measure.topic",
          "short" : "The category of the measure, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the measure. Topics provide a high-level categorization grouping types of measures that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the measure so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "Measure.author",
          "path" : "Measure.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "Measure.editor",
          "path" : "Measure.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.reviewer",
          "path" : "Measure.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Measure.endorser",
          "path" : "Measure.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Measure.relatedArtifact",
          "path" : "Measure.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Measures must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.library",
          "path" : "Measure.library",
          "short" : "Logic used by the measure",
          "definition" : "A reference to a Library resource containing the formal logic used by the measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.library",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.disclaimer",
          "path" : "Measure.disclaimer",
          "short" : "Disclaimer for use of the measure or its referenced content",
          "definition" : "Notices and disclaimers regarding the use of the measure or related to intellectual property (such as code systems) referenced by the measure.",
          "requirements" : "Some organizations require that notices and disclosures be included when publishing measures that reference their intellecutal property.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.disclaimer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.scoring",
          "path" : "Measure.scoring",
          "short" : "proportion | ratio | continuous-variable | cohort",
          "definition" : "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.scoring",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureScoring"
            }],
            "strength" : "extensible",
            "description" : "The scoring type of the measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-scoring"
          }
        },
        {
          "id" : "Measure.compositeScoring",
          "path" : "Measure.compositeScoring",
          "short" : "opportunity | all-or-nothing | linear | weighted",
          "definition" : "If this is a composite measure, the scoring method used to combine the component measures to determine the composite score.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.compositeScoring",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositeMeasureScoring"
            }],
            "strength" : "extensible",
            "description" : "The composite scoring method of the measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/composite-measure-scoring"
          }
        },
        {
          "id" : "Measure.type",
          "path" : "Measure.type",
          "short" : "process | outcome | structure | patient-reported-outcome | composite",
          "definition" : "Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureType"
            }],
            "strength" : "extensible",
            "description" : "The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-type"
          }
        },
        {
          "id" : "Measure.riskAdjustment",
          "path" : "Measure.riskAdjustment",
          "short" : "How risk adjustment is applied for this measure",
          "definition" : "A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.",
          "comment" : "Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether a measure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow for more useful comparisons.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.riskAdjustment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.rateAggregation",
          "path" : "Measure.rateAggregation",
          "short" : "How is rate aggregation performed for this measure",
          "definition" : "Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result.",
          "comment" : "The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models.  Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.rateAggregation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.rationale",
          "path" : "Measure.rationale",
          "short" : "Detailed description of why the measure exists",
          "definition" : "Provides a succinct statement of the need for the measure. Usually includes statements pertaining to importance criterion: impact, gap in care, and evidence.",
          "requirements" : "Measure developers need to be able to provide a detailed description of the purpose of the measure. This element provides detailed rationale, where the purpose element provides a summary of the rationale.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.rationale",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.clinicalRecommendationStatement",
          "path" : "Measure.clinicalRecommendationStatement",
          "short" : "Summary of clinical guidelines",
          "definition" : "Provides a summary of relevant clinical guidelines or other clinical recommendations supporting the measure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.clinicalRecommendationStatement",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.improvementNotation",
          "path" : "Measure.improvementNotation",
          "short" : "increase | decrease",
          "definition" : "Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).",
          "requirements" : "Measure consumers and implementers must be able to determine how to interpret a measure score.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.improvementNotation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureImprovementNotation"
            }],
            "strength" : "required",
            "description" : "Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0"
          }
        },
        {
          "id" : "Measure.definition",
          "path" : "Measure.definition",
          "short" : "Defined terms used in the measure documentation",
          "definition" : "Provides a description of an individual term used within the measure.",
          "requirements" : "Measure developers must be able to provide precise definitions of terms used within measure descriptions and guidance to help communicate the intent of the measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.definition",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.guidance",
          "path" : "Measure.guidance",
          "short" : "Additional guidance for implementers",
          "definition" : "Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure.",
          "requirements" : "Measure developers must be able to provide additional guidance for implementers to understand the intent with greater specificity than that provided in the population criteria of the measure. This element provides detailed guidance, where the usage element provides a summary of the guidance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.guidance",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Measure.group",
          "path" : "Measure.group",
          "short" : "Population criteria group",
          "definition" : "A group of population criteria for the measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.group",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.id",
          "path" : "Measure.group.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.group.extension",
          "path" : "Measure.group.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.group.modifierExtension",
          "path" : "Measure.group.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Measure.group.code",
          "path" : "Measure.group.code",
          "short" : "Meaning of the group",
          "definition" : "Indicates a meaning for the group. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing groups to be correlated across measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.description",
          "path" : "Measure.group.description",
          "short" : "Summary description",
          "definition" : "The human readable description of this population group.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.population",
          "path" : "Measure.group.population",
          "short" : "Population criteria",
          "definition" : "A population criteria for the measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.group.population",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.population.id",
          "path" : "Measure.group.population.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.group.population.extension",
          "path" : "Measure.group.population.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.group.population.modifierExtension",
          "path" : "Measure.group.population.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Measure.group.population.code",
          "path" : "Measure.group.population.code",
          "short" : "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation",
          "definition" : "The type of population criteria.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.population.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasurePopulationType"
            }],
            "strength" : "extensible",
            "description" : "The type of population.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-population"
          }
        },
        {
          "id" : "Measure.group.population.description",
          "path" : "Measure.group.population.description",
          "short" : "The human readable description of this population criteria",
          "definition" : "The human readable description of this population criteria.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.population.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.population.criteria",
          "path" : "Measure.group.population.criteria",
          "short" : "The criteria that defines this population",
          "definition" : "An expression that specifies the criteria for the population, typically the name of an expression in a library.",
          "comment" : "In the case of a continuous-variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.population.criteria",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Expression"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.stratifier",
          "path" : "Measure.group.stratifier",
          "short" : "Stratifier criteria for the measure",
          "definition" : "The stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library or a valid FHIR Resource Path.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.group.stratifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.stratifier.id",
          "path" : "Measure.group.stratifier.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.group.stratifier.extension",
          "path" : "Measure.group.stratifier.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.group.stratifier.modifierExtension",
          "path" : "Measure.group.stratifier.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Measure.group.stratifier.code",
          "path" : "Measure.group.stratifier.code",
          "short" : "Meaning of the stratifier",
          "definition" : "Indicates a meaning for the stratifier. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.stratifier.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.stratifier.description",
          "path" : "Measure.group.stratifier.description",
          "short" : "The human readable description of this stratifier",
          "definition" : "The human readable description of this stratifier criteria.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.stratifier.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.stratifier.criteria",
          "path" : "Measure.group.stratifier.criteria",
          "short" : "How the measure should be stratified",
          "definition" : "An expression that specifies the criteria for the stratifier. This is typically the name of an expression defined within a referenced library, but it may also be a path to a stratifier element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.stratifier.criteria",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Expression"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.stratifier.component",
          "path" : "Measure.group.stratifier.component",
          "short" : "Stratifier criteria component for the measure",
          "definition" : "A component of the stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library or a valid FHIR Resource Path.",
          "comment" : "Stratifiers are defined either as a single criteria, or as a set of component criteria.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.group.stratifier.component",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.stratifier.component.id",
          "path" : "Measure.group.stratifier.component.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.group.stratifier.component.extension",
          "path" : "Measure.group.stratifier.component.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.group.stratifier.component.modifierExtension",
          "path" : "Measure.group.stratifier.component.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Measure.group.stratifier.component.code",
          "path" : "Measure.group.stratifier.component.code",
          "short" : "Meaning of the stratifier component",
          "definition" : "Indicates a meaning for the stratifier component. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.stratifier.component.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.stratifier.component.description",
          "path" : "Measure.group.stratifier.component.description",
          "short" : "The human readable description of this stratifier component",
          "definition" : "The human readable description of this stratifier criteria component.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.stratifier.component.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.group.stratifier.component.criteria",
          "path" : "Measure.group.stratifier.component.criteria",
          "short" : "Component of how the measure should be stratified",
          "definition" : "An expression that specifies the criteria for this component of the stratifier. This is typically the name of an expression defined within a referenced library, but it may also be a path to a stratifier element.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Measure.group.stratifier.component.criteria",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Expression"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.supplementalData",
          "path" : "Measure.supplementalData",
          "short" : "What other data should be reported with the measure",
          "definition" : "The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path.",
          "comment" : "Note that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.supplementalData",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.supplementalData.id",
          "path" : "Measure.supplementalData.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.supplementalData.extension",
          "path" : "Measure.supplementalData.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Measure.supplementalData.modifierExtension",
          "path" : "Measure.supplementalData.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Measure.supplementalData.code",
          "path" : "Measure.supplementalData.code",
          "short" : "Meaning of the supplemental data",
          "definition" : "Indicates a meaning for the supplemental data. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing supplemental data to be correlated across measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.supplementalData.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.supplementalData.usage",
          "path" : "Measure.supplementalData.usage",
          "short" : "supplemental-data | risk-adjustment-factor",
          "definition" : "An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Measure.supplementalData.usage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureDataUsage"
            }],
            "strength" : "extensible",
            "description" : "The intended usage for supplemental data elements in the measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-data-usage"
          }
        },
        {
          "id" : "Measure.supplementalData.description",
          "path" : "Measure.supplementalData.description",
          "short" : "The human readable description of this supplemental data",
          "definition" : "The human readable description of this supplemental data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Measure.supplementalData.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Measure.supplementalData.criteria",
          "path" : "Measure.supplementalData.criteria",
          "short" : "Expression describing additional data to be reported",
          "definition" : "The criteria for the supplemental data. This is typically the name of a valid expression defined within a referenced library, but it may also be a path to a specific data element. The criteria defines the data to be returned for this element.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Measure.supplementalData.criteria",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Expression"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Measure",
          "path" : "Measure",
          "short" : "A quality measure definition",
          "definition" : "The Measure resource provides the definition of a quality measure.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "mea-1",
            "severity" : "error",
            "human" : "Stratifier SHALL be either a single criteria or a set of criteria components",
            "expression" : "group.stratifier.all((code | description | criteria).exists() xor component.exists())",
            "xpath" : "exists(f:group/stratifier/code) or exists(f:group/stratifier/component)"
          },
          {
            "key" : "mea-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "Measure.url",
          "path" : "Measure.url",
          "short" : "Canonical identifier for this measure, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this measure when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this measure is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the measure is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the measure to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Measure.identifier",
          "path" : "Measure.identifier",
          "short" : "Additional identifier for the measure",
          "definition" : "A formal identifier that is used to identify this measure when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this measure outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.version",
          "path" : "Measure.version",
          "short" : "Business version of the measure",
          "definition" : "The identifier that is used to identify this version of the measure when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the measure author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different measure instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the measure with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "Measure.name",
          "path" : "Measure.name",
          "short" : "Name for this measure (computer friendly)",
          "definition" : "A natural language name identifying the measure. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "Measure.title",
          "path" : "Measure.title",
          "short" : "Name for this measure (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the measure.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "Measure.subtitle",
          "path" : "Measure.subtitle",
          "short" : "Subordinate title of the measure",
          "definition" : "An explanatory or alternate title for the measure giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Measure.status",
          "path" : "Measure.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this measure. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of measures that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Measure.experimental",
          "path" : "Measure.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this measure is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of measures that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level measure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Measure.subject[x]",
          "path" : "Measure.subject[x]",
          "short" : "E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device",
          "definition" : "The intended subjects for the measure. If this element is not provided, a Patient subject is assumed, but the subject of the measure can be anything.",
          "comment" : "The subject of the measure is critical in interpreting the criteria definitions, as the logic in the measures is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          }
        },
        {
          "id" : "Measure.date",
          "path" : "Measure.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the measure was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the measure changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "Measure.publisher",
          "path" : "Measure.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the measure.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the measure.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "Measure.contact",
          "path" : "Measure.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "Measure.description",
          "path" : "Measure.description",
          "short" : "Natural language description of the measure",
          "definition" : "A free text natural language description of the measure from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the measure was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the measure is presumed to be the predominant language in the place the measure was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "Measure.useContext",
          "path" : "Measure.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate measure instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "Measure.jurisdiction",
          "path" : "Measure.jurisdiction",
          "short" : "Intended jurisdiction for measure (if applicable)",
          "definition" : "A legal or geographic region in which the measure is intended to be used.",
          "comment" : "It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "Measure.purpose",
          "path" : "Measure.purpose",
          "short" : "Why this measure is defined",
          "definition" : "Explanation of why this measure is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the measure. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this measure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.usage",
          "path" : "Measure.usage",
          "short" : "Describes the clinical usage of the measure",
          "definition" : "A detailed description, from a clinical perspective, of how the measure is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Measure.copyright",
          "path" : "Measure.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the measure and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the measure.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the measure and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.approvalDate",
          "path" : "Measure.approvalDate",
          "short" : "When the measure was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.lastReviewDate",
          "path" : "Measure.lastReviewDate",
          "short" : "When the measure was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.effectivePeriod",
          "path" : "Measure.effectivePeriod",
          "short" : "When the measure is expected to be used",
          "definition" : "The period during which the measure content was or is planned to be in active use.",
          "comment" : "The effective period for a measure  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the measure are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Measure.topic",
          "path" : "Measure.topic",
          "short" : "The category of the measure, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the measure. Topics provide a high-level categorization grouping types of measures that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the measure so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "Measure.author",
          "path" : "Measure.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "Measure.editor",
          "path" : "Measure.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "Measure.reviewer",
          "path" : "Measure.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Measure.endorser",
          "path" : "Measure.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "Measure.relatedArtifact",
          "path" : "Measure.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Measures must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "Measure.library",
          "path" : "Measure.library",
          "short" : "Logic used by the measure",
          "definition" : "A reference to a Library resource containing the formal logic used by the measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }]
        },
        {
          "id" : "Measure.disclaimer",
          "path" : "Measure.disclaimer",
          "short" : "Disclaimer for use of the measure or its referenced content",
          "definition" : "Notices and disclaimers regarding the use of the measure or related to intellectual property (such as code systems) referenced by the measure.",
          "requirements" : "Some organizations require that notices and disclosures be included when publishing measures that reference their intellecutal property.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true
        },
        {
          "id" : "Measure.scoring",
          "path" : "Measure.scoring",
          "short" : "proportion | ratio | continuous-variable | cohort",
          "definition" : "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureScoring"
            }],
            "strength" : "extensible",
            "description" : "The scoring type of the measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-scoring"
          }
        },
        {
          "id" : "Measure.compositeScoring",
          "path" : "Measure.compositeScoring",
          "short" : "opportunity | all-or-nothing | linear | weighted",
          "definition" : "If this is a composite measure, the scoring method used to combine the component measures to determine the composite score.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CompositeMeasureScoring"
            }],
            "strength" : "extensible",
            "description" : "The composite scoring method of the measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/composite-measure-scoring"
          }
        },
        {
          "id" : "Measure.type",
          "path" : "Measure.type",
          "short" : "process | outcome | structure | patient-reported-outcome | composite",
          "definition" : "Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureType"
            }],
            "strength" : "extensible",
            "description" : "The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-type"
          }
        },
        {
          "id" : "Measure.riskAdjustment",
          "path" : "Measure.riskAdjustment",
          "short" : "How risk adjustment is applied for this measure",
          "definition" : "A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.",
          "comment" : "Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether a measure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow for more useful comparisons.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Measure.rateAggregation",
          "path" : "Measure.rateAggregation",
          "short" : "How is rate aggregation performed for this measure",
          "definition" : "Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result.",
          "comment" : "The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models.  Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Measure.rationale",
          "path" : "Measure.rationale",
          "short" : "Detailed description of why the measure exists",
          "definition" : "Provides a succinct statement of the need for the measure. Usually includes statements pertaining to importance criterion: impact, gap in care, and evidence.",
          "requirements" : "Measure developers need to be able to provide a detailed description of the purpose of the measure. This element provides detailed rationale, where the purpose element provides a summary of the rationale.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true
        },
        {
          "id" : "Measure.clinicalRecommendationStatement",
          "path" : "Measure.clinicalRecommendationStatement",
          "short" : "Summary of clinical guidelines",
          "definition" : "Provides a summary of relevant clinical guidelines or other clinical recommendations supporting the measure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true
        },
        {
          "id" : "Measure.improvementNotation",
          "path" : "Measure.improvementNotation",
          "short" : "increase | decrease",
          "definition" : "Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).",
          "requirements" : "Measure consumers and implementers must be able to determine how to interpret a measure score.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureImprovementNotation"
            }],
            "strength" : "required",
            "description" : "Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0"
          }
        },
        {
          "id" : "Measure.definition",
          "path" : "Measure.definition",
          "short" : "Defined terms used in the measure documentation",
          "definition" : "Provides a description of an individual term used within the measure.",
          "requirements" : "Measure developers must be able to provide precise definitions of terms used within measure descriptions and guidance to help communicate the intent of the measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true
        },
        {
          "id" : "Measure.guidance",
          "path" : "Measure.guidance",
          "short" : "Additional guidance for implementers",
          "definition" : "Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure.",
          "requirements" : "Measure developers must be able to provide additional guidance for implementers to understand the intent with greater specificity than that provided in the population criteria of the measure. This element provides detailed guidance, where the usage element provides a summary of the guidance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true
        },
        {
          "id" : "Measure.group",
          "path" : "Measure.group",
          "short" : "Population criteria group",
          "definition" : "A group of population criteria for the measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Measure.group.code",
          "path" : "Measure.group.code",
          "short" : "Meaning of the group",
          "definition" : "Indicates a meaning for the group. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing groups to be correlated across measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "Measure.group.description",
          "path" : "Measure.group.description",
          "short" : "Summary description",
          "definition" : "The human readable description of this population group.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Measure.group.population",
          "path" : "Measure.group.population",
          "short" : "Population criteria",
          "definition" : "A population criteria for the measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Measure.group.population.code",
          "path" : "Measure.group.population.code",
          "short" : "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation",
          "definition" : "The type of population criteria.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasurePopulationType"
            }],
            "strength" : "extensible",
            "description" : "The type of population.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-population"
          }
        },
        {
          "id" : "Measure.group.population.description",
          "path" : "Measure.group.population.description",
          "short" : "The human readable description of this population criteria",
          "definition" : "The human readable description of this population criteria.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Measure.group.population.criteria",
          "path" : "Measure.group.population.criteria",
          "short" : "The criteria that defines this population",
          "definition" : "An expression that specifies the criteria for the population, typically the name of an expression in a library.",
          "comment" : "In the case of a continuous-variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Expression"
          }]
        },
        {
          "id" : "Measure.group.stratifier",
          "path" : "Measure.group.stratifier",
          "short" : "Stratifier criteria for the measure",
          "definition" : "The stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library or a valid FHIR Resource Path.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Measure.group.stratifier.code",
          "path" : "Measure.group.stratifier.code",
          "short" : "Meaning of the stratifier",
          "definition" : "Indicates a meaning for the stratifier. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "Measure.group.stratifier.description",
          "path" : "Measure.group.stratifier.description",
          "short" : "The human readable description of this stratifier",
          "definition" : "The human readable description of this stratifier criteria.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Measure.group.stratifier.criteria",
          "path" : "Measure.group.stratifier.criteria",
          "short" : "How the measure should be stratified",
          "definition" : "An expression that specifies the criteria for the stratifier. This is typically the name of an expression defined within a referenced library, but it may also be a path to a stratifier element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Expression"
          }]
        },
        {
          "id" : "Measure.group.stratifier.component",
          "path" : "Measure.group.stratifier.component",
          "short" : "Stratifier criteria component for the measure",
          "definition" : "A component of the stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library or a valid FHIR Resource Path.",
          "comment" : "Stratifiers are defined either as a single criteria, or as a set of component criteria.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Measure.group.stratifier.component.code",
          "path" : "Measure.group.stratifier.component.code",
          "short" : "Meaning of the stratifier component",
          "definition" : "Indicates a meaning for the stratifier component. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "Measure.group.stratifier.component.description",
          "path" : "Measure.group.stratifier.component.description",
          "short" : "The human readable description of this stratifier component",
          "definition" : "The human readable description of this stratifier criteria component.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Measure.group.stratifier.component.criteria",
          "path" : "Measure.group.stratifier.component.criteria",
          "short" : "Component of how the measure should be stratified",
          "definition" : "An expression that specifies the criteria for this component of the stratifier. This is typically the name of an expression defined within a referenced library, but it may also be a path to a stratifier element.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Expression"
          }]
        },
        {
          "id" : "Measure.supplementalData",
          "path" : "Measure.supplementalData",
          "short" : "What other data should be reported with the measure",
          "definition" : "The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path.",
          "comment" : "Note that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "Measure.supplementalData.code",
          "path" : "Measure.supplementalData.code",
          "short" : "Meaning of the supplemental data",
          "definition" : "Indicates a meaning for the supplemental data. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing supplemental data to be correlated across measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "Measure.supplementalData.usage",
          "path" : "Measure.supplementalData.usage",
          "short" : "supplemental-data | risk-adjustment-factor",
          "definition" : "An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureDataUsage"
            }],
            "strength" : "extensible",
            "description" : "The intended usage for supplemental data elements in the measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-data-usage"
          }
        },
        {
          "id" : "Measure.supplementalData.description",
          "path" : "Measure.supplementalData.description",
          "short" : "The human readable description of this supplemental data",
          "definition" : "The human readable description of this supplemental data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "Measure.supplementalData.criteria",
          "path" : "Measure.supplementalData.criteria",
          "short" : "Expression describing additional data to be reported",
          "definition" : "The criteria for the supplemental data. This is typically the name of a valid expression defined within a referenced library, but it may also be a path to a specific data element. The criteria defines the data to be returned for this element.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Expression"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MeasureReport",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MeasureReport",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MeasureReport 
ITU
DomainResource
Results of a measure evaluation
+ Rule: Measure Reports used for data collection SHALL NOT communicate group and score information
+ Rule: Stratifiers SHALL be either a single criteria or a set of criteria components
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Additional identifier for the MeasureReport
 status 
?!Σ
1..1
code
complete | pending | error
MeasureReportStatus (Required)
 type 
ΣI
1..1
code
individual | subject-list | summary | data-collection
MeasureReportType (Required)
 measure 
Σ
1..1
canonical(Measure)
What measure was calculated
 subject 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | Location | Device | RelatedPerson | Group)
What individual(s) the report is for
 date 
Σ
0..1
dateTime
When the report was generated
 reporter 
Σ
0..1
Reference(Practitioner | PractitionerRole | Location | Organization)
Who is reporting the data
 period 
Σ
1..1
Period
What period the report covers
 improvementNotation 
?!Σ
0..1
CodeableConcept
increase | decrease
MeasureImprovementNotation (Required)
 group 
I
0..*
BackboneElement
Measure results for each group
 code 
Σ
0..1
CodeableConcept
Meaning of the group
 population 
0..*
BackboneElement
The populations in the group
 code 
Σ
0..1
CodeableConcept
initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
MeasurePopulationType (Extensible)
 count 
0..1
integer
Size of the population
 subjectResults 
0..1
Reference(List)
For subject-list reports, the subject results in this population
 measureScore 
Σ
0..1
Quantity
What score this group achieved
 stratifier 
0..*
BackboneElement
Stratification results
 code 
0..*
CodeableConcept
What stratifier of the group
 stratum 
0..*
BackboneElement
Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
 value 
0..1
CodeableConcept
The stratum value, e.g. male
 component 
0..*
BackboneElement
Stratifier component values
 code 
1..1
CodeableConcept
What stratifier component of the group
 value 
1..1
CodeableConcept
The stratum component value, e.g. male
 population 
0..*
BackboneElement
Population results in this stratum
 code 
0..1
CodeableConcept
initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
MeasurePopulationType (Extensible)
 count 
0..1
integer
Size of the population
 subjectResults 
0..1
Reference(List)
For subject-list reports, the subject results in this population
 measureScore 
0..1
Quantity
What score this stratum achieved
 evaluatedResource 
0..*
Reference(Any)
What data was used to calculate the measure score

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Quality Reporting & Testing"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cqi"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MeasureReport",
      "version" : "4.0.0",
      "name" : "MeasureReport",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Quality Information)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi/index.cfm"
        }]
      }],
      "description" : "The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MeasureReport",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MeasureReport",
          "path" : "MeasureReport",
          "short" : "Results of a measure evaluation",
          "definition" : "The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "mrp-2",
            "severity" : "error",
            "human" : "Stratifiers SHALL be either a single criteria or a set of criteria components",
            "expression" : "group.stratifier.stratum.all(value.exists() xor component.exists())",
            "xpath" : "not(f:kind/@value='data-collection') or not(exists(f:group))"
          },
          {
            "key" : "mrp-1",
            "severity" : "error",
            "human" : "Measure Reports used for data collection SHALL NOT communicate group and score information",
            "expression" : "(type != 'data-collection') or group.exists().not()",
            "xpath" : "not(f:kind/@value='data-collection') or not(exists(f:group))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MeasureReport.id",
          "path" : "MeasureReport.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.meta",
          "path" : "MeasureReport.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.implicitRules",
          "path" : "MeasureReport.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.language",
          "path" : "MeasureReport.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MeasureReport.text",
          "path" : "MeasureReport.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MeasureReport.contained",
          "path" : "MeasureReport.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.extension",
          "path" : "MeasureReport.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.modifierExtension",
          "path" : "MeasureReport.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.identifier",
          "path" : "MeasureReport.identifier",
          "short" : "Additional identifier for the MeasureReport",
          "definition" : "A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "MeasureReport.status",
          "path" : "MeasureReport.status",
          "short" : "complete | pending | error",
          "definition" : "The MeasureReport status. No data will be available until the MeasureReport status is complete.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureReportStatus"
            }],
            "strength" : "required",
            "description" : "The status of the measure report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-report-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "MeasureReport.type",
          "path" : "MeasureReport.type",
          "short" : "individual | subject-list | summary | data-collection",
          "definition" : "The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure.",
          "comment" : "Data-collection reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["mrp-1"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureReportType"
            }],
            "strength" : "required",
            "description" : "The type of the measure report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-report-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "MeasureReport.measure",
          "path" : "MeasureReport.measure",
          "short" : "What measure was calculated",
          "definition" : "A reference to the Measure that was calculated to produce this report.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.measure",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Measure"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "MeasureReport.subject",
          "path" : "MeasureReport.subject",
          "short" : "What individual(s) the report is for",
          "definition" : "Optional subject identifying the individual or individuals the report is for.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MeasureReport.date",
          "path" : "MeasureReport.date",
          "short" : "When the report was generated",
          "definition" : "The date this measure report was generated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "MeasureReport.reporter",
          "path" : "MeasureReport.reporter",
          "short" : "Who is reporting the data",
          "definition" : "The individual, location, or organization that is reporting the data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.reporter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "MeasureReport.period",
          "path" : "MeasureReport.period",
          "short" : "What period the report covers",
          "definition" : "The reporting period for which the report was calculated.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.period",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.improvementNotation",
          "path" : "MeasureReport.improvementNotation",
          "short" : "increase | decrease",
          "definition" : "Whether improvement in the measure is noted by an increase or decrease in the measure score.",
          "comment" : "This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.improvementNotation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : true,
          "isModifierReason" : "Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement)",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureImprovementNotation"
            }],
            "strength" : "required",
            "description" : "Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0"
          }
        },
        {
          "id" : "MeasureReport.group",
          "path" : "MeasureReport.group",
          "short" : "Measure results for each group",
          "definition" : "The results of the calculation, one for each population group in the measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.group",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["mrp-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.id",
          "path" : "MeasureReport.group.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.extension",
          "path" : "MeasureReport.group.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.modifierExtension",
          "path" : "MeasureReport.group.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.group.code",
          "path" : "MeasureReport.group.code",
          "short" : "Meaning of the group",
          "definition" : "The meaning of the population group as defined in the measure definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.group.population",
          "path" : "MeasureReport.group.population",
          "short" : "The populations in the group",
          "definition" : "The populations that make up the population group, one for each type of population appropriate for the measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.group.population",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.population.id",
          "path" : "MeasureReport.group.population.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.population.extension",
          "path" : "MeasureReport.group.population.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.population.modifierExtension",
          "path" : "MeasureReport.group.population.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.group.population.code",
          "path" : "MeasureReport.group.population.code",
          "short" : "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation",
          "definition" : "The type of the population.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.population.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasurePopulation"
            }],
            "strength" : "extensible",
            "description" : "The type of population (e.g. initial, numerator, denominator, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-population"
          }
        },
        {
          "id" : "MeasureReport.group.population.count",
          "path" : "MeasureReport.group.population.count",
          "short" : "Size of the population",
          "definition" : "The number of members of the population.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.population.count",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.population.subjectResults",
          "path" : "MeasureReport.group.population.subjectResults",
          "short" : "For subject-list reports, the subject results in this population",
          "definition" : "This element refers to a List of subject level MeasureReport resources, one for each subject in this population.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.population.subjectResults",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/List"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.measureScore",
          "path" : "MeasureReport.group.measureScore",
          "short" : "What score this group achieved",
          "definition" : "The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.measureScore",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.group.stratifier",
          "path" : "MeasureReport.group.stratifier",
          "short" : "Stratification results",
          "definition" : "When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.group.stratifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.id",
          "path" : "MeasureReport.group.stratifier.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.extension",
          "path" : "MeasureReport.group.stratifier.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.modifierExtension",
          "path" : "MeasureReport.group.stratifier.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.code",
          "path" : "MeasureReport.group.stratifier.code",
          "short" : "What stratifier of the group",
          "definition" : "The meaning of this stratifier, as defined in the measure definition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.group.stratifier.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "StratifierGroup"
          }],
          "path" : "MeasureReport.group.stratifier.stratum",
          "short" : "Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components",
          "definition" : "This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.id",
          "path" : "MeasureReport.group.stratifier.stratum.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.extension",
          "path" : "MeasureReport.group.stratifier.stratum.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.modifierExtension",
          "path" : "MeasureReport.group.stratifier.stratum.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.value",
          "path" : "MeasureReport.group.stratifier.stratum.value",
          "short" : "The stratum value, e.g. male",
          "definition" : "The value for this stratum, expressed as a CodeableConcept. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.value",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component",
          "path" : "MeasureReport.group.stratifier.stratum.component",
          "short" : "Stratifier component values",
          "definition" : "A stratifier component value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.component",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component.id",
          "path" : "MeasureReport.group.stratifier.stratum.component.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component.extension",
          "path" : "MeasureReport.group.stratifier.stratum.component.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component.modifierExtension",
          "path" : "MeasureReport.group.stratifier.stratum.component.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component.code",
          "path" : "MeasureReport.group.stratifier.stratum.component.code",
          "short" : "What stratifier component of the group",
          "definition" : "The code for the stratum component value.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.component.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component.value",
          "path" : "MeasureReport.group.stratifier.stratum.component.value",
          "short" : "The stratum component value, e.g. male",
          "definition" : "The stratum component value.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.component.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "StratifierGroupPopulation"
          }],
          "path" : "MeasureReport.group.stratifier.stratum.population",
          "short" : "Population results in this stratum",
          "definition" : "The populations that make up the stratum, one for each type of population appropriate to the measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.population",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.id",
          "path" : "MeasureReport.group.stratifier.stratum.population.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.extension",
          "path" : "MeasureReport.group.stratifier.stratum.population.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.modifierExtension",
          "path" : "MeasureReport.group.stratifier.stratum.population.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.code",
          "path" : "MeasureReport.group.stratifier.stratum.population.code",
          "short" : "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation",
          "definition" : "The type of the population.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.population.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasurePopulation"
            }],
            "strength" : "extensible",
            "description" : "The type of population (e.g. initial, numerator, denominator, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-population"
          }
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.count",
          "path" : "MeasureReport.group.stratifier.stratum.population.count",
          "short" : "Size of the population",
          "definition" : "The number of members of the population in this stratum.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.population.count",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.subjectResults",
          "path" : "MeasureReport.group.stratifier.stratum.population.subjectResults",
          "short" : "For subject-list reports, the subject results in this population",
          "definition" : "This element refers to a List of subject level MeasureReport resources, one for each subject in this population in this stratum.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.population.subjectResults",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/List"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.measureScore",
          "path" : "MeasureReport.group.stratifier.stratum.measureScore",
          "short" : "What score this stratum achieved",
          "definition" : "The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MeasureReport.group.stratifier.stratum.measureScore",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MeasureReport.evaluatedResource",
          "path" : "MeasureReport.evaluatedResource",
          "short" : "What data was used to calculate the measure score",
          "definition" : "A reference to a Bundle containing the Resources that were used in the calculation of this measure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MeasureReport.evaluatedResource",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MeasureReport",
          "path" : "MeasureReport",
          "short" : "Results of a measure evaluation",
          "definition" : "The MeasureReport resource contains the results of the calculation of a measure; and optionally a reference to the resources involved in that calculation.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "mrp-2",
            "severity" : "error",
            "human" : "Stratifiers SHALL be either a single criteria or a set of criteria components",
            "expression" : "group.stratifier.stratum.all(value.exists() xor component.exists())",
            "xpath" : "not(f:kind/@value='data-collection') or not(exists(f:group))"
          },
          {
            "key" : "mrp-1",
            "severity" : "error",
            "human" : "Measure Reports used for data collection SHALL NOT communicate group and score information",
            "expression" : "(type != 'data-collection') or group.exists().not()",
            "xpath" : "not(f:kind/@value='data-collection') or not(exists(f:group))"
          }]
        },
        {
          "id" : "MeasureReport.identifier",
          "path" : "MeasureReport.identifier",
          "short" : "Additional identifier for the MeasureReport",
          "definition" : "A formal identifier that is used to identify this MeasureReport when it is represented in other formats or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "MeasureReport.status",
          "path" : "MeasureReport.status",
          "short" : "complete | pending | error",
          "definition" : "The MeasureReport status. No data will be available until the MeasureReport status is complete.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureReportStatus"
            }],
            "strength" : "required",
            "description" : "The status of the measure report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-report-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "MeasureReport.type",
          "path" : "MeasureReport.type",
          "short" : "individual | subject-list | summary | data-collection",
          "definition" : "The type of measure report. This may be an individual report, which provides the score for the measure for an individual member of the population; a subject-listing, which returns the list of members that meet the various criteria in the measure; a summary report, which returns a population count for each of the criteria in the measure; or a data-collection, which enables the MeasureReport to be used to exchange the data-of-interest for a quality measure.",
          "comment" : "Data-collection reports are used only to communicate data-of-interest for a measure. They do not necessarily include all the data for a particular subject or population, but they may.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["mrp-1"],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureReportType"
            }],
            "strength" : "required",
            "description" : "The type of the measure report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-report-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "MeasureReport.measure",
          "path" : "MeasureReport.measure",
          "short" : "What measure was calculated",
          "definition" : "A reference to the Measure that was calculated to produce this report.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Measure"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "MeasureReport.subject",
          "path" : "MeasureReport.subject",
          "short" : "What individual(s) the report is for",
          "definition" : "Optional subject identifying the individual or individuals the report is for.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MeasureReport.date",
          "path" : "MeasureReport.date",
          "short" : "When the report was generated",
          "definition" : "The date this measure report was generated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "MeasureReport.reporter",
          "path" : "MeasureReport.reporter",
          "short" : "Who is reporting the data",
          "definition" : "The individual, location, or organization that is reporting the data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "MeasureReport.period",
          "path" : "MeasureReport.period",
          "short" : "What period the report covers",
          "definition" : "The reporting period for which the report was calculated.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.improvementNotation",
          "path" : "MeasureReport.improvementNotation",
          "short" : "increase | decrease",
          "definition" : "Whether improvement in the measure is noted by an increase or decrease in the measure score.",
          "comment" : "This element is typically defined by the measure, but reproduced here to ensure the measure score can be interpreted. The element is labeled as a modifier because it changes the interpretation of the reported measure score.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : true,
          "isModifierReason" : "Improvement notation determines how to interpret the measure score (i.e. whether an increase is an improvement)",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasureImprovementNotation"
            }],
            "strength" : "required",
            "description" : "Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0"
          }
        },
        {
          "id" : "MeasureReport.group",
          "path" : "MeasureReport.group",
          "short" : "Measure results for each group",
          "definition" : "The results of the calculation, one for each population group in the measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["mrp-1"]
        },
        {
          "id" : "MeasureReport.group.code",
          "path" : "MeasureReport.group.code",
          "short" : "Meaning of the group",
          "definition" : "The meaning of the population group as defined in the measure definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.group.population",
          "path" : "MeasureReport.group.population",
          "short" : "The populations in the group",
          "definition" : "The populations that make up the population group, one for each type of population appropriate for the measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MeasureReport.group.population.code",
          "path" : "MeasureReport.group.population.code",
          "short" : "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation",
          "definition" : "The type of the population.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasurePopulation"
            }],
            "strength" : "extensible",
            "description" : "The type of population (e.g. initial, numerator, denominator, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-population"
          }
        },
        {
          "id" : "MeasureReport.group.population.count",
          "path" : "MeasureReport.group.population.count",
          "short" : "Size of the population",
          "definition" : "The number of members of the population.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "MeasureReport.group.population.subjectResults",
          "path" : "MeasureReport.group.population.subjectResults",
          "short" : "For subject-list reports, the subject results in this population",
          "definition" : "This element refers to a List of subject level MeasureReport resources, one for each subject in this population.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/List"]
          }]
        },
        {
          "id" : "MeasureReport.group.measureScore",
          "path" : "MeasureReport.group.measureScore",
          "short" : "What score this group achieved",
          "definition" : "The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MeasureReport.group.stratifier",
          "path" : "MeasureReport.group.stratifier",
          "short" : "Stratification results",
          "definition" : "When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.code",
          "path" : "MeasureReport.group.stratifier.code",
          "short" : "What stratifier of the group",
          "definition" : "The meaning of this stratifier, as defined in the measure definition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "StratifierGroup"
          }],
          "path" : "MeasureReport.group.stratifier.stratum",
          "short" : "Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components",
          "definition" : "This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.value",
          "path" : "MeasureReport.group.stratifier.stratum.value",
          "short" : "The stratum value, e.g. male",
          "definition" : "The value for this stratum, expressed as a CodeableConcept. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component",
          "path" : "MeasureReport.group.stratifier.stratum.component",
          "short" : "Stratifier component values",
          "definition" : "A stratifier component value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component.code",
          "path" : "MeasureReport.group.stratifier.stratum.component.code",
          "short" : "What stratifier component of the group",
          "definition" : "The code for the stratum component value.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.component.value",
          "path" : "MeasureReport.group.stratifier.stratum.component.value",
          "short" : "The stratum component value, e.g. male",
          "definition" : "The stratum component value.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "StratifierGroupPopulation"
          }],
          "path" : "MeasureReport.group.stratifier.stratum.population",
          "short" : "Population results in this stratum",
          "definition" : "The populations that make up the stratum, one for each type of population appropriate to the measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.code",
          "path" : "MeasureReport.group.stratifier.stratum.population.code",
          "short" : "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation",
          "definition" : "The type of the population.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MeasurePopulation"
            }],
            "strength" : "extensible",
            "description" : "The type of population (e.g. initial, numerator, denominator, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/measure-population"
          }
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.count",
          "path" : "MeasureReport.group.stratifier.stratum.population.count",
          "short" : "Size of the population",
          "definition" : "The number of members of the population in this stratum.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.population.subjectResults",
          "path" : "MeasureReport.group.stratifier.stratum.population.subjectResults",
          "short" : "For subject-list reports, the subject results in this population",
          "definition" : "This element refers to a List of subject level MeasureReport resources, one for each subject in this population in this stratum.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/List"]
          }]
        },
        {
          "id" : "MeasureReport.group.stratifier.stratum.measureScore",
          "path" : "MeasureReport.group.stratifier.stratum.measureScore",
          "short" : "What score this stratum achieved",
          "definition" : "The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }]
        },
        {
          "id" : "MeasureReport.evaluatedResource",
          "path" : "MeasureReport.evaluatedResource",
          "short" : "What data was used to calculate the measure score",
          "definition" : "A reference to a Bundle containing the Resources that were used in the calculation of this measure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Media",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Media",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Media 
TU
DomainResource
A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Identifier(s) for the image
 basedOn 
Σ
0..*
Reference(ServiceRequest | CarePlan)
Procedure that caused this media to be created
 partOf 
Σ
0..*
Reference(Any)
Part of referenced event
 status 
?!Σ
1..1
code
preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown
EventStatus (Required)
 type 
Σ
0..1
CodeableConcept
Classification of media as image, video, or audio
Media Type (Extensible)
 modality 
Σ
0..1
CodeableConcept
The type of acquisition equipment/process
Media Modality (Example)
 view 
Σ
0..1
CodeableConcept
Imaging view, e.g. Lateral or Antero-posterior
Media Collection View/Projection (Example)
 subject 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | Group | Device | Specimen | Location)
Who/What this Media is a record of
 encounter 
Σ
0..1
Reference(Encounter)
Encounter associated with media
 created[x] 
Σ
0..1
When Media was collected
 createdDateTime
dateTime
 createdPeriod
Period
 issued 
Σ
0..1
instant
Date/Time this version was made available
 operator 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)
The person who generated the image
 reasonCode 
Σ
0..*
CodeableConcept
Why was event performed?
Procedure Reason Codes (Example)
 bodySite 
Σ
0..1
CodeableConcept
Observed body part
SNOMED CT Body Structures (Example)
 deviceName 
Σ
0..1
string
Name of the device/manufacturer
 device 
Σ
0..1
Reference(Device | DeviceMetric | Device)
Observing Device
 height 
Σ
0..1
positiveInt
Height of the image in pixels (photo/video)
 width 
Σ
0..1
positiveInt
Width of the image in pixels (photo/video)
 frames 
Σ
0..1
positiveInt
Number of frames if > 1 (photo)
 duration 
Σ
0..1
decimal
Length in seconds (audio / video)
 content 
Σ
1..1
Attachment
Actual Media - reference or data
 note 
0..*
Annotation
Comments made about the media

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Diagnostics"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Media",
      "version" : "4.0.0",
      "name" : "Media",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "dicom",
        "uri" : "http://nema.org/dicom",
        "name" : "DICOM Tag Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "sct-concept",
        "uri" : "http://snomed.info/conceptdomain",
        "name" : "SNOMED CT Concept Domain Binding"
      },
      {
        "identity" : "sct-attr",
        "uri" : "http://snomed.org/attributebinding",
        "name" : "SNOMED CT Attribute Binding"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Media",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Media",
          "path" : "Media",
          "short" : "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference",
          "definition" : "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Media",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=\"DGIMG\", moodCode=\"EVN\"]"
          }]
        },
        {
          "id" : "Media.id",
          "path" : "Media.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Media.meta",
          "path" : "Media.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Media.implicitRules",
          "path" : "Media.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Media.language",
          "path" : "Media.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Media.text",
          "path" : "Media.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Media.contained",
          "path" : "Media.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Media.extension",
          "path" : "Media.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Media.modifierExtension",
          "path" : "Media.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Media.identifier",
          "path" : "Media.identifier",
          "short" : "Identifier(s) for the image",
          "definition" : "Identifiers associated with the image - these may include identifiers for the image itself, identifiers for the context of its collection (e.g. series ids) and context ids such as accession numbers or other workflow identifiers.",
          "comment" : "The identifier label and use can be used to determine what kind of identifier it is.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Media.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "0008,0018 | ~0008,0050 | 0020,000D | 0020,000E"
          }]
        },
        {
          "id" : "Media.basedOn",
          "path" : "Media.basedOn",
          "short" : "Procedure that caused this media to be created",
          "definition" : "A procedure that is fulfilled in whole or in part by the creation of this media.",
          "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Media.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/CarePlan"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "Media.partOf",
          "path" : "Media.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular event is a component or step.",
          "comment" : "Not to be used to link an event to an Encounter - use Media.encounter for that.\r\r[The allowed reference resources may be adjusted as appropriate for the event resource].",
          "requirements" : "E.g. Drug administration as part of a procedure, procedure as part of observation, etc.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Media.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "Media.status",
          "path" : "Media.status",
          "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown",
          "definition" : "The current state of the {{title}}.",
          "comment" : "A nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation\r\rUnknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Media.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of an event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/event-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Media.type",
          "path" : "Media.type",
          "short" : "Classification of media as image, video, or audio",
          "definition" : "A code that classifies whether the media is an image, video or audio recording or some other media category.",
          "requirements" : "Used for filtering what observations are retrieved and displayed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaType"
            }],
            "strength" : "extensible",
            "description" : "Codes for high level media categories.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/media-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Media.modality",
          "path" : "Media.modality",
          "short" : "The type of acquisition equipment/process",
          "definition" : "Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.modality",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaModality"
            }],
            "strength" : "example",
            "description" : "Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/media-modality"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity" : "dicom",
            "map" : "0008,0060 | 0008,1032"
          }]
        },
        {
          "id" : "Media.view",
          "path" : "Media.view",
          "short" : "Imaging view, e.g. Lateral or Antero-posterior",
          "definition" : "The name of the imaging view e.g. Lateral or Antero-posterior (AP).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.view",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaView"
            }],
            "strength" : "example",
            "description" : "Imaging view (projection) used when collecting an image.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/media-view"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "DiagnosticImage.subjectOrientationCode"
          }]
        },
        {
          "id" : "Media.subject",
          "path" : "Media.subject",
          "short" : "Who/What this Media is a record of",
          "definition" : "Who/What this Media is a record of.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Specimen",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"SUBJ\"]???"
          },
          {
            "identity" : "dicom",
            "map" : "~0010,0020"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Media.encounter",
          "path" : "Media.encounter",
          "short" : "Encounter associated with media",
          "definition" : "The encounter that establishes the context for this media.",
          "comment" : "This will typically be the encounter the media occurred within.",
          "requirements" : "Links the Media to the Encounter context.",
          "alias" : ["context"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "Media.created[x]",
          "path" : "Media.created[x]",
          "short" : "When Media was collected",
          "definition" : "The date and time(s) at which the media was collected.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.created[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Media.issued",
          "path" : "Media.issued",
          "short" : "Date/Time this version was made available",
          "definition" : "The date and time this version of the media was made available to providers, typically after having been reviewed.",
          "comment" : "It may be the same as the [`lastUpdated` ](resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that does not require the new version to be reviewed and verified again.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.issued",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Media.operator",
          "path" : "Media.operator",
          "short" : "The person who generated the image",
          "definition" : "The person who administered the collection of the image.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.operator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"PERF\"]???"
          },
          {
            "identity" : "dicom",
            "map" : "0008,1060?"
          }]
        },
        {
          "id" : "Media.reasonCode",
          "path" : "Media.reasonCode",
          "short" : "Why was event performed?",
          "definition" : "Describes why the event occurred in coded or textual form.",
          "comment" : "Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Media.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaReason"
            }],
            "strength" : "example",
            "description" : "The reason for the media.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Media.bodySite",
          "path" : "Media.bodySite",
          "short" : "Observed body part",
          "definition" : "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
          "comment" : "Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](extension-bodysite.html).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 123037004 |Body structure|"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "718497002 |Inherent location|"
          }]
        },
        {
          "id" : "Media.deviceName",
          "path" : "Media.deviceName",
          "short" : "Name of the device/manufacturer",
          "definition" : "The name of the device / manufacturer of the device  that was used to make the recording.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.deviceName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=\"DEV\"].role.player.Entity[classCode=\"DEV\"].name"
          },
          {
            "identity" : "dicom",
            "map" : "0008,0070"
          }]
        },
        {
          "id" : "Media.device",
          "path" : "Media.device",
          "short" : "Observing Device",
          "definition" : "The device used to collect the media.",
          "comment" : "An extension should be used if further typing of the device is needed.  Secondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.device",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/DeviceMetric",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 49062001 |Device|"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=DEV]"
          },
          {
            "identity" : "sct-attr",
            "map" : "424226004 |Using device|"
          }]
        },
        {
          "id" : "Media.height",
          "path" : "Media.height",
          "short" : "Height of the image in pixels (photo/video)",
          "definition" : "Height of the image in pixels (photo/video).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.height",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "0028,0010"
          }]
        },
        {
          "id" : "Media.width",
          "path" : "Media.width",
          "short" : "Width of the image in pixels (photo/video)",
          "definition" : "Width of the image in pixels (photo/video).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.width",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "0028,0011"
          }]
        },
        {
          "id" : "Media.frames",
          "path" : "Media.frames",
          "short" : "Number of frames if > 1 (photo)",
          "definition" : "The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.",
          "comment" : "if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.frames",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value"
          }]
        },
        {
          "id" : "Media.duration",
          "path" : "Media.duration",
          "short" : "Length in seconds (audio / video)",
          "definition" : "The duration of the recording in seconds - for audio and video.",
          "comment" : "The duration might differ from occurrencePeriod if recording was paused.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Media.duration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "~0028,0002"
          }]
        },
        {
          "id" : "Media.content",
          "path" : "Media.content",
          "short" : "Actual Media - reference or data",
          "definition" : "The actual content of the media - inline or by direct reference to the media source file.",
          "comment" : "Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter.  For media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Media.content",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Media.note",
          "path" : "Media.note",
          "short" : "Comments made about the media",
          "definition" : "Comments made about the media by the performer, subject or other participants.",
          "comment" : "Not to be used for observations, conclusions, etc. Instead use an [Observation](observation.html) based on the Media/ImagingStudy resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Media.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Media",
          "path" : "Media",
          "short" : "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference",
          "definition" : "A photo, video, or audio recording acquired or used in healthcare. The actual content may be inline or provided by direct reference.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Act[classCode=\"DGIMG\", moodCode=\"EVN\"]"
          }]
        },
        {
          "id" : "Media.identifier",
          "path" : "Media.identifier",
          "short" : "Identifier(s) for the image",
          "definition" : "Identifiers associated with the image - these may include identifiers for the image itself, identifiers for the context of its collection (e.g. series ids) and context ids such as accession numbers or other workflow identifiers.",
          "comment" : "The identifier label and use can be used to determine what kind of identifier it is.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "dicom",
            "map" : "0008,0018 | ~0008,0050 | 0020,000D | 0020,000E"
          }]
        },
        {
          "id" : "Media.basedOn",
          "path" : "Media.basedOn",
          "short" : "Procedure that caused this media to be created",
          "definition" : "A procedure that is fulfilled in whole or in part by the creation of this media.",
          "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/CarePlan"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "Media.partOf",
          "path" : "Media.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular event is a component or step.",
          "comment" : "Not to be used to link an event to an Encounter - use Media.encounter for that.\r\r[The allowed reference resources may be adjusted as appropriate for the event resource].",
          "requirements" : "E.g. Drug administration as part of a procedure, procedure as part of observation, etc.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "Media.status",
          "path" : "Media.status",
          "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown",
          "definition" : "The current state of the {{title}}.",
          "comment" : "A nominal state-transition diagram can be found in the [[event.html#statemachine | Event pattern]] documentation\r\rUnknown does not represent \"other\" - one of the defined statuses must apply.  Unknown is used when the authoring system is not sure what the current status is.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of an event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/event-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Media.type",
          "path" : "Media.type",
          "short" : "Classification of media as image, video, or audio",
          "definition" : "A code that classifies whether the media is an image, video or audio recording or some other media category.",
          "requirements" : "Used for filtering what observations are retrieved and displayed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaType"
            }],
            "strength" : "extensible",
            "description" : "Codes for high level media categories.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/media-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Media.modality",
          "path" : "Media.modality",
          "short" : "The type of acquisition equipment/process",
          "definition" : "Details of the type of the media - usually, how it was acquired (what type of device). If images sourced from a DICOM system, are wrapped in a Media resource, then this is the modality.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaModality"
            }],
            "strength" : "example",
            "description" : "Detailed information about the type of the image - its kind, purpose, or the kind of equipment used to generate it.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/media-modality"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          },
          {
            "identity" : "dicom",
            "map" : "0008,0060 | 0008,1032"
          }]
        },
        {
          "id" : "Media.view",
          "path" : "Media.view",
          "short" : "Imaging view, e.g. Lateral or Antero-posterior",
          "definition" : "The name of the imaging view e.g. Lateral or Antero-posterior (AP).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaView"
            }],
            "strength" : "example",
            "description" : "Imaging view (projection) used when collecting an image.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/media-view"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "DiagnosticImage.subjectOrientationCode"
          }]
        },
        {
          "id" : "Media.subject",
          "path" : "Media.subject",
          "short" : "Who/What this Media is a record of",
          "definition" : "Who/What this Media is a record of.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Specimen",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"SUBJ\"]???"
          },
          {
            "identity" : "dicom",
            "map" : "~0010,0020"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Media.encounter",
          "path" : "Media.encounter",
          "short" : "Encounter associated with media",
          "definition" : "The encounter that establishes the context for this media.",
          "comment" : "This will typically be the encounter the media occurred within.",
          "requirements" : "Links the Media to the Encounter context.",
          "alias" : ["context"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "Media.created[x]",
          "path" : "Media.created[x]",
          "short" : "When Media was collected",
          "definition" : "The date and time(s) at which the media was collected.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Media.issued",
          "path" : "Media.issued",
          "short" : "Date/Time this version was made available",
          "definition" : "The date and time this version of the media was made available to providers, typically after having been reviewed.",
          "comment" : "It may be the same as the [`lastUpdated` ](resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that does not require the new version to be reviewed and verified again.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Media.operator",
          "path" : "Media.operator",
          "short" : "The person who generated the image",
          "definition" : "The person who administered the collection of the image.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=\"PERF\"]???"
          },
          {
            "identity" : "dicom",
            "map" : "0008,1060?"
          }]
        },
        {
          "id" : "Media.reasonCode",
          "path" : "Media.reasonCode",
          "short" : "Why was event performed?",
          "definition" : "Describes why the event occurred in coded or textual form.",
          "comment" : "Textual reasons can be captured using reasonCode.text.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MediaReason"
            }],
            "strength" : "example",
            "description" : "The reason for the media.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Media.bodySite",
          "path" : "Media.bodySite",
          "short" : "Observed body part",
          "definition" : "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
          "comment" : "Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](extension-bodysite.html).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 123037004 |Body structure|"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "718497002 |Inherent location|"
          }]
        },
        {
          "id" : "Media.deviceName",
          "path" : "Media.deviceName",
          "short" : "Name of the device/manufacturer",
          "definition" : "The name of the device / manufacturer of the device  that was used to make the recording.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=\"DEV\"].role.player.Entity[classCode=\"DEV\"].name"
          },
          {
            "identity" : "dicom",
            "map" : "0008,0070"
          }]
        },
        {
          "id" : "Media.device",
          "path" : "Media.device",
          "short" : "Observing Device",
          "definition" : "The device used to collect the media.",
          "comment" : "An extension should be used if further typing of the device is needed.  Secondary devices used to support collecting a media can be represented using either extension or through the Observation.related element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/DeviceMetric",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 49062001 |Device|"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=DEV]"
          },
          {
            "identity" : "sct-attr",
            "map" : "424226004 |Using device|"
          }]
        },
        {
          "id" : "Media.height",
          "path" : "Media.height",
          "short" : "Height of the image in pixels (photo/video)",
          "definition" : "Height of the image in pixels (photo/video).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "0028,0010"
          }]
        },
        {
          "id" : "Media.width",
          "path" : "Media.width",
          "short" : "Width of the image in pixels (photo/video)",
          "definition" : "Width of the image in pixels (photo/video).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "0028,0011"
          }]
        },
        {
          "id" : "Media.frames",
          "path" : "Media.frames",
          "short" : "Number of frames if > 1 (photo)",
          "definition" : "The number of frames in a photo. This is used with a multi-page fax, or an imaging acquisition context that takes multiple slices in a single image, or an animated gif. If there is more than one frame, this SHALL have a value in order to alert interface software that a multi-frame capable rendering widget is required.",
          "comment" : "if the number of frames is not supplied, the value may be unknown. Applications should not assume that there is only one frame unless it is explicitly stated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value"
          }]
        },
        {
          "id" : "Media.duration",
          "path" : "Media.duration",
          "short" : "Length in seconds (audio / video)",
          "definition" : "The duration of the recording in seconds - for audio and video.",
          "comment" : "The duration might differ from occurrencePeriod if recording was paused.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"OBS\", moodCode=\"EVN\",code=\"\"].value"
          },
          {
            "identity" : "dicom",
            "map" : "~0028,0002"
          }]
        },
        {
          "id" : "Media.content",
          "path" : "Media.content",
          "short" : "Actual Media - reference or data",
          "definition" : "The actual content of the media - inline or by direct reference to the media source file.",
          "comment" : "Recommended content types: image/jpeg, image/png, image/tiff, video/mpeg, audio/mp4, application/dicom. Application/dicom can contain the transfer syntax as a parameter.  For media that covers a period of time (video/sound), the content.creationTime is the end time. Creation time is used for tracking, organizing versions and searching.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Media.note",
          "path" : "Media.note",
          "short" : "Comments made about the media",
          "definition" : "Comments made about the media by the performer, subject or other participants.",
          "comment" : "Not to be used for observations, conclusions, etc. Instead use an [Observation](observation.html) based on the Media/ImagingStudy resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Medication",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Medication",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Medication 
TU
DomainResource
Definition of a Medication
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier for this medication
 code 
Σ
0..1
CodeableConcept
Codes that identify this medication
SNOMED CT Medication Codes (Example)
 status 
?!Σ
0..1
code
active | inactive | entered-in-error
Medication  status  codes (Required)
 manufacturer 
Σ
0..1
Reference(Organization)
Manufacturer of the item
 form 
0..1
CodeableConcept
powder | tablets | capsule +
SNOMED CT Form Codes (Example)
 amount 
Σ
0..1
Ratio
Amount of drug in package
 ingredient 
0..*
BackboneElement
Active or inactive ingredient
 item[x] 
1..1
The actual ingredient or content
 itemCodeableConcept
CodeableConcept
 itemReference
Reference(Substance | Medication)
 isActive 
0..1
boolean
Active ingredient indicator
 strength 
0..1
Ratio
Quantity of ingredient present
 batch 
0..1
BackboneElement
Details about packaged medications
 lotNumber 
0..1
string
Identifier assigned to batch
 expirationDate 
0..1
dateTime
When batch will expire

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "phx"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Medication",
      "version" : "4.0.0",
      "name" : "Medication",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Pharmacy)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
        }]
      }],
      "description" : "This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "script10.6",
        "uri" : "http://ncpdp.org/SCRIPT10_6",
        "name" : "Mapping to NCPDP SCRIPT 10.6"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Medication",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Medication",
          "path" : "Medication",
          "short" : "Definition of a Medication",
          "definition" : "This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Medication",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "script10.6",
            "map" : "NewRx/MedicationPrescribed\r-or-\rRxFill/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationPrescribed"
          },
          {
            "identity" : "rim",
            "map" : "ManufacturedProduct[classCode=ADMM]"
          }]
        },
        {
          "id" : "Medication.id",
          "path" : "Medication.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Medication.meta",
          "path" : "Medication.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Medication.implicitRules",
          "path" : "Medication.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Medication.language",
          "path" : "Medication.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Medication.text",
          "path" : "Medication.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Medication.contained",
          "path" : "Medication.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Medication.extension",
          "path" : "Medication.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Medication.modifierExtension",
          "path" : "Medication.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Medication.identifier",
          "path" : "Medication.identifier",
          "short" : "Business identifier for this medication",
          "definition" : "Business identifier for this medication.",
          "comment" : "The serial number could be included as an identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Medication.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Medication.code",
          "path" : "Medication.code",
          "short" : "Codes that identify this medication",
          "definition" : "A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.",
          "comment" : "Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationFormalRepresentation"
            }],
            "strength" : "example",
            "description" : "A coded concept that defines the type of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Medication.status",
          "path" : "Medication.status",
          "short" : "active | inactive | entered-in-error",
          "definition" : "A code to indicate if the medication is in active use.",
          "comment" : "This status is intended to identify if the medication in a local system is in active use within a drug database or inventory.  For example, a pharmacy system may create a new drug file record for a compounded product \"ABC Hospital Special Cream\" with an active status.  At some point in the future, it may be determined that the drug record was created with an error and the status is changed to \"entered in error\".   This status is not intended to specify if a medication is part of a particular formulary.  It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept defining if the medication is in active use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Medication.manufacturer",
          "path" : "Medication.manufacturer",
          "short" : "Manufacturer of the item",
          "definition" : "Describes the details of the manufacturer of the medication product.  This is not intended to represent the distributor of a medication product.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.manufacturer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"
          },
          {
            "identity" : "rim",
            "map" : ".player.scopingRole[typeCode=MANU].scoper"
          }]
        },
        {
          "id" : "Medication.form",
          "path" : "Medication.form",
          "short" : "powder | tablets | capsule +",
          "definition" : "Describes the form of the item.  Powder; tablets; capsule.",
          "comment" : "When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.form",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationForm"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the form of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-form-codes"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code =  //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode"
          },
          {
            "identity" : "v2",
            "map" : "RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"
          },
          {
            "identity" : "rim",
            "map" : ".formCode"
          }]
        },
        {
          "id" : "Medication.amount",
          "path" : "Medication.amount",
          "short" : "Amount of drug in package",
          "definition" : "Specific amount of the drug in the packaged product.  For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "Medication.ingredient",
          "path" : "Medication.ingredient",
          "short" : "Active or inactive ingredient",
          "definition" : "Identifies a particular constituent of interest in the product.",
          "comment" : "The ingredients need not be a complete list.  If an ingredient is not specified, this does not indicate whether an ingredient is present or absent.  If an ingredient is specified it does not mean that all ingredients are specified.  It is possible to specify both inactive and active ingredients.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Medication.ingredient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scopesRole[typeCode=INGR]"
          }]
        },
        {
          "id" : "Medication.ingredient.id",
          "path" : "Medication.ingredient.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Medication.ingredient.extension",
          "path" : "Medication.ingredient.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Medication.ingredient.modifierExtension",
          "path" : "Medication.ingredient.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Medication.ingredient.item[x]",
          "path" : "Medication.ingredient.item[x]",
          "short" : "The actual ingredient or content",
          "definition" : "The actual ingredient - either a substance (simple ingredient) or another medication of a medication.",
          "requirements" : "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Medication.ingredient.item[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
          },
          {
            "identity" : "v2",
            "map" : "RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "Medication.ingredient.isActive",
          "path" : "Medication.ingredient.isActive",
          "short" : "Active ingredient indicator",
          "definition" : "Indication of whether this ingredient affects the therapeutic action of the drug.",
          "requirements" : "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.ingredient.isActive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "NA"
          }]
        },
        {
          "id" : "Medication.ingredient.strength",
          "path" : "Medication.ingredient.strength",
          "short" : "Quantity of ingredient present",
          "definition" : "Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.ingredient.strength",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "//element(*,DrugCodedType)/Strength"
          },
          {
            "identity" : "v2",
            "map" : "RXC-3-Component Amount & RXC-4-Component Units  if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "Medication.batch",
          "path" : "Medication.batch",
          "short" : "Details about packaged medications",
          "definition" : "Information that only applies to packages (not products).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.batch",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "rim",
            "map" : ".player[classCode=CONT]"
          }]
        },
        {
          "id" : "Medication.batch.id",
          "path" : "Medication.batch.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Medication.batch.extension",
          "path" : "Medication.batch.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Medication.batch.modifierExtension",
          "path" : "Medication.batch.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Medication.batch.lotNumber",
          "path" : "Medication.batch.lotNumber",
          "short" : "Identifier assigned to batch",
          "definition" : "The assigned lot number of a batch of the specified product.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.batch.lotNumber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "v2",
            "map" : "RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Medication.batch.expirationDate",
          "path" : "Medication.batch.expirationDate",
          "short" : "When batch will expire",
          "definition" : "When this specific batch of product will expire.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Medication.batch.expirationDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "v2",
            "map" : "RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Medication",
          "path" : "Medication",
          "short" : "Definition of a Medication",
          "definition" : "This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "NewRx/MedicationPrescribed\r-or-\rRxFill/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationDispensed\r-or-\rRxHistoryResponse/MedicationPrescribed"
          },
          {
            "identity" : "rim",
            "map" : "ManufacturedProduct[classCode=ADMM]"
          }]
        },
        {
          "id" : "Medication.identifier",
          "path" : "Medication.identifier",
          "short" : "Business identifier for this medication",
          "definition" : "Business identifier for this medication.",
          "comment" : "The serial number could be included as an identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Medication.code",
          "path" : "Medication.code",
          "short" : "Codes that identify this medication",
          "definition" : "A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.",
          "comment" : "Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationFormalRepresentation"
            }],
            "strength" : "example",
            "description" : "A coded concept that defines the type of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Medication.status",
          "path" : "Medication.status",
          "short" : "active | inactive | entered-in-error",
          "definition" : "A code to indicate if the medication is in active use.",
          "comment" : "This status is intended to identify if the medication in a local system is in active use within a drug database or inventory.  For example, a pharmacy system may create a new drug file record for a compounded product \"ABC Hospital Special Cream\" with an active status.  At some point in the future, it may be determined that the drug record was created with an error and the status is changed to \"entered in error\".   This status is not intended to specify if a medication is part of a particular formulary.  It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept defining if the medication is in active use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Medication.manufacturer",
          "path" : "Medication.manufacturer",
          "short" : "Manufacturer of the item",
          "definition" : "Describes the details of the manufacturer of the medication product.  This is not intended to represent the distributor of a medication product.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"
          },
          {
            "identity" : "rim",
            "map" : ".player.scopingRole[typeCode=MANU].scoper"
          }]
        },
        {
          "id" : "Medication.form",
          "path" : "Medication.form",
          "short" : "powder | tablets | capsule +",
          "definition" : "Describes the form of the item.  Powder; tablets; capsule.",
          "comment" : "When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationForm"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the form of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-form-codes"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code =  //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode"
          },
          {
            "identity" : "v2",
            "map" : "RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"
          },
          {
            "identity" : "rim",
            "map" : ".formCode"
          }]
        },
        {
          "id" : "Medication.amount",
          "path" : "Medication.amount",
          "short" : "Amount of drug in package",
          "definition" : "Specific amount of the drug in the packaged product.  For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "Medication.ingredient",
          "path" : "Medication.ingredient",
          "short" : "Active or inactive ingredient",
          "definition" : "Identifies a particular constituent of interest in the product.",
          "comment" : "The ingredients need not be a complete list.  If an ingredient is not specified, this does not indicate whether an ingredient is present or absent.  If an ingredient is specified it does not mean that all ingredients are specified.  It is possible to specify both inactive and active ingredients.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scopesRole[typeCode=INGR]"
          }]
        },
        {
          "id" : "Medication.ingredient.item[x]",
          "path" : "Medication.ingredient.item[x]",
          "short" : "The actual ingredient or content",
          "definition" : "The actual ingredient - either a substance (simple ingredient) or another medication of a medication.",
          "requirements" : "The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
          },
          {
            "identity" : "v2",
            "map" : "RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "Medication.ingredient.isActive",
          "path" : "Medication.ingredient.isActive",
          "short" : "Active ingredient indicator",
          "definition" : "Indication of whether this ingredient affects the therapeutic action of the drug.",
          "requirements" : "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "NA"
          }]
        },
        {
          "id" : "Medication.ingredient.strength",
          "path" : "Medication.ingredient.strength",
          "short" : "Quantity of ingredient present",
          "definition" : "Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "//element(*,DrugCodedType)/Strength"
          },
          {
            "identity" : "v2",
            "map" : "RXC-3-Component Amount & RXC-4-Component Units  if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "Medication.batch",
          "path" : "Medication.batch",
          "short" : "Details about packaged medications",
          "definition" : "Information that only applies to packages (not products).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "rim",
            "map" : ".player[classCode=CONT]"
          }]
        },
        {
          "id" : "Medication.batch.lotNumber",
          "path" : "Medication.batch.lotNumber",
          "short" : "Identifier assigned to batch",
          "definition" : "The assigned lot number of a batch of the specified product.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "v2",
            "map" : "RXA-15 Substance Lot Number / RXG-19 Substance Lot Number"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Medication.batch.expirationDate",
          "path" : "Medication.batch.expirationDate",
          "short" : "When batch will expire",
          "definition" : "When this specific batch of product will expire.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "v2",
            "map" : "RXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicationAdministration",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicationAdministration 
TU
DomainResource
Administration of medication to a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
External identifier
 instantiates 
Σ
0..*
uri
Instantiates protocol or definition
 partOf 
Σ
0..*
Reference(MedicationAdministration | Procedure)
Part of referenced event
 status 
?!Σ
1..1
code
in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Medication administration  status  codes (Required)
 statusReason 
0..*
CodeableConcept
Reason administration not performed
SNOMED CT Reason Medication Not Given Codes (Example)
 category 
0..1
CodeableConcept
Type of medication usage
Medication administration  category  codes (Preferred)
 medication[x] 
Σ
1..1
What was administered
SNOMED CT Medication Codes (Example)
 medicationCodeableConcept
CodeableConcept
 medicationReference
Reference(Medication)
 subject 
Σ
1..1
Reference(Patient | Group)
Who received medication
 context 
0..1
Reference(Encounter | EpisodeOfCare)
Encounter or Episode of Care administered as part of
 supportingInformation 
0..*
Reference(Any)
Additional information to support administration
 effective[x] 
Σ
1..1
Start and end time of administration
 effectiveDateTime
dateTime
 effectivePeriod
Period
 performer 
Σ
0..*
BackboneElement
Who performed the medication administration and what they did
 function 
0..1
CodeableConcept
Type of performance
Medication administration  performer  function  codes (Example)
 actor 
Σ
1..1
Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)
Who performed the medication administration
 reasonCode 
0..*
CodeableConcept
Reason administration performed
Reason Medication Given Codes (Example)
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport)
Condition or observation that supports why the medication was administered
 request 
0..1
Reference(MedicationRequest)
Request administration performed against
 device 
0..*
Reference(Device)
Device used to administer
 note 
0..*
Annotation
Information about the administration
 dosage 
I
0..1
BackboneElement
Details of how medication was taken
+ Rule: SHALL have at least one of dosage.dose or dosage.rate[x]
 text 
0..1
string
Free text dosage instructions e.g. SIG
 site 
0..1
CodeableConcept
Body site administered to
SNOMED CT Anatomical Structure for Administration Site Codes (Example)
 route 
0..1
CodeableConcept
Path of substance into body
SNOMED CT Route Codes (Example)
 method 
0..1
CodeableConcept
How drug was administered
SNOMED CT Administration Method Codes (Example)
 dose 
0..1
SimpleQuantity
Amount of medication per dose
 rate[x] 
0..1
Dose quantity per unit of time
 rateRatio
Ratio
 rateQuantity
SimpleQuantity
 eventHistory 
0..*
Reference(Provenance)
A list of events of interest in the lifecycle

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "phx"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
      "version" : "4.0.0",
      "name" : "MedicationAdministration",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Pharmacy)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
        }]
      }],
      "description" : "Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "w3c.prov",
        "uri" : "http://www.w3.org/ns/prov",
        "name" : "W3C PROV"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicationAdministration",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicationAdministration",
          "path" : "MedicationAdministration",
          "short" : "Administration of medication to a patient",
          "definition" : "Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration"
          }]
        },
        {
          "id" : "MedicationAdministration.id",
          "path" : "MedicationAdministration.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationAdministration.meta",
          "path" : "MedicationAdministration.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationAdministration.implicitRules",
          "path" : "MedicationAdministration.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicationAdministration.language",
          "path" : "MedicationAdministration.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicationAdministration.text",
          "path" : "MedicationAdministration.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicationAdministration.contained",
          "path" : "MedicationAdministration.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationAdministration.extension",
          "path" : "MedicationAdministration.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationAdministration.modifierExtension",
          "path" : "MedicationAdministration.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationAdministration.identifier",
          "path" : "MedicationAdministration.identifier",
          "short" : "External identifier",
          "definition" : "Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "MedicationAdministration.instantiates",
          "path" : "MedicationAdministration.instantiates",
          "short" : "Instantiates protocol or definition",
          "definition" : "A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.instantiates",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiates"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]"
          }]
        },
        {
          "id" : "MedicationAdministration.partOf",
          "path" : "MedicationAdministration.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular event is a component or step.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationAdministration.status",
          "path" : "MedicationAdministration.status",
          "short" : "in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown",
          "definition" : "Will generally be set to show that the administration has been completed.  For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationStatus"
            }],
            "strength" : "required",
            "description" : "A set of codes indicating the current status of a MedicationAdministration.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "RXA-20-Completion Status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "MedicationAdministration.statusReason",
          "path" : "MedicationAdministration.statusReason",
          "short" : "Reason administration not performed",
          "definition" : "A code indicating why the administration was not performed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.statusReason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationNegationReason"
            }],
            "strength" : "example",
            "description" : "A set of codes indicating the reason why the MedicationAdministration is negated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason not given\"].value"
          }]
        },
        {
          "id" : "MedicationAdministration.category",
          "path" : "MedicationAdministration.category",
          "short" : "Type of medication usage",
          "definition" : "Indicates where the medication is expected to be consumed or administered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationCategory"
            }],
            "strength" : "preferred",
            "description" : "A coded concept describing where the medication administered is expected to occur.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-admin-category"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }]
        },
        {
          "id" : "MedicationAdministration.medication[x]",
          "path" : "MedicationAdministration.medication[x]",
          "short" : "What was administered",
          "definition" : "Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.",
          "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.medication[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCode"
            }],
            "strength" : "example",
            "description" : "Codes identifying substance or product that can be administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-5-Administered Code"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=ADMM]"
          }]
        },
        {
          "id" : "MedicationAdministration.subject",
          "path" : "MedicationAdministration.subject",
          "short" : "Who received medication",
          "definition" : "The person or animal or group receiving the medication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MedicationAdministration.context",
          "path" : "MedicationAdministration.context",
          "short" : "Encounter or Episode of Care administered as part of",
          "definition" : "The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.context",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19-Visit Number"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }]
        },
        {
          "id" : "MedicationAdministration.supportingInformation",
          "path" : "MedicationAdministration.supportingInformation",
          "short" : "Additional information to support administration",
          "definition" : "Additional information (for example, patient height and weight) that supports the administration of the medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.supportingInformation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
          }]
        },
        {
          "id" : "MedicationAdministration.effective[x]",
          "path" : "MedicationAdministration.effective[x]",
          "short" : "Start and end time of administration",
          "definition" : "A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.effective[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "MedicationAdministration.performer",
          "path" : "MedicationAdministration.performer",
          "short" : "Who performed the medication administration and what they did",
          "definition" : "Indicates who or what performed the medication administration and how they were involved.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "MedicationAdministration.performer.id",
          "path" : "MedicationAdministration.performer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationAdministration.performer.extension",
          "path" : "MedicationAdministration.performer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationAdministration.performer.modifierExtension",
          "path" : "MedicationAdministration.performer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationAdministration.performer.function",
          "path" : "MedicationAdministration.performer.function",
          "short" : "Type of performance",
          "definition" : "Distinguishes the type of involvement of the performer in the medication administration.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.performer.function",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationPerformerFunction"
            }],
            "strength" : "example",
            "description" : "A code describing the role an individual played in administering the medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/med-admin-perform-function"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=PRF].functionCode"
          }]
        },
        {
          "id" : "MedicationAdministration.performer.actor",
          "path" : "MedicationAdministration.performer.actor",
          "short" : "Who performed the medication administration",
          "definition" : "Indicates who or what performed the medication administration.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.performer.actor",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "MedicationAdministration.reasonCode",
          "path" : "MedicationAdministration.reasonCode",
          "short" : "Reason administration performed",
          "definition" : "A code indicating why the medication was given.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationReason"
            }],
            "strength" : "example",
            "description" : "A set of codes indicating the reason why the MedicationAdministration was made.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-given-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "v2",
            "map" : "RXE-27 Give Indication"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "MedicationAdministration.reasonReference",
          "path" : "MedicationAdministration.reasonReference",
          "short" : "Condition or observation that supports why the medication was administered",
          "definition" : "Condition or observation that supports why the medication was administered.",
          "comment" : "This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use ASSERTION\"].value"
          },
          {
            "identity" : "w3c.prov",
            "map" : "no mapping"
          }]
        },
        {
          "id" : "MedicationAdministration.request",
          "path" : "MedicationAdministration.request",
          "short" : "Request administration performed against",
          "definition" : "The original request, instruction or authority to perform the administration.",
          "comment" : "This is a reference to the MedicationRequest  where the intent is either order or instance-order.  It should not reference MedicationRequests where the intent is any other value.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.request",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
          },
          {
            "identity" : "rim",
            "map" : "InFullfillmentOf->SubstanceAdministration"
          }]
        },
        {
          "id" : "MedicationAdministration.device",
          "path" : "MedicationAdministration.device",
          "short" : "Device used to administer",
          "definition" : "The device used in administering the medication to the patient.  For example, a particular infusion pump.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.device",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRT-10 Participation Device / RXR-3 Administrative Device"
          },
          {
            "identity" : "rim",
            "map" : "device->Access  OR device->AssignedDevice"
          }]
        },
        {
          "id" : "MedicationAdministration.note",
          "path" : "MedicationAdministration.note",
          "short" : "Information about the administration",
          "definition" : "Extra information about the medication administration that is not conveyed by the other attributes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage",
          "path" : "MedicationAdministration.dosage",
          "short" : "Details of how medication was taken",
          "definition" : "Describes the medication dosage information details e.g. dose, rate, site, route, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.dosage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "mad-1",
            "severity" : "error",
            "human" : "SHALL have at least one of dosage.dose or dosage.rate[x]",
            "expression" : "dose.exists() or rate.exists()",
            "xpath" : "exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "component->SubstanceAdministrationEvent"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.id",
          "path" : "MedicationAdministration.dosage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.extension",
          "path" : "MedicationAdministration.dosage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.modifierExtension",
          "path" : "MedicationAdministration.dosage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.text",
          "path" : "MedicationAdministration.dosage.text",
          "short" : "Free text dosage instructions e.g. SIG",
          "definition" : "Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.\r\rThe dosage instructions should reflect the dosage of the medication that was administered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.dosage.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.site",
          "path" : "MedicationAdministration.dosage.site",
          "short" : "Body site administered to",
          "definition" : "A coded specification of the anatomic site where the medication first entered the body.  For example, \"left arm\".",
          "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.dosage.site",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationSite"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the site location the medicine enters into or onto the body.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/approach-site-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-2 Administration Site / RXR-6 Administration Site Modifier"
          },
          {
            "identity" : "rim",
            "map" : ".approachSiteCode"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.route",
          "path" : "MedicationAdministration.dosage.route",
          "short" : "Path of substance into body",
          "definition" : "A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient.  For example, topical, intravenous, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.dosage.route",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RouteOfAdministration"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-1-Route"
          },
          {
            "identity" : "rim",
            "map" : ".routeCode"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.method",
          "path" : "MedicationAdministration.dosage.method",
          "short" : "How drug was administered",
          "definition" : "A coded value indicating the method by which the medication is intended to be or was introduced into or on the body.  This attribute will most often NOT be populated.  It is most commonly used for injections.  For example, Slow Push, Deep IV.",
          "comment" : "One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration.  This means the codes used in route or form may pre-coordinate the method in the route code or the form code.  The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may  be used frequently.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.dosage.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationMethod"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the technique by which the medicine is administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administration-method-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-4-Administration Method"
          },
          {
            "identity" : "rim",
            "map" : ".methodCode"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.dose",
          "path" : "MedicationAdministration.dosage.dose",
          "short" : "Amount of medication per dose",
          "definition" : "The amount of the medication given at one administration event.   Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.",
          "comment" : "If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.dosage.dose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-6 Administered Amount / RXA-7 Administered Units"
          },
          {
            "identity" : "rim",
            "map" : ".doseQuantity"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.rate[x]",
          "path" : "MedicationAdministration.dosage.rate[x]",
          "short" : "Dose quantity per unit of time",
          "definition" : "Identifies the speed with which the medication was or will be introduced into the patient.  Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours.  Other examples:  200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.",
          "comment" : "If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationAdministration.dosage.rate[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          },
          {
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-12-Administered Per (Time Unit)"
          },
          {
            "identity" : "rim",
            "map" : ".rateQuantity"
          }]
        },
        {
          "id" : "MedicationAdministration.eventHistory",
          "path" : "MedicationAdministration.eventHistory",
          "short" : "A list of events of interest in the lifecycle",
          "definition" : "A summary of the events of interest that have occurred, such as when the administration was verified.",
          "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationAdministration.eventHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicationAdministration",
          "path" : "MedicationAdministration",
          "short" : "Administration of medication to a patient",
          "definition" : "Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration"
          }]
        },
        {
          "id" : "MedicationAdministration.identifier",
          "path" : "MedicationAdministration.identifier",
          "short" : "External identifier",
          "definition" : "Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "MedicationAdministration.instantiates",
          "path" : "MedicationAdministration.instantiates",
          "short" : "Instantiates protocol or definition",
          "definition" : "A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiates"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]"
          }]
        },
        {
          "id" : "MedicationAdministration.partOf",
          "path" : "MedicationAdministration.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular event is a component or step.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationAdministration.status",
          "path" : "MedicationAdministration.status",
          "short" : "in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown",
          "definition" : "Will generally be set to show that the administration has been completed.  For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationStatus"
            }],
            "strength" : "required",
            "description" : "A set of codes indicating the current status of a MedicationAdministration.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "RXA-20-Completion Status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "MedicationAdministration.statusReason",
          "path" : "MedicationAdministration.statusReason",
          "short" : "Reason administration not performed",
          "definition" : "A code indicating why the administration was not performed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationNegationReason"
            }],
            "strength" : "example",
            "description" : "A set of codes indicating the reason why the MedicationAdministration is negated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "v2",
            "map" : "RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason not given\"].value"
          }]
        },
        {
          "id" : "MedicationAdministration.category",
          "path" : "MedicationAdministration.category",
          "short" : "Type of medication usage",
          "definition" : "Indicates where the medication is expected to be consumed or administered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationCategory"
            }],
            "strength" : "preferred",
            "description" : "A coded concept describing where the medication administered is expected to occur.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-admin-category"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }]
        },
        {
          "id" : "MedicationAdministration.medication[x]",
          "path" : "MedicationAdministration.medication[x]",
          "short" : "What was administered",
          "definition" : "Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.",
          "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCode"
            }],
            "strength" : "example",
            "description" : "Codes identifying substance or product that can be administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-5-Administered Code"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=ADMM]"
          }]
        },
        {
          "id" : "MedicationAdministration.subject",
          "path" : "MedicationAdministration.subject",
          "short" : "Who received medication",
          "definition" : "The person or animal or group receiving the medication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MedicationAdministration.context",
          "path" : "MedicationAdministration.context",
          "short" : "Encounter or Episode of Care administered as part of",
          "definition" : "The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19-Visit Number"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }]
        },
        {
          "id" : "MedicationAdministration.supportingInformation",
          "path" : "MedicationAdministration.supportingInformation",
          "short" : "Additional information to support administration",
          "definition" : "Additional information (for example, patient height and weight) that supports the administration of the medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
          }]
        },
        {
          "id" : "MedicationAdministration.effective[x]",
          "path" : "MedicationAdministration.effective[x]",
          "short" : "Start and end time of administration",
          "definition" : "A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "MedicationAdministration.performer",
          "path" : "MedicationAdministration.performer",
          "short" : "Who performed the medication administration and what they did",
          "definition" : "Indicates who or what performed the medication administration and how they were involved.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "MedicationAdministration.performer.function",
          "path" : "MedicationAdministration.performer.function",
          "short" : "Type of performance",
          "definition" : "Distinguishes the type of involvement of the performer in the medication administration.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationPerformerFunction"
            }],
            "strength" : "example",
            "description" : "A code describing the role an individual played in administering the medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/med-admin-perform-function"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=PRF].functionCode"
          }]
        },
        {
          "id" : "MedicationAdministration.performer.actor",
          "path" : "MedicationAdministration.performer.actor",
          "short" : "Who performed the medication administration",
          "definition" : "Indicates who or what performed the medication administration.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "MedicationAdministration.reasonCode",
          "path" : "MedicationAdministration.reasonCode",
          "short" : "Reason administration performed",
          "definition" : "A code indicating why the medication was given.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationReason"
            }],
            "strength" : "example",
            "description" : "A set of codes indicating the reason why the MedicationAdministration was made.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-given-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "v2",
            "map" : "RXE-27 Give Indication"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "MedicationAdministration.reasonReference",
          "path" : "MedicationAdministration.reasonReference",
          "short" : "Condition or observation that supports why the medication was administered",
          "definition" : "Condition or observation that supports why the medication was administered.",
          "comment" : "This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use ASSERTION\"].value"
          },
          {
            "identity" : "w3c.prov",
            "map" : "no mapping"
          }]
        },
        {
          "id" : "MedicationAdministration.request",
          "path" : "MedicationAdministration.request",
          "short" : "Request administration performed against",
          "definition" : "The original request, instruction or authority to perform the administration.",
          "comment" : "This is a reference to the MedicationRequest  where the intent is either order or instance-order.  It should not reference MedicationRequests where the intent is any other value.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
          },
          {
            "identity" : "rim",
            "map" : "InFullfillmentOf->SubstanceAdministration"
          }]
        },
        {
          "id" : "MedicationAdministration.device",
          "path" : "MedicationAdministration.device",
          "short" : "Device used to administer",
          "definition" : "The device used in administering the medication to the patient.  For example, a particular infusion pump.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRT-10 Participation Device / RXR-3 Administrative Device"
          },
          {
            "identity" : "rim",
            "map" : "device->Access  OR device->AssignedDevice"
          }]
        },
        {
          "id" : "MedicationAdministration.note",
          "path" : "MedicationAdministration.note",
          "short" : "Information about the administration",
          "definition" : "Extra information about the medication administration that is not conveyed by the other attributes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage",
          "path" : "MedicationAdministration.dosage",
          "short" : "Details of how medication was taken",
          "definition" : "Describes the medication dosage information details e.g. dose, rate, site, route, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "mad-1",
            "severity" : "error",
            "human" : "SHALL have at least one of dosage.dose or dosage.rate[x]",
            "expression" : "dose.exists() or rate.exists()",
            "xpath" : "exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "component->SubstanceAdministrationEvent"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.text",
          "path" : "MedicationAdministration.dosage.text",
          "short" : "Free text dosage instructions e.g. SIG",
          "definition" : "Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.\r\rThe dosage instructions should reflect the dosage of the medication that was administered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.site",
          "path" : "MedicationAdministration.dosage.site",
          "short" : "Body site administered to",
          "definition" : "A coded specification of the anatomic site where the medication first entered the body.  For example, \"left arm\".",
          "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationSite"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the site location the medicine enters into or onto the body.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/approach-site-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-2 Administration Site / RXR-6 Administration Site Modifier"
          },
          {
            "identity" : "rim",
            "map" : ".approachSiteCode"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.route",
          "path" : "MedicationAdministration.dosage.route",
          "short" : "Path of substance into body",
          "definition" : "A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient.  For example, topical, intravenous, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RouteOfAdministration"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-1-Route"
          },
          {
            "identity" : "rim",
            "map" : ".routeCode"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.method",
          "path" : "MedicationAdministration.dosage.method",
          "short" : "How drug was administered",
          "definition" : "A coded value indicating the method by which the medication is intended to be or was introduced into or on the body.  This attribute will most often NOT be populated.  It is most commonly used for injections.  For example, Slow Push, Deep IV.",
          "comment" : "One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration.  This means the codes used in route or form may pre-coordinate the method in the route code or the form code.  The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may  be used frequently.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationAdministrationMethod"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the technique by which the medicine is administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administration-method-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXR-4-Administration Method"
          },
          {
            "identity" : "rim",
            "map" : ".methodCode"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.dose",
          "path" : "MedicationAdministration.dosage.dose",
          "short" : "Amount of medication per dose",
          "definition" : "The amount of the medication given at one administration event.   Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.",
          "comment" : "If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-6 Administered Amount / RXA-7 Administered Units"
          },
          {
            "identity" : "rim",
            "map" : ".doseQuantity"
          }]
        },
        {
          "id" : "MedicationAdministration.dosage.rate[x]",
          "path" : "MedicationAdministration.dosage.rate[x]",
          "short" : "Dose quantity per unit of time",
          "definition" : "Identifies the speed with which the medication was or will be introduced into the patient.  Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours.  Other examples:  200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.",
          "comment" : "If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          },
          {
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXA-12-Administered Per (Time Unit)"
          },
          {
            "identity" : "rim",
            "map" : ".rateQuantity"
          }]
        },
        {
          "id" : "MedicationAdministration.eventHistory",
          "path" : "MedicationAdministration.eventHistory",
          "short" : "A list of events of interest in the lifecycle",
          "definition" : "A summary of the events of interest that have occurred, such as when the administration was verified.",
          "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicationDispense",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicationDispense 
ITU
DomainResource
Dispensing a medication to a named patient
+ Rule: whenHandedOver cannot be before whenPrepared
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
External identifier
 partOf 
0..*
Reference(Procedure)
Event that dispense is part of
 status 
?!Σ
1..1
code
preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown
Medication dispense  status  codes (Required)
 statusReason[x] 
0..1
Why a dispense was not performed
Medication dispense  status  reason  codes (Example)
 statusReasonCodeableConcept
CodeableConcept
 statusReasonReference
Reference(DetectedIssue)
 category 
0..1
CodeableConcept
Type of medication dispense
Medication dispense  category  codes (Preferred)
 medication[x] 
Σ
1..1
What medication was supplied
SNOMED CT Medication Codes (Example)
 medicationCodeableConcept
CodeableConcept
 medicationReference
Reference(Medication)
 subject 
Σ
0..1
Reference(Patient | Group)
Who the dispense is for
 context 
0..1
Reference(Encounter | EpisodeOfCare)
Encounter / Episode associated with event
 supportingInformation 
0..*
Reference(Any)
Information that supports the dispensing of the medication
 performer 
0..*
BackboneElement
Who performed event
 function 
0..1
CodeableConcept
Who performed the dispense and what they did
Medication dispense  performer  function  codes (Example)
 actor 
1..1
Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)
Individual who was performing
 location 
0..1
Reference(Location)
Where the dispense occurred
 authorizingPrescription 
0..*
Reference(MedicationRequest)
Medication order that authorizes the dispense
 type 
0..1
CodeableConcept
Trial fill, partial fill, emergency fill, etc.
V3 Value SetActPharmacySupplyType (Example)
 quantity 
0..1
SimpleQuantity
Amount dispensed
 daysSupply 
0..1
SimpleQuantity
Amount of medication expressed as a timing amount
 whenPrepared 
Σ
0..1
dateTime
When product was packaged and reviewed
 whenHandedOver 
0..1
dateTime
When product was given out
 destination 
0..1
Reference(Location)
Where the medication was sent
 receiver 
0..*
Reference(Patient | Practitioner)
Who collected the medication
 note 
0..*
Annotation
Information about the dispense
 dosageInstruction 
0..*
Dosage
How the medication is to be used by the patient or administered by the caregiver
 substitution 
0..1
BackboneElement
Whether a substitution was performed on the dispense
 wasSubstituted 
1..1
boolean
Whether a substitution was or was not performed on the dispense
 type 
0..1
CodeableConcept
Code signifying whether a different drug was dispensed from what was prescribed
V3 Value SetActSubstanceAdminSubstitutionCode (Example)
 reason 
0..*
CodeableConcept
Why was substitution made
V3 Value SetSubstanceAdminSubstitutionReason (Example)
 responsibleParty 
0..*
Reference(Practitioner | PractitionerRole)
Who is responsible for the substitution
 detectedIssue 
0..*
Reference(DetectedIssue)
Clinical issue with action
 eventHistory 
0..*
Reference(Provenance)
A list of relevant lifecycle events

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "phx"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
      "version" : "4.0.0",
      "name" : "MedicationDispense",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Pharmacy)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
        }]
      }],
      "description" : "Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rx-dispense-rmim",
        "uri" : "http://www.hl7.org/v3/PORX_RM020070UV",
        "name" : "V3 Pharmacy Dispense RMIM"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicationDispense",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicationDispense",
          "path" : "MedicationDispense",
          "short" : "Dispensing a medication to a named patient",
          "definition" : "Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "mdd-1",
            "severity" : "error",
            "human" : "whenHandedOver cannot be before whenPrepared",
            "expression" : "whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared",
            "xpath" : "not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Supply[moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationDispense.id",
          "path" : "MedicationDispense.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationDispense.meta",
          "path" : "MedicationDispense.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationDispense.implicitRules",
          "path" : "MedicationDispense.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicationDispense.language",
          "path" : "MedicationDispense.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicationDispense.text",
          "path" : "MedicationDispense.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicationDispense.contained",
          "path" : "MedicationDispense.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationDispense.extension",
          "path" : "MedicationDispense.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationDispense.modifierExtension",
          "path" : "MedicationDispense.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationDispense.identifier",
          "path" : "MedicationDispense.identifier",
          "short" : "External identifier",
          "definition" : "Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.id"
          }]
        },
        {
          "id" : "MedicationDispense.partOf",
          "path" : "MedicationDispense.partOf",
          "short" : "Event that dispense is part of",
          "definition" : "The procedure that trigger the dispense.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationDispense.status",
          "path" : "MedicationDispense.status",
          "short" : "preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown",
          "definition" : "A code specifying the state of the set of dispense events.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispenseStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept specifying the state of the dispense event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.statusCode"
          }]
        },
        {
          "id" : "MedicationDispense.statusReason[x]",
          "path" : "MedicationDispense.statusReason[x]",
          "short" : "Why a dispense was not performed",
          "definition" : "Indicates the reason why a dispense was not performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.statusReason[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispenseStatusReason"
            }],
            "strength" : "example",
            "description" : "A code describing why a dispense was not performed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"not done reason\"].value"
          }]
        },
        {
          "id" : "MedicationDispense.category",
          "path" : "MedicationDispense.category",
          "short" : "Type of medication dispense",
          "definition" : "Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
          "comment" : "The category can be used to include where the medication is expected to be consumed or other types of dispenses.  Invariants can be used to bind to different value sets when profiling to bind.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispenseCategory"
            }],
            "strength" : "preferred",
            "description" : "A code describing where the dispensed medication is expected to be consumed or administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-category"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication dispense\"].value"
          }]
        },
        {
          "id" : "MedicationDispense.medication[x]",
          "path" : "MedicationDispense.medication[x]",
          "short" : "What medication was supplied",
          "definition" : "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.",
          "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.medication[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCode"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying which substance or product can be dispensed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXD-2-Dispense/Give Code"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationRequest.component1.AdministrationRequest.consumable"
          }]
        },
        {
          "id" : "MedicationDispense.subject",
          "path" : "MedicationDispense.subject",
          "short" : "Who the dispense is for",
          "definition" : "A link to a resource representing the person or the group to whom the medication will be given.",
          "comment" : "SubstanceAdministration->subject->Patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MedicationDispense.context",
          "path" : "MedicationDispense.context",
          "short" : "Encounter / Episode associated with event",
          "definition" : "The encounter or episode of care that establishes the context for this event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.context",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }]
        },
        {
          "id" : "MedicationDispense.supportingInformation",
          "path" : "MedicationDispense.supportingInformation",
          "short" : "Information that supports the dispensing of the medication",
          "definition" : "Additional information that supports the medication being dispensed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.supportingInformation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
          }]
        },
        {
          "id" : "MedicationDispense.performer",
          "path" : "MedicationDispense.performer",
          "short" : "Who performed event",
          "definition" : "Indicates who or what performed the event.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "MedicationDispense.performer.id",
          "path" : "MedicationDispense.performer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationDispense.performer.extension",
          "path" : "MedicationDispense.performer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationDispense.performer.modifierExtension",
          "path" : "MedicationDispense.performer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationDispense.performer.function",
          "path" : "MedicationDispense.performer.function",
          "short" : "Who performed the dispense and what they did",
          "definition" : "Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.",
          "requirements" : "Allows disambiguation of the types of involvement of different performers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.performer.function",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispensePerformerFunction"
            }],
            "strength" : "example",
            "description" : "A code describing the role an individual played in dispensing a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-performer-function"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "participation[typeCode=PRF].functionCode"
          }]
        },
        {
          "id" : "MedicationDispense.performer.actor",
          "path" : "MedicationDispense.performer.actor",
          "short" : "Individual who was performing",
          "definition" : "The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.performer.actor",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "MedicationDispense.location",
          "path" : "MedicationDispense.location",
          "short" : "Where the dispense occurred",
          "definition" : "The principal physical location where the dispense was performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          }]
        },
        {
          "id" : "MedicationDispense.authorizingPrescription",
          "path" : "MedicationDispense.authorizingPrescription",
          "short" : "Medication order that authorizes the dispense",
          "definition" : "Indicates the medication order that is being dispensed against.",
          "comment" : "Maps to basedOn in Event logical model.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.authorizingPrescription",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2 Placer Order Number"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.inFulfillmentOf"
          }]
        },
        {
          "id" : "MedicationDispense.type",
          "path" : "MedicationDispense.type",
          "short" : "Trial fill, partial fill, emergency fill, etc.",
          "definition" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispenseType"
            }],
            "strength" : "example",
            "description" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXD-33-Dispense Type"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.code"
          }]
        },
        {
          "id" : "MedicationDispense.quantity",
          "path" : "MedicationDispense.quantity",
          "short" : "Amount dispensed",
          "definition" : "The amount of medication that has been dispensed. Includes unit of measure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.quantity"
          }]
        },
        {
          "id" : "MedicationDispense.daysSupply",
          "path" : "MedicationDispense.daysSupply",
          "short" : "Amount of medication expressed as a timing amount",
          "definition" : "The amount of medication expressed as a timing amount.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.daysSupply",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "TQ1.6 Timing/Quantity Segment Service Duration.\rPrior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component.  This is a formatted string, first character for the time unit (e.g., D=days), followed by the value.  For example, “D14” represents “14 days supply”\rFrom v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration.  This is a CQ data type ( ^ ), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^\rFor backwards compatibility, ORC.7 was permitted through v2.6.  Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6"
          },
          {
            "identity" : "rim",
            "map" : "effectiveUseTime"
          }]
        },
        {
          "id" : "MedicationDispense.whenPrepared",
          "path" : "MedicationDispense.whenPrepared",
          "short" : "When product was packaged and reviewed",
          "definition" : "The time when the dispensed product was packaged and reviewed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.whenPrepared",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXD-3-Date/Time Dispensed"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime[xmi:type=IVL_TS].low"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
          }]
        },
        {
          "id" : "MedicationDispense.whenHandedOver",
          "path" : "MedicationDispense.whenHandedOver",
          "short" : "When product was given out",
          "definition" : "The time the dispensed product was provided to the patient or their representative.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.whenHandedOver",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXD-3-Date/Time Dispensed"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime[xmi:type=IVL_TS].high"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
          }]
        },
        {
          "id" : "MedicationDispense.destination",
          "path" : "MedicationDispense.destination",
          "short" : "Where the medication was sent",
          "definition" : "Identification of the facility/location where the medication was shipped to, as part of the dispense event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.destination",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=DST].role"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.destination"
          }]
        },
        {
          "id" : "MedicationDispense.receiver",
          "path" : "MedicationDispense.receiver",
          "short" : "Who collected the medication",
          "definition" : "Identifies the person who picked up the medication.  This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.receiver",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=RCV].role"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.receiver"
          }]
        },
        {
          "id" : "MedicationDispense.note",
          "path" : "MedicationDispense.note",
          "short" : "Information about the dispense",
          "definition" : "Extra information about the dispense that could not be conveyed in the other attributes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "RXD-9 Dispense Notes"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationDispense.dosageInstruction",
          "path" : "MedicationDispense.dosageInstruction",
          "short" : "How the medication is to be used by the patient or administered by the caregiver",
          "definition" : "Indicates how the medication is to be used by the patient.",
          "comment" : "When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates.\rThe pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.dosageInstruction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Dosage"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"
          }]
        },
        {
          "id" : "MedicationDispense.substitution",
          "path" : "MedicationDispense.substitution",
          "short" : "Whether a substitution was performed on the dispense",
          "definition" : "Indicates whether or not substitution was made as part of the dispense.  In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen.  This block explains what substitution did or did not happen and why.  If nothing is specified, substitution was not done.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.substitution",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.substitutionMade"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.id",
          "path" : "MedicationDispense.substitution.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.extension",
          "path" : "MedicationDispense.substitution.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.modifierExtension",
          "path" : "MedicationDispense.substitution.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.wasSubstituted",
          "path" : "MedicationDispense.substitution.wasSubstituted",
          "short" : "Whether a substitution was or was not performed on the dispense",
          "definition" : "True if the dispenser dispensed a different drug or product from what was prescribed.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.substitution.wasSubstituted",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actionNegationInd"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.type",
          "path" : "MedicationDispense.substitution.type",
          "short" : "Code signifying whether a different drug was dispensed from what was prescribed",
          "definition" : "A code signifying whether a different drug was dispensed from what was prescribed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationDispense.substitution.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationIntendedSubstitutionType"
            }],
            "strength" : "example",
            "description" : "A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.substitutionMade.code"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.reason",
          "path" : "MedicationDispense.substitution.reason",
          "short" : "Why was substitution made",
          "definition" : "Indicates the reason for the substitution (or lack of substitution) from what was prescribed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.substitution.reason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationIntendedSubstitutionReason"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".reasonCode"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.substitutionMade.reasonCode"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.responsibleParty",
          "path" : "MedicationDispense.substitution.responsibleParty",
          "short" : "Who is responsible for the substitution",
          "definition" : "The person or organization that has primary responsibility for the substitution.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.substitution.responsibleParty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].role[classCode=ASSIGN]"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.substitutionMade.ResponsibleParty"
          }]
        },
        {
          "id" : "MedicationDispense.detectedIssue",
          "path" : "MedicationDispense.detectedIssue",
          "short" : "Clinical issue with action",
          "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.",
          "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.",
          "alias" : ["Contraindication",
          "Drug Utilization Review (DUR)",
          "Alert"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.detectedIssue",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
          }]
        },
        {
          "id" : "MedicationDispense.eventHistory",
          "path" : "MedicationDispense.eventHistory",
          "short" : "A list of relevant lifecycle events",
          "definition" : "A summary of the events of interest that have occurred, such as when the dispense was verified.",
          "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationDispense.eventHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicationDispense",
          "path" : "MedicationDispense",
          "short" : "Dispensing a medication to a named patient",
          "definition" : "Indicates that a medication product is to be or has been dispensed for a named person/patient.  This includes a description of the medication product (supply) provided and the instructions for administering the medication.  The medication dispense is the result of a pharmacy system responding to a medication order.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "mdd-1",
            "severity" : "error",
            "human" : "whenHandedOver cannot be before whenPrepared",
            "expression" : "whenHandedOver.empty() or whenPrepared.empty() or whenHandedOver >= whenPrepared",
            "xpath" : "not(exists(f:whenHandedOver/@value)) or not(exists(f:whenPrepared/@value)) or ( f:whenHandedOver/@value >= f:whenPrepared/@value)"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Supply[moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationDispense.identifier",
          "path" : "MedicationDispense.identifier",
          "short" : "External identifier",
          "definition" : "Identifiers associated with this Medication Dispense that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.id"
          }]
        },
        {
          "id" : "MedicationDispense.partOf",
          "path" : "MedicationDispense.partOf",
          "short" : "Event that dispense is part of",
          "definition" : "The procedure that trigger the dispense.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationDispense.status",
          "path" : "MedicationDispense.status",
          "short" : "preparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | unknown",
          "definition" : "A code specifying the state of the set of dispense events.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispenseStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept specifying the state of the dispense event.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.statusCode"
          }]
        },
        {
          "id" : "MedicationDispense.statusReason[x]",
          "path" : "MedicationDispense.statusReason[x]",
          "short" : "Why a dispense was not performed",
          "definition" : "Indicates the reason why a dispense was not performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispenseStatusReason"
            }],
            "strength" : "example",
            "description" : "A code describing why a dispense was not performed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-status-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"not done reason\"].value"
          }]
        },
        {
          "id" : "MedicationDispense.category",
          "path" : "MedicationDispense.category",
          "short" : "Type of medication dispense",
          "definition" : "Indicates the type of medication dispense (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
          "comment" : "The category can be used to include where the medication is expected to be consumed or other types of dispenses.  Invariants can be used to bind to different value sets when profiling to bind.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispenseCategory"
            }],
            "strength" : "preferred",
            "description" : "A code describing where the dispensed medication is expected to be consumed or administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-category"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication dispense\"].value"
          }]
        },
        {
          "id" : "MedicationDispense.medication[x]",
          "path" : "MedicationDispense.medication[x]",
          "short" : "What medication was supplied",
          "definition" : "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.",
          "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCode"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying which substance or product can be dispensed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXD-2-Dispense/Give Code"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationRequest.component1.AdministrationRequest.consumable"
          }]
        },
        {
          "id" : "MedicationDispense.subject",
          "path" : "MedicationDispense.subject",
          "short" : "Who the dispense is for",
          "definition" : "A link to a resource representing the person or the group to whom the medication will be given.",
          "comment" : "SubstanceAdministration->subject->Patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MedicationDispense.context",
          "path" : "MedicationDispense.context",
          "short" : "Encounter / Episode associated with event",
          "definition" : "The encounter or episode of care that establishes the context for this event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }]
        },
        {
          "id" : "MedicationDispense.supportingInformation",
          "path" : "MedicationDispense.supportingInformation",
          "short" : "Information that supports the dispensing of the medication",
          "definition" : "Additional information that supports the medication being dispensed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
          }]
        },
        {
          "id" : "MedicationDispense.performer",
          "path" : "MedicationDispense.performer",
          "short" : "Who performed event",
          "definition" : "Indicates who or what performed the event.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "MedicationDispense.performer.function",
          "path" : "MedicationDispense.performer.function",
          "short" : "Who performed the dispense and what they did",
          "definition" : "Distinguishes the type of performer in the dispense.  For example, date enterer, packager, final checker.",
          "requirements" : "Allows disambiguation of the types of involvement of different performers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispensePerformerFunction"
            }],
            "strength" : "example",
            "description" : "A code describing the role an individual played in dispensing a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationdispense-performer-function"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "participation[typeCode=PRF].functionCode"
          }]
        },
        {
          "id" : "MedicationDispense.performer.actor",
          "path" : "MedicationDispense.performer.actor",
          "short" : "Individual who was performing",
          "definition" : "The device, practitioner, etc. who performed the action.  It should be assumed that the actor is the dispenser of the medication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "MedicationDispense.location",
          "path" : "MedicationDispense.location",
          "short" : "Where the dispense occurred",
          "definition" : "The principal physical location where the dispense was performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          }]
        },
        {
          "id" : "MedicationDispense.authorizingPrescription",
          "path" : "MedicationDispense.authorizingPrescription",
          "short" : "Medication order that authorizes the dispense",
          "definition" : "Indicates the medication order that is being dispensed against.",
          "comment" : "Maps to basedOn in Event logical model.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2 Placer Order Number"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=RQO]"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.inFulfillmentOf"
          }]
        },
        {
          "id" : "MedicationDispense.type",
          "path" : "MedicationDispense.type",
          "short" : "Trial fill, partial fill, emergency fill, etc.",
          "definition" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationDispenseType"
            }],
            "strength" : "example",
            "description" : "Indicates the type of dispensing event that is performed. For example, Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActPharmacySupplyType"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXD-33-Dispense Type"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.code"
          }]
        },
        {
          "id" : "MedicationDispense.quantity",
          "path" : "MedicationDispense.quantity",
          "short" : "Amount dispensed",
          "definition" : "The amount of medication that has been dispensed. Includes unit of measure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.quantity"
          }]
        },
        {
          "id" : "MedicationDispense.daysSupply",
          "path" : "MedicationDispense.daysSupply",
          "short" : "Amount of medication expressed as a timing amount",
          "definition" : "The amount of medication expressed as a timing amount.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "TQ1.6 Timing/Quantity Segment Service Duration.\rPrior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component.  This is a formatted string, first character for the time unit (e.g., D=days), followed by the value.  For example, “D14” represents “14 days supply”\rFrom v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration.  This is a CQ data type ( ^ ), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^\rFor backwards compatibility, ORC.7 was permitted through v2.6.  Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6"
          },
          {
            "identity" : "rim",
            "map" : "effectiveUseTime"
          }]
        },
        {
          "id" : "MedicationDispense.whenPrepared",
          "path" : "MedicationDispense.whenPrepared",
          "short" : "When product was packaged and reviewed",
          "definition" : "The time when the dispensed product was packaged and reviewed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXD-3-Date/Time Dispensed"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime[xmi:type=IVL_TS].low"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
          }]
        },
        {
          "id" : "MedicationDispense.whenHandedOver",
          "path" : "MedicationDispense.whenHandedOver",
          "short" : "When product was given out",
          "definition" : "The time the dispensed product was provided to the patient or their representative.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXD-3-Date/Time Dispensed"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime[xmi:type=IVL_TS].high"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.effectiveTime"
          }]
        },
        {
          "id" : "MedicationDispense.destination",
          "path" : "MedicationDispense.destination",
          "short" : "Where the medication was sent",
          "definition" : "Identification of the facility/location where the medication was shipped to, as part of the dispense event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=DST].role"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.destination"
          }]
        },
        {
          "id" : "MedicationDispense.receiver",
          "path" : "MedicationDispense.receiver",
          "short" : "Who collected the medication",
          "definition" : "Identifies the person who picked up the medication.  This will usually be a patient or their caregiver, but some cases exist where it can be a healthcare professional.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=RCV].role"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.SupplyEvent.receiver"
          }]
        },
        {
          "id" : "MedicationDispense.note",
          "path" : "MedicationDispense.note",
          "short" : "Information about the dispense",
          "definition" : "Extra information about the dispense that could not be conveyed in the other attributes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "RXD-9 Dispense Notes"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationDispense.dosageInstruction",
          "path" : "MedicationDispense.dosageInstruction",
          "short" : "How the medication is to be used by the patient or administered by the caregiver",
          "definition" : "Indicates how the medication is to be used by the patient.",
          "comment" : "When the dose or rate is intended to change over the entire administration period (e.g. Tapering dose prescriptions), multiple instances of dosage instructions will need to be supplied to convey the different doses/rates.\rThe pharmacist reviews the medication order prior to dispense and updates the dosageInstruction based on the actual product being dispensed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Dosage"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]"
          }]
        },
        {
          "id" : "MedicationDispense.substitution",
          "path" : "MedicationDispense.substitution",
          "short" : "Whether a substitution was performed on the dispense",
          "definition" : "Indicates whether or not substitution was made as part of the dispense.  In some cases, substitution will be expected but does not happen, in other cases substitution is not expected but does happen.  This block explains what substitution did or did not happen and why.  If nothing is specified, substitution was not done.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.substitutionMade"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.wasSubstituted",
          "path" : "MedicationDispense.substitution.wasSubstituted",
          "short" : "Whether a substitution was or was not performed on the dispense",
          "definition" : "True if the dispenser dispensed a different drug or product from what was prescribed.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".actionNegationInd"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.type",
          "path" : "MedicationDispense.substitution.type",
          "short" : "Code signifying whether a different drug was dispensed from what was prescribed",
          "definition" : "A code signifying whether a different drug was dispensed from what was prescribed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationIntendedSubstitutionType"
            }],
            "strength" : "example",
            "description" : "A coded concept describing whether a different medicinal product may be dispensed other than the product as specified exactly in the prescription.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.substitutionMade.code"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.reason",
          "path" : "MedicationDispense.substitution.reason",
          "short" : "Why was substitution made",
          "definition" : "Indicates the reason for the substitution (or lack of substitution) from what was prescribed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationIntendedSubstitutionReason"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".reasonCode"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.substitutionMade.reasonCode"
          }]
        },
        {
          "id" : "MedicationDispense.substitution.responsibleParty",
          "path" : "MedicationDispense.substitution.responsibleParty",
          "short" : "Who is responsible for the substitution",
          "definition" : "The person or organization that has primary responsibility for the substitution.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].role[classCode=ASSIGN]"
          },
          {
            "identity" : "rx-dispense-rmim",
            "map" : "CombinedMedicationDispense.substitutionMade.ResponsibleParty"
          }]
        },
        {
          "id" : "MedicationDispense.detectedIssue",
          "path" : "MedicationDispense.detectedIssue",
          "short" : "Clinical issue with action",
          "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. drug-drug interaction, duplicate therapy, dosage alert etc.",
          "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.",
          "alias" : ["Contraindication",
          "Drug Utilization Review (DUR)",
          "Alert"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
          }]
        },
        {
          "id" : "MedicationDispense.eventHistory",
          "path" : "MedicationDispense.eventHistory",
          "short" : "A list of relevant lifecycle events",
          "definition" : "A summary of the events of interest that have occurred, such as when the dispense was verified.",
          "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicationKnowledge",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicationKnowledge",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicationKnowledge 
TU
DomainResource
Definition of Medication Knowledge
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 code 
Σ
0..1
CodeableConcept
Code that identifies this medication
SNOMED CT Medication Codes (Example)
 status 
?!Σ
0..1
code
active | inactive | entered-in-error
Medication knowledge  status  codes (Required)
 manufacturer 
Σ
0..1
Reference(Organization)
Manufacturer of the item
 doseForm 
0..1
CodeableConcept
powder | tablets | capsule +
SNOMED CT Form Codes (Example)
 amount 
Σ
0..1
SimpleQuantity
Amount of drug in package
 synonym 
Σ
0..*
string
Additional names for a medication
 relatedMedicationKnowledge 
0..*
BackboneElement
Associated or related medication information
 type 
1..1
CodeableConcept
Category of medicationKnowledge
 reference 
1..*
Reference(MedicationKnowledge)
Associated documentation about the associated medication knowledge
 associatedMedication 
0..*
Reference(Medication)
A medication resource that is associated with this medication
 productType 
0..*
CodeableConcept
Category of the medication or product
 monograph 
0..*
BackboneElement
Associated documentation about the medication
 type 
0..1
CodeableConcept
The category of medication document
 source 
0..1
Reference(DocumentReference | Media)
Associated documentation about the medication
 ingredient 
0..*
BackboneElement
Active or inactive ingredient
 item[x] 
1..1
Medication(s) or substance(s) contained in the medication
 itemCodeableConcept
CodeableConcept
 itemReference
Reference(Substance)
 isActive 
0..1
boolean
Active ingredient indicator
 strength 
0..1
Ratio
Quantity of ingredient present
 preparationInstruction 
0..1
markdown
The instructions for preparing the medication
 intendedRoute 
0..*
CodeableConcept
The intended or approved route of administration
SNOMED CT Route Codes (Example)
 cost 
0..*
BackboneElement
The pricing of the medication
 type 
1..1
CodeableConcept
The category of the cost information
 source 
0..1
string
The source or owner for the price information
 cost 
1..1
Money
The price of the medication
 monitoringProgram 
0..*
BackboneElement
Program under which a medication is reviewed
 type 
0..1
CodeableConcept
Type of program under which the medication is monitored
 name 
0..1
string
Name of the reviewing program
 administrationGuidelines 
0..*
BackboneElement
Guidelines for administration of the medication
 dosage 
0..*
BackboneElement
Dosage for the medication for the specific guidelines
 type 
1..1
CodeableConcept
Type of dosage
 dosage 
1..*
Dosage
Dosage for the medication for the specific guidelines
 indication[x] 
0..1
Indication for use that apply to the specific administration guidelines
 indicationCodeableConcept
CodeableConcept
 indicationReference
Reference(ObservationDefinition)
 patientCharacteristics 
0..*
BackboneElement
Characteristics of the patient that are relevant to the administration guidelines
 characteristic[x] 
1..1
Specific characteristic that is relevant to the administration guideline
 characteristicCodeableConcept
CodeableConcept
 characteristicQuantity
SimpleQuantity
 value 
0..*
string
The specific characteristic
 medicineClassification 
0..*
BackboneElement
Categorization of the medication within a formulary or classification system
 type 
1..1
CodeableConcept
The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)
 classification 
0..*
CodeableConcept
Specific category assigned to the medication
 packaging 
0..1
BackboneElement
Details about packaged medications
 type 
0..1
CodeableConcept
A code that defines the specific type of packaging that the medication can be found in
Medication knowledge  package  type  codes (Example)
 quantity 
0..1
SimpleQuantity
The number of product units the package would contain if fully loaded
 drugCharacteristic 
0..*
BackboneElement
Specifies descriptive properties of the medicine
 type 
0..1
CodeableConcept
Code specifying the type of characteristic of medication
Medication knowledge  characteristic  codes (Example)
 value[x] 
0..1
Description of the characteristic
 valueCodeableConcept
CodeableConcept
 valueString
string
 valueQuantity
SimpleQuantity
 valueBase64Binary
base64Binary
 contraindication 
0..*
Reference(DetectedIssue)
Potential clinical issue with or between medication(s)
 regulatory 
0..*
BackboneElement
Regulatory information about a medication
 regulatoryAuthority 
1..1
Reference(Organization)
Specifies the authority of the regulation
 substitution 
0..*
BackboneElement
Specifies if changes are allowed when dispensing a medication from a regulatory perspective
 type 
1..1
CodeableConcept
Specifies the type of substitution allowed
 allowed 
1..1
boolean
Specifies if regulation allows for changes in the medication when dispensing
 schedule 
0..*
BackboneElement
Specifies the schedule of a medication in jurisdiction
 schedule 
1..1
CodeableConcept
Specifies the specific drug schedule
 maxDispense 
0..1
BackboneElement
The maximum number of units of the medication that can be dispensed in a period
 quantity 
1..1
SimpleQuantity
The maximum number of units of the medication that can be dispensed
 period 
0..1
Duration
The period that applies to the maximum number of units
 kinetics 
0..*
BackboneElement
The time course of drug absorption, distribution, metabolism and excretion of a medication from the body
 areaUnderCurve 
0..*
SimpleQuantity
The drug concentration measured at certain discrete points in time
 lethalDose50 
0..*
SimpleQuantity
The median lethal dose of a drug
 halfLifePeriod 
0..1
Duration
Time required for concentration in the body to decrease by half

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "phx"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicationKnowledge",
      "version" : "4.0.0",
      "name" : "MedicationKnowledge",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Pharmacy)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
        }]
      }],
      "description" : "Information about a medication that is used to support knowledge.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "script10.6",
        "uri" : "http://ncpdp.org/SCRIPT10_6",
        "name" : "Mapping to NCPDP SCRIPT 10.6"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicationKnowledge",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicationKnowledge",
          "path" : "MedicationKnowledge",
          "short" : "Definition of Medication Knowledge",
          "definition" : "Information about a medication that is used to support knowledge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Todo"
          }]
        },
        {
          "id" : "MedicationKnowledge.id",
          "path" : "MedicationKnowledge.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationKnowledge.meta",
          "path" : "MedicationKnowledge.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationKnowledge.implicitRules",
          "path" : "MedicationKnowledge.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicationKnowledge.language",
          "path" : "MedicationKnowledge.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicationKnowledge.text",
          "path" : "MedicationKnowledge.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicationKnowledge.contained",
          "path" : "MedicationKnowledge.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.extension",
          "path" : "MedicationKnowledge.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.modifierExtension",
          "path" : "MedicationKnowledge.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.code",
          "path" : "MedicationKnowledge.code",
          "short" : "Code that identifies this medication",
          "definition" : "A code that specifies this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.",
          "comment" : "Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationFormalRepresentation"
            }],
            "strength" : "example",
            "description" : "A coded concept that defines the type of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "MedicationKnowledge.status",
          "path" : "MedicationKnowledge.status",
          "short" : "active | inactive | entered-in-error",
          "definition" : "A code to indicate if the medication is in active use.  The status refers to the validity about the information of the medication and not to its medicinal properties.",
          "comment" : "This status is intended to identify if the medication in a local system is in active use within a drug database or inventory.  For example, a pharmacy system may create a new drug file record for a compounded product \"ABC Hospital Special Cream\" with an active status.  At some point in the future, it may be determined that the drug record was created with an error and the status is changed to \"entered in error\".   This status is not intended to specify if a medication is part of a particular formulary.  It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationKnowledgeStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept defining if the medication is in active use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "MedicationKnowledge.manufacturer",
          "path" : "MedicationKnowledge.manufacturer",
          "short" : "Manufacturer of the item",
          "definition" : "Describes the details of the manufacturer of the medication product.  This is not intended to represent the distributor of a medication product.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.manufacturer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"
          },
          {
            "identity" : "rim",
            "map" : ".player.scopingRole[typeCode=MANU].scoper"
          }]
        },
        {
          "id" : "MedicationKnowledge.doseForm",
          "path" : "MedicationKnowledge.doseForm",
          "short" : "powder | tablets | capsule +",
          "definition" : "Describes the form of the item.  Powder; tablets; capsule.",
          "comment" : "When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.doseForm",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationForm"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the form of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-form-codes"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code =  //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode"
          },
          {
            "identity" : "v2",
            "map" : "RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"
          },
          {
            "identity" : "rim",
            "map" : ".formCode"
          }]
        },
        {
          "id" : "MedicationKnowledge.amount",
          "path" : "MedicationKnowledge.amount",
          "short" : "Amount of drug in package",
          "definition" : "Specific amount of the drug in the packaged product.  For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).",
          "comment" : "This is the quantity of medication in a package.  To specify the strength of the medication, the Ingredient.strength attribute is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "MedicationKnowledge.synonym",
          "path" : "MedicationKnowledge.synonym",
          "short" : "Additional names for a medication",
          "definition" : "Additional names for a medication, for example, the name(s) given to a medication in different countries.  For example, acetaminophen and paracetamol or salbutamol and albuterol.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.synonym",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge",
          "short" : "Associated or related medication information",
          "definition" : "Associated or related knowledge about a medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.relatedMedicationKnowledge",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge.id",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge.extension",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge.modifierExtension",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge.type",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge.type",
          "short" : "Category of medicationKnowledge",
          "definition" : "The category of the associated medication knowledge reference.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.relatedMedicationKnowledge.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge.reference",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge.reference",
          "short" : "Associated documentation about the associated medication knowledge",
          "definition" : "Associated documentation about the associated medication knowledge.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.relatedMedicationKnowledge.reference",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationKnowledge"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.associatedMedication",
          "path" : "MedicationKnowledge.associatedMedication",
          "short" : "A medication resource that is associated with this medication",
          "definition" : "Associated or related medications.  For example, if the medication is a branded product (e.g. Crestor), this is the Therapeutic Moeity (e.g. Rosuvastatin) or if this is a generic medication (e.g. Rosuvastatin), this would link to a branded product (e.g. Crestor).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.associatedMedication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.productType",
          "path" : "MedicationKnowledge.productType",
          "short" : "Category of the medication or product",
          "definition" : "Category of the medication or product (e.g. branded product, therapeutic moeity, generic product, innovator product, etc.).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.productType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.monograph",
          "path" : "MedicationKnowledge.monograph",
          "short" : "Associated documentation about the medication",
          "definition" : "Associated documentation about the medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.monograph",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.monograph.id",
          "path" : "MedicationKnowledge.monograph.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.monograph.extension",
          "path" : "MedicationKnowledge.monograph.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.monograph.modifierExtension",
          "path" : "MedicationKnowledge.monograph.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.monograph.type",
          "path" : "MedicationKnowledge.monograph.type",
          "short" : "The category of medication document",
          "definition" : "The category of documentation about the medication. (e.g. professional monograph, patient education monograph).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.monograph.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.monograph.source",
          "path" : "MedicationKnowledge.monograph.source",
          "short" : "Associated documentation about the medication",
          "definition" : "Associated documentation about the medication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.monograph.source",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Media"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.ingredient",
          "path" : "MedicationKnowledge.ingredient",
          "short" : "Active or inactive ingredient",
          "definition" : "Identifies a particular constituent of interest in the product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.ingredient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.ingredient.id",
          "path" : "MedicationKnowledge.ingredient.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient.extension",
          "path" : "MedicationKnowledge.ingredient.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient.modifierExtension",
          "path" : "MedicationKnowledge.ingredient.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient.item[x]",
          "path" : "MedicationKnowledge.ingredient.item[x]",
          "short" : "Medication(s) or substance(s) contained in the medication",
          "definition" : "The actual ingredient - either a substance (simple ingredient) or another medication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.ingredient.item[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
          },
          {
            "identity" : "v2",
            "map" : "RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient.isActive",
          "path" : "MedicationKnowledge.ingredient.isActive",
          "short" : "Active ingredient indicator",
          "definition" : "Indication of whether this ingredient affects the therapeutic action of the drug.",
          "requirements" : "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.ingredient.isActive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "NA"
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient.strength",
          "path" : "MedicationKnowledge.ingredient.strength",
          "short" : "Quantity of ingredient present",
          "definition" : "Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.ingredient.strength",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "//element(*,DrugCodedType)/Strength"
          },
          {
            "identity" : "v2",
            "map" : "RXC-3-Component Amount & RXC-4-Component Units  if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "MedicationKnowledge.preparationInstruction",
          "path" : "MedicationKnowledge.preparationInstruction",
          "short" : "The instructions for preparing the medication",
          "definition" : "The instructions for preparing the medication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.preparationInstruction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.intendedRoute",
          "path" : "MedicationKnowledge.intendedRoute",
          "short" : "The intended or approved route of administration",
          "definition" : "The intended or approved route of administration.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.intendedRoute",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRoute"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the intended route of administration.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
          }
        },
        {
          "id" : "MedicationKnowledge.cost",
          "path" : "MedicationKnowledge.cost",
          "short" : "The pricing of the medication",
          "definition" : "The price of the medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.cost",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.cost.id",
          "path" : "MedicationKnowledge.cost.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.cost.extension",
          "path" : "MedicationKnowledge.cost.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.cost.modifierExtension",
          "path" : "MedicationKnowledge.cost.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.cost.type",
          "path" : "MedicationKnowledge.cost.type",
          "short" : "The category of the cost information",
          "definition" : "The category of the cost information.  For example, manufacturers' cost, patient cost, claim reimbursement cost, actual acquisition cost.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.cost.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.cost.source",
          "path" : "MedicationKnowledge.cost.source",
          "short" : "The source or owner for the price information",
          "definition" : "The source or owner that assigns the price to the medication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.cost.source",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.cost.cost",
          "path" : "MedicationKnowledge.cost.cost",
          "short" : "The price of the medication",
          "definition" : "The price of the medication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.cost.cost",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram",
          "path" : "MedicationKnowledge.monitoringProgram",
          "short" : "Program under which a medication is reviewed",
          "definition" : "The program under which the medication is reviewed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.monitoringProgram",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram.id",
          "path" : "MedicationKnowledge.monitoringProgram.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram.extension",
          "path" : "MedicationKnowledge.monitoringProgram.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram.modifierExtension",
          "path" : "MedicationKnowledge.monitoringProgram.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram.type",
          "path" : "MedicationKnowledge.monitoringProgram.type",
          "short" : "Type of program under which the medication is monitored",
          "definition" : "Type of program under which the medication is monitored.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.monitoringProgram.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram.name",
          "path" : "MedicationKnowledge.monitoringProgram.name",
          "short" : "Name of the reviewing program",
          "definition" : "Name of the reviewing program.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.monitoringProgram.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines",
          "path" : "MedicationKnowledge.administrationGuidelines",
          "short" : "Guidelines for administration of the medication",
          "definition" : "Guidelines for the administration of the medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.administrationGuidelines",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.id",
          "path" : "MedicationKnowledge.administrationGuidelines.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.extension",
          "path" : "MedicationKnowledge.administrationGuidelines.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.modifierExtension",
          "path" : "MedicationKnowledge.administrationGuidelines.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage",
          "short" : "Dosage for the medication for the specific guidelines",
          "definition" : "Dosage for the medication for the specific guidelines.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.administrationGuidelines.dosage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage.id",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage.extension",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage.modifierExtension",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage.type",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage.type",
          "short" : "Type of dosage",
          "definition" : "The type of dosage (for example, prophylaxis, maintenance, therapeutic, etc.).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.administrationGuidelines.dosage.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage.dosage",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage.dosage",
          "short" : "Dosage for the medication for the specific guidelines",
          "definition" : "Dosage for the medication for the specific guidelines.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.administrationGuidelines.dosage.dosage",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Dosage"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.indication[x]",
          "path" : "MedicationKnowledge.administrationGuidelines.indication[x]",
          "short" : "Indication for use that apply to the specific administration guidelines",
          "definition" : "Indication for use that apply to the specific administration guidelines.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.administrationGuidelines.indication[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics",
          "short" : "Characteristics of the patient that are relevant to the administration guidelines",
          "definition" : "Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.id",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.extension",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.modifierExtension",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]",
          "short" : "Specific characteristic that is relevant to the administration guideline",
          "definition" : "Specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.value",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.value",
          "short" : "The specific characteristic",
          "definition" : "The specific characteristic (e.g. height, weight, gender, etc.).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.value",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.medicineClassification",
          "path" : "MedicationKnowledge.medicineClassification",
          "short" : "Categorization of the medication within a formulary or classification system",
          "definition" : "Categorization of the medication within a formulary or classification system.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.medicineClassification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.medicineClassification.id",
          "path" : "MedicationKnowledge.medicineClassification.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.medicineClassification.extension",
          "path" : "MedicationKnowledge.medicineClassification.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.medicineClassification.modifierExtension",
          "path" : "MedicationKnowledge.medicineClassification.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.medicineClassification.type",
          "path" : "MedicationKnowledge.medicineClassification.type",
          "short" : "The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)",
          "definition" : "The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.medicineClassification.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.medicineClassification.classification",
          "path" : "MedicationKnowledge.medicineClassification.classification",
          "short" : "Specific category assigned to the medication",
          "definition" : "Specific category assigned to the medication (e.g. anti-infective, anti-hypertensive, antibiotic, etc.).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.medicineClassification.classification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.packaging",
          "path" : "MedicationKnowledge.packaging",
          "short" : "Details about packaged medications",
          "definition" : "Information that only applies to packages (not products).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.packaging",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.packaging.id",
          "path" : "MedicationKnowledge.packaging.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.packaging.extension",
          "path" : "MedicationKnowledge.packaging.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.packaging.modifierExtension",
          "path" : "MedicationKnowledge.packaging.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.packaging.type",
          "path" : "MedicationKnowledge.packaging.type",
          "short" : "A code that defines the specific type of packaging that the medication can be found in",
          "definition" : "A code that defines the specific type of packaging that the medication can be found in (e.g. blister sleeve, tube, bottle).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.packaging.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationPackageType"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the type of packaging of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationknowledge-package-type"
          }
        },
        {
          "id" : "MedicationKnowledge.packaging.quantity",
          "path" : "MedicationKnowledge.packaging.quantity",
          "short" : "The number of product units the package would contain if fully loaded",
          "definition" : "The number of product units the package would contain if fully loaded.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.packaging.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic",
          "path" : "MedicationKnowledge.drugCharacteristic",
          "short" : "Specifies descriptive properties of the medicine",
          "definition" : "Specifies descriptive properties of the medicine, such as color, shape, imprints, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.drugCharacteristic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic.id",
          "path" : "MedicationKnowledge.drugCharacteristic.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic.extension",
          "path" : "MedicationKnowledge.drugCharacteristic.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic.modifierExtension",
          "path" : "MedicationKnowledge.drugCharacteristic.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic.type",
          "path" : "MedicationKnowledge.drugCharacteristic.type",
          "short" : "Code specifying the type of characteristic of medication",
          "definition" : "A code specifying which characteristic of the medicine is being described (for example, colour, shape, imprint).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.drugCharacteristic.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCharacteristic"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the characteristic types of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationknowledge-characteristic"
          }
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic.value[x]",
          "path" : "MedicationKnowledge.drugCharacteristic.value[x]",
          "short" : "Description of the characteristic",
          "definition" : "Description of the characteristic.",
          "comment" : "The description should be provided as a CodeableConcept, SimpleQuantity or an image.  The description can be a string only when these others are not available.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.drugCharacteristic.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          },
          {
            "code" : "base64Binary"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.contraindication",
          "path" : "MedicationKnowledge.contraindication",
          "short" : "Potential clinical issue with or between medication(s)",
          "definition" : "Potential clinical issue with or between medication(s) (for example, drug-drug interaction, drug-disease contraindication, drug-allergy interaction, etc.).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.contraindication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory",
          "path" : "MedicationKnowledge.regulatory",
          "short" : "Regulatory information about a medication",
          "definition" : "Regulatory information about a medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.regulatory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.id",
          "path" : "MedicationKnowledge.regulatory.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.extension",
          "path" : "MedicationKnowledge.regulatory.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.modifierExtension",
          "path" : "MedicationKnowledge.regulatory.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.regulatoryAuthority",
          "path" : "MedicationKnowledge.regulatory.regulatoryAuthority",
          "short" : "Specifies the authority of the regulation",
          "definition" : "The authority that is specifying the regulations.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.regulatoryAuthority",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution",
          "path" : "MedicationKnowledge.regulatory.substitution",
          "short" : "Specifies if changes are allowed when dispensing a medication from a regulatory perspective",
          "definition" : "Specifies if changes are allowed when dispensing a medication from a regulatory perspective.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.substitution",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution.id",
          "path" : "MedicationKnowledge.regulatory.substitution.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution.extension",
          "path" : "MedicationKnowledge.regulatory.substitution.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution.modifierExtension",
          "path" : "MedicationKnowledge.regulatory.substitution.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution.type",
          "path" : "MedicationKnowledge.regulatory.substitution.type",
          "short" : "Specifies the type of substitution allowed",
          "definition" : "Specifies the type of substitution allowed.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.substitution.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution.allowed",
          "path" : "MedicationKnowledge.regulatory.substitution.allowed",
          "short" : "Specifies if regulation allows for changes in the medication when dispensing",
          "definition" : "Specifies if regulation allows for changes in the medication when dispensing.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.substitution.allowed",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.schedule",
          "path" : "MedicationKnowledge.regulatory.schedule",
          "short" : "Specifies the schedule of a medication in jurisdiction",
          "definition" : "Specifies the schedule of a medication in jurisdiction.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.schedule",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.schedule.id",
          "path" : "MedicationKnowledge.regulatory.schedule.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.schedule.extension",
          "path" : "MedicationKnowledge.regulatory.schedule.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.schedule.modifierExtension",
          "path" : "MedicationKnowledge.regulatory.schedule.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.schedule.schedule",
          "path" : "MedicationKnowledge.regulatory.schedule.schedule",
          "short" : "Specifies the specific drug schedule",
          "definition" : "Specifies the specific drug schedule.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.schedule.schedule",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense",
          "path" : "MedicationKnowledge.regulatory.maxDispense",
          "short" : "The maximum number of units of the medication that can be dispensed in a period",
          "definition" : "The maximum number of units of the medication that can be dispensed in a period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.maxDispense",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense.id",
          "path" : "MedicationKnowledge.regulatory.maxDispense.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense.extension",
          "path" : "MedicationKnowledge.regulatory.maxDispense.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense.modifierExtension",
          "path" : "MedicationKnowledge.regulatory.maxDispense.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense.quantity",
          "path" : "MedicationKnowledge.regulatory.maxDispense.quantity",
          "short" : "The maximum number of units of the medication that can be dispensed",
          "definition" : "The maximum number of units of the medication that can be dispensed.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.maxDispense.quantity",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense.period",
          "path" : "MedicationKnowledge.regulatory.maxDispense.period",
          "short" : "The period that applies to the maximum number of units",
          "definition" : "The period that applies to the maximum number of units.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.regulatory.maxDispense.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.kinetics",
          "path" : "MedicationKnowledge.kinetics",
          "short" : "The time course of drug absorption, distribution, metabolism and excretion of a medication from the body",
          "definition" : "The time course of drug absorption, distribution, metabolism and excretion of a medication from the body.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.kinetics",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.kinetics.id",
          "path" : "MedicationKnowledge.kinetics.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.kinetics.extension",
          "path" : "MedicationKnowledge.kinetics.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationKnowledge.kinetics.modifierExtension",
          "path" : "MedicationKnowledge.kinetics.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationKnowledge.kinetics.areaUnderCurve",
          "path" : "MedicationKnowledge.kinetics.areaUnderCurve",
          "short" : "The drug concentration measured at certain discrete points in time",
          "definition" : "The drug concentration measured at certain discrete points in time.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.kinetics.areaUnderCurve",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.kinetics.lethalDose50",
          "path" : "MedicationKnowledge.kinetics.lethalDose50",
          "short" : "The median lethal dose of a drug",
          "definition" : "The median lethal dose of a drug.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationKnowledge.kinetics.lethalDose50",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MedicationKnowledge.kinetics.halfLifePeriod",
          "path" : "MedicationKnowledge.kinetics.halfLifePeriod",
          "short" : "Time required for concentration in the body to decrease by half",
          "definition" : "The time required for any specified property (e.g., the concentration of a substance in the body) to decrease by half.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationKnowledge.kinetics.halfLifePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicationKnowledge",
          "path" : "MedicationKnowledge",
          "short" : "Definition of Medication Knowledge",
          "definition" : "Information about a medication that is used to support knowledge.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Todo"
          }]
        },
        {
          "id" : "MedicationKnowledge.code",
          "path" : "MedicationKnowledge.code",
          "short" : "Code that identifies this medication",
          "definition" : "A code that specifies this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.",
          "comment" : "Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true.  As described in the coding datatype: \"A coding may be marked as a \"userSelected\" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationFormalRepresentation"
            }],
            "strength" : "example",
            "description" : "A coded concept that defines the type of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "RXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "MedicationKnowledge.status",
          "path" : "MedicationKnowledge.status",
          "short" : "active | inactive | entered-in-error",
          "definition" : "A code to indicate if the medication is in active use.  The status refers to the validity about the information of the medication and not to its medicinal properties.",
          "comment" : "This status is intended to identify if the medication in a local system is in active use within a drug database or inventory.  For example, a pharmacy system may create a new drug file record for a compounded product \"ABC Hospital Special Cream\" with an active status.  At some point in the future, it may be determined that the drug record was created with an error and the status is changed to \"entered in error\".   This status is not intended to specify if a medication is part of a particular formulary.  It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes.",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationKnowledgeStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept defining if the medication is in active use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationknowledge-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "MedicationKnowledge.manufacturer",
          "path" : "MedicationKnowledge.manufacturer",
          "short" : "Manufacturer of the item",
          "definition" : "Describes the details of the manufacturer of the medication product.  This is not intended to represent the distributor of a medication product.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "RXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name"
          },
          {
            "identity" : "rim",
            "map" : ".player.scopingRole[typeCode=MANU].scoper"
          }]
        },
        {
          "id" : "MedicationKnowledge.doseForm",
          "path" : "MedicationKnowledge.doseForm",
          "short" : "powder | tablets | capsule +",
          "definition" : "Describes the form of the item.  Powder; tablets; capsule.",
          "comment" : "When Medication is referenced from MedicationRequest, this is the ordered form.  When Medication is referenced within MedicationDispense, this is the dispensed form.  When Medication is referenced within MedicationAdministration, this is administered form.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationForm"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the form of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-form-codes"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code =  //element(*,DrugCodedType)/FormCode\r\rcoding.system = //element(*,DrugCodedType)/FormSourceCode"
          },
          {
            "identity" : "v2",
            "map" : "RXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form"
          },
          {
            "identity" : "rim",
            "map" : ".formCode"
          }]
        },
        {
          "id" : "MedicationKnowledge.amount",
          "path" : "MedicationKnowledge.amount",
          "short" : "Amount of drug in package",
          "definition" : "Specific amount of the drug in the packaged product.  For example, when specifying a product that has the same strength (For example, Insulin glargine 100 unit per mL solution for injection), this attribute provides additional clarification of the package amount (For example, 3 mL, 10mL, etc.).",
          "comment" : "This is the quantity of medication in a package.  To specify the strength of the medication, the Ingredient.strength attribute is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "MedicationKnowledge.synonym",
          "path" : "MedicationKnowledge.synonym",
          "short" : "Additional names for a medication",
          "definition" : "Additional names for a medication, for example, the name(s) given to a medication in different countries.  For example, acetaminophen and paracetamol or salbutamol and albuterol.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge",
          "short" : "Associated or related medication information",
          "definition" : "Associated or related knowledge about a medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge.type",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge.type",
          "short" : "Category of medicationKnowledge",
          "definition" : "The category of the associated medication knowledge reference.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.relatedMedicationKnowledge.reference",
          "path" : "MedicationKnowledge.relatedMedicationKnowledge.reference",
          "short" : "Associated documentation about the associated medication knowledge",
          "definition" : "Associated documentation about the associated medication knowledge.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationKnowledge"]
          }]
        },
        {
          "id" : "MedicationKnowledge.associatedMedication",
          "path" : "MedicationKnowledge.associatedMedication",
          "short" : "A medication resource that is associated with this medication",
          "definition" : "Associated or related medications.  For example, if the medication is a branded product (e.g. Crestor), this is the Therapeutic Moeity (e.g. Rosuvastatin) or if this is a generic medication (e.g. Rosuvastatin), this would link to a branded product (e.g. Crestor).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }]
        },
        {
          "id" : "MedicationKnowledge.productType",
          "path" : "MedicationKnowledge.productType",
          "short" : "Category of the medication or product",
          "definition" : "Category of the medication or product (e.g. branded product, therapeutic moeity, generic product, innovator product, etc.).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.monograph",
          "path" : "MedicationKnowledge.monograph",
          "short" : "Associated documentation about the medication",
          "definition" : "Associated documentation about the medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.monograph.type",
          "path" : "MedicationKnowledge.monograph.type",
          "short" : "The category of medication document",
          "definition" : "The category of documentation about the medication. (e.g. professional monograph, patient education monograph).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.monograph.source",
          "path" : "MedicationKnowledge.monograph.source",
          "short" : "Associated documentation about the medication",
          "definition" : "Associated documentation about the medication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Media"]
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient",
          "path" : "MedicationKnowledge.ingredient",
          "short" : "Active or inactive ingredient",
          "definition" : "Identifies a particular constituent of interest in the product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient.item[x]",
          "path" : "MedicationKnowledge.ingredient.item[x]",
          "short" : "Medication(s) or substance(s) contained in the medication",
          "definition" : "The actual ingredient - either a substance (simple ingredient) or another medication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "coding.code = //element(*,MedicationType)/DrugCoded/ProductCode\r\rcoding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier\r\rcoding.display = //element(*,MedicationType)/DrugDescription"
          },
          {
            "identity" : "v2",
            "map" : "RXC-2-Component Code  if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code"
          },
          {
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient.isActive",
          "path" : "MedicationKnowledge.ingredient.isActive",
          "short" : "Active ingredient indicator",
          "definition" : "Indication of whether this ingredient affects the therapeutic action of the drug.",
          "requirements" : "True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). \rFalse indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "NA"
          }]
        },
        {
          "id" : "MedicationKnowledge.ingredient.strength",
          "path" : "MedicationKnowledge.ingredient.strength",
          "short" : "Quantity of ingredient present",
          "definition" : "Specifies how many (or how much) of the items there are in this Medication.  For example, 250 mg per tablet.  This is expressed as a ratio where the numerator is 250mg and the denominator is 1 tablet.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "//element(*,DrugCodedType)/Strength"
          },
          {
            "identity" : "v2",
            "map" : "RXC-3-Component Amount & RXC-4-Component Units  if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "MedicationKnowledge.preparationInstruction",
          "path" : "MedicationKnowledge.preparationInstruction",
          "short" : "The instructions for preparing the medication",
          "definition" : "The instructions for preparing the medication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "MedicationKnowledge.intendedRoute",
          "path" : "MedicationKnowledge.intendedRoute",
          "short" : "The intended or approved route of administration",
          "definition" : "The intended or approved route of administration.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRoute"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the intended route of administration.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/route-codes"
          }
        },
        {
          "id" : "MedicationKnowledge.cost",
          "path" : "MedicationKnowledge.cost",
          "short" : "The pricing of the medication",
          "definition" : "The price of the medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.cost.type",
          "path" : "MedicationKnowledge.cost.type",
          "short" : "The category of the cost information",
          "definition" : "The category of the cost information.  For example, manufacturers' cost, patient cost, claim reimbursement cost, actual acquisition cost.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.cost.source",
          "path" : "MedicationKnowledge.cost.source",
          "short" : "The source or owner for the price information",
          "definition" : "The source or owner that assigns the price to the medication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "MedicationKnowledge.cost.cost",
          "path" : "MedicationKnowledge.cost.cost",
          "short" : "The price of the medication",
          "definition" : "The price of the medication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram",
          "path" : "MedicationKnowledge.monitoringProgram",
          "short" : "Program under which a medication is reviewed",
          "definition" : "The program under which the medication is reviewed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram.type",
          "path" : "MedicationKnowledge.monitoringProgram.type",
          "short" : "Type of program under which the medication is monitored",
          "definition" : "Type of program under which the medication is monitored.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.monitoringProgram.name",
          "path" : "MedicationKnowledge.monitoringProgram.name",
          "short" : "Name of the reviewing program",
          "definition" : "Name of the reviewing program.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines",
          "path" : "MedicationKnowledge.administrationGuidelines",
          "short" : "Guidelines for administration of the medication",
          "definition" : "Guidelines for the administration of the medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage",
          "short" : "Dosage for the medication for the specific guidelines",
          "definition" : "Dosage for the medication for the specific guidelines.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage.type",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage.type",
          "short" : "Type of dosage",
          "definition" : "The type of dosage (for example, prophylaxis, maintenance, therapeutic, etc.).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.dosage.dosage",
          "path" : "MedicationKnowledge.administrationGuidelines.dosage.dosage",
          "short" : "Dosage for the medication for the specific guidelines",
          "definition" : "Dosage for the medication for the specific guidelines.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Dosage"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.indication[x]",
          "path" : "MedicationKnowledge.administrationGuidelines.indication[x]",
          "short" : "Indication for use that apply to the specific administration guidelines",
          "definition" : "Indication for use that apply to the specific administration guidelines.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics",
          "short" : "Characteristics of the patient that are relevant to the administration guidelines",
          "definition" : "Characteristics of the patient that are relevant to the administration guidelines (for example, height, weight, gender, etc.).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.characteristic[x]",
          "short" : "Specific characteristic that is relevant to the administration guideline",
          "definition" : "Specific characteristic that is relevant to the administration guideline (e.g. height, weight, gender).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.value",
          "path" : "MedicationKnowledge.administrationGuidelines.patientCharacteristics.value",
          "short" : "The specific characteristic",
          "definition" : "The specific characteristic (e.g. height, weight, gender, etc.).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "MedicationKnowledge.medicineClassification",
          "path" : "MedicationKnowledge.medicineClassification",
          "short" : "Categorization of the medication within a formulary or classification system",
          "definition" : "Categorization of the medication within a formulary or classification system.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.medicineClassification.type",
          "path" : "MedicationKnowledge.medicineClassification.type",
          "short" : "The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification)",
          "definition" : "The type of category for the medication (for example, therapeutic classification, therapeutic sub-classification).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.medicineClassification.classification",
          "path" : "MedicationKnowledge.medicineClassification.classification",
          "short" : "Specific category assigned to the medication",
          "definition" : "Specific category assigned to the medication (e.g. anti-infective, anti-hypertensive, antibiotic, etc.).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.packaging",
          "path" : "MedicationKnowledge.packaging",
          "short" : "Details about packaged medications",
          "definition" : "Information that only applies to packages (not products).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.packaging.type",
          "path" : "MedicationKnowledge.packaging.type",
          "short" : "A code that defines the specific type of packaging that the medication can be found in",
          "definition" : "A code that defines the specific type of packaging that the medication can be found in (e.g. blister sleeve, tube, bottle).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationPackageType"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the type of packaging of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationknowledge-package-type"
          }
        },
        {
          "id" : "MedicationKnowledge.packaging.quantity",
          "path" : "MedicationKnowledge.packaging.quantity",
          "short" : "The number of product units the package would contain if fully loaded",
          "definition" : "The number of product units the package would contain if fully loaded.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic",
          "path" : "MedicationKnowledge.drugCharacteristic",
          "short" : "Specifies descriptive properties of the medicine",
          "definition" : "Specifies descriptive properties of the medicine, such as color, shape, imprints, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic.type",
          "path" : "MedicationKnowledge.drugCharacteristic.type",
          "short" : "Code specifying the type of characteristic of medication",
          "definition" : "A code specifying which characteristic of the medicine is being described (for example, colour, shape, imprint).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCharacteristic"
            }],
            "strength" : "example",
            "description" : "A coded concept defining the characteristic types of a medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationknowledge-characteristic"
          }
        },
        {
          "id" : "MedicationKnowledge.drugCharacteristic.value[x]",
          "path" : "MedicationKnowledge.drugCharacteristic.value[x]",
          "short" : "Description of the characteristic",
          "definition" : "Description of the characteristic.",
          "comment" : "The description should be provided as a CodeableConcept, SimpleQuantity or an image.  The description can be a string only when these others are not available.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          },
          {
            "code" : "base64Binary"
          }]
        },
        {
          "id" : "MedicationKnowledge.contraindication",
          "path" : "MedicationKnowledge.contraindication",
          "short" : "Potential clinical issue with or between medication(s)",
          "definition" : "Potential clinical issue with or between medication(s) (for example, drug-drug interaction, drug-disease contraindication, drug-allergy interaction, etc.).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory",
          "path" : "MedicationKnowledge.regulatory",
          "short" : "Regulatory information about a medication",
          "definition" : "Regulatory information about a medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.regulatoryAuthority",
          "path" : "MedicationKnowledge.regulatory.regulatoryAuthority",
          "short" : "Specifies the authority of the regulation",
          "definition" : "The authority that is specifying the regulations.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution",
          "path" : "MedicationKnowledge.regulatory.substitution",
          "short" : "Specifies if changes are allowed when dispensing a medication from a regulatory perspective",
          "definition" : "Specifies if changes are allowed when dispensing a medication from a regulatory perspective.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution.type",
          "path" : "MedicationKnowledge.regulatory.substitution.type",
          "short" : "Specifies the type of substitution allowed",
          "definition" : "Specifies the type of substitution allowed.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.substitution.allowed",
          "path" : "MedicationKnowledge.regulatory.substitution.allowed",
          "short" : "Specifies if regulation allows for changes in the medication when dispensing",
          "definition" : "Specifies if regulation allows for changes in the medication when dispensing.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.schedule",
          "path" : "MedicationKnowledge.regulatory.schedule",
          "short" : "Specifies the schedule of a medication in jurisdiction",
          "definition" : "Specifies the schedule of a medication in jurisdiction.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.schedule.schedule",
          "path" : "MedicationKnowledge.regulatory.schedule.schedule",
          "short" : "Specifies the specific drug schedule",
          "definition" : "Specifies the specific drug schedule.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense",
          "path" : "MedicationKnowledge.regulatory.maxDispense",
          "short" : "The maximum number of units of the medication that can be dispensed in a period",
          "definition" : "The maximum number of units of the medication that can be dispensed in a period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense.quantity",
          "path" : "MedicationKnowledge.regulatory.maxDispense.quantity",
          "short" : "The maximum number of units of the medication that can be dispensed",
          "definition" : "The maximum number of units of the medication that can be dispensed.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "MedicationKnowledge.regulatory.maxDispense.period",
          "path" : "MedicationKnowledge.regulatory.maxDispense.period",
          "short" : "The period that applies to the maximum number of units",
          "definition" : "The period that applies to the maximum number of units.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }]
        },
        {
          "id" : "MedicationKnowledge.kinetics",
          "path" : "MedicationKnowledge.kinetics",
          "short" : "The time course of drug absorption, distribution, metabolism and excretion of a medication from the body",
          "definition" : "The time course of drug absorption, distribution, metabolism and excretion of a medication from the body.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MedicationKnowledge.kinetics.areaUnderCurve",
          "path" : "MedicationKnowledge.kinetics.areaUnderCurve",
          "short" : "The drug concentration measured at certain discrete points in time",
          "definition" : "The drug concentration measured at certain discrete points in time.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "MedicationKnowledge.kinetics.lethalDose50",
          "path" : "MedicationKnowledge.kinetics.lethalDose50",
          "short" : "The median lethal dose of a drug",
          "definition" : "The median lethal dose of a drug.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }]
        },
        {
          "id" : "MedicationKnowledge.kinetics.halfLifePeriod",
          "path" : "MedicationKnowledge.kinetics.halfLifePeriod",
          "short" : "Time required for concentration in the body to decrease by half",
          "definition" : "The time required for any specified property (e.g., the concentration of a substance in the body) to decrease by half.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicationRequest",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicationRequest 
TU
DomainResource
Ordering of medication for patient or group
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
External ids for this request
 status 
?!Σ
1..1
code
active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Medicationrequest  status (Required)
 statusReason 
0..1
CodeableConcept
Reason for current status
Medication request  status  reason  codes (Example)
 intent 
?!Σ
1..1
code
proposal | plan | order | original-order | instance-order | option
Medication request  intent (Required)
 category 
0..*
CodeableConcept
Type of medication usage
Medication request  category  codes (Example)
 priority 
Σ
0..1
code
routine | urgent | asap | stat
Request priority (Required)
 doNotPerform 
?!Σ
0..1
boolean
True if request is prohibiting action
 reported[x] 
Σ
0..1
Reported rather than primary record
 reportedBoolean
boolean
 reportedReference
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
 medication[x] 
Σ
1..1
Medication to be taken
SNOMED CT Medication Codes (Example)
 medicationCodeableConcept
CodeableConcept
 medicationReference
Reference(Medication)
 subject 
Σ
1..1
Reference(Patient | Group)
Who or group medication request is for
 encounter 
0..1
Reference(Encounter)
Encounter created as part of encounter/admission/stay
 supportingInformation 
0..*
Reference(Any)
Information to support ordering of the medication
 authoredOn 
Σ
0..1
dateTime
When request was initially authored
 requester 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)
Who/What requested the Request
 performer 
0..1
Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)
Intended performer of administration
 performerType 
Σ
0..1
CodeableConcept
Desired kind of performer of the medication administration
Procedure Performer Role Codes (Example)
 recorder 
0..1
Reference(Practitioner | PractitionerRole)
Person who entered the request
 reasonCode 
0..*
CodeableConcept
Reason or indication for ordering or not ordering the medication
Condition/Problem/Diagnosis Codes (Example)
 reasonReference 
0..*
Reference(Condition | Observation)
Condition or observation that supports why the prescription is being written
 instantiatesCanonical 
Σ
0..*
canonical()
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 basedOn 
Σ
0..*
Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)
What request fulfills
 groupIdentifier 
Σ
0..1
Identifier
Composite request this is part of
 courseOfTherapyType 
0..1
CodeableConcept
Overall pattern of medication administration
Medication request  course of  therapy  codes (Example)
 insurance 
0..*
Reference(Coverage | ClaimResponse)
Associated insurance coverage
 note 
0..*
Annotation
Information about the prescription
 dosageInstruction 
0..*
Dosage
How the medication should be taken
 dispenseRequest 
0..1
BackboneElement
Medication supply authorization
 initialFill 
0..1
BackboneElement
First fill details
 quantity 
0..1
SimpleQuantity
First fill quantity
 duration 
0..1
Duration
First fill duration
 dispenseInterval 
0..1
Duration
Minimum period of time between dispenses
 validityPeriod 
0..1
Period
Time period supply is authorized for
 numberOfRepeatsAllowed 
0..1
unsignedInt
Number of refills authorized
 quantity 
0..1
SimpleQuantity
Amount of medication to supply per dispense
 expectedSupplyDuration 
0..1
Duration
Number of days supply per dispense
 performer 
0..1
Reference(Organization)
Intended dispenser
 substitution 
0..1
BackboneElement
Any restrictions on medication substitution
 allowed[x] 
1..1
Whether substitution is allowed or not
V3 Value SetActSubstanceAdminSubstitutionCode (Example)
 allowedBoolean
boolean
 allowedCodeableConcept
CodeableConcept
 reason 
0..1
CodeableConcept
Why should (not) substitution be made
V3 Value SetSubstanceAdminSubstitutionReason (Example)
 priorPrescription 
0..1
Reference(MedicationRequest)
An order/prescription that is being replaced
 detectedIssue 
0..*
Reference(DetectedIssue)
Clinical Issue with action
 eventHistory 
0..*
Reference(Provenance)
A list of events of interest in the lifecycle

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "phx"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
      "version" : "4.0.0",
      "name" : "MedicationRequest",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Pharmacy)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
        }]
      }],
      "description" : "An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called \"MedicationRequest\" rather than \"MedicationPrescription\" or \"MedicationOrder\" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "script10.6",
        "uri" : "http://ncpdp.org/SCRIPT10_6",
        "name" : "Mapping to NCPDP SCRIPT 10.6"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicationRequest",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicationRequest",
          "path" : "MedicationRequest",
          "short" : "Ordering of medication for patient or group",
          "definition" : "An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called \"MedicationRequest\" rather than \"MedicationPrescription\" or \"MedicationOrder\" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.",
          "alias" : ["Prescription",
          "Order"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx"
          },
          {
            "identity" : "rim",
            "map" : "CombinedMedicationRequest"
          }]
        },
        {
          "id" : "MedicationRequest.id",
          "path" : "MedicationRequest.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationRequest.meta",
          "path" : "MedicationRequest.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationRequest.implicitRules",
          "path" : "MedicationRequest.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicationRequest.language",
          "path" : "MedicationRequest.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicationRequest.text",
          "path" : "MedicationRequest.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicationRequest.contained",
          "path" : "MedicationRequest.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationRequest.extension",
          "path" : "MedicationRequest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationRequest.modifierExtension",
          "path" : "MedicationRequest.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationRequest.identifier",
          "path" : "MedicationRequest.identifier",
          "short" : "External ids for this request",
          "definition" : "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Header/PrescriberOrderNumber"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "MedicationRequest.status",
          "path" : "MedicationRequest.status",
          "short" : "active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown",
          "definition" : "A code specifying the current state of the order.  Generally, this will be active or completed state.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "MedicationRequest.statusReason",
          "path" : "MedicationRequest.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the MedicationRequest.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestStatusReason"
            }],
            "strength" : "example",
            "description" : "Identifies the reasons for a given status.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "MedicationRequest.intent",
          "path" : "MedicationRequest.intent",
          "short" : "proposal | plan | order | original-order | instance-order | option",
          "definition" : "Whether the request is a proposal, plan, or an original order.",
          "comment" : "It is expected that the type of requester will be restricted for different stages of a MedicationRequest.  For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device.  Plans can be created by Practitioners, Patients, RelatedPersons and Devices.  Original orders can be created by a Practitioner only.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.intent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestIntent"
            }],
            "strength" : "required",
            "description" : "The kind of medication order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }]
        },
        {
          "id" : "MedicationRequest.category",
          "path" : "MedicationRequest.category",
          "short" : "Type of medication usage",
          "definition" : "Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
          "comment" : "The category can be used to include where the medication is expected to be consumed or other types of requests.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestCategory"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying the category of medication request.  For example, where the medication is to be consumed or administered, or the type of medication treatment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-category"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }]
        },
        {
          "id" : "MedicationRequest.priority",
          "path" : "MedicationRequest.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the Medication Request should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "MedicationRequest.doNotPerform",
          "path" : "MedicationRequest.doNotPerform",
          "short" : "True if request is prohibiting action",
          "definition" : "If true indicates that the provider is asking for the medication request not to occur.",
          "comment" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.doNotPerform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "SubstanceAdministration.actionNegationInd"
          }]
        },
        {
          "id" : "MedicationRequest.reported[x]",
          "path" : "MedicationRequest.reported[x]",
          "short" : "Reported rather than primary record",
          "definition" : "Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record.  It may also indicate the source of the report.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.reported[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }]
        },
        {
          "id" : "MedicationRequest.medication[x]",
          "path" : "MedicationRequest.medication[x]",
          "short" : "Medication to be taken",
          "definition" : "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.",
          "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended.  For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.medication[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCode"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying substance or product that can be ordered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"
          },
          {
            "identity" : "rim",
            "map" : "consumable.administrableMedication"
          }]
        },
        {
          "id" : "MedicationRequest.subject",
          "path" : "MedicationRequest.subject",
          "short" : "Who or group medication request is for",
          "definition" : "A link to a resource representing the person or set of individuals to whom the medication will be given.",
          "comment" : "The subject on a medication request is mandatory.  For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MedicationRequest.encounter",
          "path" : "MedicationRequest.encounter",
          "short" : "Encounter created as part of encounter/admission/stay",
          "definition" : "The Encounter during which this [x] was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.\"    If there is a need to link to episodes of care they will be handled with an extension.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          },
          {
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19-Visit Number"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }]
        },
        {
          "id" : "MedicationRequest.supportingInformation",
          "path" : "MedicationRequest.supportingInformation",
          "short" : "Information to support ordering of the medication",
          "definition" : "Include additional information (for example, patient height and weight) that supports the ordering of the medication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.supportingInformation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
          }]
        },
        {
          "id" : "MedicationRequest.authoredOn",
          "path" : "MedicationRequest.authoredOn",
          "short" : "When request was initially authored",
          "definition" : "The date (and perhaps time) when the prescription was initially written or authored on.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.authoredOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/WrittenDate"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"
          },
          {
            "identity" : "rim",
            "map" : "author.time"
          }]
        },
        {
          "id" : "MedicationRequest.requester",
          "path" : "MedicationRequest.requester",
          "short" : "Who/What requested the Request",
          "definition" : "The individual, organization, or device that initiated the request and has responsibility for its activation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.requester",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "MedicationRequest.performer",
          "path" : "MedicationRequest.performer",
          "short" : "Intended performer of administration",
          "definition" : "The specified desired performer of the medication treatment (e.g. the performer of the medication administration).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.performer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "MedicationRequest.performerType",
          "path" : "MedicationRequest.performerType",
          "short" : "Desired kind of performer of the medication administration",
          "definition" : "Indicates the type of performer of the administration of the medication.",
          "comment" : "If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.performerType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestPerformerType"
            }],
            "strength" : "example",
            "description" : "Identifies the type of individual that is desired to administer the medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performerType"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
          }]
        },
        {
          "id" : "MedicationRequest.recorder",
          "path" : "MedicationRequest.recorder",
          "short" : "Person who entered the request",
          "definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.recorder",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"
          }]
        },
        {
          "id" : "MedicationRequest.reasonCode",
          "path" : "MedicationRequest.reasonCode",
          "short" : "Reason or indication for ordering or not ordering the medication",
          "definition" : "The reason or the indication for ordering or not ordering the medication.",
          "comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestReason"
            }],
            "strength" : "example",
            "description" : "A coded concept indicating why the medication was ordered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"
          },
          {
            "identity" : "rim",
            "map" : "reason.observation.reasonCode"
          }]
        },
        {
          "id" : "MedicationRequest.reasonReference",
          "path" : "MedicationRequest.reasonReference",
          "short" : "Condition or observation that supports why the prescription is being written",
          "definition" : "Condition or observation that supports why the medication was ordered.",
          "comment" : "This is a reference to a condition or observation that is the reason for the medication order.  If only a code exists, use reasonCode.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "reason.observation[code=ASSERTION].value"
          }]
        },
        {
          "id" : "MedicationRequest.instantiatesCanonical",
          "path" : "MedicationRequest.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiates"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "MedicationRequest.instantiatesUri",
          "path" : "MedicationRequest.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "MedicationRequest.basedOn",
          "path" : "MedicationRequest.basedOn",
          "short" : "What request fulfills",
          "definition" : "A plan or request that is fulfilled in whole or in part by this medication request.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
          }]
        },
        {
          "id" : "MedicationRequest.groupIdentifier",
          "path" : "MedicationRequest.groupIdentifier",
          "short" : "Composite request this is part of",
          "definition" : "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.",
          "requirements" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.groupIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"
          }]
        },
        {
          "id" : "MedicationRequest.courseOfTherapyType",
          "path" : "MedicationRequest.courseOfTherapyType",
          "short" : "Overall pattern of medication administration",
          "definition" : "The description of the overall patte3rn of the administration of the medication to the patient.",
          "comment" : "This attribute should not be confused with the protocol of the medication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.courseOfTherapyType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestCourseOfTherapy"
            }],
            "strength" : "example",
            "description" : "Identifies the overall pattern of medication administratio.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.code where classCode = LIST and moodCode = EVN"
          }]
        },
        {
          "id" : "MedicationRequest.insurance",
          "path" : "MedicationRequest.insurance",
          "short" : "Associated insurance coverage",
          "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.insurance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
            "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COVBY].target"
          }]
        },
        {
          "id" : "MedicationRequest.note",
          "path" : "MedicationRequest.note",
          "short" : "Information about the prescription",
          "definition" : "Extra information about the prescription that could not be conveyed by the other attributes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
          }]
        },
        {
          "id" : "MedicationRequest.dosageInstruction",
          "path" : "MedicationRequest.dosageInstruction",
          "short" : "How the medication should be taken",
          "definition" : "Indicates how the medication is to be used by the patient.",
          "comment" : "There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose.  For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\".  In these cases, two medication requests would be created that could be grouped together.  The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.dosageInstruction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Dosage"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "rim",
            "map" : "see dosageInstruction mapping"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest",
          "path" : "MedicationRequest.dispenseRequest",
          "short" : "Medication supply authorization",
          "definition" : "Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order).  Note that this information is not always sent with the order.  There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/ExpirationDate"
          },
          {
            "identity" : "rim",
            "map" : "component.supplyEvent"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.id",
          "path" : "MedicationRequest.dispenseRequest.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.extension",
          "path" : "MedicationRequest.dispenseRequest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.modifierExtension",
          "path" : "MedicationRequest.dispenseRequest.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill",
          "path" : "MedicationRequest.dispenseRequest.initialFill",
          "short" : "First fill details",
          "definition" : "Indicates the quantity or duration for the first dispense of the medication.",
          "comment" : "If populating this element, either the quantity or the duration must be included.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.initialFill",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill.id",
          "path" : "MedicationRequest.dispenseRequest.initialFill.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill.extension",
          "path" : "MedicationRequest.dispenseRequest.initialFill.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill.modifierExtension",
          "path" : "MedicationRequest.dispenseRequest.initialFill.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill.quantity",
          "path" : "MedicationRequest.dispenseRequest.initialFill.quantity",
          "short" : "First fill quantity",
          "definition" : "The amount or quantity to provide as part of the first dispense.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.initialFill.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Supply.quantity[moodCode=RQO]"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill.duration",
          "path" : "MedicationRequest.dispenseRequest.initialFill.duration",
          "short" : "First fill duration",
          "definition" : "The length of time that the first dispense is expected to last.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.initialFill.duration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Supply.effectivetime[moodCode=RQO]"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.dispenseInterval",
          "path" : "MedicationRequest.dispenseRequest.dispenseInterval",
          "short" : "Minimum period of time between dispenses",
          "definition" : "The minimum period of time that must occur between dispenses of the medication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.dispenseInterval",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Supply.effectivetime[moodCode=RQO]"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.validityPeriod",
          "path" : "MedicationRequest.dispenseRequest.validityPeriod",
          "short" : "Time period supply is authorized for",
          "definition" : "This indicates the validity period of a prescription (stale dating the Prescription).",
          "comment" : "It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.",
          "requirements" : "Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.validityPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Refills"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
          "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
          "short" : "Number of refills authorized",
          "definition" : "An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus \"3 repeats\", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.  A prescriber may explicitly say that zero refills are permitted after the initial dispense.",
          "comment" : "If displaying \"number of authorized fills\", add 1 to this number.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Quantity"
          },
          {
            "identity" : "v2",
            "map" : "RXE-12-Number of Refills"
          },
          {
            "identity" : "rim",
            "map" : "repeatNumber"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.quantity",
          "path" : "MedicationRequest.dispenseRequest.quantity",
          "short" : "Amount of medication to supply per dispense",
          "definition" : "The amount that is to be dispensed for one fill.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/DaysSupply"
          },
          {
            "identity" : "v2",
            "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
          },
          {
            "identity" : "rim",
            "map" : "quantity"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.expectedSupplyDuration",
          "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration",
          "short" : "Number of days supply per dispense",
          "definition" : "Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.",
          "comment" : "In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity" : "rim",
            "map" : "expectedUseTime"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.performer",
          "path" : "MedicationRequest.dispenseRequest.performer",
          "short" : "Intended dispenser",
          "definition" : "Indicates the intended dispensing Organization specified by the prescriber.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.dispenseRequest.performer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "MedicationRequest.substitution",
          "path" : "MedicationRequest.substitution",
          "short" : "Any restrictions on medication substitution",
          "definition" : "Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.substitution",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity" : "rim",
            "map" : "subjectOf.substitutionPersmission"
          }]
        },
        {
          "id" : "MedicationRequest.substitution.id",
          "path" : "MedicationRequest.substitution.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationRequest.substitution.extension",
          "path" : "MedicationRequest.substitution.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicationRequest.substitution.modifierExtension",
          "path" : "MedicationRequest.substitution.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationRequest.substitution.allowed[x]",
          "path" : "MedicationRequest.substitution.allowed[x]",
          "short" : "Whether substitution is allowed or not",
          "definition" : "True if the prescriber allows a different drug to be dispensed from what was prescribed.",
          "comment" : "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.substitution.allowed[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestSubstitution"
            }],
            "strength" : "example",
            "description" : "Identifies the type of substitution allowed.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity" : "v2",
            "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "MedicationRequest.substitution.reason",
          "path" : "MedicationRequest.substitution.reason",
          "short" : "Why should (not) substitution be made",
          "definition" : "Indicates the reason for the substitution, or why substitution must or must not be performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.substitution.reason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationIntendedSubstitutionReason"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "not mapped"
          },
          {
            "identity" : "v2",
            "map" : "RXE-9 Substition status"
          },
          {
            "identity" : "rim",
            "map" : "reasonCode"
          }]
        },
        {
          "id" : "MedicationRequest.priorPrescription",
          "path" : "MedicationRequest.priorPrescription",
          "short" : "An order/prescription that is being replaced",
          "definition" : "A link to a resource representing an earlier order related order or prescription.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationRequest.priorPrescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          },
          {
            "identity" : "script10.6",
            "map" : "not mapped"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"
          }]
        },
        {
          "id" : "MedicationRequest.detectedIssue",
          "path" : "MedicationRequest.detectedIssue",
          "short" : "Clinical Issue with action",
          "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.",
          "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.",
          "alias" : ["Contraindication",
          "Drug Utilization Review (DUR)",
          "Alert"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.detectedIssue",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
          }]
        },
        {
          "id" : "MedicationRequest.eventHistory",
          "path" : "MedicationRequest.eventHistory",
          "short" : "A list of events of interest in the lifecycle",
          "definition" : "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.",
          "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationRequest.eventHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.relevantHistory"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicationRequest",
          "path" : "MedicationRequest",
          "short" : "Ordering of medication for patient or group",
          "definition" : "An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called \"MedicationRequest\" rather than \"MedicationPrescription\" or \"MedicationOrder\" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.",
          "alias" : ["Prescription",
          "Order"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx"
          },
          {
            "identity" : "rim",
            "map" : "CombinedMedicationRequest"
          }]
        },
        {
          "id" : "MedicationRequest.identifier",
          "path" : "MedicationRequest.identifier",
          "short" : "External ids for this request",
          "definition" : "Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Header/PrescriberOrderNumber"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "MedicationRequest.status",
          "path" : "MedicationRequest.status",
          "short" : "active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown",
          "definition" : "A code specifying the current state of the order.  Generally, this will be active or completed state.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "MedicationRequest.statusReason",
          "path" : "MedicationRequest.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the MedicationRequest.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"suspended\" or \"cancelled\". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestStatusReason"
            }],
            "strength" : "example",
            "description" : "Identifies the reasons for a given status.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-status-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "MedicationRequest.intent",
          "path" : "MedicationRequest.intent",
          "short" : "proposal | plan | order | original-order | instance-order | option",
          "definition" : "Whether the request is a proposal, plan, or an original order.",
          "comment" : "It is expected that the type of requester will be restricted for different stages of a MedicationRequest.  For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device.  Plans can be created by Practitioners, Patients, RelatedPersons and Devices.  Original orders can be created by a Practitioner only.\r\rAn instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record.\r\rThis element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestIntent"
            }],
            "strength" : "required",
            "description" : "The kind of medication order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }]
        },
        {
          "id" : "MedicationRequest.category",
          "path" : "MedicationRequest.category",
          "short" : "Type of medication usage",
          "definition" : "Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)).",
          "comment" : "The category can be used to include where the medication is expected to be consumed or other types of requests.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestCategory"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying the category of medication request.  For example, where the medication is to be consumed or administered, or the type of medication treatment.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-category"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Directions\r\ror \r\rMessage/Body/NewRx/MedicationPrescribed/StructuredSIG"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }]
        },
        {
          "id" : "MedicationRequest.priority",
          "path" : "MedicationRequest.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the Medication Request should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "MedicationRequest.doNotPerform",
          "path" : "MedicationRequest.doNotPerform",
          "short" : "True if request is prohibiting action",
          "definition" : "If true indicates that the provider is asking for the medication request not to occur.",
          "comment" : "If do not perform is not specified, the request is a positive request e.g. \"do perform\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc)",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "SubstanceAdministration.actionNegationInd"
          }]
        },
        {
          "id" : "MedicationRequest.reported[x]",
          "path" : "MedicationRequest.reported[x]",
          "short" : "Reported rather than primary record",
          "definition" : "Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record.  It may also indicate the source of the report.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }]
        },
        {
          "id" : "MedicationRequest.medication[x]",
          "path" : "MedicationRequest.medication[x]",
          "short" : "Medication to be taken",
          "definition" : "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications.",
          "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended.  For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCode"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying substance or product that can be ordered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed\r\rMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode\r\rMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier\r\rMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code"
          },
          {
            "identity" : "rim",
            "map" : "consumable.administrableMedication"
          }]
        },
        {
          "id" : "MedicationRequest.subject",
          "path" : "MedicationRequest.subject",
          "short" : "Who or group medication request is for",
          "definition" : "A link to a resource representing the person or set of individuals to whom the medication will be given.",
          "comment" : "The subject on a medication request is mandatory.  For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/Patient\r\r(need detail to link to specific patient … Patient.Identification in SCRIPT)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MedicationRequest.encounter",
          "path" : "MedicationRequest.encounter",
          "short" : "Encounter created as part of encounter/admission/stay",
          "definition" : "The Encounter during which this [x] was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.\"    If there is a need to link to episodes of care they will be handled with an extension.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          },
          {
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19-Visit Number"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }]
        },
        {
          "id" : "MedicationRequest.supportingInformation",
          "path" : "MedicationRequest.supportingInformation",
          "short" : "Information to support ordering of the medication",
          "definition" : "Include additional information (for example, patient height and weight) that supports the ordering of the medication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"
          }]
        },
        {
          "id" : "MedicationRequest.authoredOn",
          "path" : "MedicationRequest.authoredOn",
          "short" : "When request was initially authored",
          "definition" : "The date (and perhaps time) when the prescription was initially written or authored on.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/WrittenDate"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"
          },
          {
            "identity" : "rim",
            "map" : "author.time"
          }]
        },
        {
          "id" : "MedicationRequest.requester",
          "path" : "MedicationRequest.requester",
          "short" : "Who/What requested the Request",
          "definition" : "The individual, organization, or device that initiated the request and has responsibility for its activation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "MedicationRequest.performer",
          "path" : "MedicationRequest.performer",
          "short" : "Intended performer of administration",
          "definition" : "The specified desired performer of the medication treatment (e.g. the performer of the medication administration).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/CareTeam"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "MedicationRequest.performerType",
          "path" : "MedicationRequest.performerType",
          "short" : "Desired kind of performer of the medication administration",
          "definition" : "Indicates the type of performer of the administration of the medication.",
          "comment" : "If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestPerformerType"
            }],
            "strength" : "example",
            "description" : "Identifies the type of individual that is desired to administer the medication.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performerType"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
          }]
        },
        {
          "id" : "MedicationRequest.recorder",
          "path" : "MedicationRequest.recorder",
          "short" : "Person who entered the request",
          "definition" : "The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)"
          }]
        },
        {
          "id" : "MedicationRequest.reasonCode",
          "path" : "MedicationRequest.reasonCode",
          "short" : "Reason or indication for ordering or not ordering the medication",
          "definition" : "The reason or the indication for ordering or not ordering the medication.",
          "comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestReason"
            }],
            "strength" : "example",
            "description" : "A coded concept indicating why the medication was ordered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication"
          },
          {
            "identity" : "rim",
            "map" : "reason.observation.reasonCode"
          }]
        },
        {
          "id" : "MedicationRequest.reasonReference",
          "path" : "MedicationRequest.reasonReference",
          "short" : "Condition or observation that supports why the prescription is being written",
          "definition" : "Condition or observation that supports why the medication was ordered.",
          "comment" : "This is a reference to a condition or observation that is the reason for the medication order.  If only a code exists, use reasonCode.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "script10.6",
            "map" : "no mapping"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "reason.observation[code=ASSERTION].value"
          }]
        },
        {
          "id" : "MedicationRequest.instantiatesCanonical",
          "path" : "MedicationRequest.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiates"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "MedicationRequest.instantiatesUri",
          "path" : "MedicationRequest.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "MedicationRequest.basedOn",
          "path" : "MedicationRequest.basedOn",
          "short" : "What request fulfills",
          "definition" : "A plan or request that is fulfilled in whole or in part by this medication request.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
          }]
        },
        {
          "id" : "MedicationRequest.groupIdentifier",
          "path" : "MedicationRequest.groupIdentifier",
          "short" : "Composite request this is part of",
          "definition" : "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription.",
          "requirements" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id"
          }]
        },
        {
          "id" : "MedicationRequest.courseOfTherapyType",
          "path" : "MedicationRequest.courseOfTherapyType",
          "short" : "Overall pattern of medication administration",
          "definition" : "The description of the overall patte3rn of the administration of the medication to the patient.",
          "comment" : "This attribute should not be confused with the protocol of the medication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestCourseOfTherapy"
            }],
            "strength" : "example",
            "description" : "Identifies the overall pattern of medication administratio.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.code where classCode = LIST and moodCode = EVN"
          }]
        },
        {
          "id" : "MedicationRequest.insurance",
          "path" : "MedicationRequest.insurance",
          "short" : "Associated insurance coverage",
          "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
            "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COVBY].target"
          }]
        },
        {
          "id" : "MedicationRequest.note",
          "path" : "MedicationRequest.note",
          "short" : "Information about the prescription",
          "definition" : "Extra information about the prescription that could not be conveyed by the other attributes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
          }]
        },
        {
          "id" : "MedicationRequest.dosageInstruction",
          "path" : "MedicationRequest.dosageInstruction",
          "short" : "How the medication should be taken",
          "definition" : "Indicates how the medication is to be used by the patient.",
          "comment" : "There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose.  For example, \"Ondansetron 8mg orally or IV twice a day as needed for nausea\" or \"Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting\".  In these cases, two medication requests would be created that could be grouped together.  The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Dosage"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "rim",
            "map" : "see dosageInstruction mapping"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest",
          "path" : "MedicationRequest.dispenseRequest",
          "short" : "Medication supply authorization",
          "definition" : "Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order).  Note that this information is not always sent with the order.  There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/ExpirationDate"
          },
          {
            "identity" : "rim",
            "map" : "component.supplyEvent"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill",
          "path" : "MedicationRequest.dispenseRequest.initialFill",
          "short" : "First fill details",
          "definition" : "Indicates the quantity or duration for the first dispense of the medication.",
          "comment" : "If populating this element, either the quantity or the duration must be included.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill.quantity",
          "path" : "MedicationRequest.dispenseRequest.initialFill.quantity",
          "short" : "First fill quantity",
          "definition" : "The amount or quantity to provide as part of the first dispense.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Supply.quantity[moodCode=RQO]"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.initialFill.duration",
          "path" : "MedicationRequest.dispenseRequest.initialFill.duration",
          "short" : "First fill duration",
          "definition" : "The length of time that the first dispense is expected to last.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Supply.effectivetime[moodCode=RQO]"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.dispenseInterval",
          "path" : "MedicationRequest.dispenseRequest.dispenseInterval",
          "short" : "Minimum period of time between dispenses",
          "definition" : "The minimum period of time that must occur between dispenses of the medication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Supply.effectivetime[moodCode=RQO]"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.validityPeriod",
          "path" : "MedicationRequest.dispenseRequest.validityPeriod",
          "short" : "Time period supply is authorized for",
          "definition" : "This indicates the validity period of a prescription (stale dating the Prescription).",
          "comment" : "It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.",
          "requirements" : "Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Refills"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
          "path" : "MedicationRequest.dispenseRequest.numberOfRepeatsAllowed",
          "short" : "Number of refills authorized",
          "definition" : "An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus \"3 repeats\", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets.  A prescriber may explicitly say that zero refills are permitted after the initial dispense.",
          "comment" : "If displaying \"number of authorized fills\", add 1 to this number.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Quantity"
          },
          {
            "identity" : "v2",
            "map" : "RXE-12-Number of Refills"
          },
          {
            "identity" : "rim",
            "map" : "repeatNumber"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.quantity",
          "path" : "MedicationRequest.dispenseRequest.quantity",
          "short" : "Amount of medication to supply per dispense",
          "definition" : "The amount that is to be dispensed for one fill.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/DaysSupply"
          },
          {
            "identity" : "v2",
            "map" : "RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system"
          },
          {
            "identity" : "rim",
            "map" : "quantity"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.expectedSupplyDuration",
          "path" : "MedicationRequest.dispenseRequest.expectedSupplyDuration",
          "short" : "Number of days supply per dispense",
          "definition" : "Identifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last.",
          "comment" : "In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity" : "rim",
            "map" : "expectedUseTime"
          }]
        },
        {
          "id" : "MedicationRequest.dispenseRequest.performer",
          "path" : "MedicationRequest.dispenseRequest.performer",
          "short" : "Intended dispenser",
          "definition" : "Indicates the intended dispensing Organization specified by the prescriber.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "MedicationRequest.substitution",
          "path" : "MedicationRequest.substitution",
          "short" : "Any restrictions on medication substitution",
          "definition" : "Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity" : "rim",
            "map" : "subjectOf.substitutionPersmission"
          }]
        },
        {
          "id" : "MedicationRequest.substitution.allowed[x]",
          "path" : "MedicationRequest.substitution.allowed[x]",
          "short" : "Whether substitution is allowed or not",
          "definition" : "True if the prescriber allows a different drug to be dispensed from what was prescribed.",
          "comment" : "This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationRequestSubstitution"
            }],
            "strength" : "example",
            "description" : "Identifies the type of substitution allowed.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions"
          },
          {
            "identity" : "v2",
            "map" : "RXO-9-Allow Substitutions / RXE-9-Substitution Status"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "MedicationRequest.substitution.reason",
          "path" : "MedicationRequest.substitution.reason",
          "short" : "Why should (not) substitution be made",
          "definition" : "Indicates the reason for the substitution, or why substitution must or must not be performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationIntendedSubstitutionReason"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason"
          },
          "mapping" : [{
            "identity" : "script10.6",
            "map" : "not mapped"
          },
          {
            "identity" : "v2",
            "map" : "RXE-9 Substition status"
          },
          {
            "identity" : "rim",
            "map" : "reasonCode"
          }]
        },
        {
          "id" : "MedicationRequest.priorPrescription",
          "path" : "MedicationRequest.priorPrescription",
          "short" : "An order/prescription that is being replaced",
          "definition" : "A link to a resource representing an earlier order related order or prescription.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          },
          {
            "identity" : "script10.6",
            "map" : "not mapped"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]"
          }]
        },
        {
          "id" : "MedicationRequest.detectedIssue",
          "path" : "MedicationRequest.detectedIssue",
          "short" : "Clinical Issue with action",
          "definition" : "Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc.",
          "comment" : "This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.",
          "alias" : ["Contraindication",
          "Drug Utilization Review (DUR)",
          "Alert"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DetectedIssue"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value"
          }]
        },
        {
          "id" : "MedicationRequest.eventHistory",
          "path" : "MedicationRequest.eventHistory",
          "short" : "A list of events of interest in the lifecycle",
          "definition" : "Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource.",
          "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.relevantHistory"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicationStatement",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicationStatement 
TU
DomainResource
Record of medication being taken by a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External identifier
 basedOn 
Σ
0..*
Reference(MedicationRequest | CarePlan | ServiceRequest)
Fulfils plan, proposal or order
 partOf 
Σ
0..*
Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Observation)
Part of referenced event
 status 
?!Σ
1..1
code
active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken
Medication  status  codes (Required)
 statusReason 
0..*
CodeableConcept
Reason for current status
SNOMED CT Drug Therapy Status codes  (Example)
 category 
Σ
0..1
CodeableConcept
Type of medication usage
Medication  status  codes (Preferred)
 medication[x] 
Σ
1..1
What medication was taken
SNOMED CT Medication Codes (Example)
 medicationCodeableConcept
CodeableConcept
 medicationReference
Reference(Medication)
 subject 
Σ
1..1
Reference(Patient | Group)
Who is/was taking  the medication
 context 
Σ
0..1
Reference(Encounter | EpisodeOfCare)
Encounter / Episode associated with MedicationStatement
 effective[x] 
Σ
0..1
The date/time or interval when the medication is/was/will be taken
 effectiveDateTime
dateTime
 effectivePeriod
Period
 dateAsserted 
Σ
0..1
dateTime
When the statement was asserted?
 informationSource 
0..1
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Person or organization that provided the information about the taking of this medication
 derivedFrom 
0..*
Reference(Any)
Additional supporting information
 reasonCode 
0..*
CodeableConcept
Reason for why the medication is being/was taken
Condition/Problem/Diagnosis Codes (Example)
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport)
Condition or observation that supports why the medication is being/was taken
 note 
0..*
Annotation
Further information about the statement
 dosage 
0..*
Dosage
Details of how medication is/was taken or should be taken

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Medications"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "phx"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
      "version" : "4.0.0",
      "name" : "MedicationStatement",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Pharmacy)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/medication/index.cfm"
        }]
      }],
      "description" : "A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medication statement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicationStatement",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicationStatement",
          "path" : "MedicationStatement",
          "short" : "Record of medication being taken by a patient",
          "definition" : "A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medication statement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information.",
          "comment" : "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration"
          }]
        },
        {
          "id" : "MedicationStatement.id",
          "path" : "MedicationStatement.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationStatement.meta",
          "path" : "MedicationStatement.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicationStatement.implicitRules",
          "path" : "MedicationStatement.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicationStatement.language",
          "path" : "MedicationStatement.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicationStatement.text",
          "path" : "MedicationStatement.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicationStatement.contained",
          "path" : "MedicationStatement.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationStatement.extension",
          "path" : "MedicationStatement.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationStatement.modifierExtension",
          "path" : "MedicationStatement.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicationStatement.identifier",
          "path" : "MedicationStatement.identifier",
          "short" : "External identifier",
          "definition" : "Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "MedicationStatement.basedOn",
          "path" : "MedicationStatement.basedOn",
          "short" : "Fulfils plan, proposal or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
          "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
          }]
        },
        {
          "id" : "MedicationStatement.partOf",
          "path" : "MedicationStatement.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular event is a component or step.",
          "requirements" : "This should not be used when indicating which resource a MedicationStatement has been derived from.  If that is the use case, then MedicationStatement.derivedFrom should be used.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
            "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationStatement.status",
          "path" : "MedicationStatement.status",
          "short" : "active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken",
          "definition" : "A code representing the patient or other source's judgment about the state of the medication used that this statement is about.  Generally, this will be active or completed.",
          "comment" : "MedicationStatement is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\r\rThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationStatement.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationStatementStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept indicating the current status of a MedicationStatement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "MedicationStatement.statusReason",
          "path" : "MedicationStatement.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the MedicationStatement.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"not-taken\", \"on-hold\", \"cancelled\" or \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.statusReason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationStatementStatusReason"
            }],
            "strength" : "example",
            "description" : "A coded concept indicating the reason for the status of the statement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-status-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "MedicationStatement.category",
          "path" : "MedicationStatement.category",
          "short" : "Type of medication usage",
          "definition" : "Indicates where the medication is expected to be consumed or administered.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationStatement.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationStatementCategory"
            }],
            "strength" : "preferred",
            "description" : "A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }]
        },
        {
          "id" : "MedicationStatement.medication[x]",
          "path" : "MedicationStatement.medication[x]",
          "short" : "What medication was taken",
          "definition" : "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.",
          "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationStatement.medication[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCode"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying the substance or product being taken.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=ADMM or MANU]"
          }]
        },
        {
          "id" : "MedicationStatement.subject",
          "path" : "MedicationStatement.subject",
          "short" : "Who is/was taking  the medication",
          "definition" : "The person, animal or group who is/was taking the medication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicationStatement.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MedicationStatement.context",
          "path" : "MedicationStatement.context",
          "short" : "Encounter / Episode associated with MedicationStatement",
          "definition" : "The encounter or episode of care that establishes the context for this MedicationStatement.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationStatement.context",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }]
        },
        {
          "id" : "MedicationStatement.effective[x]",
          "path" : "MedicationStatement.effective[x]",
          "short" : "The date/time or interval when the medication is/was/will be taken",
          "definition" : "The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No).",
          "comment" : "This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the \"end\" date will be omitted.  The date/time attribute supports a variety of dates - year, year/month and exact date.  If something more than this is required, this should be conveyed as text.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationStatement.effective[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "MedicationStatement.dateAsserted",
          "path" : "MedicationStatement.dateAsserted",
          "short" : "When the statement was asserted?",
          "definition" : "The date when the medication statement was asserted by the information source.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationStatement.dateAsserted",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "MedicationStatement.informationSource",
          "path" : "MedicationStatement.informationSource",
          "short" : "Person or organization that provided the information about the taking of this medication",
          "definition" : "The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicationStatement.informationSource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)"
          }]
        },
        {
          "id" : "MedicationStatement.derivedFrom",
          "path" : "MedicationStatement.derivedFrom",
          "short" : "Additional supporting information",
          "definition" : "Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.",
          "comment" : "Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.  The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim.  it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.derivedFrom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationStatement.reasonCode",
          "path" : "MedicationStatement.reasonCode",
          "short" : "Reason for why the medication is being/was taken",
          "definition" : "A reason for why the medication is being/was taken.",
          "comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationReason"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying why the medication is being taken.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "MedicationStatement.reasonReference",
          "path" : "MedicationStatement.reasonReference",
          "short" : "Condition or observation that supports why the medication is being/was taken",
          "definition" : "Condition or observation that supports why the medication is being/was taken.",
          "comment" : "This is a reference to a condition that is the reason why the medication is being/was taken.  If only a code exists, use reasonForUseCode.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use\"].value"
          }]
        },
        {
          "id" : "MedicationStatement.note",
          "path" : "MedicationStatement.note",
          "short" : "Further information about the statement",
          "definition" : "Provides extra information about the medication statement that is not conveyed by the other attributes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
          }]
        },
        {
          "id" : "MedicationStatement.dosage",
          "path" : "MedicationStatement.dosage",
          "short" : "Details of how medication is/was taken or should be taken",
          "definition" : "Indicates how the medication is/was or should be taken by the patient.",
          "comment" : "The dates included in the dosage on a Medication Statement reflect the dates for a given dose.  For example, \"from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily.\"  It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicationStatement.dosage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Dosage"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "refer dosageInstruction mapping"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicationStatement",
          "path" : "MedicationStatement",
          "short" : "Record of medication being taken by a patient",
          "definition" : "A record of a medication that is being consumed by a patient.   A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future.  The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician.  A common scenario where this information is captured is during the history taking process during a patient visit or stay.   The medication information may come from sources such as the patient's memory, from a prescription bottle,  or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication.  A medication statement is often, if not always, less specific.  There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise.  As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains.  Medication administration is more formal and is not missing detailed information.",
          "comment" : "When interpreting a medicationStatement, the value of the status and NotTaken needed to be considered:\rMedicationStatement.status + MedicationStatement.wasNotTaken\rStatus=Active + NotTaken=T = Not currently taking\rStatus=Completed + NotTaken=T = Not taken in the past\rStatus=Intended + NotTaken=T = No intention of taking\rStatus=Active + NotTaken=F = Taking, but not as prescribed\rStatus=Active + NotTaken=F = Taking\rStatus=Intended +NotTaken= F = Will be taking (not started)\rStatus=Completed + NotTaken=F = Taken in past\rStatus=In Error + NotTaken=N/A = In Error.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "SubstanceAdministration"
          }]
        },
        {
          "id" : "MedicationStatement.identifier",
          "path" : "MedicationStatement.identifier",
          "short" : "External identifier",
          "definition" : "Identifiers associated with this Medication Statement that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.",
          "comment" : "This is a business identifier, not a resource identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "MedicationStatement.basedOn",
          "path" : "MedicationStatement.basedOn",
          "short" : "Fulfils plan, proposal or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
          "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]"
          }]
        },
        {
          "id" : "MedicationStatement.partOf",
          "path" : "MedicationStatement.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular event is a component or step.",
          "requirements" : "This should not be used when indicating which resource a MedicationStatement has been derived from.  If that is the use case, then MedicationStatement.derivedFrom should be used.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
            "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationStatement.status",
          "path" : "MedicationStatement.status",
          "short" : "active | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken",
          "definition" : "A code representing the patient or other source's judgment about the state of the medication used that this statement is about.  Generally, this will be active or completed.",
          "comment" : "MedicationStatement is a statement at a point in time.  The status is only representative at the point when it was asserted.  The value set for MedicationStatement.status contains codes that assert the status of the use of the medication by the patient (for example, stopped or on hold) as well as codes that assert the status of the medication statement itself (for example, entered in error).\r\rThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationStatementStatus"
            }],
            "strength" : "required",
            "description" : "A coded concept indicating the current status of a MedicationStatement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "MedicationStatement.statusReason",
          "path" : "MedicationStatement.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the MedicationStatement.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"not-taken\", \"on-hold\", \"cancelled\" or \"entered-in-error\". The reason for performing the event at all is captured in reasonCode, not here.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationStatementStatusReason"
            }],
            "strength" : "example",
            "description" : "A coded concept indicating the reason for the status of the statement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/reason-medication-status-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde"
          }]
        },
        {
          "id" : "MedicationStatement.category",
          "path" : "MedicationStatement.category",
          "short" : "Type of medication usage",
          "definition" : "Indicates where the medication is expected to be consumed or administered.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationStatementCategory"
            }],
            "strength" : "preferred",
            "description" : "A coded concept identifying where the medication included in the MedicationStatement is expected to be consumed or administered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-statement-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value"
          }]
        },
        {
          "id" : "MedicationStatement.medication[x]",
          "path" : "MedicationStatement.medication[x]",
          "short" : "What medication was taken",
          "definition" : "Identifies the medication being administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications.",
          "comment" : "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationCode"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying the substance or product being taken.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=ADMM or MANU]"
          }]
        },
        {
          "id" : "MedicationStatement.subject",
          "path" : "MedicationStatement.subject",
          "short" : "Who is/was taking  the medication",
          "definition" : "The person, animal or group who is/was taking the medication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=PAT]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MedicationStatement.context",
          "path" : "MedicationStatement.context",
          "short" : "Encounter / Episode associated with MedicationStatement",
          "definition" : "The encounter or episode of care that establishes the context for this MedicationStatement.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter",
            "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]"
          }]
        },
        {
          "id" : "MedicationStatement.effective[x]",
          "path" : "MedicationStatement.effective[x]",
          "short" : "The date/time or interval when the medication is/was/will be taken",
          "definition" : "The interval of time during which it is being asserted that the patient is/was/will be taking the medication (or was not taking, when the MedicationStatement.taken element is No).",
          "comment" : "This attribute reflects the period over which the patient consumed the medication and is expected to be populated on the majority of Medication Statements. If the medication is still being taken at the time the statement is recorded, the \"end\" date will be omitted.  The date/time attribute supports a variety of dates - year, year/month and exact date.  If something more than this is required, this should be conveyed as text.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "MedicationStatement.dateAsserted",
          "path" : "MedicationStatement.dateAsserted",
          "short" : "When the statement was asserted?",
          "definition" : "The date when the medication statement was asserted by the information source.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "MedicationStatement.informationSource",
          "path" : "MedicationStatement.informationSource",
          "short" : "Person or organization that provided the information about the taking of this medication",
          "definition" : "The person or organization that provided the information about the taking of this medication. Note: Use derivedFrom when a MedicationStatement is derived from other resources, e.g. Claim or MedicationRequest.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)"
          }]
        },
        {
          "id" : "MedicationStatement.derivedFrom",
          "path" : "MedicationStatement.derivedFrom",
          "short" : "Additional supporting information",
          "definition" : "Allows linking the MedicationStatement to the underlying MedicationRequest, or to other information that supports or is used to derive the MedicationStatement.",
          "comment" : "Likely references would be to MedicationRequest, MedicationDispense, Claim, Observation or QuestionnaireAnswers.  The most common use cases for deriving a MedicationStatement comes from creating a MedicationStatement from a MedicationRequest or from a lab observation or a claim.  it should be noted that the amount of information that is available varies from the type resource that you derive the MedicationStatement from.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]"
          }]
        },
        {
          "id" : "MedicationStatement.reasonCode",
          "path" : "MedicationStatement.reasonCode",
          "short" : "Reason for why the medication is being/was taken",
          "definition" : "A reason for why the medication is being/was taken.",
          "comment" : "This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonForUseReference.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MedicationReason"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying why the medication is being taken.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "MedicationStatement.reasonReference",
          "path" : "MedicationStatement.reasonReference",
          "short" : "Condition or observation that supports why the medication is being/was taken",
          "definition" : "Condition or observation that supports why the medication is being/was taken.",
          "comment" : "This is a reference to a condition that is the reason why the medication is being/was taken.  If only a code exists, use reasonForUseCode.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use\"].value"
          }]
        },
        {
          "id" : "MedicationStatement.note",
          "path" : "MedicationStatement.note",
          "short" : "Further information about the statement",
          "definition" : "Provides extra information about the medication statement that is not conveyed by the other attributes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value"
          }]
        },
        {
          "id" : "MedicationStatement.dosage",
          "path" : "MedicationStatement.dosage",
          "short" : "Details of how medication is/was taken or should be taken",
          "definition" : "Indicates how the medication is/was or should be taken by the patient.",
          "comment" : "The dates included in the dosage on a Medication Statement reflect the dates for a given dose.  For example, \"from November 1, 2016 to November 3, 2016, take one tablet daily and from November 4, 2016 to November 7, 2016, take two tablets daily.\"  It is expected that this specificity may only be populated where the patient brings in their labeled container or where the Medication Statement is derived from a MedicationRequest.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Dosage"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "refer dosageInstruction mapping"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProduct",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProduct 
ΣTU
DomainResource
Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use)
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier for this product. Could be an MPID
 type 
Σ
0..1
CodeableConcept
Regulatory type, e.g. Investigational or Authorized
 domain 
Σ
0..1
Coding
If this medicine applies to human or veterinary uses
 combinedPharmaceuticalDoseForm 
Σ
0..1
CodeableConcept
The dose form for a single part product, or combined form of a multiple part product
 legalStatusOfSupply 
Σ
0..1
CodeableConcept
The legal status of supply of the medicinal product as classified by the regulator
 additionalMonitoringIndicator 
Σ
0..1
CodeableConcept
Whether the Medicinal Product is subject to additional monitoring for regulatory reasons
 specialMeasures 
Σ
0..*
string
Whether the Medicinal Product is subject to special measures for regulatory reasons
 paediatricUseIndicator 
Σ
0..1
CodeableConcept
If authorised for use in children
 productClassification 
Σ
0..*
CodeableConcept
Allows the product to be classified by various systems
 marketingStatus 
Σ
0..*
MarketingStatus
Marketing status of the medicinal product, in contrast to marketing authorizaton
 pharmaceuticalProduct 
Σ
0..*
Reference(MedicinalProductPharmaceutical)
Pharmaceutical aspects of product
 packagedMedicinalProduct 
Σ
0..*
Reference(MedicinalProductPackaged)
Package representation for the product
 attachedDocument 
Σ
0..*
Reference(DocumentReference)
Supporting documentation, typically for regulatory submission
 masterFile 
Σ
0..*
Reference(DocumentReference)
A master file for to the medicinal product (e.g. Pharmacovigilance System Master File)
 contact 
Σ
0..*
Reference(Organization | PractitionerRole)
A product specific contact, person (in a role), or an organization
 clinicalTrial 
Σ
0..*
Reference(ResearchStudy)
Clinical trials or studies that this product is involved in
 name 
Σ
1..*
BackboneElement
The product's name, including full name and possibly coded parts
 productName 
Σ
1..1
string
The full product name
 namePart 
Σ
0..*
BackboneElement
Coding words or phrases of the name
 part 
Σ
1..1
string
A fragment of a product name
 type 
Σ
1..1
Coding
Idenifying type for this part of the name (e.g. strength part)
 countryLanguage 
Σ
0..*
BackboneElement
Country where the name applies
 country 
Σ
1..1
CodeableConcept
Country code for where this name applies
 jurisdiction 
Σ
0..1
CodeableConcept
Jurisdiction code for where this name applies
 language 
Σ
1..1
CodeableConcept
Language code for this name
 crossReference 
Σ
0..*
Identifier
Reference to another product, e.g. for linking authorised to investigational product
 manufacturingBusinessOperation 
Σ
0..*
BackboneElement
An operation applied to the product, for manufacturing or adminsitrative purpose
 operationType 
Σ
0..1
CodeableConcept
The type of manufacturing operation
 authorisationReferenceNumber 
Σ
0..1
Identifier
Regulatory authorization reference number
 effectiveDate 
Σ
0..1
dateTime
Regulatory authorization date
 confidentialityIndicator 
Σ
0..1
CodeableConcept
To indicate if this proces is commercially confidential
 manufacturer 
Σ
0..*
Reference(Organization)
The manufacturer or establishment associated with the process
 regulator 
Σ
0..1
Reference(Organization)
A regulator which oversees the operation
 specialDesignation 
Σ
0..*
BackboneElement
Indicates if the medicinal product has an orphan designation for the treatment of a rare disease
 identifier 
Σ
0..*
Identifier
Identifier for the designation, or procedure number
 type 
Σ
0..1
CodeableConcept
The type of special designation, e.g. orphan drug, minor use
 intendedUse 
Σ
0..1
CodeableConcept
The intended use of the product, e.g. prevention, treatment
 indication[x] 
Σ
0..1
Condition for which the medicinal use applies
 indicationCodeableConcept
CodeableConcept
 indicationReference
Reference(MedicinalProductIndication)
 status 
Σ
0..1
CodeableConcept
For example granted, pending, expired or withdrawn
 date 
Σ
0..1
dateTime
Date when the designation was granted
 species 
Σ
0..1
CodeableConcept
Animal species for which this applies

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
      "version" : "4.0.0",
      "name" : "MedicinalProduct",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use).",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProduct",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProduct",
          "path" : "MedicinalProduct",
          "short" : "Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use)",
          "definition" : "Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProduct.id",
          "path" : "MedicinalProduct.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.meta",
          "path" : "MedicinalProduct.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.implicitRules",
          "path" : "MedicinalProduct.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.language",
          "path" : "MedicinalProduct.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProduct.text",
          "path" : "MedicinalProduct.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProduct.contained",
          "path" : "MedicinalProduct.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProduct.extension",
          "path" : "MedicinalProduct.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProduct.modifierExtension",
          "path" : "MedicinalProduct.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProduct.identifier",
          "path" : "MedicinalProduct.identifier",
          "short" : "Business identifier for this product. Could be an MPID",
          "definition" : "Business identifier for this product. Could be an MPID.",
          "alias" : ["MPID"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.type",
          "path" : "MedicinalProduct.type",
          "short" : "Regulatory type, e.g. Investigational or Authorized",
          "definition" : "Regulatory type, e.g. Investigational or Authorized.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.domain",
          "path" : "MedicinalProduct.domain",
          "short" : "If this medicine applies to human or veterinary uses",
          "definition" : "If this medicine applies to human or veterinary uses.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.domain",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.combinedPharmaceuticalDoseForm",
          "path" : "MedicinalProduct.combinedPharmaceuticalDoseForm",
          "short" : "The dose form for a single part product, or combined form of a multiple part product",
          "definition" : "The dose form for a single part product, or combined form of a multiple part product.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.combinedPharmaceuticalDoseForm",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.legalStatusOfSupply",
          "path" : "MedicinalProduct.legalStatusOfSupply",
          "short" : "The legal status of supply of the medicinal product as classified by the regulator",
          "definition" : "The legal status of supply of the medicinal product as classified by the regulator.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.legalStatusOfSupply",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.additionalMonitoringIndicator",
          "path" : "MedicinalProduct.additionalMonitoringIndicator",
          "short" : "Whether the Medicinal Product is subject to additional monitoring for regulatory reasons",
          "definition" : "Whether the Medicinal Product is subject to additional monitoring for regulatory reasons.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.additionalMonitoringIndicator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialMeasures",
          "path" : "MedicinalProduct.specialMeasures",
          "short" : "Whether the Medicinal Product is subject to special measures for regulatory reasons",
          "definition" : "Whether the Medicinal Product is subject to special measures for regulatory reasons.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.specialMeasures",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.paediatricUseIndicator",
          "path" : "MedicinalProduct.paediatricUseIndicator",
          "short" : "If authorised for use in children",
          "definition" : "If authorised for use in children.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.paediatricUseIndicator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.productClassification",
          "path" : "MedicinalProduct.productClassification",
          "short" : "Allows the product to be classified by various systems",
          "definition" : "Allows the product to be classified by various systems.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.productClassification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.marketingStatus",
          "path" : "MedicinalProduct.marketingStatus",
          "short" : "Marketing status of the medicinal product, in contrast to marketing authorizaton",
          "definition" : "Marketing status of the medicinal product, in contrast to marketing authorizaton.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.marketingStatus",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "MarketingStatus"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.pharmaceuticalProduct",
          "path" : "MedicinalProduct.pharmaceuticalProduct",
          "short" : "Pharmaceutical aspects of product",
          "definition" : "Pharmaceutical aspects of product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.pharmaceuticalProduct",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductPharmaceutical"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.packagedMedicinalProduct",
          "path" : "MedicinalProduct.packagedMedicinalProduct",
          "short" : "Package representation for the product",
          "definition" : "Package representation for the product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.packagedMedicinalProduct",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductPackaged"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.attachedDocument",
          "path" : "MedicinalProduct.attachedDocument",
          "short" : "Supporting documentation, typically for regulatory submission",
          "definition" : "Supporting documentation, typically for regulatory submission.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.attachedDocument",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.masterFile",
          "path" : "MedicinalProduct.masterFile",
          "short" : "A master file for to the medicinal product (e.g. Pharmacovigilance System Master File)",
          "definition" : "A master file for to the medicinal product (e.g. Pharmacovigilance System Master File).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.masterFile",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.contact",
          "path" : "MedicinalProduct.contact",
          "short" : "A product specific contact, person (in a role), or an organization",
          "definition" : "A product specific contact, person (in a role), or an organization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.clinicalTrial",
          "path" : "MedicinalProduct.clinicalTrial",
          "short" : "Clinical trials or studies that this product is involved in",
          "definition" : "Clinical trials or studies that this product is involved in.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.clinicalTrial",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchStudy"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name",
          "path" : "MedicinalProduct.name",
          "short" : "The product's name, including full name and possibly coded parts",
          "definition" : "The product's name, including full name and possibly coded parts.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.name",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.id",
          "path" : "MedicinalProduct.name.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.name.extension",
          "path" : "MedicinalProduct.name.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.name.modifierExtension",
          "path" : "MedicinalProduct.name.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProduct.name.productName",
          "path" : "MedicinalProduct.name.productName",
          "short" : "The full product name",
          "definition" : "The full product name.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.name.productName",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.namePart",
          "path" : "MedicinalProduct.name.namePart",
          "short" : "Coding words or phrases of the name",
          "definition" : "Coding words or phrases of the name.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.name.namePart",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.namePart.id",
          "path" : "MedicinalProduct.name.namePart.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.name.namePart.extension",
          "path" : "MedicinalProduct.name.namePart.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.name.namePart.modifierExtension",
          "path" : "MedicinalProduct.name.namePart.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProduct.name.namePart.part",
          "path" : "MedicinalProduct.name.namePart.part",
          "short" : "A fragment of a product name",
          "definition" : "A fragment of a product name.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.name.namePart.part",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.namePart.type",
          "path" : "MedicinalProduct.name.namePart.type",
          "short" : "Idenifying type for this part of the name (e.g. strength part)",
          "definition" : "Idenifying type for this part of the name (e.g. strength part).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.name.namePart.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage",
          "path" : "MedicinalProduct.name.countryLanguage",
          "short" : "Country where the name applies",
          "definition" : "Country where the name applies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.name.countryLanguage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.id",
          "path" : "MedicinalProduct.name.countryLanguage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.extension",
          "path" : "MedicinalProduct.name.countryLanguage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.modifierExtension",
          "path" : "MedicinalProduct.name.countryLanguage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.country",
          "path" : "MedicinalProduct.name.countryLanguage.country",
          "short" : "Country code for where this name applies",
          "definition" : "Country code for where this name applies.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.name.countryLanguage.country",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.jurisdiction",
          "path" : "MedicinalProduct.name.countryLanguage.jurisdiction",
          "short" : "Jurisdiction code for where this name applies",
          "definition" : "Jurisdiction code for where this name applies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.name.countryLanguage.jurisdiction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.language",
          "path" : "MedicinalProduct.name.countryLanguage.language",
          "short" : "Language code for this name",
          "definition" : "Language code for this name.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.name.countryLanguage.language",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.crossReference",
          "path" : "MedicinalProduct.crossReference",
          "short" : "Reference to another product, e.g. for linking authorised to investigational product",
          "definition" : "Reference to another product, e.g. for linking authorised to investigational product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.crossReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation",
          "path" : "MedicinalProduct.manufacturingBusinessOperation",
          "short" : "An operation applied to the product, for manufacturing or adminsitrative purpose",
          "definition" : "An operation applied to the product, for manufacturing or adminsitrative purpose.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.manufacturingBusinessOperation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.id",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.extension",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.modifierExtension",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.operationType",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.operationType",
          "short" : "The type of manufacturing operation",
          "definition" : "The type of manufacturing operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.manufacturingBusinessOperation.operationType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.authorisationReferenceNumber",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.authorisationReferenceNumber",
          "short" : "Regulatory authorization reference number",
          "definition" : "Regulatory authorization reference number.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.manufacturingBusinessOperation.authorisationReferenceNumber",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.effectiveDate",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.effectiveDate",
          "short" : "Regulatory authorization date",
          "definition" : "Regulatory authorization date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.manufacturingBusinessOperation.effectiveDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.confidentialityIndicator",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.confidentialityIndicator",
          "short" : "To indicate if this proces is commercially confidential",
          "definition" : "To indicate if this proces is commercially confidential.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.manufacturingBusinessOperation.confidentialityIndicator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.manufacturer",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.manufacturer",
          "short" : "The manufacturer or establishment associated with the process",
          "definition" : "The manufacturer or establishment associated with the process.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.manufacturingBusinessOperation.manufacturer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.regulator",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.regulator",
          "short" : "A regulator which oversees the operation",
          "definition" : "A regulator which oversees the operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.manufacturingBusinessOperation.regulator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation",
          "path" : "MedicinalProduct.specialDesignation",
          "short" : "Indicates if the medicinal product has an orphan designation for the treatment of a rare disease",
          "definition" : "Indicates if the medicinal product has an orphan designation for the treatment of a rare disease.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.specialDesignation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.id",
          "path" : "MedicinalProduct.specialDesignation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.specialDesignation.extension",
          "path" : "MedicinalProduct.specialDesignation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProduct.specialDesignation.modifierExtension",
          "path" : "MedicinalProduct.specialDesignation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProduct.specialDesignation.identifier",
          "path" : "MedicinalProduct.specialDesignation.identifier",
          "short" : "Identifier for the designation, or procedure number",
          "definition" : "Identifier for the designation, or procedure number.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProduct.specialDesignation.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.type",
          "path" : "MedicinalProduct.specialDesignation.type",
          "short" : "The type of special designation, e.g. orphan drug, minor use",
          "definition" : "The type of special designation, e.g. orphan drug, minor use.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.specialDesignation.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.intendedUse",
          "path" : "MedicinalProduct.specialDesignation.intendedUse",
          "short" : "The intended use of the product, e.g. prevention, treatment",
          "definition" : "The intended use of the product, e.g. prevention, treatment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.specialDesignation.intendedUse",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.indication[x]",
          "path" : "MedicinalProduct.specialDesignation.indication[x]",
          "short" : "Condition for which the medicinal use applies",
          "definition" : "Condition for which the medicinal use applies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.specialDesignation.indication[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.status",
          "path" : "MedicinalProduct.specialDesignation.status",
          "short" : "For example granted, pending, expired or withdrawn",
          "definition" : "For example granted, pending, expired or withdrawn.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.specialDesignation.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.date",
          "path" : "MedicinalProduct.specialDesignation.date",
          "short" : "Date when the designation was granted",
          "definition" : "Date when the designation was granted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.specialDesignation.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.species",
          "path" : "MedicinalProduct.specialDesignation.species",
          "short" : "Animal species for which this applies",
          "definition" : "Animal species for which this applies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProduct.specialDesignation.species",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProduct",
          "path" : "MedicinalProduct",
          "short" : "Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use)",
          "definition" : "Detailed definition of a medicinal product, typically for uses other than direct patient care (e.g. regulatory use).",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProduct.identifier",
          "path" : "MedicinalProduct.identifier",
          "short" : "Business identifier for this product. Could be an MPID",
          "definition" : "Business identifier for this product. Could be an MPID.",
          "alias" : ["MPID"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.type",
          "path" : "MedicinalProduct.type",
          "short" : "Regulatory type, e.g. Investigational or Authorized",
          "definition" : "Regulatory type, e.g. Investigational or Authorized.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.domain",
          "path" : "MedicinalProduct.domain",
          "short" : "If this medicine applies to human or veterinary uses",
          "definition" : "If this medicine applies to human or veterinary uses.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.combinedPharmaceuticalDoseForm",
          "path" : "MedicinalProduct.combinedPharmaceuticalDoseForm",
          "short" : "The dose form for a single part product, or combined form of a multiple part product",
          "definition" : "The dose form for a single part product, or combined form of a multiple part product.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.legalStatusOfSupply",
          "path" : "MedicinalProduct.legalStatusOfSupply",
          "short" : "The legal status of supply of the medicinal product as classified by the regulator",
          "definition" : "The legal status of supply of the medicinal product as classified by the regulator.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.additionalMonitoringIndicator",
          "path" : "MedicinalProduct.additionalMonitoringIndicator",
          "short" : "Whether the Medicinal Product is subject to additional monitoring for regulatory reasons",
          "definition" : "Whether the Medicinal Product is subject to additional monitoring for regulatory reasons.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialMeasures",
          "path" : "MedicinalProduct.specialMeasures",
          "short" : "Whether the Medicinal Product is subject to special measures for regulatory reasons",
          "definition" : "Whether the Medicinal Product is subject to special measures for regulatory reasons.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.paediatricUseIndicator",
          "path" : "MedicinalProduct.paediatricUseIndicator",
          "short" : "If authorised for use in children",
          "definition" : "If authorised for use in children.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.productClassification",
          "path" : "MedicinalProduct.productClassification",
          "short" : "Allows the product to be classified by various systems",
          "definition" : "Allows the product to be classified by various systems.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.marketingStatus",
          "path" : "MedicinalProduct.marketingStatus",
          "short" : "Marketing status of the medicinal product, in contrast to marketing authorizaton",
          "definition" : "Marketing status of the medicinal product, in contrast to marketing authorizaton.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "MarketingStatus"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.pharmaceuticalProduct",
          "path" : "MedicinalProduct.pharmaceuticalProduct",
          "short" : "Pharmaceutical aspects of product",
          "definition" : "Pharmaceutical aspects of product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductPharmaceutical"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.packagedMedicinalProduct",
          "path" : "MedicinalProduct.packagedMedicinalProduct",
          "short" : "Package representation for the product",
          "definition" : "Package representation for the product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductPackaged"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.attachedDocument",
          "path" : "MedicinalProduct.attachedDocument",
          "short" : "Supporting documentation, typically for regulatory submission",
          "definition" : "Supporting documentation, typically for regulatory submission.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.masterFile",
          "path" : "MedicinalProduct.masterFile",
          "short" : "A master file for to the medicinal product (e.g. Pharmacovigilance System Master File)",
          "definition" : "A master file for to the medicinal product (e.g. Pharmacovigilance System Master File).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.contact",
          "path" : "MedicinalProduct.contact",
          "short" : "A product specific contact, person (in a role), or an organization",
          "definition" : "A product specific contact, person (in a role), or an organization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.clinicalTrial",
          "path" : "MedicinalProduct.clinicalTrial",
          "short" : "Clinical trials or studies that this product is involved in",
          "definition" : "Clinical trials or studies that this product is involved in.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchStudy"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name",
          "path" : "MedicinalProduct.name",
          "short" : "The product's name, including full name and possibly coded parts",
          "definition" : "The product's name, including full name and possibly coded parts.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.productName",
          "path" : "MedicinalProduct.name.productName",
          "short" : "The full product name",
          "definition" : "The full product name.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.namePart",
          "path" : "MedicinalProduct.name.namePart",
          "short" : "Coding words or phrases of the name",
          "definition" : "Coding words or phrases of the name.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.namePart.part",
          "path" : "MedicinalProduct.name.namePart.part",
          "short" : "A fragment of a product name",
          "definition" : "A fragment of a product name.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.namePart.type",
          "path" : "MedicinalProduct.name.namePart.type",
          "short" : "Idenifying type for this part of the name (e.g. strength part)",
          "definition" : "Idenifying type for this part of the name (e.g. strength part).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage",
          "path" : "MedicinalProduct.name.countryLanguage",
          "short" : "Country where the name applies",
          "definition" : "Country where the name applies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.country",
          "path" : "MedicinalProduct.name.countryLanguage.country",
          "short" : "Country code for where this name applies",
          "definition" : "Country code for where this name applies.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.jurisdiction",
          "path" : "MedicinalProduct.name.countryLanguage.jurisdiction",
          "short" : "Jurisdiction code for where this name applies",
          "definition" : "Jurisdiction code for where this name applies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.name.countryLanguage.language",
          "path" : "MedicinalProduct.name.countryLanguage.language",
          "short" : "Language code for this name",
          "definition" : "Language code for this name.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.crossReference",
          "path" : "MedicinalProduct.crossReference",
          "short" : "Reference to another product, e.g. for linking authorised to investigational product",
          "definition" : "Reference to another product, e.g. for linking authorised to investigational product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation",
          "path" : "MedicinalProduct.manufacturingBusinessOperation",
          "short" : "An operation applied to the product, for manufacturing or adminsitrative purpose",
          "definition" : "An operation applied to the product, for manufacturing or adminsitrative purpose.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.operationType",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.operationType",
          "short" : "The type of manufacturing operation",
          "definition" : "The type of manufacturing operation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.authorisationReferenceNumber",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.authorisationReferenceNumber",
          "short" : "Regulatory authorization reference number",
          "definition" : "Regulatory authorization reference number.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.effectiveDate",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.effectiveDate",
          "short" : "Regulatory authorization date",
          "definition" : "Regulatory authorization date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.confidentialityIndicator",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.confidentialityIndicator",
          "short" : "To indicate if this proces is commercially confidential",
          "definition" : "To indicate if this proces is commercially confidential.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.manufacturer",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.manufacturer",
          "short" : "The manufacturer or establishment associated with the process",
          "definition" : "The manufacturer or establishment associated with the process.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.manufacturingBusinessOperation.regulator",
          "path" : "MedicinalProduct.manufacturingBusinessOperation.regulator",
          "short" : "A regulator which oversees the operation",
          "definition" : "A regulator which oversees the operation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation",
          "path" : "MedicinalProduct.specialDesignation",
          "short" : "Indicates if the medicinal product has an orphan designation for the treatment of a rare disease",
          "definition" : "Indicates if the medicinal product has an orphan designation for the treatment of a rare disease.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.identifier",
          "path" : "MedicinalProduct.specialDesignation.identifier",
          "short" : "Identifier for the designation, or procedure number",
          "definition" : "Identifier for the designation, or procedure number.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.type",
          "path" : "MedicinalProduct.specialDesignation.type",
          "short" : "The type of special designation, e.g. orphan drug, minor use",
          "definition" : "The type of special designation, e.g. orphan drug, minor use.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.intendedUse",
          "path" : "MedicinalProduct.specialDesignation.intendedUse",
          "short" : "The intended use of the product, e.g. prevention, treatment",
          "definition" : "The intended use of the product, e.g. prevention, treatment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.indication[x]",
          "path" : "MedicinalProduct.specialDesignation.indication[x]",
          "short" : "Condition for which the medicinal use applies",
          "definition" : "Condition for which the medicinal use applies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.status",
          "path" : "MedicinalProduct.specialDesignation.status",
          "short" : "For example granted, pending, expired or withdrawn",
          "definition" : "For example granted, pending, expired or withdrawn.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.date",
          "path" : "MedicinalProduct.specialDesignation.date",
          "short" : "Date when the designation was granted",
          "definition" : "Date when the designation was granted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProduct.specialDesignation.species",
          "path" : "MedicinalProduct.specialDesignation.species",
          "short" : "Animal species for which this applies",
          "definition" : "Animal species for which this applies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductAuthorization",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductAuthorization",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductAuthorization 
ΣTU
DomainResource
The regulatory authorization of a medicinal product
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier for the marketing authorization, as assigned by a regulator
 subject 
Σ
0..1
Reference(MedicinalProduct | MedicinalProductPackaged)
The medicinal product that is being authorized
 country 
Σ
0..*
CodeableConcept
The country in which the marketing authorization has been granted
 jurisdiction 
Σ
0..*
CodeableConcept
Jurisdiction within a country
 status 
Σ
0..1
CodeableConcept
The status of the marketing authorization
 statusDate 
Σ
0..1
dateTime
The date at which the given status has become applicable
 restoreDate 
Σ
0..1
dateTime
The date when a suspended the marketing or the marketing authorization of the product is anticipated to be restored
 validityPeriod 
Σ
0..1
Period
The beginning of the time period in which the marketing authorization is in the specific status shall be specified A complete date consisting of day, month and year shall be specified using the ISO 8601 date format
 dataExclusivityPeriod 
Σ
0..1
Period
A period of time after authorization before generic product applicatiosn can be submitted
 dateOfFirstAuthorization 
Σ
0..1
dateTime
The date when the first authorization was granted by a Medicines Regulatory Agency
 internationalBirthDate 
Σ
0..1
dateTime
Date of first marketing authorization for a company's new medicinal product in any country in the World
 legalBasis 
Σ
0..1
CodeableConcept
The legal framework against which this authorization is granted
 jurisdictionalAuthorization 
Σ
0..*
BackboneElement
Authorization in areas within a country
 identifier 
Σ
0..*
Identifier
The assigned number for the marketing authorization
 country 
Σ
0..1
CodeableConcept
Country of authorization
 jurisdiction 
Σ
0..*
CodeableConcept
Jurisdiction within a country
 legalStatusOfSupply 
Σ
0..1
CodeableConcept
The legal status of supply in a jurisdiction or region
 validityPeriod 
Σ
0..1
Period
The start and expected end date of the authorization
 holder 
Σ
0..1
Reference(Organization)
Marketing Authorization Holder
 regulator 
Σ
0..1
Reference(Organization)
Medicines Regulatory Agency
 procedure 
Σ
0..1
BackboneElement
The regulatory procedure for granting or amending a marketing authorization
 identifier 
Σ
0..1
Identifier
Identifier for this procedure
 type 
Σ
1..1
CodeableConcept
Type of procedure
 date[x] 
Σ
0..1
Date of procedure
 datePeriod
Period
 dateDateTime
dateTime
 application 
Σ
0..*
see procedure
Applcations submitted to obtain a marketing authorization

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductAuthorization",
      "version" : "4.0.0",
      "name" : "MedicinalProductAuthorization",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "The regulatory authorization of a medicinal product.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductAuthorization",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductAuthorization",
          "path" : "MedicinalProductAuthorization",
          "short" : "The regulatory authorization of a medicinal product",
          "definition" : "The regulatory authorization of a medicinal product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductAuthorization",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.id",
          "path" : "MedicinalProductAuthorization.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.meta",
          "path" : "MedicinalProductAuthorization.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.implicitRules",
          "path" : "MedicinalProductAuthorization.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.language",
          "path" : "MedicinalProductAuthorization.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductAuthorization.text",
          "path" : "MedicinalProductAuthorization.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.contained",
          "path" : "MedicinalProductAuthorization.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.extension",
          "path" : "MedicinalProductAuthorization.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.modifierExtension",
          "path" : "MedicinalProductAuthorization.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.identifier",
          "path" : "MedicinalProductAuthorization.identifier",
          "short" : "Business identifier for the marketing authorization, as assigned by a regulator",
          "definition" : "Business identifier for the marketing authorization, as assigned by a regulator.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductAuthorization.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.subject",
          "path" : "MedicinalProductAuthorization.subject",
          "short" : "The medicinal product that is being authorized",
          "definition" : "The medicinal product that is being authorized.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/MedicinalProductPackaged"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.country",
          "path" : "MedicinalProductAuthorization.country",
          "short" : "The country in which the marketing authorization has been granted",
          "definition" : "The country in which the marketing authorization has been granted.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductAuthorization.country",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdiction",
          "path" : "MedicinalProductAuthorization.jurisdiction",
          "short" : "Jurisdiction within a country",
          "definition" : "Jurisdiction within a country.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductAuthorization.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.status",
          "path" : "MedicinalProductAuthorization.status",
          "short" : "The status of the marketing authorization",
          "definition" : "The status of the marketing authorization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.statusDate",
          "path" : "MedicinalProductAuthorization.statusDate",
          "short" : "The date at which the given status has become applicable",
          "definition" : "The date at which the given status has become applicable.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.statusDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.restoreDate",
          "path" : "MedicinalProductAuthorization.restoreDate",
          "short" : "The date when a suspended the marketing or the marketing authorization of the product is anticipated to be restored",
          "definition" : "The date when a suspended the marketing or the marketing authorization of the product is anticipated to be restored.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.restoreDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.validityPeriod",
          "path" : "MedicinalProductAuthorization.validityPeriod",
          "short" : "The beginning of the time period in which the marketing authorization is in the specific status shall be specified A complete date consisting of day, month and year shall be specified using the ISO 8601 date format",
          "definition" : "The beginning of the time period in which the marketing authorization is in the specific status shall be specified A complete date consisting of day, month and year shall be specified using the ISO 8601 date format.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.validityPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.dataExclusivityPeriod",
          "path" : "MedicinalProductAuthorization.dataExclusivityPeriod",
          "short" : "A period of time after authorization before generic product applicatiosn can be submitted",
          "definition" : "A period of time after authorization before generic product applicatiosn can be submitted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.dataExclusivityPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.dateOfFirstAuthorization",
          "path" : "MedicinalProductAuthorization.dateOfFirstAuthorization",
          "short" : "The date when the first authorization was granted by a Medicines Regulatory Agency",
          "definition" : "The date when the first authorization was granted by a Medicines Regulatory Agency.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.dateOfFirstAuthorization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.internationalBirthDate",
          "path" : "MedicinalProductAuthorization.internationalBirthDate",
          "short" : "Date of first marketing authorization for a company's new medicinal product in any country in the World",
          "definition" : "Date of first marketing authorization for a company's new medicinal product in any country in the World.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.internationalBirthDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.legalBasis",
          "path" : "MedicinalProductAuthorization.legalBasis",
          "short" : "The legal framework against which this authorization is granted",
          "definition" : "The legal framework against which this authorization is granted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.legalBasis",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization",
          "short" : "Authorization in areas within a country",
          "definition" : "Authorization in areas within a country.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.id",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.extension",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.modifierExtension",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.identifier",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.identifier",
          "short" : "The assigned number for the marketing authorization",
          "definition" : "The assigned number for the marketing authorization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.country",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.country",
          "short" : "Country of authorization",
          "definition" : "Country of authorization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.country",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.jurisdiction",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.jurisdiction",
          "short" : "Jurisdiction within a country",
          "definition" : "Jurisdiction within a country.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.legalStatusOfSupply",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.legalStatusOfSupply",
          "short" : "The legal status of supply in a jurisdiction or region",
          "definition" : "The legal status of supply in a jurisdiction or region.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.legalStatusOfSupply",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.validityPeriod",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.validityPeriod",
          "short" : "The start and expected end date of the authorization",
          "definition" : "The start and expected end date of the authorization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.validityPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.holder",
          "path" : "MedicinalProductAuthorization.holder",
          "short" : "Marketing Authorization Holder",
          "definition" : "Marketing Authorization Holder.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.holder",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.regulator",
          "path" : "MedicinalProductAuthorization.regulator",
          "short" : "Medicines Regulatory Agency",
          "definition" : "Medicines Regulatory Agency.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.regulator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure",
          "path" : "MedicinalProductAuthorization.procedure",
          "short" : "The regulatory procedure for granting or amending a marketing authorization",
          "definition" : "The regulatory procedure for granting or amending a marketing authorization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.procedure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.id",
          "path" : "MedicinalProductAuthorization.procedure.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.extension",
          "path" : "MedicinalProductAuthorization.procedure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.modifierExtension",
          "path" : "MedicinalProductAuthorization.procedure.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.identifier",
          "path" : "MedicinalProductAuthorization.procedure.identifier",
          "short" : "Identifier for this procedure",
          "definition" : "Identifier for this procedure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.procedure.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.type",
          "path" : "MedicinalProductAuthorization.procedure.type",
          "short" : "Type of procedure",
          "definition" : "Type of procedure.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.procedure.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.date[x]",
          "path" : "MedicinalProductAuthorization.procedure.date[x]",
          "short" : "Date of procedure",
          "definition" : "Date of procedure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductAuthorization.procedure.date[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          },
          {
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.application",
          "path" : "MedicinalProductAuthorization.procedure.application",
          "short" : "Applcations submitted to obtain a marketing authorization",
          "definition" : "Applcations submitted to obtain a marketing authorization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductAuthorization.procedure.application",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#MedicinalProductAuthorization.procedure",
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductAuthorization",
          "path" : "MedicinalProductAuthorization",
          "short" : "The regulatory authorization of a medicinal product",
          "definition" : "The regulatory authorization of a medicinal product.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductAuthorization.identifier",
          "path" : "MedicinalProductAuthorization.identifier",
          "short" : "Business identifier for the marketing authorization, as assigned by a regulator",
          "definition" : "Business identifier for the marketing authorization, as assigned by a regulator.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.subject",
          "path" : "MedicinalProductAuthorization.subject",
          "short" : "The medicinal product that is being authorized",
          "definition" : "The medicinal product that is being authorized.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/MedicinalProductPackaged"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.country",
          "path" : "MedicinalProductAuthorization.country",
          "short" : "The country in which the marketing authorization has been granted",
          "definition" : "The country in which the marketing authorization has been granted.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdiction",
          "path" : "MedicinalProductAuthorization.jurisdiction",
          "short" : "Jurisdiction within a country",
          "definition" : "Jurisdiction within a country.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.status",
          "path" : "MedicinalProductAuthorization.status",
          "short" : "The status of the marketing authorization",
          "definition" : "The status of the marketing authorization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.statusDate",
          "path" : "MedicinalProductAuthorization.statusDate",
          "short" : "The date at which the given status has become applicable",
          "definition" : "The date at which the given status has become applicable.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.restoreDate",
          "path" : "MedicinalProductAuthorization.restoreDate",
          "short" : "The date when a suspended the marketing or the marketing authorization of the product is anticipated to be restored",
          "definition" : "The date when a suspended the marketing or the marketing authorization of the product is anticipated to be restored.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.validityPeriod",
          "path" : "MedicinalProductAuthorization.validityPeriod",
          "short" : "The beginning of the time period in which the marketing authorization is in the specific status shall be specified A complete date consisting of day, month and year shall be specified using the ISO 8601 date format",
          "definition" : "The beginning of the time period in which the marketing authorization is in the specific status shall be specified A complete date consisting of day, month and year shall be specified using the ISO 8601 date format.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.dataExclusivityPeriod",
          "path" : "MedicinalProductAuthorization.dataExclusivityPeriod",
          "short" : "A period of time after authorization before generic product applicatiosn can be submitted",
          "definition" : "A period of time after authorization before generic product applicatiosn can be submitted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.dateOfFirstAuthorization",
          "path" : "MedicinalProductAuthorization.dateOfFirstAuthorization",
          "short" : "The date when the first authorization was granted by a Medicines Regulatory Agency",
          "definition" : "The date when the first authorization was granted by a Medicines Regulatory Agency.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.internationalBirthDate",
          "path" : "MedicinalProductAuthorization.internationalBirthDate",
          "short" : "Date of first marketing authorization for a company's new medicinal product in any country in the World",
          "definition" : "Date of first marketing authorization for a company's new medicinal product in any country in the World.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.legalBasis",
          "path" : "MedicinalProductAuthorization.legalBasis",
          "short" : "The legal framework against which this authorization is granted",
          "definition" : "The legal framework against which this authorization is granted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization",
          "short" : "Authorization in areas within a country",
          "definition" : "Authorization in areas within a country.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.identifier",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.identifier",
          "short" : "The assigned number for the marketing authorization",
          "definition" : "The assigned number for the marketing authorization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.country",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.country",
          "short" : "Country of authorization",
          "definition" : "Country of authorization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.jurisdiction",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.jurisdiction",
          "short" : "Jurisdiction within a country",
          "definition" : "Jurisdiction within a country.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.legalStatusOfSupply",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.legalStatusOfSupply",
          "short" : "The legal status of supply in a jurisdiction or region",
          "definition" : "The legal status of supply in a jurisdiction or region.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.jurisdictionalAuthorization.validityPeriod",
          "path" : "MedicinalProductAuthorization.jurisdictionalAuthorization.validityPeriod",
          "short" : "The start and expected end date of the authorization",
          "definition" : "The start and expected end date of the authorization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.holder",
          "path" : "MedicinalProductAuthorization.holder",
          "short" : "Marketing Authorization Holder",
          "definition" : "Marketing Authorization Holder.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.regulator",
          "path" : "MedicinalProductAuthorization.regulator",
          "short" : "Medicines Regulatory Agency",
          "definition" : "Medicines Regulatory Agency.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure",
          "path" : "MedicinalProductAuthorization.procedure",
          "short" : "The regulatory procedure for granting or amending a marketing authorization",
          "definition" : "The regulatory procedure for granting or amending a marketing authorization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.identifier",
          "path" : "MedicinalProductAuthorization.procedure.identifier",
          "short" : "Identifier for this procedure",
          "definition" : "Identifier for this procedure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.type",
          "path" : "MedicinalProductAuthorization.procedure.type",
          "short" : "Type of procedure",
          "definition" : "Type of procedure.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.date[x]",
          "path" : "MedicinalProductAuthorization.procedure.date[x]",
          "short" : "Date of procedure",
          "definition" : "Date of procedure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          },
          {
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductAuthorization.procedure.application",
          "path" : "MedicinalProductAuthorization.procedure.application",
          "short" : "Applcations submitted to obtain a marketing authorization",
          "definition" : "Applcations submitted to obtain a marketing authorization.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#MedicinalProductAuthorization.procedure",
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductContraindication",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductContraindication",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductContraindication 
ΣTU
DomainResource
MedicinalProductContraindication
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 subject 
Σ
0..*
Reference(MedicinalProduct | Medication)
The medication for which this is an indication
 disease 
Σ
0..1
CodeableConcept
The disease, symptom or procedure for the contraindication
 diseaseStatus 
Σ
0..1
CodeableConcept
The status of the disease or symptom for the contraindication
 comorbidity 
Σ
0..*
CodeableConcept
A comorbidity (concurrent condition) or coinfection
 therapeuticIndication 
Σ
0..*
Reference(MedicinalProductIndication)
Information about the use of the medicinal product in relation to other therapies as part of the indication
 otherTherapy 
Σ
0..*
BackboneElement
Information about the use of the medicinal product in relation to other therapies described as part of the indication
 therapyRelationshipType 
Σ
1..1
CodeableConcept
The type of relationship between the medicinal product indication or contraindication and another therapy
 medication[x] 
Σ
1..1
Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
 medicationCodeableConcept
CodeableConcept
 medicationReference
Reference(MedicinalProduct | Medication | Substance | SubstanceSpecification)
 population 
Σ
0..*
Population
The population group to which this applies

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductContraindication",
      "version" : "4.0.0",
      "name" : "MedicinalProductContraindication",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "The clinical particulars - indications, contraindications etc. of a medicinal product, including for regulatory purposes.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductContraindication",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductContraindication",
          "path" : "MedicinalProductContraindication",
          "short" : "MedicinalProductContraindication",
          "definition" : "The clinical particulars - indications, contraindications etc. of a medicinal product, including for regulatory purposes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductContraindication",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductContraindication.id",
          "path" : "MedicinalProductContraindication.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.meta",
          "path" : "MedicinalProductContraindication.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.implicitRules",
          "path" : "MedicinalProductContraindication.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.language",
          "path" : "MedicinalProductContraindication.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductContraindication.text",
          "path" : "MedicinalProductContraindication.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductContraindication.contained",
          "path" : "MedicinalProductContraindication.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductContraindication.extension",
          "path" : "MedicinalProductContraindication.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductContraindication.modifierExtension",
          "path" : "MedicinalProductContraindication.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductContraindication.subject",
          "path" : "MedicinalProductContraindication.subject",
          "short" : "The medication for which this is an indication",
          "definition" : "The medication for which this is an indication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductContraindication.subject",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.disease",
          "path" : "MedicinalProductContraindication.disease",
          "short" : "The disease, symptom or procedure for the contraindication",
          "definition" : "The disease, symptom or procedure for the contraindication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductContraindication.disease",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.diseaseStatus",
          "path" : "MedicinalProductContraindication.diseaseStatus",
          "short" : "The status of the disease or symptom for the contraindication",
          "definition" : "The status of the disease or symptom for the contraindication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductContraindication.diseaseStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.comorbidity",
          "path" : "MedicinalProductContraindication.comorbidity",
          "short" : "A comorbidity (concurrent condition) or coinfection",
          "definition" : "A comorbidity (concurrent condition) or coinfection.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductContraindication.comorbidity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.therapeuticIndication",
          "path" : "MedicinalProductContraindication.therapeuticIndication",
          "short" : "Information about the use of the medicinal product in relation to other therapies as part of the indication",
          "definition" : "Information about the use of the medicinal product in relation to other therapies as part of the indication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductContraindication.therapeuticIndication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy",
          "path" : "MedicinalProductContraindication.otherTherapy",
          "short" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication",
          "definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductContraindication.otherTherapy",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy.id",
          "path" : "MedicinalProductContraindication.otherTherapy.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy.extension",
          "path" : "MedicinalProductContraindication.otherTherapy.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy.modifierExtension",
          "path" : "MedicinalProductContraindication.otherTherapy.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy.therapyRelationshipType",
          "path" : "MedicinalProductContraindication.otherTherapy.therapyRelationshipType",
          "short" : "The type of relationship between the medicinal product indication or contraindication and another therapy",
          "definition" : "The type of relationship between the medicinal product indication or contraindication and another therapy.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductContraindication.otherTherapy.therapyRelationshipType",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy.medication[x]",
          "path" : "MedicinalProductContraindication.otherTherapy.medication[x]",
          "short" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication",
          "definition" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductContraindication.otherTherapy.medication[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.population",
          "path" : "MedicinalProductContraindication.population",
          "short" : "The population group to which this applies",
          "definition" : "The population group to which this applies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductContraindication.population",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Population"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductContraindication",
          "path" : "MedicinalProductContraindication",
          "short" : "MedicinalProductContraindication",
          "definition" : "The clinical particulars - indications, contraindications etc. of a medicinal product, including for regulatory purposes.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductContraindication.subject",
          "path" : "MedicinalProductContraindication.subject",
          "short" : "The medication for which this is an indication",
          "definition" : "The medication for which this is an indication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.disease",
          "path" : "MedicinalProductContraindication.disease",
          "short" : "The disease, symptom or procedure for the contraindication",
          "definition" : "The disease, symptom or procedure for the contraindication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.diseaseStatus",
          "path" : "MedicinalProductContraindication.diseaseStatus",
          "short" : "The status of the disease or symptom for the contraindication",
          "definition" : "The status of the disease or symptom for the contraindication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.comorbidity",
          "path" : "MedicinalProductContraindication.comorbidity",
          "short" : "A comorbidity (concurrent condition) or coinfection",
          "definition" : "A comorbidity (concurrent condition) or coinfection.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.therapeuticIndication",
          "path" : "MedicinalProductContraindication.therapeuticIndication",
          "short" : "Information about the use of the medicinal product in relation to other therapies as part of the indication",
          "definition" : "Information about the use of the medicinal product in relation to other therapies as part of the indication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy",
          "path" : "MedicinalProductContraindication.otherTherapy",
          "short" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication",
          "definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy.therapyRelationshipType",
          "path" : "MedicinalProductContraindication.otherTherapy.therapyRelationshipType",
          "short" : "The type of relationship between the medicinal product indication or contraindication and another therapy",
          "definition" : "The type of relationship between the medicinal product indication or contraindication and another therapy.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.otherTherapy.medication[x]",
          "path" : "MedicinalProductContraindication.otherTherapy.medication[x]",
          "short" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication",
          "definition" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductContraindication.population",
          "path" : "MedicinalProductContraindication.population",
          "short" : "The population group to which this applies",
          "definition" : "The population group to which this applies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Population"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductIndication",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductIndication 
ΣTU
DomainResource
MedicinalProductIndication
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 subject 
Σ
0..*
Reference(MedicinalProduct | Medication)
The medication for which this is an indication
 diseaseSymptomProcedure 
Σ
0..1
CodeableConcept
The disease, symptom or procedure that is the indication for treatment
 diseaseStatus 
Σ
0..1
CodeableConcept
The status of the disease or symptom for which the indication applies
 comorbidity 
Σ
0..*
CodeableConcept
Comorbidity (concurrent condition) or co-infection as part of the indication
 intendedEffect 
Σ
0..1
CodeableConcept
The intended effect, aim or strategy to be achieved by the indication
 duration 
Σ
0..1
Quantity
Timing or duration information as part of the indication
 otherTherapy 
Σ
0..*
BackboneElement
Information about the use of the medicinal product in relation to other therapies described as part of the indication
 therapyRelationshipType 
Σ
1..1
CodeableConcept
The type of relationship between the medicinal product indication or contraindication and another therapy
 medication[x] 
Σ
1..1
Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication
 medicationCodeableConcept
CodeableConcept
 medicationReference
Reference(MedicinalProduct | Medication | Substance | SubstanceSpecification)
 undesirableEffect 
Σ
0..*
Reference(MedicinalProductUndesirableEffect)
Describe the undesirable effects of the medicinal product
 population 
Σ
0..*
Population
The population group to which this applies

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductIndication",
      "version" : "4.0.0",
      "name" : "MedicinalProductIndication",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "Indication for the Medicinal Product.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductIndication",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductIndication",
          "path" : "MedicinalProductIndication",
          "short" : "MedicinalProductIndication",
          "definition" : "Indication for the Medicinal Product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIndication",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductIndication.id",
          "path" : "MedicinalProductIndication.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.meta",
          "path" : "MedicinalProductIndication.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.implicitRules",
          "path" : "MedicinalProductIndication.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.language",
          "path" : "MedicinalProductIndication.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductIndication.text",
          "path" : "MedicinalProductIndication.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductIndication.contained",
          "path" : "MedicinalProductIndication.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIndication.extension",
          "path" : "MedicinalProductIndication.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIndication.modifierExtension",
          "path" : "MedicinalProductIndication.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIndication.subject",
          "path" : "MedicinalProductIndication.subject",
          "short" : "The medication for which this is an indication",
          "definition" : "The medication for which this is an indication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIndication.subject",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.diseaseSymptomProcedure",
          "path" : "MedicinalProductIndication.diseaseSymptomProcedure",
          "short" : "The disease, symptom or procedure that is the indication for treatment",
          "definition" : "The disease, symptom or procedure that is the indication for treatment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIndication.diseaseSymptomProcedure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.diseaseStatus",
          "path" : "MedicinalProductIndication.diseaseStatus",
          "short" : "The status of the disease or symptom for which the indication applies",
          "definition" : "The status of the disease or symptom for which the indication applies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIndication.diseaseStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.comorbidity",
          "path" : "MedicinalProductIndication.comorbidity",
          "short" : "Comorbidity (concurrent condition) or co-infection as part of the indication",
          "definition" : "Comorbidity (concurrent condition) or co-infection as part of the indication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIndication.comorbidity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.intendedEffect",
          "path" : "MedicinalProductIndication.intendedEffect",
          "short" : "The intended effect, aim or strategy to be achieved by the indication",
          "definition" : "The intended effect, aim or strategy to be achieved by the indication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIndication.intendedEffect",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.duration",
          "path" : "MedicinalProductIndication.duration",
          "short" : "Timing or duration information as part of the indication",
          "definition" : "Timing or duration information as part of the indication.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIndication.duration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy",
          "path" : "MedicinalProductIndication.otherTherapy",
          "short" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication",
          "definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIndication.otherTherapy",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy.id",
          "path" : "MedicinalProductIndication.otherTherapy.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy.extension",
          "path" : "MedicinalProductIndication.otherTherapy.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy.modifierExtension",
          "path" : "MedicinalProductIndication.otherTherapy.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy.therapyRelationshipType",
          "path" : "MedicinalProductIndication.otherTherapy.therapyRelationshipType",
          "short" : "The type of relationship between the medicinal product indication or contraindication and another therapy",
          "definition" : "The type of relationship between the medicinal product indication or contraindication and another therapy.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIndication.otherTherapy.therapyRelationshipType",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy.medication[x]",
          "path" : "MedicinalProductIndication.otherTherapy.medication[x]",
          "short" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication",
          "definition" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIndication.otherTherapy.medication[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.undesirableEffect",
          "path" : "MedicinalProductIndication.undesirableEffect",
          "short" : "Describe the undesirable effects of the medicinal product",
          "definition" : "Describe the undesirable effects of the medicinal product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIndication.undesirableEffect",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductUndesirableEffect"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.population",
          "path" : "MedicinalProductIndication.population",
          "short" : "The population group to which this applies",
          "definition" : "The population group to which this applies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIndication.population",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Population"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductIndication",
          "path" : "MedicinalProductIndication",
          "short" : "MedicinalProductIndication",
          "definition" : "Indication for the Medicinal Product.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductIndication.subject",
          "path" : "MedicinalProductIndication.subject",
          "short" : "The medication for which this is an indication",
          "definition" : "The medication for which this is an indication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.diseaseSymptomProcedure",
          "path" : "MedicinalProductIndication.diseaseSymptomProcedure",
          "short" : "The disease, symptom or procedure that is the indication for treatment",
          "definition" : "The disease, symptom or procedure that is the indication for treatment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.diseaseStatus",
          "path" : "MedicinalProductIndication.diseaseStatus",
          "short" : "The status of the disease or symptom for which the indication applies",
          "definition" : "The status of the disease or symptom for which the indication applies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.comorbidity",
          "path" : "MedicinalProductIndication.comorbidity",
          "short" : "Comorbidity (concurrent condition) or co-infection as part of the indication",
          "definition" : "Comorbidity (concurrent condition) or co-infection as part of the indication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.intendedEffect",
          "path" : "MedicinalProductIndication.intendedEffect",
          "short" : "The intended effect, aim or strategy to be achieved by the indication",
          "definition" : "The intended effect, aim or strategy to be achieved by the indication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.duration",
          "path" : "MedicinalProductIndication.duration",
          "short" : "Timing or duration information as part of the indication",
          "definition" : "Timing or duration information as part of the indication.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy",
          "path" : "MedicinalProductIndication.otherTherapy",
          "short" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication",
          "definition" : "Information about the use of the medicinal product in relation to other therapies described as part of the indication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy.therapyRelationshipType",
          "path" : "MedicinalProductIndication.otherTherapy.therapyRelationshipType",
          "short" : "The type of relationship between the medicinal product indication or contraindication and another therapy",
          "definition" : "The type of relationship between the medicinal product indication or contraindication and another therapy.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.otherTherapy.medication[x]",
          "path" : "MedicinalProductIndication.otherTherapy.medication[x]",
          "short" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication",
          "definition" : "Reference to a specific medication (active substance, medicinal product or class of products) as part of an indication or contraindication.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.undesirableEffect",
          "path" : "MedicinalProductIndication.undesirableEffect",
          "short" : "Describe the undesirable effects of the medicinal product",
          "definition" : "Describe the undesirable effects of the medicinal product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductUndesirableEffect"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIndication.population",
          "path" : "MedicinalProductIndication.population",
          "short" : "The population group to which this applies",
          "definition" : "The population group to which this applies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Population"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductIngredient",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductIngredient",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductIngredient 
ΣTU
DomainResource
An ingredient of a manufactured item or pharmaceutical product
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..1
Identifier
Identifier for the ingredient
 role 
Σ
1..1
CodeableConcept
Ingredient role e.g. Active ingredient, excipient
 allergenicIndicator 
Σ
0..1
boolean
If the ingredient is a known or suspected allergen
 manufacturer 
Σ
0..*
Reference(Organization)
Manufacturer of this Ingredient
 specifiedSubstance 
Σ
0..*
BackboneElement
A specified substance that comprises this ingredient
 code 
Σ
1..1
CodeableConcept
The specified substance
 group 
Σ
1..1
CodeableConcept
The group of specified substance, e.g. group 1 to 4
 confidentiality 
Σ
0..1
CodeableConcept
Confidentiality level of the specified substance as the ingredient
 strength 
Σ
0..*
BackboneElement
Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product
 presentation 
Σ
1..1
Ratio
The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item
 presentationLowLimit 
?!Σ
0..1
Ratio
A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit
 concentration 
Σ
0..1
Ratio
The strength per unitary volume (or mass)
 concentrationLowLimit 
?!Σ
0..1
Ratio
A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit
 measurementPoint 
Σ
0..1
string
For when strength is measured at a particular point or distance
 country 
Σ
0..*
CodeableConcept
The country or countries for which the strength range applies
 referenceStrength 
Σ
0..*
BackboneElement
Strength expressed in terms of a reference substance
 substance 
Σ
0..1
CodeableConcept
Relevant reference substance
 strength 
Σ
1..1
Ratio
Strength expressed in terms of a reference substance
 strengthLowLimit 
Σ
0..1
Ratio
Strength expressed in terms of a reference substance
 measurementPoint 
Σ
0..1
string
For when strength is measured at a particular point or distance
 country 
Σ
0..*
CodeableConcept
The country or countries for which the strength range applies
 substance 
Σ
0..1
BackboneElement
The ingredient substance
 code 
Σ
1..1
CodeableConcept
The ingredient substance
 strength 
Σ
0..*
see strength
Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductIngredient",
      "version" : "4.0.0",
      "name" : "MedicinalProductIngredient",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "An ingredient of a manufactured item or pharmaceutical product.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductIngredient",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductIngredient",
          "path" : "MedicinalProductIngredient",
          "short" : "An ingredient of a manufactured item or pharmaceutical product",
          "definition" : "An ingredient of a manufactured item or pharmaceutical product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIngredient",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.id",
          "path" : "MedicinalProductIngredient.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.meta",
          "path" : "MedicinalProductIngredient.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.implicitRules",
          "path" : "MedicinalProductIngredient.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.language",
          "path" : "MedicinalProductIngredient.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductIngredient.text",
          "path" : "MedicinalProductIngredient.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.contained",
          "path" : "MedicinalProductIngredient.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.extension",
          "path" : "MedicinalProductIngredient.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.modifierExtension",
          "path" : "MedicinalProductIngredient.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.identifier",
          "path" : "MedicinalProductIngredient.identifier",
          "short" : "Identifier for the ingredient",
          "definition" : "The identifier(s) of this Ingredient that are assigned by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.role",
          "path" : "MedicinalProductIngredient.role",
          "short" : "Ingredient role e.g. Active ingredient, excipient",
          "definition" : "Ingredient role e.g. Active ingredient, excipient.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.role",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.allergenicIndicator",
          "path" : "MedicinalProductIngredient.allergenicIndicator",
          "short" : "If the ingredient is a known or suspected allergen",
          "definition" : "If the ingredient is a known or suspected allergen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.allergenicIndicator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.manufacturer",
          "path" : "MedicinalProductIngredient.manufacturer",
          "short" : "Manufacturer of this Ingredient",
          "definition" : "Manufacturer of this Ingredient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIngredient.manufacturer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance",
          "path" : "MedicinalProductIngredient.specifiedSubstance",
          "short" : "A specified substance that comprises this ingredient",
          "definition" : "A specified substance that comprises this ingredient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.id",
          "path" : "MedicinalProductIngredient.specifiedSubstance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.extension",
          "path" : "MedicinalProductIngredient.specifiedSubstance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.modifierExtension",
          "path" : "MedicinalProductIngredient.specifiedSubstance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.code",
          "path" : "MedicinalProductIngredient.specifiedSubstance.code",
          "short" : "The specified substance",
          "definition" : "The specified substance.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.group",
          "path" : "MedicinalProductIngredient.specifiedSubstance.group",
          "short" : "The group of specified substance, e.g. group 1 to 4",
          "definition" : "The group of specified substance, e.g. group 1 to 4.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.group",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.confidentiality",
          "path" : "MedicinalProductIngredient.specifiedSubstance.confidentiality",
          "short" : "Confidentiality level of the specified substance as the ingredient",
          "definition" : "Confidentiality level of the specified substance as the ingredient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.confidentiality",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength",
          "short" : "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product",
          "definition" : "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.id",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.extension",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.modifierExtension",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.presentation",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.presentation",
          "short" : "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item",
          "definition" : "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.presentation",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit",
          "short" : "A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit",
          "definition" : "A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : true,
          "isModifierReason" : "If this is present it implies that the whole strength is expressed as a range, due to uncertainty or variation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.concentration",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.concentration",
          "short" : "The strength per unitary volume (or mass)",
          "definition" : "The strength per unitary volume (or mass).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.concentration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit",
          "short" : "A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit",
          "definition" : "A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : true,
          "isModifierReason" : "If this is present it implies that the whole strength is expressed as a range, due to uncertainty or variation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint",
          "short" : "For when strength is measured at a particular point or distance",
          "definition" : "For when strength is measured at a particular point or distance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.country",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.country",
          "short" : "The country or countries for which the strength range applies",
          "definition" : "The country or countries for which the strength range applies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.country",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength",
          "short" : "Strength expressed in terms of a reference substance",
          "definition" : "Strength expressed in terms of a reference substance.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.id",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.extension",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.modifierExtension",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance",
          "short" : "Relevant reference substance",
          "definition" : "Relevant reference substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength",
          "short" : "Strength expressed in terms of a reference substance",
          "definition" : "Strength expressed in terms of a reference substance.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit",
          "short" : "Strength expressed in terms of a reference substance",
          "definition" : "Strength expressed in terms of a reference substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint",
          "short" : "For when strength is measured at a particular point or distance",
          "definition" : "For when strength is measured at a particular point or distance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country",
          "short" : "The country or countries for which the strength range applies",
          "definition" : "The country or countries for which the strength range applies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.substance",
          "path" : "MedicinalProductIngredient.substance",
          "short" : "The ingredient substance",
          "definition" : "The ingredient substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.substance",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.substance.id",
          "path" : "MedicinalProductIngredient.substance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.substance.extension",
          "path" : "MedicinalProductIngredient.substance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.substance.modifierExtension",
          "path" : "MedicinalProductIngredient.substance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductIngredient.substance.code",
          "path" : "MedicinalProductIngredient.substance.code",
          "short" : "The ingredient substance",
          "definition" : "The ingredient substance.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductIngredient.substance.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.substance.strength",
          "path" : "MedicinalProductIngredient.substance.strength",
          "short" : "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product",
          "definition" : "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductIngredient.substance.strength",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#MedicinalProductIngredient.specifiedSubstance.strength",
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductIngredient",
          "path" : "MedicinalProductIngredient",
          "short" : "An ingredient of a manufactured item or pharmaceutical product",
          "definition" : "An ingredient of a manufactured item or pharmaceutical product.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductIngredient.identifier",
          "path" : "MedicinalProductIngredient.identifier",
          "short" : "Identifier for the ingredient",
          "definition" : "The identifier(s) of this Ingredient that are assigned by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.role",
          "path" : "MedicinalProductIngredient.role",
          "short" : "Ingredient role e.g. Active ingredient, excipient",
          "definition" : "Ingredient role e.g. Active ingredient, excipient.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.allergenicIndicator",
          "path" : "MedicinalProductIngredient.allergenicIndicator",
          "short" : "If the ingredient is a known or suspected allergen",
          "definition" : "If the ingredient is a known or suspected allergen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.manufacturer",
          "path" : "MedicinalProductIngredient.manufacturer",
          "short" : "Manufacturer of this Ingredient",
          "definition" : "Manufacturer of this Ingredient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance",
          "path" : "MedicinalProductIngredient.specifiedSubstance",
          "short" : "A specified substance that comprises this ingredient",
          "definition" : "A specified substance that comprises this ingredient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.code",
          "path" : "MedicinalProductIngredient.specifiedSubstance.code",
          "short" : "The specified substance",
          "definition" : "The specified substance.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.group",
          "path" : "MedicinalProductIngredient.specifiedSubstance.group",
          "short" : "The group of specified substance, e.g. group 1 to 4",
          "definition" : "The group of specified substance, e.g. group 1 to 4.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.confidentiality",
          "path" : "MedicinalProductIngredient.specifiedSubstance.confidentiality",
          "short" : "Confidentiality level of the specified substance as the ingredient",
          "definition" : "Confidentiality level of the specified substance as the ingredient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength",
          "short" : "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product",
          "definition" : "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.presentation",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.presentation",
          "short" : "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item",
          "definition" : "The quantity of substance in the unit of presentation, or in the volume (or mass) of the single pharmaceutical product or manufactured item.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.presentationLowLimit",
          "short" : "A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit",
          "definition" : "A lower limit for the quantity of substance in the unit of presentation. For use when there is a range of strengths, this is the lower limit, with the presentation attribute becoming the upper limit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : true,
          "isModifierReason" : "If this is present it implies that the whole strength is expressed as a range, due to uncertainty or variation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.concentration",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.concentration",
          "short" : "The strength per unitary volume (or mass)",
          "definition" : "The strength per unitary volume (or mass).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.concentrationLowLimit",
          "short" : "A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit",
          "definition" : "A lower limit for the strength per unitary volume (or mass), for when there is a range. The concentration attribute then becomes the upper limit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : true,
          "isModifierReason" : "If this is present it implies that the whole strength is expressed as a range, due to uncertainty or variation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.measurementPoint",
          "short" : "For when strength is measured at a particular point or distance",
          "definition" : "For when strength is measured at a particular point or distance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.country",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.country",
          "short" : "The country or countries for which the strength range applies",
          "definition" : "The country or countries for which the strength range applies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength",
          "short" : "Strength expressed in terms of a reference substance",
          "definition" : "Strength expressed in terms of a reference substance.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.substance",
          "short" : "Relevant reference substance",
          "definition" : "Relevant reference substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strength",
          "short" : "Strength expressed in terms of a reference substance",
          "definition" : "Strength expressed in terms of a reference substance.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.strengthLowLimit",
          "short" : "Strength expressed in terms of a reference substance",
          "definition" : "Strength expressed in terms of a reference substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.measurementPoint",
          "short" : "For when strength is measured at a particular point or distance",
          "definition" : "For when strength is measured at a particular point or distance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country",
          "path" : "MedicinalProductIngredient.specifiedSubstance.strength.referenceStrength.country",
          "short" : "The country or countries for which the strength range applies",
          "definition" : "The country or countries for which the strength range applies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.substance",
          "path" : "MedicinalProductIngredient.substance",
          "short" : "The ingredient substance",
          "definition" : "The ingredient substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.substance.code",
          "path" : "MedicinalProductIngredient.substance.code",
          "short" : "The ingredient substance",
          "definition" : "The ingredient substance.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductIngredient.substance.strength",
          "path" : "MedicinalProductIngredient.substance.strength",
          "short" : "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product",
          "definition" : "Quantity of the substance or specified substance present in the manufactured item or pharmaceutical product.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#MedicinalProductIngredient.specifiedSubstance.strength",
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductInteraction",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductInteraction",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductInteraction 
ΣTU
DomainResource
MedicinalProductInteraction
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 subject 
Σ
0..*
Reference(MedicinalProduct | Medication | Substance)
The medication for which this is a described interaction
 description 
Σ
0..1
string
The interaction described
 interactant 
Σ
0..*
BackboneElement
The specific medication, food or laboratory test that interacts
 item[x] 
Σ
1..1
The specific medication, food or laboratory test that interacts
 itemReference
Reference(MedicinalProduct | Medication | Substance | ObservationDefinition)
 itemCodeableConcept
CodeableConcept
 type 
Σ
0..1
CodeableConcept
The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction
 effect 
Σ
0..1
CodeableConcept
The effect of the interaction, for example "reduced gastric absorption of primary medication"
 incidence 
Σ
0..1
CodeableConcept
The incidence of the interaction, e.g. theoretical, observed
 management 
Σ
0..1
CodeableConcept
Actions for managing the interaction

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductInteraction",
      "version" : "4.0.0",
      "name" : "MedicinalProductInteraction",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "The interactions of the medicinal product with other medicinal products, or other forms of interactions.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductInteraction",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductInteraction",
          "path" : "MedicinalProductInteraction",
          "short" : "MedicinalProductInteraction",
          "definition" : "The interactions of the medicinal product with other medicinal products, or other forms of interactions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductInteraction",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductInteraction.id",
          "path" : "MedicinalProductInteraction.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.meta",
          "path" : "MedicinalProductInteraction.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.implicitRules",
          "path" : "MedicinalProductInteraction.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.language",
          "path" : "MedicinalProductInteraction.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductInteraction.text",
          "path" : "MedicinalProductInteraction.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductInteraction.contained",
          "path" : "MedicinalProductInteraction.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductInteraction.extension",
          "path" : "MedicinalProductInteraction.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductInteraction.modifierExtension",
          "path" : "MedicinalProductInteraction.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductInteraction.subject",
          "path" : "MedicinalProductInteraction.subject",
          "short" : "The medication for which this is a described interaction",
          "definition" : "The medication for which this is a described interaction.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductInteraction.subject",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.description",
          "path" : "MedicinalProductInteraction.description",
          "short" : "The interaction described",
          "definition" : "The interaction described.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductInteraction.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.interactant",
          "path" : "MedicinalProductInteraction.interactant",
          "short" : "The specific medication, food or laboratory test that interacts",
          "definition" : "The specific medication, food or laboratory test that interacts.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductInteraction.interactant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.interactant.id",
          "path" : "MedicinalProductInteraction.interactant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductInteraction.interactant.extension",
          "path" : "MedicinalProductInteraction.interactant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductInteraction.interactant.modifierExtension",
          "path" : "MedicinalProductInteraction.interactant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductInteraction.interactant.item[x]",
          "path" : "MedicinalProductInteraction.interactant.item[x]",
          "short" : "The specific medication, food or laboratory test that interacts",
          "definition" : "The specific medication, food or laboratory test that interacts.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductInteraction.interactant.item[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.type",
          "path" : "MedicinalProductInteraction.type",
          "short" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction",
          "definition" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductInteraction.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.effect",
          "path" : "MedicinalProductInteraction.effect",
          "short" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\"",
          "definition" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductInteraction.effect",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.incidence",
          "path" : "MedicinalProductInteraction.incidence",
          "short" : "The incidence of the interaction, e.g. theoretical, observed",
          "definition" : "The incidence of the interaction, e.g. theoretical, observed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductInteraction.incidence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.management",
          "path" : "MedicinalProductInteraction.management",
          "short" : "Actions for managing the interaction",
          "definition" : "Actions for managing the interaction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductInteraction.management",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductInteraction",
          "path" : "MedicinalProductInteraction",
          "short" : "MedicinalProductInteraction",
          "definition" : "The interactions of the medicinal product with other medicinal products, or other forms of interactions.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductInteraction.subject",
          "path" : "MedicinalProductInteraction.subject",
          "short" : "The medication for which this is a described interaction",
          "definition" : "The medication for which this is a described interaction.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.description",
          "path" : "MedicinalProductInteraction.description",
          "short" : "The interaction described",
          "definition" : "The interaction described.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.interactant",
          "path" : "MedicinalProductInteraction.interactant",
          "short" : "The specific medication, food or laboratory test that interacts",
          "definition" : "The specific medication, food or laboratory test that interacts.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.interactant.item[x]",
          "path" : "MedicinalProductInteraction.interactant.item[x]",
          "short" : "The specific medication, food or laboratory test that interacts",
          "definition" : "The specific medication, food or laboratory test that interacts.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/ObservationDefinition"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.type",
          "path" : "MedicinalProductInteraction.type",
          "short" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction",
          "definition" : "The type of the interaction e.g. drug-drug interaction, drug-food interaction, drug-lab test interaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.effect",
          "path" : "MedicinalProductInteraction.effect",
          "short" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\"",
          "definition" : "The effect of the interaction, for example \"reduced gastric absorption of primary medication\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.incidence",
          "path" : "MedicinalProductInteraction.incidence",
          "short" : "The incidence of the interaction, e.g. theoretical, observed",
          "definition" : "The incidence of the interaction, e.g. theoretical, observed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductInteraction.management",
          "path" : "MedicinalProductInteraction.management",
          "short" : "Actions for managing the interaction",
          "definition" : "Actions for managing the interaction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductManufactured",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductManufactured",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductManufactured 
ΣTU
DomainResource
The manufactured item as contained in the packaged medicinal product
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 manufacturedDoseForm 
Σ
1..1
CodeableConcept
Dose form as manufactured and before any transformation into the pharmaceutical product
 unitOfPresentation 
Σ
0..1
CodeableConcept
The “real world” units in which the quantity of the manufactured item is described
 quantity 
Σ
1..1
Quantity
The quantity or "count number" of the manufactured item
 manufacturer 
Σ
0..*
Reference(Organization)
Manufacturer of the item (Note that this should be named "manufacturer" but it currently causes technical issues)
 ingredient 
Σ
0..*
Reference(MedicinalProductIngredient)
Ingredient
 physicalCharacteristics 
Σ
0..1
ProdCharacteristic
Dimensions, color etc.
 otherCharacteristics 
Σ
0..*
CodeableConcept
Other codeable characteristics

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductManufactured",
      "version" : "4.0.0",
      "name" : "MedicinalProductManufactured",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "The manufactured item as contained in the packaged medicinal product.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductManufactured",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductManufactured",
          "path" : "MedicinalProductManufactured",
          "short" : "The manufactured item as contained in the packaged medicinal product",
          "definition" : "The manufactured item as contained in the packaged medicinal product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductManufactured",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductManufactured.id",
          "path" : "MedicinalProductManufactured.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.meta",
          "path" : "MedicinalProductManufactured.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.implicitRules",
          "path" : "MedicinalProductManufactured.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.language",
          "path" : "MedicinalProductManufactured.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductManufactured.text",
          "path" : "MedicinalProductManufactured.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductManufactured.contained",
          "path" : "MedicinalProductManufactured.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductManufactured.extension",
          "path" : "MedicinalProductManufactured.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductManufactured.modifierExtension",
          "path" : "MedicinalProductManufactured.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductManufactured.manufacturedDoseForm",
          "path" : "MedicinalProductManufactured.manufacturedDoseForm",
          "short" : "Dose form as manufactured and before any transformation into the pharmaceutical product",
          "definition" : "Dose form as manufactured and before any transformation into the pharmaceutical product.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductManufactured.manufacturedDoseForm",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.unitOfPresentation",
          "path" : "MedicinalProductManufactured.unitOfPresentation",
          "short" : "The “real world” units in which the quantity of the manufactured item is described",
          "definition" : "The “real world” units in which the quantity of the manufactured item is described.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductManufactured.unitOfPresentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.quantity",
          "path" : "MedicinalProductManufactured.quantity",
          "short" : "The quantity or \"count number\" of the manufactured item",
          "definition" : "The quantity or \"count number\" of the manufactured item.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductManufactured.quantity",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.manufacturer",
          "path" : "MedicinalProductManufactured.manufacturer",
          "short" : "Manufacturer of the item (Note that this should be named \"manufacturer\" but it currently causes technical issues)",
          "definition" : "Manufacturer of the item (Note that this should be named \"manufacturer\" but it currently causes technical issues).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductManufactured.manufacturer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.ingredient",
          "path" : "MedicinalProductManufactured.ingredient",
          "short" : "Ingredient",
          "definition" : "Ingredient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductManufactured.ingredient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductIngredient"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.physicalCharacteristics",
          "path" : "MedicinalProductManufactured.physicalCharacteristics",
          "short" : "Dimensions, color etc.",
          "definition" : "Dimensions, color etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductManufactured.physicalCharacteristics",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "ProdCharacteristic"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.otherCharacteristics",
          "path" : "MedicinalProductManufactured.otherCharacteristics",
          "short" : "Other codeable characteristics",
          "definition" : "Other codeable characteristics.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductManufactured.otherCharacteristics",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductManufactured",
          "path" : "MedicinalProductManufactured",
          "short" : "The manufactured item as contained in the packaged medicinal product",
          "definition" : "The manufactured item as contained in the packaged medicinal product.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductManufactured.manufacturedDoseForm",
          "path" : "MedicinalProductManufactured.manufacturedDoseForm",
          "short" : "Dose form as manufactured and before any transformation into the pharmaceutical product",
          "definition" : "Dose form as manufactured and before any transformation into the pharmaceutical product.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.unitOfPresentation",
          "path" : "MedicinalProductManufactured.unitOfPresentation",
          "short" : "The “real world” units in which the quantity of the manufactured item is described",
          "definition" : "The “real world” units in which the quantity of the manufactured item is described.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.quantity",
          "path" : "MedicinalProductManufactured.quantity",
          "short" : "The quantity or \"count number\" of the manufactured item",
          "definition" : "The quantity or \"count number\" of the manufactured item.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.manufacturer",
          "path" : "MedicinalProductManufactured.manufacturer",
          "short" : "Manufacturer of the item (Note that this should be named \"manufacturer\" but it currently causes technical issues)",
          "definition" : "Manufacturer of the item (Note that this should be named \"manufacturer\" but it currently causes technical issues).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.ingredient",
          "path" : "MedicinalProductManufactured.ingredient",
          "short" : "Ingredient",
          "definition" : "Ingredient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductIngredient"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.physicalCharacteristics",
          "path" : "MedicinalProductManufactured.physicalCharacteristics",
          "short" : "Dimensions, color etc.",
          "definition" : "Dimensions, color etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "ProdCharacteristic"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductManufactured.otherCharacteristics",
          "path" : "MedicinalProductManufactured.otherCharacteristics",
          "short" : "Other codeable characteristics",
          "definition" : "Other codeable characteristics.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductPackaged",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductPackaged",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductPackaged 
ΣTU
DomainResource
A medicinal product in a container or package
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique identifier
 subject 
Σ
0..*
Reference(MedicinalProduct)
The product with this is a pack for
 description 
Σ
0..1
string
Textual description
 legalStatusOfSupply 
Σ
0..1
CodeableConcept
The legal status of supply of the medicinal product as classified by the regulator
 marketingStatus 
Σ
0..*
MarketingStatus
Marketing information
 marketingAuthorization 
Σ
0..1
Reference(MedicinalProductAuthorization)
Manufacturer of this Package Item
 manufacturer 
Σ
0..*
Reference(Organization)
Manufacturer of this Package Item
 batchIdentifier 
Σ
0..*
BackboneElement
Batch numbering
 outerPackaging 
Σ
1..1
Identifier
A number appearing on the outer packaging of a specific batch
 immediatePackaging 
Σ
0..1
Identifier
A number appearing on the immediate packaging (and not the outer packaging)
 packageItem 
Σ
1..*
BackboneElement
A packaging item, as a contained for medicine, possibly with other packaging items within
 identifier 
Σ
0..*
Identifier
Including possibly Data Carrier Identifier
 type 
Σ
1..1
CodeableConcept
The physical type of the container of the medicine
 quantity 
Σ
1..1
Quantity
The quantity of this package in the medicinal product, at the current level of packaging. The outermost is always 1
 material 
Σ
0..*
CodeableConcept
Material type of the package item
 alternateMaterial 
Σ
0..*
CodeableConcept
A possible alternate material for the packaging
 device 
Σ
0..*
Reference(DeviceDefinition)
A device accompanying a medicinal product
 manufacturedItem 
Σ
0..*
Reference(MedicinalProductManufactured)
The manufactured item as contained in the packaged medicinal product
 packageItem 
Σ
0..*
see packageItem
Allows containers within containers
 physicalCharacteristics 
Σ
0..1
ProdCharacteristic
Dimensions, color etc.
 otherCharacteristics 
Σ
0..*
CodeableConcept
Other codeable characteristics
 shelfLifeStorage 
Σ
0..*
ProductShelfLife
Shelf Life and storage information
 manufacturer 
Σ
0..*
Reference(Organization)
Manufacturer of this Package Item

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductPackaged",
      "version" : "4.0.0",
      "name" : "MedicinalProductPackaged",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "A medicinal product in a container or package.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductPackaged",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductPackaged",
          "path" : "MedicinalProductPackaged",
          "short" : "A medicinal product in a container or package",
          "definition" : "A medicinal product in a container or package.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.id",
          "path" : "MedicinalProductPackaged.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.meta",
          "path" : "MedicinalProductPackaged.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.implicitRules",
          "path" : "MedicinalProductPackaged.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.language",
          "path" : "MedicinalProductPackaged.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductPackaged.text",
          "path" : "MedicinalProductPackaged.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.contained",
          "path" : "MedicinalProductPackaged.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.extension",
          "path" : "MedicinalProductPackaged.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.modifierExtension",
          "path" : "MedicinalProductPackaged.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.identifier",
          "path" : "MedicinalProductPackaged.identifier",
          "short" : "Unique identifier",
          "definition" : "Unique identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.subject",
          "path" : "MedicinalProductPackaged.subject",
          "short" : "The product with this is a pack for",
          "definition" : "The product with this is a pack for.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.subject",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.description",
          "path" : "MedicinalProductPackaged.description",
          "short" : "Textual description",
          "definition" : "Textual description.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPackaged.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.legalStatusOfSupply",
          "path" : "MedicinalProductPackaged.legalStatusOfSupply",
          "short" : "The legal status of supply of the medicinal product as classified by the regulator",
          "definition" : "The legal status of supply of the medicinal product as classified by the regulator.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPackaged.legalStatusOfSupply",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.marketingStatus",
          "path" : "MedicinalProductPackaged.marketingStatus",
          "short" : "Marketing information",
          "definition" : "Marketing information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.marketingStatus",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "MarketingStatus"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.marketingAuthorization",
          "path" : "MedicinalProductPackaged.marketingAuthorization",
          "short" : "Manufacturer of this Package Item",
          "definition" : "Manufacturer of this Package Item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPackaged.marketingAuthorization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductAuthorization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.manufacturer",
          "path" : "MedicinalProductPackaged.manufacturer",
          "short" : "Manufacturer of this Package Item",
          "definition" : "Manufacturer of this Package Item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.manufacturer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier",
          "path" : "MedicinalProductPackaged.batchIdentifier",
          "short" : "Batch numbering",
          "definition" : "Batch numbering.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.batchIdentifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier.id",
          "path" : "MedicinalProductPackaged.batchIdentifier.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier.extension",
          "path" : "MedicinalProductPackaged.batchIdentifier.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier.modifierExtension",
          "path" : "MedicinalProductPackaged.batchIdentifier.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier.outerPackaging",
          "path" : "MedicinalProductPackaged.batchIdentifier.outerPackaging",
          "short" : "A number appearing on the outer packaging of a specific batch",
          "definition" : "A number appearing on the outer packaging of a specific batch.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPackaged.batchIdentifier.outerPackaging",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier.immediatePackaging",
          "path" : "MedicinalProductPackaged.batchIdentifier.immediatePackaging",
          "short" : "A number appearing on the immediate packaging (and not the outer packaging)",
          "definition" : "A number appearing on the immediate packaging (and not the outer packaging).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPackaged.batchIdentifier.immediatePackaging",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem",
          "path" : "MedicinalProductPackaged.packageItem",
          "short" : "A packaging item, as a contained for medicine, possibly with other packaging items within",
          "definition" : "A packaging item, as a contained for medicine, possibly with other packaging items within.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.id",
          "path" : "MedicinalProductPackaged.packageItem.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.extension",
          "path" : "MedicinalProductPackaged.packageItem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.modifierExtension",
          "path" : "MedicinalProductPackaged.packageItem.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.identifier",
          "path" : "MedicinalProductPackaged.packageItem.identifier",
          "short" : "Including possibly Data Carrier Identifier",
          "definition" : "Including possibly Data Carrier Identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.type",
          "path" : "MedicinalProductPackaged.packageItem.type",
          "short" : "The physical type of the container of the medicine",
          "definition" : "The physical type of the container of the medicine.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.quantity",
          "path" : "MedicinalProductPackaged.packageItem.quantity",
          "short" : "The quantity of this package in the medicinal product, at the current level of packaging. The outermost is always 1",
          "definition" : "The quantity of this package in the medicinal product, at the current level of packaging. The outermost is always 1.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.quantity",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.material",
          "path" : "MedicinalProductPackaged.packageItem.material",
          "short" : "Material type of the package item",
          "definition" : "Material type of the package item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.material",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.alternateMaterial",
          "path" : "MedicinalProductPackaged.packageItem.alternateMaterial",
          "short" : "A possible alternate material for the packaging",
          "definition" : "A possible alternate material for the packaging.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.alternateMaterial",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.device",
          "path" : "MedicinalProductPackaged.packageItem.device",
          "short" : "A device accompanying a medicinal product",
          "definition" : "A device accompanying a medicinal product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.device",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.manufacturedItem",
          "path" : "MedicinalProductPackaged.packageItem.manufacturedItem",
          "short" : "The manufactured item as contained in the packaged medicinal product",
          "definition" : "The manufactured item as contained in the packaged medicinal product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.manufacturedItem",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductManufactured"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.packageItem",
          "path" : "MedicinalProductPackaged.packageItem.packageItem",
          "short" : "Allows containers within containers",
          "definition" : "Allows containers within containers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.packageItem",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#MedicinalProductPackaged.packageItem",
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.physicalCharacteristics",
          "path" : "MedicinalProductPackaged.packageItem.physicalCharacteristics",
          "short" : "Dimensions, color etc.",
          "definition" : "Dimensions, color etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.physicalCharacteristics",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "ProdCharacteristic"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.otherCharacteristics",
          "path" : "MedicinalProductPackaged.packageItem.otherCharacteristics",
          "short" : "Other codeable characteristics",
          "definition" : "Other codeable characteristics.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.otherCharacteristics",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.shelfLifeStorage",
          "path" : "MedicinalProductPackaged.packageItem.shelfLifeStorage",
          "short" : "Shelf Life and storage information",
          "definition" : "Shelf Life and storage information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.shelfLifeStorage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ProductShelfLife"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.manufacturer",
          "path" : "MedicinalProductPackaged.packageItem.manufacturer",
          "short" : "Manufacturer of this Package Item",
          "definition" : "Manufacturer of this Package Item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPackaged.packageItem.manufacturer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductPackaged",
          "path" : "MedicinalProductPackaged",
          "short" : "A medicinal product in a container or package",
          "definition" : "A medicinal product in a container or package.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductPackaged.identifier",
          "path" : "MedicinalProductPackaged.identifier",
          "short" : "Unique identifier",
          "definition" : "Unique identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.subject",
          "path" : "MedicinalProductPackaged.subject",
          "short" : "The product with this is a pack for",
          "definition" : "The product with this is a pack for.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.description",
          "path" : "MedicinalProductPackaged.description",
          "short" : "Textual description",
          "definition" : "Textual description.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.legalStatusOfSupply",
          "path" : "MedicinalProductPackaged.legalStatusOfSupply",
          "short" : "The legal status of supply of the medicinal product as classified by the regulator",
          "definition" : "The legal status of supply of the medicinal product as classified by the regulator.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.marketingStatus",
          "path" : "MedicinalProductPackaged.marketingStatus",
          "short" : "Marketing information",
          "definition" : "Marketing information.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "MarketingStatus"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.marketingAuthorization",
          "path" : "MedicinalProductPackaged.marketingAuthorization",
          "short" : "Manufacturer of this Package Item",
          "definition" : "Manufacturer of this Package Item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductAuthorization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.manufacturer",
          "path" : "MedicinalProductPackaged.manufacturer",
          "short" : "Manufacturer of this Package Item",
          "definition" : "Manufacturer of this Package Item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier",
          "path" : "MedicinalProductPackaged.batchIdentifier",
          "short" : "Batch numbering",
          "definition" : "Batch numbering.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier.outerPackaging",
          "path" : "MedicinalProductPackaged.batchIdentifier.outerPackaging",
          "short" : "A number appearing on the outer packaging of a specific batch",
          "definition" : "A number appearing on the outer packaging of a specific batch.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.batchIdentifier.immediatePackaging",
          "path" : "MedicinalProductPackaged.batchIdentifier.immediatePackaging",
          "short" : "A number appearing on the immediate packaging (and not the outer packaging)",
          "definition" : "A number appearing on the immediate packaging (and not the outer packaging).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem",
          "path" : "MedicinalProductPackaged.packageItem",
          "short" : "A packaging item, as a contained for medicine, possibly with other packaging items within",
          "definition" : "A packaging item, as a contained for medicine, possibly with other packaging items within.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.identifier",
          "path" : "MedicinalProductPackaged.packageItem.identifier",
          "short" : "Including possibly Data Carrier Identifier",
          "definition" : "Including possibly Data Carrier Identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.type",
          "path" : "MedicinalProductPackaged.packageItem.type",
          "short" : "The physical type of the container of the medicine",
          "definition" : "The physical type of the container of the medicine.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.quantity",
          "path" : "MedicinalProductPackaged.packageItem.quantity",
          "short" : "The quantity of this package in the medicinal product, at the current level of packaging. The outermost is always 1",
          "definition" : "The quantity of this package in the medicinal product, at the current level of packaging. The outermost is always 1.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.material",
          "path" : "MedicinalProductPackaged.packageItem.material",
          "short" : "Material type of the package item",
          "definition" : "Material type of the package item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.alternateMaterial",
          "path" : "MedicinalProductPackaged.packageItem.alternateMaterial",
          "short" : "A possible alternate material for the packaging",
          "definition" : "A possible alternate material for the packaging.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.device",
          "path" : "MedicinalProductPackaged.packageItem.device",
          "short" : "A device accompanying a medicinal product",
          "definition" : "A device accompanying a medicinal product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.manufacturedItem",
          "path" : "MedicinalProductPackaged.packageItem.manufacturedItem",
          "short" : "The manufactured item as contained in the packaged medicinal product",
          "definition" : "The manufactured item as contained in the packaged medicinal product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductManufactured"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.packageItem",
          "path" : "MedicinalProductPackaged.packageItem.packageItem",
          "short" : "Allows containers within containers",
          "definition" : "Allows containers within containers.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#MedicinalProductPackaged.packageItem",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.physicalCharacteristics",
          "path" : "MedicinalProductPackaged.packageItem.physicalCharacteristics",
          "short" : "Dimensions, color etc.",
          "definition" : "Dimensions, color etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "ProdCharacteristic"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.otherCharacteristics",
          "path" : "MedicinalProductPackaged.packageItem.otherCharacteristics",
          "short" : "Other codeable characteristics",
          "definition" : "Other codeable characteristics.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.shelfLifeStorage",
          "path" : "MedicinalProductPackaged.packageItem.shelfLifeStorage",
          "short" : "Shelf Life and storage information",
          "definition" : "Shelf Life and storage information.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ProductShelfLife"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPackaged.packageItem.manufacturer",
          "path" : "MedicinalProductPackaged.packageItem.manufacturer",
          "short" : "Manufacturer of this Package Item",
          "definition" : "Manufacturer of this Package Item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductPharmaceutical",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductPharmaceutical",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductPharmaceutical 
ΣTU
DomainResource
A pharmaceutical product described in terms of its composition and dose form
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
An identifier for the pharmaceutical medicinal product
 administrableDoseForm 
Σ
1..1
CodeableConcept
The administrable dose form, after necessary reconstitution
 unitOfPresentation 
Σ
0..1
CodeableConcept
Todo
 ingredient 
Σ
0..*
Reference(MedicinalProductIngredient)
Ingredient
 device 
Σ
0..*
Reference(DeviceDefinition)
Accompanying device
 characteristics 
Σ
0..*
BackboneElement
Characteristics e.g. a products onset of action
 code 
Σ
1..1
CodeableConcept
A coded characteristic
 status 
Σ
0..1
CodeableConcept
The status of characteristic e.g. assigned or pending
 routeOfAdministration 
Σ
1..*
BackboneElement
The path by which the pharmaceutical product is taken into or makes contact with the body
 code 
Σ
1..1
CodeableConcept
Coded expression for the route
 firstDose 
Σ
0..1
Quantity
The first dose (dose quantity) administered in humans can be specified, for a product under investigation, using a numerical value and its unit of measurement
 maxSingleDose 
Σ
0..1
Quantity
The maximum single dose that can be administered as per the protocol of a clinical trial can be specified using a numerical value and its unit of measurement
 maxDosePerDay 
Σ
0..1
Quantity
The maximum dose per day (maximum dose quantity to be administered in any one 24-h period) that can be administered as per the protocol referenced in the clinical trial authorisation
 maxDosePerTreatmentPeriod 
Σ
0..1
Ratio
The maximum dose per treatment period that can be administered as per the protocol referenced in the clinical trial authorisation
 maxTreatmentPeriod 
Σ
0..1
Duration
The maximum treatment period during which an Investigational Medicinal Product can be administered as per the protocol referenced in the clinical trial authorisation
 targetSpecies 
Σ
0..*
BackboneElement
A species for which this route applies
 code 
Σ
1..1
CodeableConcept
Coded expression for the species
 withdrawalPeriod 
Σ
0..*
BackboneElement
A species specific time during which consumption of animal product is not appropriate
 tissue 
Σ
1..1
CodeableConcept
Coded expression for the type of tissue for which the withdrawal period applues, e.g. meat, milk
 value 
Σ
1..1
Quantity
A value for the time
 supportingInformation 
Σ
0..1
string
Extra information about the withdrawal period

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductPharmaceutical",
      "version" : "4.0.0",
      "name" : "MedicinalProductPharmaceutical",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "A pharmaceutical product described in terms of its composition and dose form.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductPharmaceutical",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductPharmaceutical",
          "path" : "MedicinalProductPharmaceutical",
          "short" : "A pharmaceutical product described in terms of its composition and dose form",
          "definition" : "A pharmaceutical product described in terms of its composition and dose form.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPharmaceutical",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.id",
          "path" : "MedicinalProductPharmaceutical.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.meta",
          "path" : "MedicinalProductPharmaceutical.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.implicitRules",
          "path" : "MedicinalProductPharmaceutical.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.language",
          "path" : "MedicinalProductPharmaceutical.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductPharmaceutical.text",
          "path" : "MedicinalProductPharmaceutical.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.contained",
          "path" : "MedicinalProductPharmaceutical.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.extension",
          "path" : "MedicinalProductPharmaceutical.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.modifierExtension",
          "path" : "MedicinalProductPharmaceutical.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.identifier",
          "path" : "MedicinalProductPharmaceutical.identifier",
          "short" : "An identifier for the pharmaceutical medicinal product",
          "definition" : "An identifier for the pharmaceutical medicinal product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.administrableDoseForm",
          "path" : "MedicinalProductPharmaceutical.administrableDoseForm",
          "short" : "The administrable dose form, after necessary reconstitution",
          "definition" : "The administrable dose form, after necessary reconstitution.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.administrableDoseForm",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.unitOfPresentation",
          "path" : "MedicinalProductPharmaceutical.unitOfPresentation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.unitOfPresentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.ingredient",
          "path" : "MedicinalProductPharmaceutical.ingredient",
          "short" : "Ingredient",
          "definition" : "Ingredient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.ingredient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductIngredient"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.device",
          "path" : "MedicinalProductPharmaceutical.device",
          "short" : "Accompanying device",
          "definition" : "Accompanying device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.device",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics",
          "path" : "MedicinalProductPharmaceutical.characteristics",
          "short" : "Characteristics e.g. a products onset of action",
          "definition" : "Characteristics e.g. a products onset of action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.characteristics",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics.id",
          "path" : "MedicinalProductPharmaceutical.characteristics.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics.extension",
          "path" : "MedicinalProductPharmaceutical.characteristics.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics.modifierExtension",
          "path" : "MedicinalProductPharmaceutical.characteristics.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics.code",
          "path" : "MedicinalProductPharmaceutical.characteristics.code",
          "short" : "A coded characteristic",
          "definition" : "A coded characteristic.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.characteristics.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics.status",
          "path" : "MedicinalProductPharmaceutical.characteristics.status",
          "short" : "The status of characteristic e.g. assigned or pending",
          "definition" : "The status of characteristic e.g. assigned or pending.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.characteristics.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration",
          "short" : "The path by which the pharmaceutical product is taken into or makes contact with the body",
          "definition" : "The path by which the pharmaceutical product is taken into or makes contact with the body.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.id",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.extension",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.modifierExtension",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.code",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.code",
          "short" : "Coded expression for the route",
          "definition" : "Coded expression for the route.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.firstDose",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.firstDose",
          "short" : "The first dose (dose quantity) administered in humans can be specified, for a product under investigation, using a numerical value and its unit of measurement",
          "definition" : "The first dose (dose quantity) administered in humans can be specified, for a product under investigation, using a numerical value and its unit of measurement.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.firstDose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.maxSingleDose",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxSingleDose",
          "short" : "The maximum single dose that can be administered as per the protocol of a clinical trial can be specified using a numerical value and its unit of measurement",
          "definition" : "The maximum single dose that can be administered as per the protocol of a clinical trial can be specified using a numerical value and its unit of measurement.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxSingleDose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerDay",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerDay",
          "short" : "The maximum dose per day (maximum dose quantity to be administered in any one 24-h period) that can be administered as per the protocol referenced in the clinical trial authorisation",
          "definition" : "The maximum dose per day (maximum dose quantity to be administered in any one 24-h period) that can be administered as per the protocol referenced in the clinical trial authorisation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerDay",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerTreatmentPeriod",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerTreatmentPeriod",
          "short" : "The maximum dose per treatment period that can be administered as per the protocol referenced in the clinical trial authorisation",
          "definition" : "The maximum dose per treatment period that can be administered as per the protocol referenced in the clinical trial authorisation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerTreatmentPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.maxTreatmentPeriod",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxTreatmentPeriod",
          "short" : "The maximum treatment period during which an Investigational Medicinal Product can be administered as per the protocol referenced in the clinical trial authorisation",
          "definition" : "The maximum treatment period during which an Investigational Medicinal Product can be administered as per the protocol referenced in the clinical trial authorisation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxTreatmentPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies",
          "short" : "A species for which this route applies",
          "definition" : "A species for which this route applies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.id",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.extension",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.modifierExtension",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.code",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.code",
          "short" : "Coded expression for the species",
          "definition" : "Coded expression for the species.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod",
          "short" : "A species specific time during which consumption of animal product is not appropriate",
          "definition" : "A species specific time during which consumption of animal product is not appropriate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.id",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.extension",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.modifierExtension",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.tissue",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.tissue",
          "short" : "Coded expression for the type of tissue for which the withdrawal period applues, e.g. meat, milk",
          "definition" : "Coded expression for the type of tissue for which the withdrawal period applues, e.g. meat, milk.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.tissue",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.value",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.value",
          "short" : "A value for the time",
          "definition" : "A value for the time.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.supportingInformation",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.supportingInformation",
          "short" : "Extra information about the withdrawal period",
          "definition" : "Extra information about the withdrawal period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.supportingInformation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductPharmaceutical",
          "path" : "MedicinalProductPharmaceutical",
          "short" : "A pharmaceutical product described in terms of its composition and dose form",
          "definition" : "A pharmaceutical product described in terms of its composition and dose form.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductPharmaceutical.identifier",
          "path" : "MedicinalProductPharmaceutical.identifier",
          "short" : "An identifier for the pharmaceutical medicinal product",
          "definition" : "An identifier for the pharmaceutical medicinal product.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.administrableDoseForm",
          "path" : "MedicinalProductPharmaceutical.administrableDoseForm",
          "short" : "The administrable dose form, after necessary reconstitution",
          "definition" : "The administrable dose form, after necessary reconstitution.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.unitOfPresentation",
          "path" : "MedicinalProductPharmaceutical.unitOfPresentation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.ingredient",
          "path" : "MedicinalProductPharmaceutical.ingredient",
          "short" : "Ingredient",
          "definition" : "Ingredient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProductIngredient"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.device",
          "path" : "MedicinalProductPharmaceutical.device",
          "short" : "Accompanying device",
          "definition" : "Accompanying device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DeviceDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics",
          "path" : "MedicinalProductPharmaceutical.characteristics",
          "short" : "Characteristics e.g. a products onset of action",
          "definition" : "Characteristics e.g. a products onset of action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics.code",
          "path" : "MedicinalProductPharmaceutical.characteristics.code",
          "short" : "A coded characteristic",
          "definition" : "A coded characteristic.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.characteristics.status",
          "path" : "MedicinalProductPharmaceutical.characteristics.status",
          "short" : "The status of characteristic e.g. assigned or pending",
          "definition" : "The status of characteristic e.g. assigned or pending.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration",
          "short" : "The path by which the pharmaceutical product is taken into or makes contact with the body",
          "definition" : "The path by which the pharmaceutical product is taken into or makes contact with the body.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.code",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.code",
          "short" : "Coded expression for the route",
          "definition" : "Coded expression for the route.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.firstDose",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.firstDose",
          "short" : "The first dose (dose quantity) administered in humans can be specified, for a product under investigation, using a numerical value and its unit of measurement",
          "definition" : "The first dose (dose quantity) administered in humans can be specified, for a product under investigation, using a numerical value and its unit of measurement.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.maxSingleDose",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxSingleDose",
          "short" : "The maximum single dose that can be administered as per the protocol of a clinical trial can be specified using a numerical value and its unit of measurement",
          "definition" : "The maximum single dose that can be administered as per the protocol of a clinical trial can be specified using a numerical value and its unit of measurement.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerDay",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerDay",
          "short" : "The maximum dose per day (maximum dose quantity to be administered in any one 24-h period) that can be administered as per the protocol referenced in the clinical trial authorisation",
          "definition" : "The maximum dose per day (maximum dose quantity to be administered in any one 24-h period) that can be administered as per the protocol referenced in the clinical trial authorisation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerTreatmentPeriod",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxDosePerTreatmentPeriod",
          "short" : "The maximum dose per treatment period that can be administered as per the protocol referenced in the clinical trial authorisation",
          "definition" : "The maximum dose per treatment period that can be administered as per the protocol referenced in the clinical trial authorisation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.maxTreatmentPeriod",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.maxTreatmentPeriod",
          "short" : "The maximum treatment period during which an Investigational Medicinal Product can be administered as per the protocol referenced in the clinical trial authorisation",
          "definition" : "The maximum treatment period during which an Investigational Medicinal Product can be administered as per the protocol referenced in the clinical trial authorisation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies",
          "short" : "A species for which this route applies",
          "definition" : "A species for which this route applies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.code",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.code",
          "short" : "Coded expression for the species",
          "definition" : "Coded expression for the species.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod",
          "short" : "A species specific time during which consumption of animal product is not appropriate",
          "definition" : "A species specific time during which consumption of animal product is not appropriate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.tissue",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.tissue",
          "short" : "Coded expression for the type of tissue for which the withdrawal period applues, e.g. meat, milk",
          "definition" : "Coded expression for the type of tissue for which the withdrawal period applues, e.g. meat, milk.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.value",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.value",
          "short" : "A value for the time",
          "definition" : "A value for the time.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.supportingInformation",
          "path" : "MedicinalProductPharmaceutical.routeOfAdministration.targetSpecies.withdrawalPeriod.supportingInformation",
          "short" : "Extra information about the withdrawal period",
          "definition" : "Extra information about the withdrawal period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductUndesirableEffect",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MedicinalProductUndesirableEffect",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MedicinalProductUndesirableEffect 
ΣTU
DomainResource
MedicinalProductUndesirableEffect
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 subject 
Σ
0..*
Reference(MedicinalProduct | Medication)
The medication for which this is an indication
 symptomConditionEffect 
Σ
0..1
CodeableConcept
The symptom, condition or undesirable effect
 classification 
Σ
0..1
CodeableConcept
Classification of the effect
 frequencyOfOccurrence 
Σ
0..1
CodeableConcept
The frequency of occurrence of the effect
 population 
Σ
0..*
Population
The population group to which this applies

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MedicinalProductUndesirableEffect",
      "version" : "4.0.0",
      "name" : "MedicinalProductUndesirableEffect",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "Describe the undesirable effects of the medicinal product.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MedicinalProductUndesirableEffect",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MedicinalProductUndesirableEffect",
          "path" : "MedicinalProductUndesirableEffect",
          "short" : "MedicinalProductUndesirableEffect",
          "definition" : "Describe the undesirable effects of the medicinal product.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductUndesirableEffect",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MedicinalProductUndesirableEffect.id",
          "path" : "MedicinalProductUndesirableEffect.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.meta",
          "path" : "MedicinalProductUndesirableEffect.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.implicitRules",
          "path" : "MedicinalProductUndesirableEffect.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.language",
          "path" : "MedicinalProductUndesirableEffect.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MedicinalProductUndesirableEffect.text",
          "path" : "MedicinalProductUndesirableEffect.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MedicinalProductUndesirableEffect.contained",
          "path" : "MedicinalProductUndesirableEffect.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductUndesirableEffect.extension",
          "path" : "MedicinalProductUndesirableEffect.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductUndesirableEffect.modifierExtension",
          "path" : "MedicinalProductUndesirableEffect.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MedicinalProductUndesirableEffect.subject",
          "path" : "MedicinalProductUndesirableEffect.subject",
          "short" : "The medication for which this is an indication",
          "definition" : "The medication for which this is an indication.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductUndesirableEffect.subject",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.symptomConditionEffect",
          "path" : "MedicinalProductUndesirableEffect.symptomConditionEffect",
          "short" : "The symptom, condition or undesirable effect",
          "definition" : "The symptom, condition or undesirable effect.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductUndesirableEffect.symptomConditionEffect",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.classification",
          "path" : "MedicinalProductUndesirableEffect.classification",
          "short" : "Classification of the effect",
          "definition" : "Classification of the effect.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductUndesirableEffect.classification",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.frequencyOfOccurrence",
          "path" : "MedicinalProductUndesirableEffect.frequencyOfOccurrence",
          "short" : "The frequency of occurrence of the effect",
          "definition" : "The frequency of occurrence of the effect.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MedicinalProductUndesirableEffect.frequencyOfOccurrence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.population",
          "path" : "MedicinalProductUndesirableEffect.population",
          "short" : "The population group to which this applies",
          "definition" : "The population group to which this applies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MedicinalProductUndesirableEffect.population",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Population"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MedicinalProductUndesirableEffect",
          "path" : "MedicinalProductUndesirableEffect",
          "short" : "MedicinalProductUndesirableEffect",
          "definition" : "Describe the undesirable effects of the medicinal product.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "MedicinalProductUndesirableEffect.subject",
          "path" : "MedicinalProductUndesirableEffect.subject",
          "short" : "The medication for which this is an indication",
          "definition" : "The medication for which this is an indication.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicinalProduct",
            "http://hl7.org/fhir/StructureDefinition/Medication"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.symptomConditionEffect",
          "path" : "MedicinalProductUndesirableEffect.symptomConditionEffect",
          "short" : "The symptom, condition or undesirable effect",
          "definition" : "The symptom, condition or undesirable effect.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.classification",
          "path" : "MedicinalProductUndesirableEffect.classification",
          "short" : "Classification of the effect",
          "definition" : "Classification of the effect.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.frequencyOfOccurrence",
          "path" : "MedicinalProductUndesirableEffect.frequencyOfOccurrence",
          "short" : "The frequency of occurrence of the effect",
          "definition" : "The frequency of occurrence of the effect.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "MedicinalProductUndesirableEffect.population",
          "path" : "MedicinalProductUndesirableEffect.population",
          "short" : "The population group to which this applies",
          "definition" : "The population group to which this applies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Population"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MessageDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MessageDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MessageDefinition 
ITU
DomainResource
A resource that defines a type of message that can be exchanged between systems
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Business Identifier for a given MessageDefinition
 identifier 
Σ
0..*
Identifier
Primary key for the message definition on a given server
 version 
Σ
0..1
string
Business version of the message definition
 name 
ΣI
0..1
string
Name for this message definition (computer friendly)
 title 
Σ
0..1
string
Name for this message definition (human friendly)
 replaces 
Σ
0..*
canonical(MessageDefinition)
Takes the place of
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
1..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the message definition
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for message definition (if applicable)
Jurisdiction (Extensible)
 purpose 
Σ
0..1
markdown
Why this message definition is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 base 
Σ
0..1
canonical(MessageDefinition)
Definition this one is based on
 parent 
Σ
0..*
canonical(ActivityDefinition | PlanDefinition)
Protocol/workflow this is part of
 event[x] 
Σ
1..1
Event code  or link to the EventDefinition
MessageEvent (Example)
 eventCoding
Coding
 eventUri
uri
 category 
Σ
0..1
code
consequence | currency | notification
MessageSignificanceCategory (Required)
 focus 
ΣI
0..*
BackboneElement
Resource(s) that are the subject of the event
+ Rule: Max must be postive int or *
 code 
Σ
1..1
code
Type of resource
ResourceType (Required)
 profile 
0..1
canonical(StructureDefinition)
Profile that must be adhered to by focus
 min 
Σ
1..1
unsignedInt
Minimum number of focuses of this type
 max 
I
0..1
string
Maximum number of focuses of this type
 responseRequired 
0..1
code
always | on-error | never | on-success
messageheader-response-request (Required)
 allowedResponse 
0..*
BackboneElement
Responses to this message
 message 
1..1
canonical(MessageDefinition)
Reference to allowed message definition response
 situation 
0..1
markdown
When should this response be used
 graph 
0..*
canonical(GraphDefinition)
Canonical reference to a GraphDefinition

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "inm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MessageDefinition",
      "version" : "4.0.0",
      "name" : "MessageDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Infrastructure And Messaging)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/special/committees/inm/index.cfm"
        }]
      }],
      "description" : "Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted.",
      "purpose" : "Allows messages to be defined once and re-used across systems.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MessageDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MessageDefinition",
          "path" : "MessageDefinition",
          "short" : "A resource that defines a type of message that can be exchanged between systems",
          "definition" : "Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted.",
          "comment" : "This would be a MIF-level artifact.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "msd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageDefinition.id",
          "path" : "MessageDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.meta",
          "path" : "MessageDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.implicitRules",
          "path" : "MessageDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.language",
          "path" : "MessageDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MessageDefinition.text",
          "path" : "MessageDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MessageDefinition.contained",
          "path" : "MessageDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageDefinition.extension",
          "path" : "MessageDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageDefinition.modifierExtension",
          "path" : "MessageDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageDefinition.url",
          "path" : "MessageDefinition.url",
          "short" : "Business Identifier for a given MessageDefinition",
          "definition" : "The business identifier that is used to reference the MessageDefinition and *is* expected to be consistent from server to server.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the message definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "MessageDefinition.identifier",
          "path" : "MessageDefinition.identifier",
          "short" : "Primary key for the message definition on a given server",
          "definition" : "A formal identifier that is used to identify this message definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this message definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "MessageDefinition.version",
          "path" : "MessageDefinition.version",
          "short" : "Business version of the message definition",
          "definition" : "The identifier that is used to identify this version of the message definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the message definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different message definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the message definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "MessageDefinition.name",
          "path" : "MessageDefinition.name",
          "short" : "Name for this message definition (computer friendly)",
          "definition" : "A natural language name identifying the message definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.title",
          "path" : "MessageDefinition.title",
          "short" : "Name for this message definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the message definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "MessageDefinition.replaces",
          "path" : "MessageDefinition.replaces",
          "short" : "Takes the place of",
          "definition" : "A MessageDefinition that is superseded by this definition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.replaces",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.status",
          "path" : "MessageDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this message definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of message definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "MessageDefinition.experimental",
          "path" : "MessageDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this message definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of message definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level message definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "MessageDefinition.date",
          "path" : "MessageDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the message definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the message definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the message definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.date",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "MessageDefinition.publisher",
          "path" : "MessageDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the message definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the message definition is the organization or individual primarily responsible for the maintenance and upkeep of the message definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the message definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the message definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "MessageDefinition.contact",
          "path" : "MessageDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "MessageDefinition.description",
          "path" : "MessageDefinition.description",
          "short" : "Natural language description of the message definition",
          "definition" : "A free text natural language description of the message definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the message definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the message definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the message definition is presumed to be the predominant language in the place the message definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "MessageDefinition.useContext",
          "path" : "MessageDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate message definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "MessageDefinition.jurisdiction",
          "path" : "MessageDefinition.jurisdiction",
          "short" : "Intended jurisdiction for message definition (if applicable)",
          "definition" : "A legal or geographic region in which the message definition is intended to be used.",
          "comment" : "It may be possible for the message definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "MessageDefinition.purpose",
          "path" : "MessageDefinition.purpose",
          "short" : "Why this message definition is defined",
          "definition" : "Explanation of why this message definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the message definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this message definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "MessageDefinition.copyright",
          "path" : "MessageDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the message definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the message definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the message definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "MessageDefinition.base",
          "path" : "MessageDefinition.base",
          "short" : "Definition this one is based on",
          "definition" : "The MessageDefinition that is the basis for the contents of this resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.base",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.parent",
          "path" : "MessageDefinition.parent",
          "short" : "Protocol/workflow this is part of",
          "definition" : "Identifies a protocol or workflow that this MessageDefinition represents a step in.",
          "comment" : "It should be possible to use MessageDefinition to describe a message to be used by certain steps in a particular protocol as part of a PlanDefinition or ActivityDefinition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.parent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.event[x]",
          "path" : "MessageDefinition.event[x]",
          "short" : "Event code  or link to the EventDefinition",
          "definition" : "Event code or link to the EventDefinition.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.event[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          },
          {
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MessageEvent"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "One of the message events defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-events"
          }
        },
        {
          "id" : "MessageDefinition.category",
          "path" : "MessageDefinition.category",
          "short" : "consequence | currency | notification",
          "definition" : "The impact of the content of the message.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MessageSignificanceCategory"
            }],
            "strength" : "required",
            "description" : "The impact of the content of a message.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-significance-category|4.0.0"
          }
        },
        {
          "id" : "MessageDefinition.focus",
          "path" : "MessageDefinition.focus",
          "short" : "Resource(s) that are the subject of the event",
          "definition" : "Identifies the resource (or resources) that are being addressed by the event.  For example, the Encounter for an admit message or two Account records for a merge.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.focus",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "md-1",
            "severity" : "error",
            "human" : "Max must be postive int or *",
            "expression" : "max='*' or (max.toInteger() > 0)",
            "xpath" : "f:max/@value='*' or number(f:max/@value) > 0"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.focus.id",
          "path" : "MessageDefinition.focus.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageDefinition.focus.extension",
          "path" : "MessageDefinition.focus.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageDefinition.focus.modifierExtension",
          "path" : "MessageDefinition.focus.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageDefinition.focus.code",
          "path" : "MessageDefinition.focus.code",
          "short" : "Type of resource",
          "definition" : "The kind of resource that must be the focus for this message.",
          "comment" : "Multiple focuses addressing different resources may occasionally occur.  E.g. to link or unlink a resource from a particular account or encounter, etc.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.focus.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "MessageDefinition.focus.profile",
          "path" : "MessageDefinition.focus.profile",
          "short" : "Profile that must be adhered to by focus",
          "definition" : "A profile that reflects constraints for the focal resource (and potentially for related resources).",
          "comment" : "This should be present for most message definitions.  However, if the message focus is only a single resource and there is no need to include referenced resources or otherwise enforce the presence of particular elements, it can be omitted.",
          "requirements" : "This profile allows setting boundaries for what content must appear within the message bundle vs. outside based on the declared aggregation constraints on referenced resources on this and related profiles.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.focus.profile",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MessageDefinition.focus.min",
          "path" : "MessageDefinition.focus.min",
          "short" : "Minimum number of focuses of this type",
          "definition" : "Identifies the minimum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.focus.min",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.focus.max",
          "path" : "MessageDefinition.focus.max",
          "short" : "Maximum number of focuses of this type",
          "definition" : "Identifies the maximum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.focus.max",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["md-1"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MessageDefinition.responseRequired",
          "path" : "MessageDefinition.responseRequired",
          "short" : "always | on-error | never | on-success",
          "definition" : "Declare at a message definition level whether a response is required or only upon error or success, or never.",
          "comment" : "This enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.responseRequired",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "always"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "messageheader-response-request"
            }],
            "strength" : "required",
            "description" : "HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-16"
          }]
        },
        {
          "id" : "MessageDefinition.allowedResponse",
          "path" : "MessageDefinition.allowedResponse",
          "short" : "Responses to this message",
          "definition" : "Indicates what types of messages may be sent as an application-level response to this message.",
          "comment" : "This indicates an application level response to \"close\" a transaction implicit in a particular request message.  To define a complete workflow scenario, look to the [[PlanDefinition]] resource which allows the definition of complex orchestrations, conditionality, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.allowedResponse",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MessageDefinition.allowedResponse.id",
          "path" : "MessageDefinition.allowedResponse.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageDefinition.allowedResponse.extension",
          "path" : "MessageDefinition.allowedResponse.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageDefinition.allowedResponse.modifierExtension",
          "path" : "MessageDefinition.allowedResponse.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageDefinition.allowedResponse.message",
          "path" : "MessageDefinition.allowedResponse.message",
          "short" : "Reference to allowed message definition response",
          "definition" : "A reference to the message definition that must be adhered to by this supported response.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.allowedResponse.message",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MessageDefinition.allowedResponse.situation",
          "path" : "MessageDefinition.allowedResponse.situation",
          "short" : "When should this response be used",
          "definition" : "Provides a description of the circumstances in which this response should be used (as opposed to one of the alternative responses).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageDefinition.allowedResponse.situation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "MessageDefinition.graph",
          "path" : "MessageDefinition.graph",
          "short" : "Canonical reference to a GraphDefinition",
          "definition" : "Canonical reference to a GraphDefinition. If a URL is provided, it is the canonical reference to a [GraphDefinition](graphdefinition.html) that it controls what resources are to be added to the bundle when building the document. The GraphDefinition can also specify profiles that apply to the various resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageDefinition.graph",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/GraphDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MessageDefinition",
          "path" : "MessageDefinition",
          "short" : "A resource that defines a type of message that can be exchanged between systems",
          "definition" : "Defines the characteristics of a message that can be shared between systems, including the type of event that initiates the message, the content to be transmitted and what response(s), if any, are permitted.",
          "comment" : "This would be a MIF-level artifact.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "msd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageDefinition.url",
          "path" : "MessageDefinition.url",
          "short" : "Business Identifier for a given MessageDefinition",
          "definition" : "The business identifier that is used to reference the MessageDefinition and *is* expected to be consistent from server to server.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the message definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "MessageDefinition.identifier",
          "path" : "MessageDefinition.identifier",
          "short" : "Primary key for the message definition on a given server",
          "definition" : "A formal identifier that is used to identify this message definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this message definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "MessageDefinition.version",
          "path" : "MessageDefinition.version",
          "short" : "Business version of the message definition",
          "definition" : "The identifier that is used to identify this version of the message definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the message definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different message definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the message definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "MessageDefinition.name",
          "path" : "MessageDefinition.name",
          "short" : "Name for this message definition (computer friendly)",
          "definition" : "A natural language name identifying the message definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.title",
          "path" : "MessageDefinition.title",
          "short" : "Name for this message definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the message definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "MessageDefinition.replaces",
          "path" : "MessageDefinition.replaces",
          "short" : "Takes the place of",
          "definition" : "A MessageDefinition that is superseded by this definition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.status",
          "path" : "MessageDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this message definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of message definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "MessageDefinition.experimental",
          "path" : "MessageDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this message definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of message definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level message definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "MessageDefinition.date",
          "path" : "MessageDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the message definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the message definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the message definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "MessageDefinition.publisher",
          "path" : "MessageDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the message definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the message definition is the organization or individual primarily responsible for the maintenance and upkeep of the message definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the message definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the message definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "MessageDefinition.contact",
          "path" : "MessageDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "MessageDefinition.description",
          "path" : "MessageDefinition.description",
          "short" : "Natural language description of the message definition",
          "definition" : "A free text natural language description of the message definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the message definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the message definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the message definition is presumed to be the predominant language in the place the message definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "MessageDefinition.useContext",
          "path" : "MessageDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate message definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "MessageDefinition.jurisdiction",
          "path" : "MessageDefinition.jurisdiction",
          "short" : "Intended jurisdiction for message definition (if applicable)",
          "definition" : "A legal or geographic region in which the message definition is intended to be used.",
          "comment" : "It may be possible for the message definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "MessageDefinition.purpose",
          "path" : "MessageDefinition.purpose",
          "short" : "Why this message definition is defined",
          "definition" : "Explanation of why this message definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the message definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this message definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "MessageDefinition.copyright",
          "path" : "MessageDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the message definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the message definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the message definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "MessageDefinition.base",
          "path" : "MessageDefinition.base",
          "short" : "Definition this one is based on",
          "definition" : "The MessageDefinition that is the basis for the contents of this resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.parent",
          "path" : "MessageDefinition.parent",
          "short" : "Protocol/workflow this is part of",
          "definition" : "Identifies a protocol or workflow that this MessageDefinition represents a step in.",
          "comment" : "It should be possible to use MessageDefinition to describe a message to be used by certain steps in a particular protocol as part of a PlanDefinition or ActivityDefinition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.event[x]",
          "path" : "MessageDefinition.event[x]",
          "short" : "Event code  or link to the EventDefinition",
          "definition" : "Event code or link to the EventDefinition.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          },
          {
            "code" : "uri"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MessageEvent"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "One of the message events defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-events"
          }
        },
        {
          "id" : "MessageDefinition.category",
          "path" : "MessageDefinition.category",
          "short" : "consequence | currency | notification",
          "definition" : "The impact of the content of the message.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MessageSignificanceCategory"
            }],
            "strength" : "required",
            "description" : "The impact of the content of a message.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-significance-category|4.0.0"
          }
        },
        {
          "id" : "MessageDefinition.focus",
          "path" : "MessageDefinition.focus",
          "short" : "Resource(s) that are the subject of the event",
          "definition" : "Identifies the resource (or resources) that are being addressed by the event.  For example, the Encounter for an admit message or two Account records for a merge.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "md-1",
            "severity" : "error",
            "human" : "Max must be postive int or *",
            "expression" : "max='*' or (max.toInteger() > 0)",
            "xpath" : "f:max/@value='*' or number(f:max/@value) > 0"
          }],
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.focus.code",
          "path" : "MessageDefinition.focus.code",
          "short" : "Type of resource",
          "definition" : "The kind of resource that must be the focus for this message.",
          "comment" : "Multiple focuses addressing different resources may occasionally occur.  E.g. to link or unlink a resource from a particular account or encounter, etc.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "MessageDefinition.focus.profile",
          "path" : "MessageDefinition.focus.profile",
          "short" : "Profile that must be adhered to by focus",
          "definition" : "A profile that reflects constraints for the focal resource (and potentially for related resources).",
          "comment" : "This should be present for most message definitions.  However, if the message focus is only a single resource and there is no need to include referenced resources or otherwise enforce the presence of particular elements, it can be omitted.",
          "requirements" : "This profile allows setting boundaries for what content must appear within the message bundle vs. outside based on the declared aggregation constraints on referenced resources on this and related profiles.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "MessageDefinition.focus.min",
          "path" : "MessageDefinition.focus.min",
          "short" : "Minimum number of focuses of this type",
          "definition" : "Identifies the minimum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "unsignedInt"
          }],
          "isSummary" : true
        },
        {
          "id" : "MessageDefinition.focus.max",
          "path" : "MessageDefinition.focus.max",
          "short" : "Maximum number of focuses of this type",
          "definition" : "Identifies the maximum number of resources of this type that must be pointed to by a message in order for it to be valid against this MessageDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["md-1"]
        },
        {
          "id" : "MessageDefinition.responseRequired",
          "path" : "MessageDefinition.responseRequired",
          "short" : "always | on-error | never | on-success",
          "definition" : "Declare at a message definition level whether a response is required or only upon error or success, or never.",
          "comment" : "This enables the capability currently available through MSH-16 (Application Level acknowledgement) in HL7 Version 2 to declare at a message instance level whether a response is required or only upon error or success, or never.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "always"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "messageheader-response-request"
            }],
            "strength" : "required",
            "description" : "HL7-defined table of codes which identify conditions under which acknowledgments are required to be returned in response to a message.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/messageheader-response-request|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-16"
          }]
        },
        {
          "id" : "MessageDefinition.allowedResponse",
          "path" : "MessageDefinition.allowedResponse",
          "short" : "Responses to this message",
          "definition" : "Indicates what types of messages may be sent as an application-level response to this message.",
          "comment" : "This indicates an application level response to \"close\" a transaction implicit in a particular request message.  To define a complete workflow scenario, look to the [[PlanDefinition]] resource which allows the definition of complex orchestrations, conditionality, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "MessageDefinition.allowedResponse.message",
          "path" : "MessageDefinition.allowedResponse.message",
          "short" : "Reference to allowed message definition response",
          "definition" : "A reference to the message definition that must be adhered to by this supported response.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }]
        },
        {
          "id" : "MessageDefinition.allowedResponse.situation",
          "path" : "MessageDefinition.allowedResponse.situation",
          "short" : "When should this response be used",
          "definition" : "Provides a description of the circumstances in which this response should be used (as opposed to one of the alternative responses).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "MessageDefinition.graph",
          "path" : "MessageDefinition.graph",
          "short" : "Canonical reference to a GraphDefinition",
          "definition" : "Canonical reference to a GraphDefinition. If a URL is provided, it is the canonical reference to a [GraphDefinition](graphdefinition.html) that it controls what resources are to be added to the bundle when building the document. The GraphDefinition can also specify profiles that apply to the various resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/GraphDefinition"]
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MessageHeader",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MessageHeader",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MessageHeader 
ΣTU
DomainResource
A resource that describes a message that is exchanged between systems
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 event[x] 
Σ
1..1
Code for the event this message represents or link to event definition
MessageEvent (Example)
 eventCoding
Coding
 eventUri
uri
 destination 
Σ
0..*
BackboneElement
Message destination application(s)
 name 
Σ
0..1
string
Name of system
 target 
Σ
0..1
Reference(Device)
Particular delivery destination within the destination
 endpoint 
Σ
1..1
url
Actual destination address or id
 receiver 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization)
Intended "real-world" recipient for the data
 sender 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization)
Real world sender of the message
 enterer 
Σ
0..1
Reference(Practitioner | PractitionerRole)
The source of the data entry
 author 
Σ
0..1
Reference(Practitioner | PractitionerRole)
The source of the decision
 source 
Σ
1..1
BackboneElement
Message source application
 name 
Σ
0..1
string
Name of system
 software 
Σ
0..1
string
Name of software running the system
 version 
Σ
0..1
string
Version of software running
 contact 
Σ
0..1
ContactPoint
Human contact for problems
 endpoint 
Σ
1..1
url
Actual message source address or id
 responsible 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization)
Final responsibility for event
 reason 
Σ
0..1
CodeableConcept
Cause of event
Example Message Reason Codes (Example)
 response 
Σ
0..1
BackboneElement
If this is a reply to prior message
 identifier 
Σ
1..1
id
Id of original message
 code 
Σ
1..1
code
ok | transient-error | fatal-error
ResponseType (Required)
 details 
Σ
0..1
Reference(OperationOutcome)
Specific list of hints/warnings/errors
 focus 
Σ
0..*
Reference(Any)
The actual content of the message
 definition 
Σ
0..1
canonical(MessageDefinition)
Link to the definition for this message

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Other"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 4
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "inm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MessageHeader",
      "version" : "4.0.0",
      "name" : "MessageHeader",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Infrastructure And Messaging)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/special/committees/inm/index.cfm"
        }]
      }],
      "description" : "The header for a message exchange that is either requesting or responding to an action.  The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle.",
      "purpose" : "Many implementations are not prepared to use REST and need a messaging based infrastructure.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MessageHeader",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MessageHeader",
          "path" : "MessageHeader",
          "short" : "A resource that describes a message that is exchanged between systems",
          "definition" : "The header for a message exchange that is either requesting or responding to an action.  The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageHeader",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "MSH / MSA / ERR"
          },
          {
            "identity" : "rim",
            "map" : "Message"
          }]
        },
        {
          "id" : "MessageHeader.id",
          "path" : "MessageHeader.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageHeader.meta",
          "path" : "MessageHeader.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MessageHeader.implicitRules",
          "path" : "MessageHeader.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MessageHeader.language",
          "path" : "MessageHeader.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MessageHeader.text",
          "path" : "MessageHeader.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MessageHeader.contained",
          "path" : "MessageHeader.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageHeader.extension",
          "path" : "MessageHeader.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageHeader.modifierExtension",
          "path" : "MessageHeader.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageHeader.event[x]",
          "path" : "MessageHeader.event[x]",
          "short" : "Code for the event this message represents or link to event definition",
          "definition" : "Code that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value \"http://terminology.hl7.org/CodeSystem/message-events\".  Alternatively uri to the EventDefinition.",
          "comment" : "The time of the event will be found in the focus resource. The time of the message will be found in [Bundle.timestamp](bundle-definitions.html#Bundle.timestamp).",
          "requirements" : "Drives the behavior associated with this message.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.event[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          },
          {
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MessageEvent"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "One of the message events defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-events"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "MSH-9.2"
          },
          {
            "identity" : "rim",
            "map" : "./payload[classCode=\"CACT\" and moodCode=\"EVN\" and isNormalAct()]/code[isNormalDatatype()]/code"
          }]
        },
        {
          "id" : "MessageHeader.destination",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "MessageDestination"
          }],
          "path" : "MessageHeader.destination",
          "short" : "Message destination application(s)",
          "definition" : "The destination application which the message is intended for.",
          "comment" : "There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system.",
          "requirements" : "Indicates where message is to be sent for routing purposes.  Allows verification of \"am I the intended recipient\".",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageHeader.destination",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "./communicationFunction[typeCode=\"RCV\"]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MessageHeader.destination.id",
          "path" : "MessageHeader.destination.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageHeader.destination.extension",
          "path" : "MessageHeader.destination.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageHeader.destination.modifierExtension",
          "path" : "MessageHeader.destination.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageHeader.destination.name",
          "path" : "MessageHeader.destination.name",
          "short" : "Name of system",
          "definition" : "Human-readable name for the target system.",
          "requirements" : "May be used for routing of response and/or to support audit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.destination.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-5"
          },
          {
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and (classCode=(\"DEV\", \"PSN\", \"ORG\"]/name[type='ST' and isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.destination.target",
          "path" : "MessageHeader.destination.target",
          "short" : "Particular delivery destination within the destination",
          "definition" : "Identifies the target end system in situations where the initial message transmission is to an intermediary system.",
          "requirements" : "Supports multi-hop routing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.destination.target",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and (classCode=(\"DEV\", \"PSN\", \"ORG\"]"
          }]
        },
        {
          "id" : "MessageHeader.destination.endpoint",
          "path" : "MessageHeader.destination.endpoint",
          "short" : "Actual destination address or id",
          "definition" : "Indicates where the message should be routed to.",
          "comment" : "The id may be a non-resolvable URI for systems that do not use standard network-based addresses.",
          "requirements" : "Identifies where to route the message.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.destination.endpoint",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-25 (or MSH-6)"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          }]
        },
        {
          "id" : "MessageHeader.destination.receiver",
          "path" : "MessageHeader.destination.receiver",
          "short" : "Intended \"real-world\" recipient for the data",
          "definition" : "Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient.",
          "requirements" : "Allows routing beyond just the application level.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.destination.receiver",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'"
          },
          {
            "identity" : "rim",
            "map" : "Not directly supported.  Could be shared using attentionLine.value with an appropriate keyWordText"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MessageHeader.sender",
          "path" : "MessageHeader.sender",
          "short" : "Real world sender of the message",
          "definition" : "Identifies the sending system to allow the use of a trust relationship.",
          "comment" : "Use case is for where a (trusted) sending system is responsible for multiple organizations, and therefore cannot differentiate based on source endpoint / authentication alone.",
          "requirements" : "Allows routing beyond just the application level.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.sender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'"
          },
          {
            "identity" : "rim",
            "map" : "Not directly supported.  Could be shared using attentionLine.value with an appropriate keyWordText"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MessageHeader.enterer",
          "path" : "MessageHeader.enterer",
          "short" : "The source of the data entry",
          "definition" : "The person or device that performed the data entry leading to this message. When there is more than one candidate, pick the most proximal to the message. Can provide other enterers in extensions.",
          "comment" : "Usually only for the request but can be used in a response.",
          "requirements" : "Need to know for audit/traceback requirements and possibly for authorization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.enterer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "EVN-5 / ORC-10 / PRT-5:PRT-4='EP' / ROL where ROL.3 is EP or ORC.10"
          },
          {
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[typeCode=\"ENT\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=(\"DEV\", \"PSN\") and determinerCode=\"INST\"])"
          }]
        },
        {
          "id" : "MessageHeader.author",
          "path" : "MessageHeader.author",
          "short" : "The source of the decision",
          "definition" : "The logical author of the message - the person or device that decided the described event should happen. When there is more than one candidate, pick the most proximal to the MessageHeader. Can provide other authors in extensions.",
          "comment" : "Usually only for the request but can be used in a response.",
          "requirements" : "Need to know for audit/traceback requirements and possibly for authorization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC-19 / PRT-5:PRT-4='AUT' / ROL where ROL.3 is IP or ORC.12"
          },
          {
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"AUT\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=(\"DEV\", \"PSN\") and determinerCode=\"INST\"])"
          }]
        },
        {
          "id" : "MessageHeader.source",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "MessageSource"
          }],
          "path" : "MessageHeader.source",
          "short" : "Message source application",
          "definition" : "The source application from which this message originated.",
          "requirements" : "Allows replies, supports audit.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.source",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : "unique(./communicationFunction[typeCode=\"SND\"])"
          }]
        },
        {
          "id" : "MessageHeader.source.id",
          "path" : "MessageHeader.source.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageHeader.source.extension",
          "path" : "MessageHeader.source.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageHeader.source.modifierExtension",
          "path" : "MessageHeader.source.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageHeader.source.name",
          "path" : "MessageHeader.source.name",
          "short" : "Name of system",
          "definition" : "Human-readable name for the source system.",
          "requirements" : "May be used to support audit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.source.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-3"
          },
          {
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/name[type='ST' and isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.source.software",
          "path" : "MessageHeader.source.software",
          "short" : "Name of software running the system",
          "definition" : "May include configuration or other information useful in debugging.",
          "requirements" : "Supports audit and possibly interface engine behavior.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.source.software",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SFT-3 ( +SFT-1)"
          },
          {
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/softwareName[isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.source.version",
          "path" : "MessageHeader.source.version",
          "short" : "Version of software running",
          "definition" : "Can convey versions of multiple systems in situations where a message passes through multiple hands.",
          "requirements" : "Supports audit and possibly interface engine behavior.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.source.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SFT-2"
          },
          {
            "identity" : "rim",
            "map" : "(Not supported)"
          }]
        },
        {
          "id" : "MessageHeader.source.contact",
          "path" : "MessageHeader.source.contact",
          "short" : "Human contact for problems",
          "definition" : "An e-mail, phone, website or other contact point to use to resolve issues with message communications.",
          "requirements" : "Allows escalation of technical issues.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.source.contact",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "(MSH-22?)"
          },
          {
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/scopesRole[normalRole() and classCode=\"CON\" and layer[classCode=\"PSN\"]/telecom[isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.source.endpoint",
          "path" : "MessageHeader.source.endpoint",
          "short" : "Actual message source address or id",
          "definition" : "Identifies the routing target to send acknowledgements to.",
          "comment" : "The id may be a non-resolvable URI for systems that do not use standard network-based addresses.",
          "requirements" : "Identifies where to send responses, may influence security permissions.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.source.endpoint",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-24"
          },
          {
            "identity" : "rim",
            "map" : "./telecom[isNormalDatatype()]"
          }]
        },
        {
          "id" : "MessageHeader.responsible",
          "path" : "MessageHeader.responsible",
          "short" : "Final responsibility for event",
          "definition" : "The person or organization that accepts overall responsibility for the contents of the message. The implication is that the message event happened under the policies of the responsible party.",
          "comment" : "Usually only for the request but can be used in a response.",
          "requirements" : "Need to know for audit/traceback requirements and possibly for authorization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.responsible",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "v2",
            "map" : "ORC-12 /  PRT-5:PRT-4='OP' /  PRT-8:PRT-4='OP' / ROL where ROL.3 is RO or ORC.11"
          },
          {
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"RESP\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=\"PSN\" and determinerCode=\"INST\"] or ./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"RESP\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/scoper[isNormalEntity() and classCode=\"ORG\" and determinerCode=\"INST\"])"
          }]
        },
        {
          "id" : "MessageHeader.reason",
          "path" : "MessageHeader.reason",
          "short" : "Cause of event",
          "definition" : "Coded indication of the cause for the event - indicates  a reason for the occurrence of the event that is a focus of this message.",
          "requirements" : "Need to be able to track why resources are being changed and report in the audit log/history of the resource.  May affect authorization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.reason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EventReason"
            }],
            "strength" : "example",
            "description" : "Reason for event occurrence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-reason-encounter"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 / ORC.16 / OBR-31-reason for study / BPO-13-BP indication for use / RXO-20-indication / RXE-27-give indication / RXD-21-indication / RXG-22-indication / RXA-19-indication"
          },
          {
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/reasonCode[isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.response",
          "path" : "MessageHeader.response",
          "short" : "If this is a reply to prior message",
          "definition" : "Information about the message that this message is a response to.  Only present if this message is a response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.response",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSA"
          },
          {
            "identity" : "rim",
            "map" : "./conveyedAcknowledgement"
          }]
        },
        {
          "id" : "MessageHeader.response.id",
          "path" : "MessageHeader.response.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageHeader.response.extension",
          "path" : "MessageHeader.response.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MessageHeader.response.modifierExtension",
          "path" : "MessageHeader.response.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MessageHeader.response.identifier",
          "path" : "MessageHeader.response.identifier",
          "short" : "Id of original message",
          "definition" : "The MessageHeader.id of the message to which this message is a response.",
          "requirements" : "Allows receiver to know what message is being responded to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.response.identifier",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSA-2"
          },
          {
            "identity" : "rim",
            "map" : "./acknowledges.id[isNormalDatatype()]"
          }]
        },
        {
          "id" : "MessageHeader.response.code",
          "path" : "MessageHeader.response.code",
          "short" : "ok | transient-error | fatal-error",
          "definition" : "Code that identifies the type of response to the message - whether it was successful or not, and whether it should be resent or not.",
          "comment" : "This is a generic response to the request message. Specific data for the response will be found in MessageHeader.focus.",
          "requirements" : "Allows the sender of the acknowledge message to know if the request was successful or if action is needed.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.response.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResponseType"
            }],
            "strength" : "required",
            "description" : "The kind of response to a message.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/response-code|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSA-1"
          },
          {
            "identity" : "rim",
            "map" : "./typeCode[isNormalDatatype()]"
          }]
        },
        {
          "id" : "MessageHeader.response.details",
          "path" : "MessageHeader.response.details",
          "short" : "Specific list of hints/warnings/errors",
          "definition" : "Full details of any issues found in the message.",
          "comment" : "This SHALL be contained in the bundle. If any of the issues are errors, the response code SHALL be an error.",
          "requirements" : "Allows the sender of the message to determine what the specific issues are.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.response.details",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/OperationOutcome"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR"
          },
          {
            "identity" : "rim",
            "map" : "AcknowledgementDetail or Observation[classCode=\"ALRT\" and moodCode=\"EVN\"]"
          }]
        },
        {
          "id" : "MessageHeader.focus",
          "path" : "MessageHeader.focus",
          "short" : "The actual content of the message",
          "definition" : "The actual data of the message - a reference to the root/focus class of the event.",
          "comment" : "The data is defined where the transaction type is defined. The transaction data is always included in the bundle that is the full message.  Only the root resource is specified.  The resources it references should be contained in the bundle but are not also listed here.  Multiple repetitions are allowed to cater for merges and other situations with multiple focal targets.",
          "requirements" : "Every message event is about actual data, a single resource, that is identified in the definition of the event, and perhaps some or all linked resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MessageHeader.focus",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[typeCode=\"SUBJ\" and isNormalParticipation]/role or ./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/outboundRelationship[typeCode=\"SBJ\" and isNormalActRelatoinship]/target)"
          }]
        },
        {
          "id" : "MessageHeader.definition",
          "path" : "MessageHeader.definition",
          "short" : "Link to the definition for this message",
          "definition" : "Permanent link to the MessageDefinition for this message.",
          "requirements" : "Allows sender to define the expected contents of the message.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MessageHeader.definition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Not directly supported."
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MessageHeader",
          "path" : "MessageHeader",
          "short" : "A resource that describes a message that is exchanged between systems",
          "definition" : "The header for a message exchange that is either requesting or responding to an action.  The reference(s) that are the subject of the action as well as other information related to the action are typically transmitted in a bundle in which the MessageHeader resource instance is the first resource in the bundle.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH / MSA / ERR"
          },
          {
            "identity" : "rim",
            "map" : "Message"
          }]
        },
        {
          "id" : "MessageHeader.event[x]",
          "path" : "MessageHeader.event[x]",
          "short" : "Code for the event this message represents or link to event definition",
          "definition" : "Code that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value \"http://terminology.hl7.org/CodeSystem/message-events\".  Alternatively uri to the EventDefinition.",
          "comment" : "The time of the event will be found in the focus resource. The time of the message will be found in [Bundle.timestamp](bundle-definitions.html#Bundle.timestamp).",
          "requirements" : "Drives the behavior associated with this message.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          },
          {
            "code" : "uri"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MessageEvent"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "One of the message events defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-events"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "MSH-9.2"
          },
          {
            "identity" : "rim",
            "map" : "./payload[classCode=\"CACT\" and moodCode=\"EVN\" and isNormalAct()]/code[isNormalDatatype()]/code"
          }]
        },
        {
          "id" : "MessageHeader.destination",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "MessageDestination"
          }],
          "path" : "MessageHeader.destination",
          "short" : "Message destination application(s)",
          "definition" : "The destination application which the message is intended for.",
          "comment" : "There SHOULD be at least one destination, but in some circumstances, the source system is unaware of any particular destination system.",
          "requirements" : "Indicates where message is to be sent for routing purposes.  Allows verification of \"am I the intended recipient\".",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "./communicationFunction[typeCode=\"RCV\"]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MessageHeader.destination.name",
          "path" : "MessageHeader.destination.name",
          "short" : "Name of system",
          "definition" : "Human-readable name for the target system.",
          "requirements" : "May be used for routing of response and/or to support audit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-5"
          },
          {
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and (classCode=(\"DEV\", \"PSN\", \"ORG\"]/name[type='ST' and isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.destination.target",
          "path" : "MessageHeader.destination.target",
          "short" : "Particular delivery destination within the destination",
          "definition" : "Identifies the target end system in situations where the initial message transmission is to an intermediary system.",
          "requirements" : "Supports multi-hop routing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and (classCode=(\"DEV\", \"PSN\", \"ORG\"]"
          }]
        },
        {
          "id" : "MessageHeader.destination.endpoint",
          "path" : "MessageHeader.destination.endpoint",
          "short" : "Actual destination address or id",
          "definition" : "Indicates where the message should be routed to.",
          "comment" : "The id may be a non-resolvable URI for systems that do not use standard network-based addresses.",
          "requirements" : "Identifies where to route the message.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-25 (or MSH-6)"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          }]
        },
        {
          "id" : "MessageHeader.destination.receiver",
          "path" : "MessageHeader.destination.receiver",
          "short" : "Intended \"real-world\" recipient for the data",
          "definition" : "Allows data conveyed by a message to be addressed to a particular person or department when routing to a specific application isn't sufficient.",
          "requirements" : "Allows routing beyond just the application level.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'"
          },
          {
            "identity" : "rim",
            "map" : "Not directly supported.  Could be shared using attentionLine.value with an appropriate keyWordText"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MessageHeader.sender",
          "path" : "MessageHeader.sender",
          "short" : "Real world sender of the message",
          "definition" : "Identifies the sending system to allow the use of a trust relationship.",
          "comment" : "Use case is for where a (trusted) sending system is responsible for multiple organizations, and therefore cannot differentiate based on source endpoint / authentication alone.",
          "requirements" : "Allows routing beyond just the application level.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRT-5:PRT-4='WAYR' / PRT-8:PRT-4='WAYR'"
          },
          {
            "identity" : "rim",
            "map" : "Not directly supported.  Could be shared using attentionLine.value with an appropriate keyWordText"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "MessageHeader.enterer",
          "path" : "MessageHeader.enterer",
          "short" : "The source of the data entry",
          "definition" : "The person or device that performed the data entry leading to this message. When there is more than one candidate, pick the most proximal to the message. Can provide other enterers in extensions.",
          "comment" : "Usually only for the request but can be used in a response.",
          "requirements" : "Need to know for audit/traceback requirements and possibly for authorization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "EVN-5 / ORC-10 / PRT-5:PRT-4='EP' / ROL where ROL.3 is EP or ORC.10"
          },
          {
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[typeCode=\"ENT\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=(\"DEV\", \"PSN\") and determinerCode=\"INST\"])"
          }]
        },
        {
          "id" : "MessageHeader.author",
          "path" : "MessageHeader.author",
          "short" : "The source of the decision",
          "definition" : "The logical author of the message - the person or device that decided the described event should happen. When there is more than one candidate, pick the most proximal to the MessageHeader. Can provide other authors in extensions.",
          "comment" : "Usually only for the request but can be used in a response.",
          "requirements" : "Need to know for audit/traceback requirements and possibly for authorization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC-19 / PRT-5:PRT-4='AUT' / ROL where ROL.3 is IP or ORC.12"
          },
          {
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"AUT\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=(\"DEV\", \"PSN\") and determinerCode=\"INST\"])"
          }]
        },
        {
          "id" : "MessageHeader.source",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "MessageSource"
          }],
          "path" : "MessageHeader.source",
          "short" : "Message source application",
          "definition" : "The source application from which this message originated.",
          "requirements" : "Allows replies, supports audit.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : "unique(./communicationFunction[typeCode=\"SND\"])"
          }]
        },
        {
          "id" : "MessageHeader.source.name",
          "path" : "MessageHeader.source.name",
          "short" : "Name of system",
          "definition" : "Human-readable name for the source system.",
          "requirements" : "May be used to support audit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-3"
          },
          {
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/name[type='ST' and isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.source.software",
          "path" : "MessageHeader.source.software",
          "short" : "Name of software running the system",
          "definition" : "May include configuration or other information useful in debugging.",
          "requirements" : "Supports audit and possibly interface engine behavior.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SFT-3 ( +SFT-1)"
          },
          {
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/softwareName[isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.source.version",
          "path" : "MessageHeader.source.version",
          "short" : "Version of software running",
          "definition" : "Can convey versions of multiple systems in situations where a message passes through multiple hands.",
          "requirements" : "Supports audit and possibly interface engine behavior.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SFT-2"
          },
          {
            "identity" : "rim",
            "map" : "(Not supported)"
          }]
        },
        {
          "id" : "MessageHeader.source.contact",
          "path" : "MessageHeader.source.contact",
          "short" : "Human contact for problems",
          "definition" : "An e-mail, phone, website or other contact point to use to resolve issues with message communications.",
          "requirements" : "Allows escalation of technical issues.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "(MSH-22?)"
          },
          {
            "identity" : "rim",
            "map" : "unique(./entity[determinerCode=\"INST\" and classCode=\"DEV\"]/scopesRole[normalRole() and classCode=\"CON\" and layer[classCode=\"PSN\"]/telecom[isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.source.endpoint",
          "path" : "MessageHeader.source.endpoint",
          "short" : "Actual message source address or id",
          "definition" : "Identifies the routing target to send acknowledgements to.",
          "comment" : "The id may be a non-resolvable URI for systems that do not use standard network-based addresses.",
          "requirements" : "Identifies where to send responses, may influence security permissions.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSH-24"
          },
          {
            "identity" : "rim",
            "map" : "./telecom[isNormalDatatype()]"
          }]
        },
        {
          "id" : "MessageHeader.responsible",
          "path" : "MessageHeader.responsible",
          "short" : "Final responsibility for event",
          "definition" : "The person or organization that accepts overall responsibility for the contents of the message. The implication is that the message event happened under the policies of the responsible party.",
          "comment" : "Usually only for the request but can be used in a response.",
          "requirements" : "Need to know for audit/traceback requirements and possibly for authorization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "v2",
            "map" : "ORC-12 /  PRT-5:PRT-4='OP' /  PRT-8:PRT-4='OP' / ROL where ROL.3 is RO or ORC.11"
          },
          {
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"RESP\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/player[isNormalEntity() and classCode=\"PSN\" and determinerCode=\"INST\"] or ./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[isHighest(priorityCode) and typeCode=\"RESP\" and isNormalParticipation]/role[classCode=\"ASSIGNED\" and isNormalRole()]/scoper[isNormalEntity() and classCode=\"ORG\" and determinerCode=\"INST\"])"
          }]
        },
        {
          "id" : "MessageHeader.reason",
          "path" : "MessageHeader.reason",
          "short" : "Cause of event",
          "definition" : "Coded indication of the cause for the event - indicates  a reason for the occurrence of the event that is a focus of this message.",
          "requirements" : "Need to be able to track why resources are being changed and report in the audit log/history of the resource.  May affect authorization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EventReason"
            }],
            "strength" : "example",
            "description" : "Reason for event occurrence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/message-reason-encounter"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.4 / ORC.16 / OBR-31-reason for study / BPO-13-BP indication for use / RXO-20-indication / RXE-27-give indication / RXD-21-indication / RXG-22-indication / RXA-19-indication"
          },
          {
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/reasonCode[isNormalDatatype()])"
          }]
        },
        {
          "id" : "MessageHeader.response",
          "path" : "MessageHeader.response",
          "short" : "If this is a reply to prior message",
          "definition" : "Information about the message that this message is a response to.  Only present if this message is a response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSA"
          },
          {
            "identity" : "rim",
            "map" : "./conveyedAcknowledgement"
          }]
        },
        {
          "id" : "MessageHeader.response.identifier",
          "path" : "MessageHeader.response.identifier",
          "short" : "Id of original message",
          "definition" : "The MessageHeader.id of the message to which this message is a response.",
          "requirements" : "Allows receiver to know what message is being responded to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSA-2"
          },
          {
            "identity" : "rim",
            "map" : "./acknowledges.id[isNormalDatatype()]"
          }]
        },
        {
          "id" : "MessageHeader.response.code",
          "path" : "MessageHeader.response.code",
          "short" : "ok | transient-error | fatal-error",
          "definition" : "Code that identifies the type of response to the message - whether it was successful or not, and whether it should be resent or not.",
          "comment" : "This is a generic response to the request message. Specific data for the response will be found in MessageHeader.focus.",
          "requirements" : "Allows the sender of the acknowledge message to know if the request was successful or if action is needed.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResponseType"
            }],
            "strength" : "required",
            "description" : "The kind of response to a message.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/response-code|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "MSA-1"
          },
          {
            "identity" : "rim",
            "map" : "./typeCode[isNormalDatatype()]"
          }]
        },
        {
          "id" : "MessageHeader.response.details",
          "path" : "MessageHeader.response.details",
          "short" : "Specific list of hints/warnings/errors",
          "definition" : "Full details of any issues found in the message.",
          "comment" : "This SHALL be contained in the bundle. If any of the issues are errors, the response code SHALL be an error.",
          "requirements" : "Allows the sender of the message to determine what the specific issues are.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/OperationOutcome"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR"
          },
          {
            "identity" : "rim",
            "map" : "AcknowledgementDetail or Observation[classCode=\"ALRT\" and moodCode=\"EVN\"]"
          }]
        },
        {
          "id" : "MessageHeader.focus",
          "path" : "MessageHeader.focus",
          "short" : "The actual content of the message",
          "definition" : "The actual data of the message - a reference to the root/focus class of the event.",
          "comment" : "The data is defined where the transaction type is defined. The transaction data is always included in the bundle that is the full message.  Only the root resource is specified.  The resources it references should be contained in the bundle but are not also listed here.  Multiple repetitions are allowed to cater for merges and other situations with multiple focal targets.",
          "requirements" : "Every message event is about actual data, a single resource, that is identified in the definition of the event, and perhaps some or all linked resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "unique(./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/participation[typeCode=\"SUBJ\" and isNormalParticipation]/role or ./controlAct[classCode=\"CACT\" and classCode=\"EVN\" and isNormalAct()]/outboundRelationship[typeCode=\"SBJ\" and isNormalActRelatoinship]/target)"
          }]
        },
        {
          "id" : "MessageHeader.definition",
          "path" : "MessageHeader.definition",
          "short" : "Link to the definition for this message",
          "definition" : "Permanent link to the MessageDefinition for this message.",
          "requirements" : "Allows sender to define the expected contents of the message.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MessageDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Not directly supported."
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MolecularSequence",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MolecularSequence",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MolecularSequence 
ΣITU
DomainResource
Information about a biological sequence
+ Rule: Only 0 and 1 are valid for coordinateSystem
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique ID for this particular sequence. This is a FHIR-defined id
 type 
Σ
0..1
code
aa | dna | rna
sequenceType (Required)
 coordinateSystem 
Σ
1..1
integer
Base number of coordinate system (0 for 0-based numbering or coordinates, inclusive start, exclusive end, 1 for 1-based numbering, inclusive start, inclusive end)
 patient 
Σ
0..1
Reference(Patient)
Who and/or what this is about
 specimen 
Σ
0..1
Reference(Specimen)
Specimen used for sequencing
 device 
Σ
0..1
Reference(Device)
The method for sequencing
 performer 
Σ
0..1
Reference(Organization)
Who should be responsible for test result
 quantity 
Σ
0..1
Quantity
The number of copies of the sequence of interest.  (RNASeq)
 referenceSeq 
ΣI
0..1
BackboneElement
A sequence used as reference
+ Rule: GenomeBuild and chromosome must be both contained if either one of them is contained
+ Rule: Have and only have one of the following elements in referenceSeq : 1. genomeBuild ; 2 referenceSeqId; 3. referenceSeqPointer;  4. referenceSeqString;
 chromosome 
Σ
0..1
CodeableConcept
Chromosome containing genetic finding
chromosome-human (Example)
 genomeBuild 
Σ
0..1
string
The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'
 orientation 
Σ
0..1
code
sense | antisense
orientationType (Required)
 referenceSeqId 
Σ
0..1
CodeableConcept
Reference identifier
E n s e m b l (Example)
 referenceSeqPointer 
Σ
0..1
Reference(MolecularSequence)
A pointer to another MolecularSequence entity as reference sequence
 referenceSeqString 
Σ
0..1
string
A string to represent reference sequence
 strand 
Σ
0..1
code
watson | crick
strandType (Required)
 windowStart 
Σ
0..1
integer
Start position of the window on the  reference sequence
 windowEnd 
Σ
0..1
integer
End position of the window on the reference sequence
 variant 
Σ
0..*
BackboneElement
Variant in sequence
 start 
Σ
0..1
integer
Start position of the variant on the  reference sequence
 end 
Σ
0..1
integer
End position of the variant on the reference sequence
 observedAllele 
Σ
0..1
string
Allele that was observed
 referenceAllele 
Σ
0..1
string
Allele in the reference sequence
 cigar 
Σ
0..1
string
Extended CIGAR string for aligning the sequence with reference bases
 variantPointer 
Σ
0..1
Reference(Observation)
Pointer to observed variant information
 observedSeq 
Σ
0..1
string
Sequence that was observed
 quality 
Σ
0..*
BackboneElement
An set of value as quality of sequence
 type 
Σ
1..1
code
indel | snp | unknown
qualityType (Required)
 standardSequence 
Σ
0..1
CodeableConcept
Standard sequence for comparison
F d a- standard sequence (Example)
 start 
Σ
0..1
integer
Start position of the sequence
 end 
Σ
0..1
integer
End position of the sequence
 score 
Σ
0..1
Quantity
Quality score for the comparison
 method 
Σ
0..1
CodeableConcept
Method to get quality
F d a- method (Example)
 truthTP 
Σ
0..1
decimal
True positives from the perspective of the truth data
 queryTP 
Σ
0..1
decimal
True positives from the perspective of the query data
 truthFN 
Σ
0..1
decimal
False negatives
 queryFP 
Σ
0..1
decimal
False positives
 gtFP 
Σ
0..1
decimal
False positives where the non-REF alleles in the Truth and Query Call Sets match
 precision 
Σ
0..1
decimal
Precision of comparison
 recall 
Σ
0..1
decimal
Recall of comparison
 fScore 
Σ
0..1
decimal
F-score
 roc 
Σ
0..1
BackboneElement
Receiver Operator Characteristic (ROC) Curve
 score 
Σ
0..*
integer
Genotype quality score
 numTP 
Σ
0..*
integer
Roc score true positive numbers
 numFP 
Σ
0..*
integer
Roc score false positive numbers
 numFN 
Σ
0..*
integer
Roc score false negative numbers
 precision 
Σ
0..*
decimal
Precision of the GQ score
 sensitivity 
Σ
0..*
decimal
Sensitivity of the GQ score
 fMeasure 
Σ
0..*
decimal
FScore of the GQ score
 readCoverage 
Σ
0..1
integer
Average number of reads representing a given nucleotide in the reconstructed sequence
 repository 
Σ
0..*
BackboneElement
External repository which contains detailed report related with observedSeq in this resource
 type 
Σ
1..1
code
directlink | openapi | login | oauth | other
repositoryType (Required)
 url 
Σ
0..1
uri
URI of the repository
 name 
Σ
0..1
string
Repository's name
 datasetId 
Σ
0..1
string
Id of the dataset that used to call for dataset in repository
 variantsetId 
Σ
0..1
string
Id of the variantset that used to call for variantset in repository
 readsetId 
Σ
0..1
string
Id of the read
 pointer 
Σ
0..*
Reference(MolecularSequence)
Pointer to next atomic sequence
 structureVariant 
Σ
0..*
BackboneElement
Structural variant
 variantType 
Σ
0..1
CodeableConcept
Structural variant change type
LOINC LL379-9 answerlist (Required)
 exact 
Σ
0..1
boolean
Does the structural variant have base pair resolution breakpoints?
 length 
Σ
0..1
integer
Structural variant length
 outer 
Σ
0..1
BackboneElement
Structural variant outer
 start 
Σ
0..1
integer
Structural variant outer start
 end 
Σ
0..1
integer
Structural variant outer end
 inner 
Σ
0..1
BackboneElement
Structural variant inner
 start 
Σ
0..1
integer
Structural variant inner start
 end 
Σ
0..1
integer
Structural variant inner end

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Diagnostics"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cg"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MolecularSequence",
      "version" : "4.0.0",
      "name" : "MolecularSequence",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Genomics)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/clingenomics/index.cfm"
        }]
      }],
      "description" : "Raw data describing a biological sequence.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "MolecularSequence",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MolecularSequence",
          "path" : "MolecularSequence",
          "short" : "Information about a biological sequence",
          "definition" : "Raw data describing a biological sequence.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "msq-3",
            "severity" : "error",
            "human" : "Only 0 and 1 are valid for coordinateSystem",
            "expression" : "coordinateSystem = 1 or coordinateSystem = 0",
            "xpath" : "count(f:coordinateSystem[@value=0 and @value=1]) = 1"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "MolecularSequence.id",
          "path" : "MolecularSequence.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.meta",
          "path" : "MolecularSequence.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.implicitRules",
          "path" : "MolecularSequence.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.language",
          "path" : "MolecularSequence.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MolecularSequence.text",
          "path" : "MolecularSequence.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MolecularSequence.contained",
          "path" : "MolecularSequence.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.extension",
          "path" : "MolecularSequence.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.modifierExtension",
          "path" : "MolecularSequence.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.identifier",
          "path" : "MolecularSequence.identifier",
          "short" : "Unique ID for this particular sequence. This is a FHIR-defined id",
          "definition" : "A unique identifier for this particular sequence instance. This is a FHIR-defined id.",
          "requirements" : "Allows sequences to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "MolecularSequence.type",
          "path" : "MolecularSequence.type",
          "short" : "aa | dna | rna",
          "definition" : "Amino Acid Sequence/ DNA Sequence / RNA Sequence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "sequenceType"
            }],
            "strength" : "required",
            "description" : "Type if a sequence -- DNA, RNA, or amino acid sequence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/sequence-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.coordinateSystem",
          "path" : "MolecularSequence.coordinateSystem",
          "short" : "Base number of coordinate system (0 for 0-based numbering or coordinates, inclusive start, exclusive end, 1 for 1-based numbering, inclusive start, inclusive end)",
          "definition" : "Whether the sequence is numbered starting at 0 (0-based numbering or coordinates, inclusive start, exclusive end) or starting at 1 (1-based numbering, inclusive start and inclusive end).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.coordinateSystem",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.patient",
          "path" : "MolecularSequence.patient",
          "short" : "Who and/or what this is about",
          "definition" : "The patient whose sequencing results are described by this resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.patient",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.specimen",
          "path" : "MolecularSequence.specimen",
          "short" : "Specimen used for sequencing",
          "definition" : "Specimen used for sequencing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.specimen",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.device",
          "path" : "MolecularSequence.device",
          "short" : "The method for sequencing",
          "definition" : "The method for sequencing, for example, chip information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.device",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.performer",
          "path" : "MolecularSequence.performer",
          "short" : "Who should be responsible for test result",
          "definition" : "The organization or lab that should be responsible for this result.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.performer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quantity",
          "path" : "MolecularSequence.quantity",
          "short" : "The number of copies of the sequence of interest.  (RNASeq)",
          "definition" : "The number of copies of the sequence of interest. (RNASeq).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq",
          "path" : "MolecularSequence.referenceSeq",
          "short" : "A sequence used as reference",
          "definition" : "A sequence that is used as a reference to describe variants that are present in a sequence analyzed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "msq-6",
            "severity" : "error",
            "human" : "Have and only have one of the following elements in referenceSeq : 1. genomeBuild ; 2 referenceSeqId; 3. referenceSeqPointer;  4. referenceSeqString;",
            "expression" : "(genomeBuild.count()+referenceSeqId.count()+ referenceSeqPointer.count()+ referenceSeqString.count()) = 1",
            "xpath" : "count(f:genomeBuild)+count(f:referenceSeqId)+count(f:referenceSeqPointer)+count(f:referenceSeqString)=1"
          },
          {
            "key" : "msq-5",
            "severity" : "error",
            "human" : "GenomeBuild and chromosome must be both contained if either one of them is contained",
            "expression" : "(chromosome.empty() and genomeBuild.empty()) or (chromosome.exists() and genomeBuild.exists())",
            "xpath" : "(exists(f:chromosome) and exists(f:genomeBuild)) or (not(exists(f:chromosome)) and not(exists(f:genomeBuild)))"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.id",
          "path" : "MolecularSequence.referenceSeq.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.referenceSeq.extension",
          "path" : "MolecularSequence.referenceSeq.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.referenceSeq.modifierExtension",
          "path" : "MolecularSequence.referenceSeq.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.referenceSeq.chromosome",
          "path" : "MolecularSequence.referenceSeq.chromosome",
          "short" : "Chromosome containing genetic finding",
          "definition" : "Structural unit composed of a nucleic acid molecule which controls its own replication through the interaction of specific proteins at one or more origins of replication ([SO:0000340](http://www.sequenceontology.org/browser/current_svn/term/SO:0000340)).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.chromosome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "chromosome-human"
            }],
            "strength" : "example",
            "description" : "Chromosome number for human.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/chromosome-human"
          }
        },
        {
          "id" : "MolecularSequence.referenceSeq.genomeBuild",
          "path" : "MolecularSequence.referenceSeq.genomeBuild",
          "short" : "The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'",
          "definition" : "The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'.  Version number must be included if a versioned release of a primary build was used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.genomeBuild",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.orientation",
          "path" : "MolecularSequence.referenceSeq.orientation",
          "short" : "sense | antisense",
          "definition" : "A relative reference to a DNA strand based on gene orientation. The strand that contains the open reading frame of the gene is the \"sense\" strand, and the opposite complementary strand is the \"antisense\" strand.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.orientation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "orientationType"
            }],
            "strength" : "required",
            "description" : "Type for orientation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/orientation-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.referenceSeq.referenceSeqId",
          "path" : "MolecularSequence.referenceSeq.referenceSeqId",
          "short" : "Reference identifier",
          "definition" : "Reference identifier of reference sequence submitted to NCBI. It must match the type in the MolecularSequence.type field. For example, the prefix, “NG_” identifies reference sequence for genes, “NM_” for messenger RNA transcripts, and “NP_” for amino acid sequences.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.referenceSeqId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "sequenceReference"
            }],
            "strength" : "example",
            "description" : "Reference identifier.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/sequence-referenceSeq"
          }
        },
        {
          "id" : "MolecularSequence.referenceSeq.referenceSeqPointer",
          "path" : "MolecularSequence.referenceSeq.referenceSeqPointer",
          "short" : "A pointer to another MolecularSequence entity as reference sequence",
          "definition" : "A pointer to another MolecularSequence entity as reference sequence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.referenceSeqPointer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.referenceSeqString",
          "path" : "MolecularSequence.referenceSeq.referenceSeqString",
          "short" : "A string to represent reference sequence",
          "definition" : "A string like \"ACGT\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.referenceSeqString",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.strand",
          "path" : "MolecularSequence.referenceSeq.strand",
          "short" : "watson | crick",
          "definition" : "An absolute reference to a strand. The Watson strand is the strand whose 5'-end is on the short arm of the chromosome, and the Crick strand as the one whose 5'-end is on the long arm.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.strand",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "strandType"
            }],
            "strength" : "required",
            "description" : "Type for strand.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/strand-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.referenceSeq.windowStart",
          "path" : "MolecularSequence.referenceSeq.windowStart",
          "short" : "Start position of the window on the  reference sequence",
          "definition" : "Start position of the window on the reference sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.windowStart",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.windowEnd",
          "path" : "MolecularSequence.referenceSeq.windowEnd",
          "short" : "End position of the window on the reference sequence",
          "definition" : "End position of the window on the reference sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.referenceSeq.windowEnd",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant",
          "path" : "MolecularSequence.variant",
          "short" : "Variant in sequence",
          "definition" : "The definition of variant here originates from Sequence ontology ([variant_of](http://www.sequenceontology.org/browser/current_svn/term/variant_of)). This element can represent amino acid or nucleic sequence change(including insertion,deletion,SNP,etc.)  It can represent some complex mutation or segment variation with the assist of CIGAR string.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.variant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.id",
          "path" : "MolecularSequence.variant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.variant.extension",
          "path" : "MolecularSequence.variant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.variant.modifierExtension",
          "path" : "MolecularSequence.variant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.variant.start",
          "path" : "MolecularSequence.variant.start",
          "short" : "Start position of the variant on the  reference sequence",
          "definition" : "Start position of the variant on the  reference sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.variant.start",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.end",
          "path" : "MolecularSequence.variant.end",
          "short" : "End position of the variant on the reference sequence",
          "definition" : "End position of the variant on the reference sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.variant.end",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.observedAllele",
          "path" : "MolecularSequence.variant.observedAllele",
          "short" : "Allele that was observed",
          "definition" : "An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)).  Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the observed  sequence. When the sequence  type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.variant.observedAllele",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.referenceAllele",
          "path" : "MolecularSequence.variant.referenceAllele",
          "short" : "Allele in the reference sequence",
          "definition" : "An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)). Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the reference sequence. When the sequence  type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.variant.referenceAllele",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.cigar",
          "path" : "MolecularSequence.variant.cigar",
          "short" : "Extended CIGAR string for aligning the sequence with reference bases",
          "definition" : "Extended CIGAR string for aligning the sequence with reference bases. See detailed documentation [here](http://support.illumina.com/help/SequencingAnalysisWorkflow/Content/Vault/Informatics/Sequencing_Analysis/CASAVA/swSEQ_mCA_ExtendedCIGARFormat.htm).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.variant.cigar",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.variantPointer",
          "path" : "MolecularSequence.variant.variantPointer",
          "short" : "Pointer to observed variant information",
          "definition" : "A pointer to an Observation containing variant information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.variant.variantPointer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.observedSeq",
          "path" : "MolecularSequence.observedSeq",
          "short" : "Sequence that was observed",
          "definition" : "Sequence that was observed. It is the result marked by referenceSeq along with variant records on referenceSeq. This shall start from referenceSeq.windowStart and end by referenceSeq.windowEnd.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.observedSeq",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality",
          "path" : "MolecularSequence.quality",
          "short" : "An set of value as quality of sequence",
          "definition" : "An experimental feature attribute that defines the quality of the feature in a quantitative way, such as a phred quality score ([SO:0001686](http://www.sequenceontology.org/browser/current_svn/term/SO:0001686)).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.quality",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.id",
          "path" : "MolecularSequence.quality.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.quality.extension",
          "path" : "MolecularSequence.quality.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.quality.modifierExtension",
          "path" : "MolecularSequence.quality.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.quality.type",
          "path" : "MolecularSequence.quality.type",
          "short" : "indel | snp | unknown",
          "definition" : "INDEL / SNP / Undefined variant.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "qualityType"
            }],
            "strength" : "required",
            "description" : "Type for quality report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/quality-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.quality.standardSequence",
          "path" : "MolecularSequence.quality.standardSequence",
          "short" : "Standard sequence for comparison",
          "definition" : "Gold standard sequence used for comparing against.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.standardSequence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "qualityStandardSequence"
            }],
            "strength" : "example",
            "description" : "Reference identifier of the sequence that used to mark the quality of tested samples.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/sequence-quality-standardSequence"
          }
        },
        {
          "id" : "MolecularSequence.quality.start",
          "path" : "MolecularSequence.quality.start",
          "short" : "Start position of the sequence",
          "definition" : "Start position of the sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.start",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.end",
          "path" : "MolecularSequence.quality.end",
          "short" : "End position of the sequence",
          "definition" : "End position of the sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.end",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.score",
          "path" : "MolecularSequence.quality.score",
          "short" : "Quality score for the comparison",
          "definition" : "The score of an experimentally derived feature such as a p-value ([SO:0001685](http://www.sequenceontology.org/browser/current_svn/term/SO:0001685)).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.score",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.method",
          "path" : "MolecularSequence.quality.method",
          "short" : "Method to get quality",
          "definition" : "Which method is used to get sequence quality.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "qualityMethod"
            }],
            "strength" : "example",
            "description" : "The method used to evaluate the numerical quality of the observed sequence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/sequence-quality-method"
          }
        },
        {
          "id" : "MolecularSequence.quality.truthTP",
          "path" : "MolecularSequence.quality.truthTP",
          "short" : "True positives from the perspective of the truth data",
          "definition" : "True positives, from the perspective of the truth data, i.e. the number of sites in the Truth Call Set for which there are paths through the Query Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.truthTP",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.queryTP",
          "path" : "MolecularSequence.quality.queryTP",
          "short" : "True positives from the perspective of the query data",
          "definition" : "True positives, from the perspective of the query data, i.e. the number of sites in the Query Call Set for which there are paths through the Truth Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.queryTP",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.truthFN",
          "path" : "MolecularSequence.quality.truthFN",
          "short" : "False negatives",
          "definition" : "False negatives, i.e. the number of sites in the Truth Call Set for which there is no path through the Query Call Set that is consistent with all of the alleles at this site, or sites for which there is an inaccurate genotype call for the event. Sites with correct variant but incorrect genotype are counted here.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.truthFN",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.queryFP",
          "path" : "MolecularSequence.quality.queryFP",
          "short" : "False positives",
          "definition" : "False positives, i.e. the number of sites in the Query Call Set for which there is no path through the Truth Call Set that is consistent with this site. Sites with correct variant but incorrect genotype are counted here.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.queryFP",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.gtFP",
          "path" : "MolecularSequence.quality.gtFP",
          "short" : "False positives where the non-REF alleles in the Truth and Query Call Sets match",
          "definition" : "The number of false positives where the non-REF alleles in the Truth and Query Call Sets match (i.e. cases where the truth is 1/1 and the query is 0/1 or similar).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.gtFP",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.precision",
          "path" : "MolecularSequence.quality.precision",
          "short" : "Precision of comparison",
          "definition" : "QUERY.TP / (QUERY.TP + QUERY.FP).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.precision",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.recall",
          "path" : "MolecularSequence.quality.recall",
          "short" : "Recall of comparison",
          "definition" : "TRUTH.TP / (TRUTH.TP + TRUTH.FN).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.recall",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.fScore",
          "path" : "MolecularSequence.quality.fScore",
          "short" : "F-score",
          "definition" : "Harmonic mean of Recall and Precision, computed as: 2 * precision * recall / (precision + recall).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.fScore",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc",
          "path" : "MolecularSequence.quality.roc",
          "short" : "Receiver Operator Characteristic (ROC) Curve",
          "definition" : "Receiver Operator Characteristic (ROC) Curve  to give sensitivity/specificity tradeoff.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.quality.roc",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.id",
          "path" : "MolecularSequence.quality.roc.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.quality.roc.extension",
          "path" : "MolecularSequence.quality.roc.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.quality.roc.modifierExtension",
          "path" : "MolecularSequence.quality.roc.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.quality.roc.score",
          "path" : "MolecularSequence.quality.roc.score",
          "short" : "Genotype quality score",
          "definition" : "Invidual data point representing the GQ (genotype quality) score threshold.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.quality.roc.score",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.numTP",
          "path" : "MolecularSequence.quality.roc.numTP",
          "short" : "Roc score true positive numbers",
          "definition" : "The number of true positives if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.quality.roc.numTP",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.numFP",
          "path" : "MolecularSequence.quality.roc.numFP",
          "short" : "Roc score false positive numbers",
          "definition" : "The number of false positives if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.quality.roc.numFP",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.numFN",
          "path" : "MolecularSequence.quality.roc.numFN",
          "short" : "Roc score false negative numbers",
          "definition" : "The number of false negatives if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.quality.roc.numFN",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.precision",
          "path" : "MolecularSequence.quality.roc.precision",
          "short" : "Precision of the GQ score",
          "definition" : "Calculated precision if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.quality.roc.precision",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.sensitivity",
          "path" : "MolecularSequence.quality.roc.sensitivity",
          "short" : "Sensitivity of the GQ score",
          "definition" : "Calculated sensitivity if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.quality.roc.sensitivity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.fMeasure",
          "path" : "MolecularSequence.quality.roc.fMeasure",
          "short" : "FScore of the GQ score",
          "definition" : "Calculated fScore if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.quality.roc.fMeasure",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.readCoverage",
          "path" : "MolecularSequence.readCoverage",
          "short" : "Average number of reads representing a given nucleotide in the reconstructed sequence",
          "definition" : "Coverage (read depth or depth) is the average number of reads representing a given nucleotide in the reconstructed sequence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.readCoverage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository",
          "path" : "MolecularSequence.repository",
          "short" : "External repository which contains detailed report related with observedSeq in this resource",
          "definition" : "Configurations of the external repository. The repository shall store target's observedSeq or records related with target's observedSeq.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.repository",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.id",
          "path" : "MolecularSequence.repository.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.repository.extension",
          "path" : "MolecularSequence.repository.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.repository.modifierExtension",
          "path" : "MolecularSequence.repository.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.repository.type",
          "path" : "MolecularSequence.repository.type",
          "short" : "directlink | openapi | login | oauth | other",
          "definition" : "Click and see / RESTful API / Need login to see / RESTful API with authentication / Other ways to see resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.repository.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "repositoryType"
            }],
            "strength" : "required",
            "description" : "Type for access of external URI.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/repository-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.repository.url",
          "path" : "MolecularSequence.repository.url",
          "short" : "URI of the repository",
          "definition" : "URI of an external repository which contains further details about the genetics data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.repository.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.name",
          "path" : "MolecularSequence.repository.name",
          "short" : "Repository's name",
          "definition" : "URI of an external repository which contains further details about the genetics data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.repository.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.datasetId",
          "path" : "MolecularSequence.repository.datasetId",
          "short" : "Id of the dataset that used to call for dataset in repository",
          "definition" : "Id of the variant in this external repository. The server will understand how to use this id to call for more info about datasets in external repository.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.repository.datasetId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.variantsetId",
          "path" : "MolecularSequence.repository.variantsetId",
          "short" : "Id of the variantset that used to call for variantset in repository",
          "definition" : "Id of the variantset in this external repository. The server will understand how to use this id to call for more info about variantsets in external repository.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.repository.variantsetId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.readsetId",
          "path" : "MolecularSequence.repository.readsetId",
          "short" : "Id of the read",
          "definition" : "Id of the read in this external repository.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.repository.readsetId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.pointer",
          "path" : "MolecularSequence.pointer",
          "short" : "Pointer to next atomic sequence",
          "definition" : "Pointer to next atomic sequence which at most contains one variant.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.pointer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant",
          "path" : "MolecularSequence.structureVariant",
          "short" : "Structural variant",
          "definition" : "Information about chromosome structure variation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MolecularSequence.structureVariant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.id",
          "path" : "MolecularSequence.structureVariant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.extension",
          "path" : "MolecularSequence.structureVariant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.modifierExtension",
          "path" : "MolecularSequence.structureVariant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.variantType",
          "path" : "MolecularSequence.structureVariant.variantType",
          "short" : "Structural variant change type",
          "definition" : "Information about chromosome structure variation DNA change type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.variantType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LOINC LL379-9 answerlist"
            }],
            "strength" : "required",
            "description" : "DNA change type.",
            "valueSet" : "http://loinc.org/vs/LL379-9|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.structureVariant.exact",
          "path" : "MolecularSequence.structureVariant.exact",
          "short" : "Does the structural variant have base pair resolution breakpoints?",
          "definition" : "Used to indicate if the outer and inner start-end values have the same meaning.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.exact",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.length",
          "path" : "MolecularSequence.structureVariant.length",
          "short" : "Structural variant length",
          "definition" : "Length of the variant chromosome.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.length",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.outer",
          "path" : "MolecularSequence.structureVariant.outer",
          "short" : "Structural variant outer",
          "definition" : "Structural variant outer.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.outer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.outer.id",
          "path" : "MolecularSequence.structureVariant.outer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.outer.extension",
          "path" : "MolecularSequence.structureVariant.outer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.outer.modifierExtension",
          "path" : "MolecularSequence.structureVariant.outer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.outer.start",
          "path" : "MolecularSequence.structureVariant.outer.start",
          "short" : "Structural variant outer start",
          "definition" : "Structural variant outer start. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.outer.start",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.outer.end",
          "path" : "MolecularSequence.structureVariant.outer.end",
          "short" : "Structural variant outer end",
          "definition" : "Structural variant outer end. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.outer.end",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.inner",
          "path" : "MolecularSequence.structureVariant.inner",
          "short" : "Structural variant inner",
          "definition" : "Structural variant inner.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.inner",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.inner.id",
          "path" : "MolecularSequence.structureVariant.inner.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.inner.extension",
          "path" : "MolecularSequence.structureVariant.inner.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.inner.modifierExtension",
          "path" : "MolecularSequence.structureVariant.inner.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MolecularSequence.structureVariant.inner.start",
          "path" : "MolecularSequence.structureVariant.inner.start",
          "short" : "Structural variant inner start",
          "definition" : "Structural variant inner start. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.inner.start",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.inner.end",
          "path" : "MolecularSequence.structureVariant.inner.end",
          "short" : "Structural variant inner end",
          "definition" : "Structural variant inner end. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MolecularSequence.structureVariant.inner.end",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MolecularSequence",
          "path" : "MolecularSequence",
          "short" : "Information about a biological sequence",
          "definition" : "Raw data describing a biological sequence.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "msq-3",
            "severity" : "error",
            "human" : "Only 0 and 1 are valid for coordinateSystem",
            "expression" : "coordinateSystem = 1 or coordinateSystem = 0",
            "xpath" : "count(f:coordinateSystem[@value=0 and @value=1]) = 1"
          }]
        },
        {
          "id" : "MolecularSequence.identifier",
          "path" : "MolecularSequence.identifier",
          "short" : "Unique ID for this particular sequence. This is a FHIR-defined id",
          "definition" : "A unique identifier for this particular sequence instance. This is a FHIR-defined id.",
          "requirements" : "Allows sequences to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "MolecularSequence.type",
          "path" : "MolecularSequence.type",
          "short" : "aa | dna | rna",
          "definition" : "Amino Acid Sequence/ DNA Sequence / RNA Sequence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "sequenceType"
            }],
            "strength" : "required",
            "description" : "Type if a sequence -- DNA, RNA, or amino acid sequence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/sequence-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.coordinateSystem",
          "path" : "MolecularSequence.coordinateSystem",
          "short" : "Base number of coordinate system (0 for 0-based numbering or coordinates, inclusive start, exclusive end, 1 for 1-based numbering, inclusive start, inclusive end)",
          "definition" : "Whether the sequence is numbered starting at 0 (0-based numbering or coordinates, inclusive start, exclusive end) or starting at 1 (1-based numbering, inclusive start and inclusive end).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.patient",
          "path" : "MolecularSequence.patient",
          "short" : "Who and/or what this is about",
          "definition" : "The patient whose sequencing results are described by this resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.specimen",
          "path" : "MolecularSequence.specimen",
          "short" : "Specimen used for sequencing",
          "definition" : "Specimen used for sequencing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.device",
          "path" : "MolecularSequence.device",
          "short" : "The method for sequencing",
          "definition" : "The method for sequencing, for example, chip information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.performer",
          "path" : "MolecularSequence.performer",
          "short" : "Who should be responsible for test result",
          "definition" : "The organization or lab that should be responsible for this result.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quantity",
          "path" : "MolecularSequence.quantity",
          "short" : "The number of copies of the sequence of interest.  (RNASeq)",
          "definition" : "The number of copies of the sequence of interest. (RNASeq).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq",
          "path" : "MolecularSequence.referenceSeq",
          "short" : "A sequence used as reference",
          "definition" : "A sequence that is used as a reference to describe variants that are present in a sequence analyzed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "msq-6",
            "severity" : "error",
            "human" : "Have and only have one of the following elements in referenceSeq : 1. genomeBuild ; 2 referenceSeqId; 3. referenceSeqPointer;  4. referenceSeqString;",
            "expression" : "(genomeBuild.count()+referenceSeqId.count()+ referenceSeqPointer.count()+ referenceSeqString.count()) = 1",
            "xpath" : "count(f:genomeBuild)+count(f:referenceSeqId)+count(f:referenceSeqPointer)+count(f:referenceSeqString)=1"
          },
          {
            "key" : "msq-5",
            "severity" : "error",
            "human" : "GenomeBuild and chromosome must be both contained if either one of them is contained",
            "expression" : "(chromosome.empty() and genomeBuild.empty()) or (chromosome.exists() and genomeBuild.exists())",
            "xpath" : "(exists(f:chromosome) and exists(f:genomeBuild)) or (not(exists(f:chromosome)) and not(exists(f:genomeBuild)))"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.chromosome",
          "path" : "MolecularSequence.referenceSeq.chromosome",
          "short" : "Chromosome containing genetic finding",
          "definition" : "Structural unit composed of a nucleic acid molecule which controls its own replication through the interaction of specific proteins at one or more origins of replication ([SO:0000340](http://www.sequenceontology.org/browser/current_svn/term/SO:0000340)).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "chromosome-human"
            }],
            "strength" : "example",
            "description" : "Chromosome number for human.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/chromosome-human"
          }
        },
        {
          "id" : "MolecularSequence.referenceSeq.genomeBuild",
          "path" : "MolecularSequence.referenceSeq.genomeBuild",
          "short" : "The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'",
          "definition" : "The Genome Build used for reference, following GRCh build versions e.g. 'GRCh 37'.  Version number must be included if a versioned release of a primary build was used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.orientation",
          "path" : "MolecularSequence.referenceSeq.orientation",
          "short" : "sense | antisense",
          "definition" : "A relative reference to a DNA strand based on gene orientation. The strand that contains the open reading frame of the gene is the \"sense\" strand, and the opposite complementary strand is the \"antisense\" strand.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "orientationType"
            }],
            "strength" : "required",
            "description" : "Type for orientation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/orientation-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.referenceSeq.referenceSeqId",
          "path" : "MolecularSequence.referenceSeq.referenceSeqId",
          "short" : "Reference identifier",
          "definition" : "Reference identifier of reference sequence submitted to NCBI. It must match the type in the MolecularSequence.type field. For example, the prefix, “NG_” identifies reference sequence for genes, “NM_” for messenger RNA transcripts, and “NP_” for amino acid sequences.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "sequenceReference"
            }],
            "strength" : "example",
            "description" : "Reference identifier.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/sequence-referenceSeq"
          }
        },
        {
          "id" : "MolecularSequence.referenceSeq.referenceSeqPointer",
          "path" : "MolecularSequence.referenceSeq.referenceSeqPointer",
          "short" : "A pointer to another MolecularSequence entity as reference sequence",
          "definition" : "A pointer to another MolecularSequence entity as reference sequence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.referenceSeqString",
          "path" : "MolecularSequence.referenceSeq.referenceSeqString",
          "short" : "A string to represent reference sequence",
          "definition" : "A string like \"ACGT\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.strand",
          "path" : "MolecularSequence.referenceSeq.strand",
          "short" : "watson | crick",
          "definition" : "An absolute reference to a strand. The Watson strand is the strand whose 5'-end is on the short arm of the chromosome, and the Crick strand as the one whose 5'-end is on the long arm.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "strandType"
            }],
            "strength" : "required",
            "description" : "Type for strand.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/strand-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.referenceSeq.windowStart",
          "path" : "MolecularSequence.referenceSeq.windowStart",
          "short" : "Start position of the window on the  reference sequence",
          "definition" : "Start position of the window on the reference sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.referenceSeq.windowEnd",
          "path" : "MolecularSequence.referenceSeq.windowEnd",
          "short" : "End position of the window on the reference sequence",
          "definition" : "End position of the window on the reference sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant",
          "path" : "MolecularSequence.variant",
          "short" : "Variant in sequence",
          "definition" : "The definition of variant here originates from Sequence ontology ([variant_of](http://www.sequenceontology.org/browser/current_svn/term/variant_of)). This element can represent amino acid or nucleic sequence change(including insertion,deletion,SNP,etc.)  It can represent some complex mutation or segment variation with the assist of CIGAR string.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.start",
          "path" : "MolecularSequence.variant.start",
          "short" : "Start position of the variant on the  reference sequence",
          "definition" : "Start position of the variant on the  reference sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.end",
          "path" : "MolecularSequence.variant.end",
          "short" : "End position of the variant on the reference sequence",
          "definition" : "End position of the variant on the reference sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.observedAllele",
          "path" : "MolecularSequence.variant.observedAllele",
          "short" : "Allele that was observed",
          "definition" : "An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)).  Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the observed  sequence. When the sequence  type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.referenceAllele",
          "path" : "MolecularSequence.variant.referenceAllele",
          "short" : "Allele in the reference sequence",
          "definition" : "An allele is one of a set of coexisting sequence variants of a gene ([SO:0001023](http://www.sequenceontology.org/browser/current_svn/term/SO:0001023)). Nucleotide(s)/amino acids from start position of sequence to stop position of sequence on the positive (+) strand of the reference sequence. When the sequence  type is DNA, it should be the sequence on the positive (+) strand. This will lay in the range between variant.start and variant.end.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.cigar",
          "path" : "MolecularSequence.variant.cigar",
          "short" : "Extended CIGAR string for aligning the sequence with reference bases",
          "definition" : "Extended CIGAR string for aligning the sequence with reference bases. See detailed documentation [here](http://support.illumina.com/help/SequencingAnalysisWorkflow/Content/Vault/Informatics/Sequencing_Analysis/CASAVA/swSEQ_mCA_ExtendedCIGARFormat.htm).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.variant.variantPointer",
          "path" : "MolecularSequence.variant.variantPointer",
          "short" : "Pointer to observed variant information",
          "definition" : "A pointer to an Observation containing variant information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.observedSeq",
          "path" : "MolecularSequence.observedSeq",
          "short" : "Sequence that was observed",
          "definition" : "Sequence that was observed. It is the result marked by referenceSeq along with variant records on referenceSeq. This shall start from referenceSeq.windowStart and end by referenceSeq.windowEnd.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality",
          "path" : "MolecularSequence.quality",
          "short" : "An set of value as quality of sequence",
          "definition" : "An experimental feature attribute that defines the quality of the feature in a quantitative way, such as a phred quality score ([SO:0001686](http://www.sequenceontology.org/browser/current_svn/term/SO:0001686)).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.type",
          "path" : "MolecularSequence.quality.type",
          "short" : "indel | snp | unknown",
          "definition" : "INDEL / SNP / Undefined variant.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "qualityType"
            }],
            "strength" : "required",
            "description" : "Type for quality report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/quality-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.quality.standardSequence",
          "path" : "MolecularSequence.quality.standardSequence",
          "short" : "Standard sequence for comparison",
          "definition" : "Gold standard sequence used for comparing against.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "qualityStandardSequence"
            }],
            "strength" : "example",
            "description" : "Reference identifier of the sequence that used to mark the quality of tested samples.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/sequence-quality-standardSequence"
          }
        },
        {
          "id" : "MolecularSequence.quality.start",
          "path" : "MolecularSequence.quality.start",
          "short" : "Start position of the sequence",
          "definition" : "Start position of the sequence. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.end",
          "path" : "MolecularSequence.quality.end",
          "short" : "End position of the sequence",
          "definition" : "End position of the sequence. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.score",
          "path" : "MolecularSequence.quality.score",
          "short" : "Quality score for the comparison",
          "definition" : "The score of an experimentally derived feature such as a p-value ([SO:0001685](http://www.sequenceontology.org/browser/current_svn/term/SO:0001685)).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.method",
          "path" : "MolecularSequence.quality.method",
          "short" : "Method to get quality",
          "definition" : "Which method is used to get sequence quality.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "qualityMethod"
            }],
            "strength" : "example",
            "description" : "The method used to evaluate the numerical quality of the observed sequence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/sequence-quality-method"
          }
        },
        {
          "id" : "MolecularSequence.quality.truthTP",
          "path" : "MolecularSequence.quality.truthTP",
          "short" : "True positives from the perspective of the truth data",
          "definition" : "True positives, from the perspective of the truth data, i.e. the number of sites in the Truth Call Set for which there are paths through the Query Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.queryTP",
          "path" : "MolecularSequence.quality.queryTP",
          "short" : "True positives from the perspective of the query data",
          "definition" : "True positives, from the perspective of the query data, i.e. the number of sites in the Query Call Set for which there are paths through the Truth Call Set that are consistent with all of the alleles at this site, and for which there is an accurate genotype call for the event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.truthFN",
          "path" : "MolecularSequence.quality.truthFN",
          "short" : "False negatives",
          "definition" : "False negatives, i.e. the number of sites in the Truth Call Set for which there is no path through the Query Call Set that is consistent with all of the alleles at this site, or sites for which there is an inaccurate genotype call for the event. Sites with correct variant but incorrect genotype are counted here.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.queryFP",
          "path" : "MolecularSequence.quality.queryFP",
          "short" : "False positives",
          "definition" : "False positives, i.e. the number of sites in the Query Call Set for which there is no path through the Truth Call Set that is consistent with this site. Sites with correct variant but incorrect genotype are counted here.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.gtFP",
          "path" : "MolecularSequence.quality.gtFP",
          "short" : "False positives where the non-REF alleles in the Truth and Query Call Sets match",
          "definition" : "The number of false positives where the non-REF alleles in the Truth and Query Call Sets match (i.e. cases where the truth is 1/1 and the query is 0/1 or similar).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.precision",
          "path" : "MolecularSequence.quality.precision",
          "short" : "Precision of comparison",
          "definition" : "QUERY.TP / (QUERY.TP + QUERY.FP).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.recall",
          "path" : "MolecularSequence.quality.recall",
          "short" : "Recall of comparison",
          "definition" : "TRUTH.TP / (TRUTH.TP + TRUTH.FN).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.fScore",
          "path" : "MolecularSequence.quality.fScore",
          "short" : "F-score",
          "definition" : "Harmonic mean of Recall and Precision, computed as: 2 * precision * recall / (precision + recall).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc",
          "path" : "MolecularSequence.quality.roc",
          "short" : "Receiver Operator Characteristic (ROC) Curve",
          "definition" : "Receiver Operator Characteristic (ROC) Curve  to give sensitivity/specificity tradeoff.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.score",
          "path" : "MolecularSequence.quality.roc.score",
          "short" : "Genotype quality score",
          "definition" : "Invidual data point representing the GQ (genotype quality) score threshold.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.numTP",
          "path" : "MolecularSequence.quality.roc.numTP",
          "short" : "Roc score true positive numbers",
          "definition" : "The number of true positives if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.numFP",
          "path" : "MolecularSequence.quality.roc.numFP",
          "short" : "Roc score false positive numbers",
          "definition" : "The number of false positives if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.numFN",
          "path" : "MolecularSequence.quality.roc.numFN",
          "short" : "Roc score false negative numbers",
          "definition" : "The number of false negatives if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.precision",
          "path" : "MolecularSequence.quality.roc.precision",
          "short" : "Precision of the GQ score",
          "definition" : "Calculated precision if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.sensitivity",
          "path" : "MolecularSequence.quality.roc.sensitivity",
          "short" : "Sensitivity of the GQ score",
          "definition" : "Calculated sensitivity if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.quality.roc.fMeasure",
          "path" : "MolecularSequence.quality.roc.fMeasure",
          "short" : "FScore of the GQ score",
          "definition" : "Calculated fScore if the GQ score threshold was set to \"score\" field value.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.readCoverage",
          "path" : "MolecularSequence.readCoverage",
          "short" : "Average number of reads representing a given nucleotide in the reconstructed sequence",
          "definition" : "Coverage (read depth or depth) is the average number of reads representing a given nucleotide in the reconstructed sequence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository",
          "path" : "MolecularSequence.repository",
          "short" : "External repository which contains detailed report related with observedSeq in this resource",
          "definition" : "Configurations of the external repository. The repository shall store target's observedSeq or records related with target's observedSeq.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.type",
          "path" : "MolecularSequence.repository.type",
          "short" : "directlink | openapi | login | oauth | other",
          "definition" : "Click and see / RESTful API / Need login to see / RESTful API with authentication / Other ways to see resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "repositoryType"
            }],
            "strength" : "required",
            "description" : "Type for access of external URI.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/repository-type|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.repository.url",
          "path" : "MolecularSequence.repository.url",
          "short" : "URI of the repository",
          "definition" : "URI of an external repository which contains further details about the genetics data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.name",
          "path" : "MolecularSequence.repository.name",
          "short" : "Repository's name",
          "definition" : "URI of an external repository which contains further details about the genetics data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.datasetId",
          "path" : "MolecularSequence.repository.datasetId",
          "short" : "Id of the dataset that used to call for dataset in repository",
          "definition" : "Id of the variant in this external repository. The server will understand how to use this id to call for more info about datasets in external repository.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.variantsetId",
          "path" : "MolecularSequence.repository.variantsetId",
          "short" : "Id of the variantset that used to call for variantset in repository",
          "definition" : "Id of the variantset in this external repository. The server will understand how to use this id to call for more info about variantsets in external repository.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.repository.readsetId",
          "path" : "MolecularSequence.repository.readsetId",
          "short" : "Id of the read",
          "definition" : "Id of the read in this external repository.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.pointer",
          "path" : "MolecularSequence.pointer",
          "short" : "Pointer to next atomic sequence",
          "definition" : "Pointer to next atomic sequence which at most contains one variant.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant",
          "path" : "MolecularSequence.structureVariant",
          "short" : "Structural variant",
          "definition" : "Information about chromosome structure variation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.variantType",
          "path" : "MolecularSequence.structureVariant.variantType",
          "short" : "Structural variant change type",
          "definition" : "Information about chromosome structure variation DNA change type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LOINC LL379-9 answerlist"
            }],
            "strength" : "required",
            "description" : "DNA change type.",
            "valueSet" : "http://loinc.org/vs/LL379-9|4.0.0"
          }
        },
        {
          "id" : "MolecularSequence.structureVariant.exact",
          "path" : "MolecularSequence.structureVariant.exact",
          "short" : "Does the structural variant have base pair resolution breakpoints?",
          "definition" : "Used to indicate if the outer and inner start-end values have the same meaning.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.length",
          "path" : "MolecularSequence.structureVariant.length",
          "short" : "Structural variant length",
          "definition" : "Length of the variant chromosome.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.outer",
          "path" : "MolecularSequence.structureVariant.outer",
          "short" : "Structural variant outer",
          "definition" : "Structural variant outer.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.outer.start",
          "path" : "MolecularSequence.structureVariant.outer.start",
          "short" : "Structural variant outer start",
          "definition" : "Structural variant outer start. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.outer.end",
          "path" : "MolecularSequence.structureVariant.outer.end",
          "short" : "Structural variant outer end",
          "definition" : "Structural variant outer end. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.inner",
          "path" : "MolecularSequence.structureVariant.inner",
          "short" : "Structural variant inner",
          "definition" : "Structural variant inner.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.inner.start",
          "path" : "MolecularSequence.structureVariant.inner.start",
          "short" : "Structural variant inner start",
          "definition" : "Structural variant inner start. If the coordinate system is either 0-based or 1-based, then start position is inclusive.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "MolecularSequence.structureVariant.inner.end",
          "path" : "MolecularSequence.structureVariant.inner.end",
          "short" : "Structural variant inner end",
          "definition" : "Structural variant inner end. If the coordinate system is 0-based then end is exclusive and does not include the last position. If the coordinate system is 1-base, then end is inclusive and includes the last position.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/NamingSystem",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "NamingSystem",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 NamingSystem 
ITU
DomainResource
System of unique identification
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: Root systems cannot have uuid identifiers
+ Rule: Can't have more than one preferred identifier for a type
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 name 
ΣI
1..1
string
Name for this naming system (computer friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 kind 
Σ
1..1
code
codesystem | identifier | root
NamingSystemType (Required)
 date 
Σ
1..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 responsible 
0..1
string
Who maintains system namespace?
 type 
0..1
CodeableConcept
e.g. driver,  provider,  patient, bank etc.
IdentifierType (Extensible)
 description 
0..1
markdown
Natural language description of the naming system
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for naming system (if applicable)
Jurisdiction (Extensible)
 usage 
0..1
string
How/where is it used
 uniqueId 
Σ
1..*
BackboneElement
Unique identifiers used for system
 type 
Σ
1..1
code
oid | uuid | uri | other
NamingSystemIdentifierType (Required)
 value 
Σ
1..1
string
The unique identifier
 preferred 
0..1
boolean
Is this the id that should be used for this type
 comment 
0..1
string
Notes about identifier usage
 period 
0..1
Period
When is identifier valid?

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Terminology"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/NamingSystem",
      "version" : "4.0.0",
      "name" : "NamingSystem",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc.  Represents a \"System\" used within the Identifier and Coding data types.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "NamingSystem",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "NamingSystem",
          "path" : "NamingSystem",
          "short" : "System of unique identification",
          "definition" : "A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc.  Represents a \"System\" used within the Identifier and Coding data types.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NamingSystem",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "nsd-1",
            "severity" : "error",
            "human" : "Root systems cannot have uuid identifiers",
            "expression" : "kind != 'root' or uniqueId.all(type != 'uuid')",
            "xpath" : "not(f:kind/@value='root' and f:uniqueId/f:type/@value='uuid')"
          },
          {
            "key" : "nsd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "nsd-2",
            "severity" : "error",
            "human" : "Can't have more than one preferred identifier for a type",
            "expression" : "uniqueId.where(preferred = true).select(type).isDistinct()",
            "xpath" : "not(exists(for $type in distinct-values(f:uniqueId/f:type/@value) return if (count(f:uniqueId[f:type/@value=$type and f:preferred/@value=true()])>1) then $type else ()))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NamingSystem.id",
          "path" : "NamingSystem.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "NamingSystem.meta",
          "path" : "NamingSystem.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "NamingSystem.implicitRules",
          "path" : "NamingSystem.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "NamingSystem.language",
          "path" : "NamingSystem.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "NamingSystem.text",
          "path" : "NamingSystem.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "NamingSystem.contained",
          "path" : "NamingSystem.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NamingSystem.extension",
          "path" : "NamingSystem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NamingSystem.modifierExtension",
          "path" : "NamingSystem.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NamingSystem.name",
          "path" : "NamingSystem.name",
          "short" : "Name for this naming system (computer friendly)",
          "definition" : "A natural language name identifying the naming system. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.The\"symbolic name\" for an OID would be captured as an extension.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "NamingSystem.status",
          "path" : "NamingSystem.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this naming system. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of naming systems that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "NamingSystem.kind",
          "path" : "NamingSystem.kind",
          "short" : "codesystem | identifier | root",
          "definition" : "Indicates the purpose for the naming system - what kinds of things does it make unique?",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.kind",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NamingSystemType"
            }],
            "strength" : "required",
            "description" : "Identifies the purpose of the naming system.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/namingsystem-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "NamingSystem.date",
          "path" : "NamingSystem.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the naming system was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the naming system changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the naming system. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.date",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "NamingSystem.publisher",
          "path" : "NamingSystem.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the naming system.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the naming system is the organization or individual primarily responsible for the maintenance and upkeep of the naming system. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the naming system. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the naming system.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "NamingSystem.contact",
          "path" : "NamingSystem.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NamingSystem.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "NamingSystem.responsible",
          "path" : "NamingSystem.responsible",
          "short" : "Who maintains system namespace?",
          "definition" : "The name of the organization that is responsible for issuing identifiers or codes for this namespace and ensuring their non-collision.",
          "comment" : "This is the primary organization.  Responsibility for some aspects of a namespace may be delegated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.responsible",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "NamingSystem.type",
          "path" : "NamingSystem.type",
          "short" : "e.g. driver,  provider,  patient, bank etc.",
          "definition" : "Categorizes a naming system for easier search by grouping related naming systems.",
          "comment" : "This will most commonly be used for identifier namespaces, but categories could potentially be useful for code systems and authorities as well.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"
          }
        },
        {
          "id" : "NamingSystem.description",
          "path" : "NamingSystem.description",
          "short" : "Natural language description of the naming system",
          "definition" : "A free text natural language description of the naming system from a consumer's perspective. Details about what the namespace identifies including scope, granularity, version labeling, etc.",
          "comment" : "This description can be used to capture details such as why the naming system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the naming system as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the naming system is presumed to be the predominant language in the place the naming system was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "NamingSystem.useContext",
          "path" : "NamingSystem.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate naming system instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NamingSystem.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "NamingSystem.jurisdiction",
          "path" : "NamingSystem.jurisdiction",
          "short" : "Intended jurisdiction for naming system (if applicable)",
          "definition" : "A legal or geographic region in which the naming system is intended to be used.",
          "comment" : "It may be possible for the naming system to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NamingSystem.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "NamingSystem.usage",
          "path" : "NamingSystem.usage",
          "short" : "How/where is it used",
          "definition" : "Provides guidance on the use of the namespace, including the handling of formatting characters, use of upper vs. lower case, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.usage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "NamingSystem.uniqueId",
          "path" : "NamingSystem.uniqueId",
          "short" : "Unique identifiers used for system",
          "definition" : "Indicates how the system may be identified when referenced in electronic exchange.",
          "comment" : "Multiple identifiers may exist, either due to duplicate registration, regional rules, needs of different communication technologies, etc.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "NamingSystem.uniqueId",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "NamingSystem.uniqueId.id",
          "path" : "NamingSystem.uniqueId.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NamingSystem.uniqueId.extension",
          "path" : "NamingSystem.uniqueId.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NamingSystem.uniqueId.modifierExtension",
          "path" : "NamingSystem.uniqueId.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NamingSystem.uniqueId.type",
          "path" : "NamingSystem.uniqueId.type",
          "short" : "oid | uuid | uri | other",
          "definition" : "Identifies the unique identifier scheme used for this particular identifier.",
          "comment" : "Different identifier types may be used in different types of communications (OIDs for v3, URIs for FHIR, etc.).  Other includes RUIDs from v3, standard v2 code name strings, etc.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.uniqueId.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NamingSystemIdentifierType"
            }],
            "strength" : "required",
            "description" : "Identifies the style of unique identifier used to identify a namespace.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.0"
          }
        },
        {
          "id" : "NamingSystem.uniqueId.value",
          "path" : "NamingSystem.uniqueId.value",
          "short" : "The unique identifier",
          "definition" : "The string that should be sent over the wire to identify the code system or identifier system.",
          "comment" : "If the value is a URI intended for use as FHIR system identifier, the URI should not contain \"\\\" or \"?\" or \",\" since this makes escaping very difficult.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.uniqueId.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "NamingSystem.uniqueId.preferred",
          "path" : "NamingSystem.uniqueId.preferred",
          "short" : "Is this the id that should be used for this type",
          "definition" : "Indicates whether this identifier is the \"preferred\" identifier of this type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.uniqueId.preferred",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If there are multiple ids, and one is labeled \"preferred\", then the assumption is that the others are not preferred. In the absence of any id marked as preferred, no inference can be drawn",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "NamingSystem.uniqueId.comment",
          "path" : "NamingSystem.uniqueId.comment",
          "short" : "Notes about identifier usage",
          "definition" : "Notes about the past or intended usage of this identifier.",
          "comment" : "e.g. \"must be used in Germany\" or \"was initially published in error with this value\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.uniqueId.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "NamingSystem.uniqueId.period",
          "path" : "NamingSystem.uniqueId.period",
          "short" : "When is identifier valid?",
          "definition" : "Identifies the period of time over which this identifier is considered appropriate to refer to the naming system.  Outside of this window, the identifier might be non-deterministic.",
          "comment" : "Within a registry, a given identifier should only be \"active\" for a single namespace at a time.  (Ideally, an identifier should only ever be associated with a single namespace across all time).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NamingSystem.uniqueId.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "NamingSystem",
          "path" : "NamingSystem",
          "short" : "System of unique identification",
          "definition" : "A curated namespace that issues unique symbols within that namespace for the identification of concepts, people, devices, etc.  Represents a \"System\" used within the Identifier and Coding data types.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "nsd-1",
            "severity" : "error",
            "human" : "Root systems cannot have uuid identifiers",
            "expression" : "kind != 'root' or uniqueId.all(type != 'uuid')",
            "xpath" : "not(f:kind/@value='root' and f:uniqueId/f:type/@value='uuid')"
          },
          {
            "key" : "nsd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "nsd-2",
            "severity" : "error",
            "human" : "Can't have more than one preferred identifier for a type",
            "expression" : "uniqueId.where(preferred = true).select(type).isDistinct()",
            "xpath" : "not(exists(for $type in distinct-values(f:uniqueId/f:type/@value) return if (count(f:uniqueId[f:type/@value=$type and f:preferred/@value=true()])>1) then $type else ()))"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NamingSystem.name",
          "path" : "NamingSystem.name",
          "short" : "Name for this naming system (computer friendly)",
          "definition" : "A natural language name identifying the naming system. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.The\"symbolic name\" for an OID would be captured as an extension.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "NamingSystem.status",
          "path" : "NamingSystem.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this naming system. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of naming systems that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "NamingSystem.kind",
          "path" : "NamingSystem.kind",
          "short" : "codesystem | identifier | root",
          "definition" : "Indicates the purpose for the naming system - what kinds of things does it make unique?",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NamingSystemType"
            }],
            "strength" : "required",
            "description" : "Identifies the purpose of the naming system.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/namingsystem-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "NamingSystem.date",
          "path" : "NamingSystem.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the naming system was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the naming system changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the naming system. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "NamingSystem.publisher",
          "path" : "NamingSystem.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the naming system.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the naming system is the organization or individual primarily responsible for the maintenance and upkeep of the naming system. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the naming system. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the naming system.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "NamingSystem.contact",
          "path" : "NamingSystem.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "NamingSystem.responsible",
          "path" : "NamingSystem.responsible",
          "short" : "Who maintains system namespace?",
          "definition" : "The name of the organization that is responsible for issuing identifiers or codes for this namespace and ensuring their non-collision.",
          "comment" : "This is the primary organization.  Responsibility for some aspects of a namespace may be delegated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "NamingSystem.type",
          "path" : "NamingSystem.type",
          "short" : "e.g. driver,  provider,  patient, bank etc.",
          "definition" : "Categorizes a naming system for easier search by grouping related naming systems.",
          "comment" : "This will most commonly be used for identifier namespaces, but categories could potentially be useful for code systems and authorities as well.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentifierType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/identifier-type"
          }
        },
        {
          "id" : "NamingSystem.description",
          "path" : "NamingSystem.description",
          "short" : "Natural language description of the naming system",
          "definition" : "A free text natural language description of the naming system from a consumer's perspective. Details about what the namespace identifies including scope, granularity, version labeling, etc.",
          "comment" : "This description can be used to capture details such as why the naming system was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the naming system as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the naming system is presumed to be the predominant language in the place the naming system was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "NamingSystem.useContext",
          "path" : "NamingSystem.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate naming system instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "NamingSystem.jurisdiction",
          "path" : "NamingSystem.jurisdiction",
          "short" : "Intended jurisdiction for naming system (if applicable)",
          "definition" : "A legal or geographic region in which the naming system is intended to be used.",
          "comment" : "It may be possible for the naming system to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "NamingSystem.usage",
          "path" : "NamingSystem.usage",
          "short" : "How/where is it used",
          "definition" : "Provides guidance on the use of the namespace, including the handling of formatting characters, use of upper vs. lower case, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "NamingSystem.uniqueId",
          "path" : "NamingSystem.uniqueId",
          "short" : "Unique identifiers used for system",
          "definition" : "Indicates how the system may be identified when referenced in electronic exchange.",
          "comment" : "Multiple identifiers may exist, either due to duplicate registration, regional rules, needs of different communication technologies, etc.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "NamingSystem.uniqueId.type",
          "path" : "NamingSystem.uniqueId.type",
          "short" : "oid | uuid | uri | other",
          "definition" : "Identifies the unique identifier scheme used for this particular identifier.",
          "comment" : "Different identifier types may be used in different types of communications (OIDs for v3, URIs for FHIR, etc.).  Other includes RUIDs from v3, standard v2 code name strings, etc.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NamingSystemIdentifierType"
            }],
            "strength" : "required",
            "description" : "Identifies the style of unique identifier used to identify a namespace.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/namingsystem-identifier-type|4.0.0"
          }
        },
        {
          "id" : "NamingSystem.uniqueId.value",
          "path" : "NamingSystem.uniqueId.value",
          "short" : "The unique identifier",
          "definition" : "The string that should be sent over the wire to identify the code system or identifier system.",
          "comment" : "If the value is a URI intended for use as FHIR system identifier, the URI should not contain \"\\\" or \"?\" or \",\" since this makes escaping very difficult.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "NamingSystem.uniqueId.preferred",
          "path" : "NamingSystem.uniqueId.preferred",
          "short" : "Is this the id that should be used for this type",
          "definition" : "Indicates whether this identifier is the \"preferred\" identifier of this type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If there are multiple ids, and one is labeled \"preferred\", then the assumption is that the others are not preferred. In the absence of any id marked as preferred, no inference can be drawn"
        },
        {
          "id" : "NamingSystem.uniqueId.comment",
          "path" : "NamingSystem.uniqueId.comment",
          "short" : "Notes about identifier usage",
          "definition" : "Notes about the past or intended usage of this identifier.",
          "comment" : "e.g. \"must be used in Germany\" or \"was initially published in error with this value\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "NamingSystem.uniqueId.period",
          "path" : "NamingSystem.uniqueId.period",
          "short" : "When is identifier valid?",
          "definition" : "Identifies the period of time over which this identifier is considered appropriate to refer to the naming system.  Outside of this window, the identifier might be non-deterministic.",
          "comment" : "Within a registry, a given identifier should only be \"active\" for a single namespace at a time.  (Ideally, an identifier should only ever be associated with a single namespace across all time).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "NutritionOrder",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 NutritionOrder 
ITU
DomainResource
Diet, formula or nutritional supplement request
+ Warning: Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Identifiers assigned to this order
 instantiatesCanonical 
Σ
0..*
canonical(ActivityDefinition | PlanDefinition)
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 instantiates 
0..*
uri
Instantiates protocol or definition
 status 
?!Σ
1..1
code
proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error
RequestStatus (Required)
 intent 
?!Σ
1..1
code
proposal | plan | order
RequestIntent (Required)
 patient 
Σ
1..1
Reference(Patient)
The person who requires the diet, formula or nutritional supplement
 encounter 
0..1
Reference(Encounter)
The encounter associated with this nutrition order
 dateTime 
Σ
1..1
dateTime
Date and time the nutrition order was requested
 orderer 
Σ
0..1
Reference(Practitioner | PractitionerRole)
Who ordered the diet, formula or nutritional supplement
 allergyIntolerance 
0..*
Reference(AllergyIntolerance)
List of the patient's food and nutrition-related allergies and intolerances
 foodPreferenceModifier 
0..*
CodeableConcept
Order-specific modifier about the type of food that should be given
Diet (Example)
 excludeFoodModifier 
0..*
CodeableConcept
Order-specific modifier about the type of food that should not be given
Food Type Codes (Example)
 oralDiet 
I
0..1
BackboneElement
Oral diet components
 type 
Σ
0..*
CodeableConcept
Type of oral diet or diet restrictions that describe what can be consumed orally
Diet Codes (Example)
 schedule 
0..*
Timing
Scheduled frequency of diet
 nutrient 
0..*
BackboneElement
Required  nutrient modifications
 modifier 
0..1
CodeableConcept
Type of nutrient that is being modified
Nutrient Modifier Codes (Example)
 amount 
0..1
SimpleQuantity
Quantity of the specified nutrient
 texture 
0..*
BackboneElement
Required  texture modifications
 modifier 
0..1
CodeableConcept
Code to indicate how to alter the texture of the foods, e.g. pureed
Texture Modifier Codes (Example)
 foodType 
0..1
CodeableConcept
Concepts that are used to identify an entity that is ingested for nutritional purposes
Texture Modified Food Type Codes (Example)
 fluidConsistencyType 
0..*
CodeableConcept
The required consistency of fluids and liquids provided to the patient
Fluid Consistency Type Codes (Example)
 instruction 
Σ
0..1
string
Instructions or additional information about the oral diet
 supplement 
I
0..*
BackboneElement
Supplement components
 type 
Σ
0..1
CodeableConcept
Type of supplement product requested
Supplement Type Codes (Example)
 productName 
0..1
string
Product or brand name of the nutritional supplement
 schedule 
0..*
Timing
Scheduled frequency of supplement
 quantity 
0..1
SimpleQuantity
Amount of the nutritional supplement
 instruction 
Σ
0..1
string
Instructions or additional information about the oral supplement
 enteralFormula 
I
0..1
BackboneElement
Enteral formula components
 baseFormulaType 
Σ
0..1
CodeableConcept
Type of enteral or infant formula
Enteral Formula Type Codes (Example)
 baseFormulaProductName 
0..1
string
Product or brand name of the enteral or infant formula
 additiveType 
0..1
CodeableConcept
Type of modular component to add to the feeding
Enteral Formula Additive Type Code (Example)
 additiveProductName 
0..1
string
Product or brand name of the modular additive
 caloricDensity 
0..1
SimpleQuantity
Amount of energy per specified volume that is required
 routeofAdministration 
0..1
CodeableConcept
How the formula should enter the patient's gastrointestinal tract
Enteral Route Codes (Extensible)
 administration 
0..*
BackboneElement
Formula feeding instruction as structured data
 schedule 
0..1
Timing
Scheduled frequency of enteral feeding
 quantity 
0..1
SimpleQuantity
The volume of formula to provide
 rate[x] 
0..1
Speed with which the formula is provided per period of time
 rateQuantity
SimpleQuantity
 rateRatio
Ratio
 maxVolumeToDeliver 
0..1
SimpleQuantity
Upper limit on formula volume per unit of time
 administrationInstruction 
Σ
0..1
string
Formula feeding instructions expressed as text
 note 
0..*
Annotation
Comments

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Care Provision"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
      "version" : "4.0.0",
      "name" : "NutritionOrder",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "NutritionOrder",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "NutritionOrder",
          "path" : "NutritionOrder",
          "short" : "Diet, formula or nutritional supplement request",
          "definition" : "A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.",
          "comment" : "Referenced by an Order Request (workflow).",
          "alias" : ["Nutrition Order",
          "Diet Order",
          "Diet",
          "Nutritional Supplement",
          "Enteral Nutrition"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "nor-1",
            "severity" : "warning",
            "human" : "Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class",
            "expression" : "oralDiet.exists() or supplement.exists() or enteralFormula.exists()",
            "xpath" : "exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "ORC / ODS"
          },
          {
            "identity" : "rim",
            "map" : "SupplyRequest"
          }]
        },
        {
          "id" : "NutritionOrder.id",
          "path" : "NutritionOrder.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "NutritionOrder.meta",
          "path" : "NutritionOrder.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "NutritionOrder.implicitRules",
          "path" : "NutritionOrder.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "NutritionOrder.language",
          "path" : "NutritionOrder.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "NutritionOrder.text",
          "path" : "NutritionOrder.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "NutritionOrder.contained",
          "path" : "NutritionOrder.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.extension",
          "path" : "NutritionOrder.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.modifierExtension",
          "path" : "NutritionOrder.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.identifier",
          "path" : "NutritionOrder.identifier",
          "short" : "Identifiers assigned to this order",
          "definition" : "Identifiers assigned to this order by the order sender or by the order receiver.",
          "comment" : "The Identifier.type element can be to indicate filler vs. placer if needed.  This is explained in further detail [here](servicerequest.html#notes).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2/ORC-3"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "NutritionOrder.instantiatesCanonical",
          "path" : "NutritionOrder.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder.",
          "comment" : "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "NutritionOrder.instantiatesUri",
          "path" : "NutritionOrder.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "NutritionOrder.instantiates",
          "path" : "NutritionOrder.instantiates",
          "short" : "Instantiates protocol or definition",
          "definition" : "The URL pointing to a protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.instantiates",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiates"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "NutritionOrder.status",
          "path" : "NutritionOrder.status",
          "short" : "proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error",
          "definition" : "The workflow status of the nutrition order/request.",
          "comment" : "Typically the system placing the order sets the status to \"requested\". Thereafter, the order is maintained by the receiver that updates the status as the request is handled.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NutritionOrderStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of the nutrition order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC-1"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "NutritionOrder.intent",
          "path" : "NutritionOrder.intent",
          "short" : "proposal | plan | order",
          "definition" : "Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain.",
          "comment" : "When resources map to this element, they are free to define as many codes as necessary to cover their space and will map to \"proposal, plan or order\".  Can have multiple codes that map to one of these.  E.g. \"original order\", \"encoded order\", \"reflex order\" would all map to \"order\".  Expectation is that the set of codes is mutually exclusive or a strict all-encompassing hierarchy.",
          "requirements" : "Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.",
          "alias" : ["category"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.intent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NutritiionOrderIntent"
            }],
            "strength" : "required",
            "description" : "Codes indicating the degree of authority/intentionality associated with a nutrition order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }]
        },
        {
          "id" : "NutritionOrder.patient",
          "path" : "NutritionOrder.patient",
          "short" : "The person who requires the diet, formula or nutritional supplement",
          "definition" : "The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "NutritionOrder.encounter",
          "path" : "NutritionOrder.encounter",
          "short" : "The encounter associated with this nutrition order",
          "definition" : "An encounter that provides additional information about the healthcare context in which this request is made.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "NutritionOrder.dateTime",
          "path" : "NutritionOrder.dateTime",
          "short" : "Date and time the nutrition order was requested",
          "definition" : "The date and time that this nutrition order was requested.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.dateTime",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ORC-9"
          },
          {
            "identity" : "rim",
            "map" : "author.time"
          }]
        },
        {
          "id" : "NutritionOrder.orderer",
          "path" : "NutritionOrder.orderer",
          "short" : "Who ordered the diet, formula or nutritional supplement",
          "definition" : "The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.orderer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC-12"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "NutritionOrder.allergyIntolerance",
          "path" : "NutritionOrder.allergyIntolerance",
          "short" : "List of the patient's food and nutrition-related allergies and intolerances",
          "definition" : "A link to a record of allergies or intolerances  which should be included in the nutrition order.",
          "comment" : "Information on a patient's food allergies and intolerances to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.allergyIntolerance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "NutritionOrder.foodPreferenceModifier",
          "path" : "NutritionOrder.foodPreferenceModifier",
          "short" : "Order-specific modifier about the type of food that should be given",
          "definition" : "This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.",
          "comment" : "Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.foodPreferenceModifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PatientDiet"
            }],
            "strength" : "example",
            "description" : "Medical, cultural or ethical food preferences to help with catering requirements.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-diet"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-1 Value = \"P\",ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=NutritionModificationType]"
          }]
        },
        {
          "id" : "NutritionOrder.excludeFoodModifier",
          "path" : "NutritionOrder.excludeFoodModifier",
          "short" : "Order-specific modifier about the type of food that should not be given",
          "definition" : "This modifier is used to convey Order-specific modifier about the type of oral food or oral fluids that should not be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or  Gluten-Free.  While it should not be necessary to repeat allergy or intolerance information captured in the referenced AllergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to foods that should be eliminated from the patient’s diet for any reason.  This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.",
          "comment" : "Information on a patient's food allergies, intolerances and preferences to inform healthcare personnel about the type  of foods that the patient shouldn't receive or consume.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.excludeFoodModifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FoodType"
            }],
            "strength" : "example",
            "description" : "Codes used to indicate the type of food that should NOT be given to the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/food-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet",
          "path" : "NutritionOrder.oralDiet",
          "short" : "Oral diet components",
          "definition" : "Diet given orally in contrast to enteral (tube) feeding.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.oralDiet",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["nor-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-1 Value = \"D\""
          },
          {
            "identity" : "rim",
            "map" : "oralDiet .outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=OralDietSupplyType]"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.id",
          "path" : "NutritionOrder.oralDiet.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.extension",
          "path" : "NutritionOrder.oralDiet.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.modifierExtension",
          "path" : "NutritionOrder.oralDiet.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.type",
          "path" : "NutritionOrder.oralDiet.type",
          "short" : "Type of oral diet or diet restrictions that describe what can be consumed orally",
          "definition" : "The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.oralDiet.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralDiet"
            }],
            "strength" : "example",
            "description" : "Codes used to indicate the type of diet being ordered for a patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diet-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.schedule",
          "path" : "NutritionOrder.oralDiet.schedule",
          "short" : "Scheduled frequency of diet",
          "definition" : "The time period and frequency at which the diet should be given.  The diet should be given for the combination of all schedules if more than one schedule is present.",
          "alias" : ["Frequency"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.oralDiet.schedule",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-2, TQ1-7/8"
          },
          {
            "identity" : "rim",
            "map" : ".expectedUseTime"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient",
          "path" : "NutritionOrder.oralDiet.nutrient",
          "short" : "Required  nutrient modifications",
          "definition" : "Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.oralDiet.nutrient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient.id",
          "path" : "NutritionOrder.oralDiet.nutrient.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient.extension",
          "path" : "NutritionOrder.oralDiet.nutrient.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient.modifierExtension",
          "path" : "NutritionOrder.oralDiet.nutrient.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient.modifier",
          "path" : "NutritionOrder.oralDiet.nutrient.modifier",
          "short" : "Type of nutrient that is being modified",
          "definition" : "The nutrient that is being modified such as carbohydrate or sodium.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.oralDiet.nutrient.modifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NutrientModifier"
            }],
            "strength" : "example",
            "description" : "Codes for types of nutrients that are being modified such as carbohydrate or sodium.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/nutrient-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient.amount",
          "path" : "NutritionOrder.oralDiet.nutrient.amount",
          "short" : "Quantity of the specified nutrient",
          "definition" : "The quantity of the specified nutrient to include in diet.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.oralDiet.nutrient.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture",
          "path" : "NutritionOrder.oralDiet.texture",
          "short" : "Required  texture modifications",
          "definition" : "Class that describes any texture modifications required for the patient to safely consume various types of solid foods.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.oralDiet.texture",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=DietTextureModificationType]"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture.id",
          "path" : "NutritionOrder.oralDiet.texture.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture.extension",
          "path" : "NutritionOrder.oralDiet.texture.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture.modifierExtension",
          "path" : "NutritionOrder.oralDiet.texture.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture.modifier",
          "path" : "NutritionOrder.oralDiet.texture.modifier",
          "short" : "Code to indicate how to alter the texture of the foods, e.g. pureed",
          "definition" : "Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.",
          "comment" : "Coupled with the foodType (Meat).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.oralDiet.texture.modifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TextureModifier"
            }],
            "strength" : "example",
            "description" : "Codes for food consistency types or texture modifications to apply to foods.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/texture-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture.foodType",
          "path" : "NutritionOrder.oralDiet.texture.foodType",
          "short" : "Concepts that are used to identify an entity that is ingested for nutritional purposes",
          "definition" : "The food type(s) (e.g. meats, all foods)  that the texture modification applies to.  This could be all foods types.",
          "comment" : "Coupled with the `texture.modifier`; could be (All Foods).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.oralDiet.texture.foodType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TextureModifiedFoodType"
            }],
            "strength" : "example",
            "description" : "Codes for types of foods that are texture-modified.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/modified-foodtype"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.fluidConsistencyType",
          "path" : "NutritionOrder.oralDiet.fluidConsistencyType",
          "short" : "The required consistency of fluids and liquids provided to the patient",
          "definition" : "The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.oralDiet.fluidConsistencyType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FluidConsistencyType"
            }],
            "strength" : "example",
            "description" : "Codes used to represent the consistency of fluids and liquids provided to the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consistency-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".code  (Not differentiated from dietTextureModificationType in HL7 v3)"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.instruction",
          "path" : "NutritionOrder.oralDiet.instruction",
          "short" : "Instructions or additional information about the oral diet",
          "definition" : "Free text or additional instructions or information pertaining to the oral diet.",
          "comment" : "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.oralDiet.instruction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "NutritionOrder.supplement",
          "path" : "NutritionOrder.supplement",
          "short" : "Supplement components",
          "definition" : "Oral nutritional products given in order to add further nutritional value to the patient's diet.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.supplement",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["nor-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-1 Value = \"P\""
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=SUPPLEMENT]"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.id",
          "path" : "NutritionOrder.supplement.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.extension",
          "path" : "NutritionOrder.supplement.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.modifierExtension",
          "path" : "NutritionOrder.supplement.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.type",
          "path" : "NutritionOrder.supplement.type",
          "short" : "Type of supplement product requested",
          "definition" : "The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.supplement.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplementType"
            }],
            "strength" : "example",
            "description" : "Codes for nutritional supplements to be provided to the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplement-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code (NutritionalSupplementType)"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.productName",
          "path" : "NutritionOrder.supplement.productName",
          "short" : "Product or brand name of the nutritional supplement",
          "definition" : "The product or brand name of the nutritional supplement such as \"Acme Protein Shake\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.supplement.productName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.schedule",
          "path" : "NutritionOrder.supplement.schedule",
          "short" : "Scheduled frequency of supplement",
          "definition" : "The time period and frequency at which the supplement(s) should be given.  The supplement should be given for the combination of all schedules if more than one schedule is present.",
          "alias" : ["Frequency"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.supplement.schedule",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-2,TQ1-7/8"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.quantity",
          "path" : "NutritionOrder.supplement.quantity",
          "short" : "Amount of the nutritional supplement",
          "definition" : "The amount of the nutritional supplement to be given.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.supplement.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "TQ1-2"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.instruction",
          "path" : "NutritionOrder.supplement.instruction",
          "short" : "Instructions or additional information about the oral supplement",
          "definition" : "Free text or additional instructions or information pertaining to the oral supplement.",
          "comment" : "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.supplement.instruction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula",
          "path" : "NutritionOrder.enteralFormula",
          "short" : "Enteral formula components",
          "definition" : "Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["nor-1"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-1 Value coded for enteral"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=FORMULA]"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.id",
          "path" : "NutritionOrder.enteralFormula.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.extension",
          "path" : "NutritionOrder.enteralFormula.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.modifierExtension",
          "path" : "NutritionOrder.enteralFormula.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.baseFormulaType",
          "path" : "NutritionOrder.enteralFormula.baseFormulaType",
          "short" : "Type of enteral or infant formula",
          "definition" : "The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.baseFormulaType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnteralFormulaType"
            }],
            "strength" : "example",
            "description" : "Codes for type of enteral formula to be administered to patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/entformula-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code (NutritionalFormulaType)"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.baseFormulaProductName",
          "path" : "NutritionOrder.enteralFormula.baseFormulaProductName",
          "short" : "Product or brand name of the enteral or infant formula",
          "definition" : "The product or brand name of the enteral or infant formula product such as \"ACME Adult Standard Formula\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.baseFormulaProductName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.additiveType",
          "path" : "NutritionOrder.enteralFormula.additiveType",
          "short" : "Type of modular component to add to the feeding",
          "definition" : "Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.additiveType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnteralFormulaAdditiveType"
            }],
            "strength" : "example",
            "description" : "Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/entformula-additive"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : "N/A (not differentiated from NutritionalFormulaType in HL7 v3)"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.additiveProductName",
          "path" : "NutritionOrder.enteralFormula.additiveProductName",
          "short" : "Product or brand name of the modular additive",
          "definition" : "The product or brand name of the type of modular component to be added to the formula.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.additiveProductName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.caloricDensity",
          "path" : "NutritionOrder.enteralFormula.caloricDensity",
          "short" : "Amount of energy per specified volume that is required",
          "definition" : "The amount of energy (calories) that the formula should provide per specified volume, typically per mL or fluid oz.  For example, an infant may require a formula that provides 24 calories per fluid ounce or an adult may require an enteral formula that provides 1.5 calorie/mL.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.caloricDensity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "TQ1-2"
          },
          {
            "identity" : "rim",
            "map" : ".quantity (caloricDensity)"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.routeofAdministration",
          "path" : "NutritionOrder.enteralFormula.routeofAdministration",
          "short" : "How the formula should enter the patient's gastrointestinal tract",
          "definition" : "The route or physiological path of administration into the patient's gastrointestinal  tract for purposes of providing the formula feeding, e.g. nasogastric tube.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.routeofAdministration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnteralRouteOfAdministration"
            }],
            "strength" : "extensible",
            "description" : "Codes specifying the route of administration of enteral formula.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/enteral-route"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".routeCode"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration",
          "path" : "NutritionOrder.enteralFormula.administration",
          "short" : "Formula feeding instruction as structured data",
          "definition" : "Formula administration instructions as structured data.  This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding.  An example of this would be an instruction to increase the rate of continuous feeding every 2 hours.",
          "comment" : "See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.administration",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship [typeCode =COMP], target [classCode=SBADM, moodCode=RQO]"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.id",
          "path" : "NutritionOrder.enteralFormula.administration.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.extension",
          "path" : "NutritionOrder.enteralFormula.administration.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.modifierExtension",
          "path" : "NutritionOrder.enteralFormula.administration.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.schedule",
          "path" : "NutritionOrder.enteralFormula.administration.schedule",
          "short" : "Scheduled frequency of enteral feeding",
          "definition" : "The time period and frequency at which the enteral formula should be delivered to the patient.",
          "alias" : ["Frequency"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.administration.schedule",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-2,TQ1-7/8"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveUseTime"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.quantity",
          "path" : "NutritionOrder.enteralFormula.administration.quantity",
          "short" : "The volume of formula to provide",
          "definition" : "The volume of formula to provide to the patient per the specified administration schedule.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.administration.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "TQ1-2"
          },
          {
            "identity" : "rim",
            "map" : ".doseQuantity"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.rate[x]",
          "path" : "NutritionOrder.enteralFormula.administration.rate[x]",
          "short" : "Speed with which the formula is provided per period of time",
          "definition" : "The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.",
          "comment" : "Ratio is used when the quantity value in the denominator is not \"1\", otherwise use Quantity. For example, the Ratio datatype is used for \"200 mL/4 hrs\" versus the Quantity datatype for \"50 mL/hr\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.administration.rate[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          },
          {
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".rateQuantity"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.maxVolumeToDeliver",
          "path" : "NutritionOrder.enteralFormula.maxVolumeToDeliver",
          "short" : "Upper limit on formula volume per unit of time",
          "definition" : "The maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.maxVolumeToDeliver",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".maxDoseQuantity"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administrationInstruction",
          "path" : "NutritionOrder.enteralFormula.administrationInstruction",
          "short" : "Formula feeding instructions expressed as text",
          "definition" : "Free text formula administration, feeding instructions or additional instructions or information.",
          "comment" : "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "NutritionOrder.enteralFormula.administrationInstruction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.note",
          "path" : "NutritionOrder.note",
          "short" : "Comments",
          "definition" : "Comments made about the {{title}} by the requester, performer, subject or other participants.",
          "comment" : "This element SHALL NOT be used to supply free text instructions for the diet which are represented in the `.oralDiet.instruction`, `supplement.instruction`, or `enteralFormula.administrationInstruction` elements.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "NutritionOrder.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "NutritionOrder",
          "path" : "NutritionOrder",
          "short" : "Diet, formula or nutritional supplement request",
          "definition" : "A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to a patient/resident.",
          "comment" : "Referenced by an Order Request (workflow).",
          "alias" : ["Nutrition Order",
          "Diet Order",
          "Diet",
          "Nutritional Supplement",
          "Enteral Nutrition"],
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "nor-1",
            "severity" : "warning",
            "human" : "Nutrition Order SHALL contain either Oral Diet , Supplement, or Enteral Formula class",
            "expression" : "oralDiet.exists() or supplement.exists() or enteralFormula.exists()",
            "xpath" : "exists(f:oralDiet) or exists(f:supplement) or exists(f:enteralFormula)"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "ORC / ODS"
          },
          {
            "identity" : "rim",
            "map" : "SupplyRequest"
          }]
        },
        {
          "id" : "NutritionOrder.identifier",
          "path" : "NutritionOrder.identifier",
          "short" : "Identifiers assigned to this order",
          "definition" : "Identifiers assigned to this order by the order sender or by the order receiver.",
          "comment" : "The Identifier.type element can be to indicate filler vs. placer if needed.  This is explained in further detail [here](servicerequest.html#notes).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2/ORC-3"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "NutritionOrder.instantiatesCanonical",
          "path" : "NutritionOrder.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder.",
          "comment" : "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "NutritionOrder.instantiatesUri",
          "path" : "NutritionOrder.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "NutritionOrder.instantiates",
          "path" : "NutritionOrder.instantiates",
          "short" : "Instantiates protocol or definition",
          "definition" : "The URL pointing to a protocol, guideline, orderset or other definition that is adhered to in whole or in part by this NutritionOrder.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiates"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "NutritionOrder.status",
          "path" : "NutritionOrder.status",
          "short" : "proposed | draft | planned | requested | active | on-hold | completed | cancelled | entered-in-error",
          "definition" : "The workflow status of the nutrition order/request.",
          "comment" : "Typically the system placing the order sets the status to \"requested\". Thereafter, the order is maintained by the receiver that updates the status as the request is handled.  This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NutritionOrderStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of the nutrition order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC-1"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "NutritionOrder.intent",
          "path" : "NutritionOrder.intent",
          "short" : "proposal | plan | order",
          "definition" : "Indicates the level of authority/intentionality associated with the NutrionOrder and where the request fits into the workflow chain.",
          "comment" : "When resources map to this element, they are free to define as many codes as necessary to cover their space and will map to \"proposal, plan or order\".  Can have multiple codes that map to one of these.  E.g. \"original order\", \"encoded order\", \"reflex order\" would all map to \"order\".  Expectation is that the set of codes is mutually exclusive or a strict all-encompassing hierarchy.",
          "requirements" : "Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.",
          "alias" : ["category"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NutritiionOrderIntent"
            }],
            "strength" : "required",
            "description" : "Codes indicating the degree of authority/intentionality associated with a nutrition order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }]
        },
        {
          "id" : "NutritionOrder.patient",
          "path" : "NutritionOrder.patient",
          "short" : "The person who requires the diet, formula or nutritional supplement",
          "definition" : "The person (patient) who needs the nutrition order for an oral diet, nutritional supplement and/or enteral or formula feeding.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "NutritionOrder.encounter",
          "path" : "NutritionOrder.encounter",
          "short" : "The encounter associated with this nutrition order",
          "definition" : "An encounter that provides additional information about the healthcare context in which this request is made.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "NutritionOrder.dateTime",
          "path" : "NutritionOrder.dateTime",
          "short" : "Date and time the nutrition order was requested",
          "definition" : "The date and time that this nutrition order was requested.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ORC-9"
          },
          {
            "identity" : "rim",
            "map" : "author.time"
          }]
        },
        {
          "id" : "NutritionOrder.orderer",
          "path" : "NutritionOrder.orderer",
          "short" : "Who ordered the diet, formula or nutritional supplement",
          "definition" : "The practitioner that holds legal responsibility for ordering the diet, nutritional supplement, or formula feedings.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC-12"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "NutritionOrder.allergyIntolerance",
          "path" : "NutritionOrder.allergyIntolerance",
          "short" : "List of the patient's food and nutrition-related allergies and intolerances",
          "definition" : "A link to a record of allergies or intolerances  which should be included in the nutrition order.",
          "comment" : "Information on a patient's food allergies and intolerances to inform healthcare personnel about the type of foods that the patient shouldn't receive or consume.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/AllergyIntolerance"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "NutritionOrder.foodPreferenceModifier",
          "path" : "NutritionOrder.foodPreferenceModifier",
          "short" : "Order-specific modifier about the type of food that should be given",
          "definition" : "This modifier is used to convey order-specific modifiers about the type of food that should be given. These can be derived from patient allergies, intolerances, or preferences such as Halal, Vegan or Kosher. This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.",
          "comment" : "Information on a patient's food preferences that inform healthcare personnel about the food that the patient should receive or consume.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PatientDiet"
            }],
            "strength" : "example",
            "description" : "Medical, cultural or ethical food preferences to help with catering requirements.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/encounter-diet"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-1 Value = \"P\",ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=NutritionModificationType]"
          }]
        },
        {
          "id" : "NutritionOrder.excludeFoodModifier",
          "path" : "NutritionOrder.excludeFoodModifier",
          "short" : "Order-specific modifier about the type of food that should not be given",
          "definition" : "This modifier is used to convey Order-specific modifier about the type of oral food or oral fluids that should not be given. These can be derived from patient allergies, intolerances, or preferences such as No Red Meat, No Soy or No Wheat or  Gluten-Free.  While it should not be necessary to repeat allergy or intolerance information captured in the referenced AllergyIntolerance resource in the excludeFoodModifier, this element may be used to convey additional specificity related to foods that should be eliminated from the patient’s diet for any reason.  This modifier applies to the entire nutrition order inclusive of the oral diet, nutritional supplements and enteral formula feedings.",
          "comment" : "Information on a patient's food allergies, intolerances and preferences to inform healthcare personnel about the type  of foods that the patient shouldn't receive or consume.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FoodType"
            }],
            "strength" : "example",
            "description" : "Codes used to indicate the type of food that should NOT be given to the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/food-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet",
          "path" : "NutritionOrder.oralDiet",
          "short" : "Oral diet components",
          "definition" : "Diet given orally in contrast to enteral (tube) feeding.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["nor-1"],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-1 Value = \"D\""
          },
          {
            "identity" : "rim",
            "map" : "oralDiet .outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=OralDietSupplyType]"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.type",
          "path" : "NutritionOrder.oralDiet.type",
          "short" : "Type of oral diet or diet restrictions that describe what can be consumed orally",
          "definition" : "The kind of diet or dietary restriction such as fiber restricted diet or diabetic diet.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OralDiet"
            }],
            "strength" : "example",
            "description" : "Codes used to indicate the type of diet being ordered for a patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/diet-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.schedule",
          "path" : "NutritionOrder.oralDiet.schedule",
          "short" : "Scheduled frequency of diet",
          "definition" : "The time period and frequency at which the diet should be given.  The diet should be given for the combination of all schedules if more than one schedule is present.",
          "alias" : ["Frequency"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Timing"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-2, TQ1-7/8"
          },
          {
            "identity" : "rim",
            "map" : ".expectedUseTime"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient",
          "path" : "NutritionOrder.oralDiet.nutrient",
          "short" : "Required  nutrient modifications",
          "definition" : "Class that defines the quantity and type of nutrient modifications (for example carbohydrate, fiber or sodium) required for the oral diet.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient.modifier",
          "path" : "NutritionOrder.oralDiet.nutrient.modifier",
          "short" : "Type of nutrient that is being modified",
          "definition" : "The nutrient that is being modified such as carbohydrate or sodium.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NutrientModifier"
            }],
            "strength" : "example",
            "description" : "Codes for types of nutrients that are being modified such as carbohydrate or sodium.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/nutrient-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.nutrient.amount",
          "path" : "NutritionOrder.oralDiet.nutrient.amount",
          "short" : "Quantity of the specified nutrient",
          "definition" : "The quantity of the specified nutrient to include in diet.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture",
          "path" : "NutritionOrder.oralDiet.texture",
          "short" : "Required  texture modifications",
          "definition" : "Class that describes any texture modifications required for the patient to safely consume various types of solid foods.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship [typeCode =COMP], target [classCode=PROC, moodCode=EVN, code=DietTextureModificationType]"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture.modifier",
          "path" : "NutritionOrder.oralDiet.texture.modifier",
          "short" : "Code to indicate how to alter the texture of the foods, e.g. pureed",
          "definition" : "Any texture modifications (for solid foods) that should be made, e.g. easy to chew, chopped, ground, and pureed.",
          "comment" : "Coupled with the foodType (Meat).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TextureModifier"
            }],
            "strength" : "example",
            "description" : "Codes for food consistency types or texture modifications to apply to foods.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/texture-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.texture.foodType",
          "path" : "NutritionOrder.oralDiet.texture.foodType",
          "short" : "Concepts that are used to identify an entity that is ingested for nutritional purposes",
          "definition" : "The food type(s) (e.g. meats, all foods)  that the texture modification applies to.  This could be all foods types.",
          "comment" : "Coupled with the `texture.modifier`; could be (All Foods).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TextureModifiedFoodType"
            }],
            "strength" : "example",
            "description" : "Codes for types of foods that are texture-modified.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/modified-foodtype"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.fluidConsistencyType",
          "path" : "NutritionOrder.oralDiet.fluidConsistencyType",
          "short" : "The required consistency of fluids and liquids provided to the patient",
          "definition" : "The required consistency (e.g. honey-thick, nectar-thick, thin, thickened.) of liquids or fluids served to the patient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FluidConsistencyType"
            }],
            "strength" : "example",
            "description" : "Codes used to represent the consistency of fluids and liquids provided to the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/consistency-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".code  (Not differentiated from dietTextureModificationType in HL7 v3)"
          }]
        },
        {
          "id" : "NutritionOrder.oralDiet.instruction",
          "path" : "NutritionOrder.oralDiet.instruction",
          "short" : "Instructions or additional information about the oral diet",
          "definition" : "Free text or additional instructions or information pertaining to the oral diet.",
          "comment" : "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "NutritionOrder.supplement",
          "path" : "NutritionOrder.supplement",
          "short" : "Supplement components",
          "definition" : "Oral nutritional products given in order to add further nutritional value to the patient's diet.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["nor-1"],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-1 Value = \"P\""
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=SUPPLEMENT]"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.type",
          "path" : "NutritionOrder.supplement.type",
          "short" : "Type of supplement product requested",
          "definition" : "The kind of nutritional supplement product required such as a high protein or pediatric clear liquid supplement.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplementType"
            }],
            "strength" : "example",
            "description" : "Codes for nutritional supplements to be provided to the patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplement-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code (NutritionalSupplementType)"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.productName",
          "path" : "NutritionOrder.supplement.productName",
          "short" : "Product or brand name of the nutritional supplement",
          "definition" : "The product or brand name of the nutritional supplement such as \"Acme Protein Shake\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.schedule",
          "path" : "NutritionOrder.supplement.schedule",
          "short" : "Scheduled frequency of supplement",
          "definition" : "The time period and frequency at which the supplement(s) should be given.  The supplement should be given for the combination of all schedules if more than one schedule is present.",
          "alias" : ["Frequency"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Timing"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-2,TQ1-7/8"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.quantity",
          "path" : "NutritionOrder.supplement.quantity",
          "short" : "Amount of the nutritional supplement",
          "definition" : "The amount of the nutritional supplement to be given.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "TQ1-2"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "NutritionOrder.supplement.instruction",
          "path" : "NutritionOrder.supplement.instruction",
          "short" : "Instructions or additional information about the oral supplement",
          "definition" : "Free text or additional instructions or information pertaining to the oral supplement.",
          "comment" : "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula",
          "path" : "NutritionOrder.enteralFormula",
          "short" : "Enteral formula components",
          "definition" : "Feeding provided through the gastrointestinal tract via a tube, catheter, or stoma that delivers nutrition distal to the oral cavity.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["nor-1"],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-1 Value coded for enteral"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship [typeCode =COMP], target [classCode=SPLY, moodCode=RQO, code=FORMULA]"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.baseFormulaType",
          "path" : "NutritionOrder.enteralFormula.baseFormulaType",
          "short" : "Type of enteral or infant formula",
          "definition" : "The type of enteral or infant formula such as an adult standard formula with fiber or a soy-based infant formula.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnteralFormulaType"
            }],
            "strength" : "example",
            "description" : "Codes for type of enteral formula to be administered to patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/entformula-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role[classCode=MANU], manufacturedFoodKind; .code (NutritionalFormulaType)"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.baseFormulaProductName",
          "path" : "NutritionOrder.enteralFormula.baseFormulaProductName",
          "short" : "Product or brand name of the enteral or infant formula",
          "definition" : "The product or brand name of the enteral or infant formula product such as \"ACME Adult Standard Formula\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.additiveType",
          "path" : "NutritionOrder.enteralFormula.additiveType",
          "short" : "Type of modular component to add to the feeding",
          "definition" : "Indicates the type of modular component such as protein, carbohydrate, fat or fiber to be provided in addition to or mixed with the base formula.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnteralFormulaAdditiveType"
            }],
            "strength" : "example",
            "description" : "Codes for the type of modular component such as protein, carbohydrate or fiber to be provided in addition to or mixed with the base formula.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/entformula-additive"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-3"
          },
          {
            "identity" : "rim",
            "map" : "N/A (not differentiated from NutritionalFormulaType in HL7 v3)"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.additiveProductName",
          "path" : "NutritionOrder.enteralFormula.additiveProductName",
          "short" : "Product or brand name of the modular additive",
          "definition" : "The product or brand name of the type of modular component to be added to the formula.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.caloricDensity",
          "path" : "NutritionOrder.enteralFormula.caloricDensity",
          "short" : "Amount of energy per specified volume that is required",
          "definition" : "The amount of energy (calories) that the formula should provide per specified volume, typically per mL or fluid oz.  For example, an infant may require a formula that provides 24 calories per fluid ounce or an adult may require an enteral formula that provides 1.5 calorie/mL.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "TQ1-2"
          },
          {
            "identity" : "rim",
            "map" : ".quantity (caloricDensity)"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.routeofAdministration",
          "path" : "NutritionOrder.enteralFormula.routeofAdministration",
          "short" : "How the formula should enter the patient's gastrointestinal tract",
          "definition" : "The route or physiological path of administration into the patient's gastrointestinal  tract for purposes of providing the formula feeding, e.g. nasogastric tube.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnteralRouteOfAdministration"
            }],
            "strength" : "extensible",
            "description" : "Codes specifying the route of administration of enteral formula.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/enteral-route"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".routeCode"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration",
          "path" : "NutritionOrder.enteralFormula.administration",
          "short" : "Formula feeding instruction as structured data",
          "definition" : "Formula administration instructions as structured data.  This repeating structure allows for changing the administration rate or volume over time for both bolus and continuous feeding.  An example of this would be an instruction to increase the rate of continuous feeding every 2 hours.",
          "comment" : "See implementation notes below for further discussion on how to order continuous vs bolus enteral feeding using this resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship [typeCode =COMP], target [classCode=SBADM, moodCode=RQO]"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.schedule",
          "path" : "NutritionOrder.enteralFormula.administration.schedule",
          "short" : "Scheduled frequency of enteral feeding",
          "definition" : "The time period and frequency at which the enteral formula should be delivered to the patient.",
          "alias" : ["Frequency"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Timing"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "v2",
            "map" : "ODS-2,TQ1-7/8"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveUseTime"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.quantity",
          "path" : "NutritionOrder.enteralFormula.administration.quantity",
          "short" : "The volume of formula to provide",
          "definition" : "The volume of formula to provide to the patient per the specified administration schedule.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "TQ1-2"
          },
          {
            "identity" : "rim",
            "map" : ".doseQuantity"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administration.rate[x]",
          "path" : "NutritionOrder.enteralFormula.administration.rate[x]",
          "short" : "Speed with which the formula is provided per period of time",
          "definition" : "The rate of administration of formula via a feeding pump, e.g. 60 mL per hour, according to the specified schedule.",
          "comment" : "Ratio is used when the quantity value in the denominator is not \"1\", otherwise use Quantity. For example, the Ratio datatype is used for \"200 mL/4 hrs\" versus the Quantity datatype for \"50 mL/hr\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          },
          {
            "code" : "Ratio"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".rateQuantity"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.maxVolumeToDeliver",
          "path" : "NutritionOrder.enteralFormula.maxVolumeToDeliver",
          "short" : "Upper limit on formula volume per unit of time",
          "definition" : "The maximum total quantity of formula that may be administered to a subject over the period of time, e.g. 1440 mL over 24 hours.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : ".maxDoseQuantity"
          }]
        },
        {
          "id" : "NutritionOrder.enteralFormula.administrationInstruction",
          "path" : "NutritionOrder.enteralFormula.administrationInstruction",
          "short" : "Formula feeding instructions expressed as text",
          "definition" : "Free text formula administration, feeding instructions or additional instructions or information.",
          "comment" : "Free text dosage instructions can be used for cases where the instructions are too complex to code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "ODS-4"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "NutritionOrder.note",
          "path" : "NutritionOrder.note",
          "short" : "Comments",
          "definition" : "Comments made about the {{title}} by the requester, performer, subject or other participants.",
          "comment" : "This element SHALL NOT be used to supply free text instructions for the diet which are represented in the `.oralDiet.instruction`, `supplement.instruction`, or `enteralFormula.administrationInstruction` elements.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Observation",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Observation",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Observation 
IN
DomainResource
Measurements and simple assertions
+ Rule: dataAbsentReason SHALL only be present if Observation.value[x] is not present
+ Rule: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business Identifier for observation
 basedOn 
Σ
0..*
Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
Fulfills plan, proposal or order
 partOf 
Σ
0..*
Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
Part of referenced event
 status 
?!Σ
1..1
code
registered | preliminary | final | amended +
ObservationStatus (Required)
 category 
0..*
CodeableConcept
Classification of  type of observation
Observation Category Codes (Preferred)
 code 
Σ
1..1
CodeableConcept
Type of observation (code / type)
LOINC Codes (Example)
 subject 
Σ
0..1
Reference(Patient | Group | Device | Location)
Who and/or what the observation is about
 focus 
ΣTU
0..*
Reference(Any)
What the observation is about, when it is not about the subject of record
 encounter 
Σ
0..1
Reference(Encounter)
Healthcare event during which this observation is made
 effective[x] 
Σ
0..1
Clinically relevant time/time-period for observation
 effectiveDateTime
dateTime
 effectivePeriod
Period
 effectiveTiming
Timing
 effectiveInstant
instant
 issued 
Σ
0..1
instant
Date/Time this version was made available
 performer 
Σ
0..*
Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
Who is responsible for the observation
 value[x] 
ΣI
0..1
Actual result
 valueQuantity
Quantity
 valueCodeableConcept
CodeableConcept
 valueString
string
 valueBoolean
boolean
 valueInteger
integer
 valueRange
Range
 valueRatio
Ratio
 valueSampledData
SampledData
 valueTime
time
 valueDateTime
dateTime
 valuePeriod
Period
 dataAbsentReason 
I
0..1
CodeableConcept
Why the result is missing
DataAbsentReason (Extensible)
 interpretation 
0..*
CodeableConcept
High, low, normal, etc.
Observation Interpretation Codes (Extensible)
 note 
0..*
Annotation
Comments about the observation
 bodySite 
0..1
CodeableConcept
Observed body part
SNOMED CT Body Structures (Example)
 method 
0..1
CodeableConcept
How it was done
Observation Methods (Example)
 specimen 
0..1
Reference(Specimen)
Specimen used for this observation
 device 
0..1
Reference(Device | DeviceMetric)
(Measurement) Device
 referenceRange 
I
0..*
BackboneElement
Provides guide for interpretation
+ Rule: Must have at least a low or a high or text
 low 
I
0..1
SimpleQuantity
Low Range, if relevant
 high 
I
0..1
SimpleQuantity
High Range, if relevant
 type 
0..1
CodeableConcept
Reference range qualifier
Observation Reference Range Meaning Codes (Preferred)
 appliesTo 
0..*
CodeableConcept
Reference range population
Observation Reference Range Applies To Codes (Example)
 age 
0..1
Range
Applicable age range, if relevant
 text 
0..1
string
Text based reference range in an observation
 hasMember 
Σ
0..*
Reference(Observation | QuestionnaireResponse | MolecularSequence)
Related resource that belongs to the Observation group
 derivedFrom 
Σ
0..*
Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
Related measurements the observation is made from
 component 
Σ
0..*
BackboneElement
Component results
 code 
Σ
1..1
CodeableConcept
Type of component observation (code / type)
LOINC Codes (Example)
 value[x] 
Σ
0..1
Actual component result
 valueQuantity
Quantity
 valueCodeableConcept
CodeableConcept
 valueString
string
 valueBoolean
boolean
 valueInteger
integer
 valueRange
Range
 valueRatio
Ratio
 valueSampledData
SampledData
 valueTime
time
 valueDateTime
dateTime
 valuePeriod
Period
 dataAbsentReason 
I
0..1
CodeableConcept
Why the component result is missing
DataAbsentReason (Extensible)
 interpretation 
0..*
CodeableConcept
High, low, normal, etc.
Observation Interpretation Codes (Extensible)
 referenceRange 
0..*
see referenceRange
Provides guide for interpretation of component result

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Diagnostics"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Observation",
      "version" : "4.0.0",
      "name" : "Observation",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "Measurements and simple assertions made about a patient, device or other subject.",
      "purpose" : "Observations are a key aspect of healthcare.  This resource is used to capture those that do not require more sophisticated mechanisms.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "sct-concept",
        "uri" : "http://snomed.info/conceptdomain",
        "name" : "SNOMED CT Concept Domain Binding"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "sct-attr",
        "uri" : "http://snomed.org/attributebinding",
        "name" : "SNOMED CT Attribute Binding"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Observation",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Observation",
          "path" : "Observation",
          "short" : "Measurements and simple assertions",
          "definition" : "Measurements and simple assertions made about a patient, device or other subject.",
          "comment" : "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc.",
          "alias" : ["Vital Signs",
          "Measurement",
          "Results",
          "Tests"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "obs-7",
            "severity" : "error",
            "human" : "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
            "expression" : "value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()",
            "xpath" : "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))"
          },
          {
            "key" : "obs-6",
            "severity" : "error",
            "human" : "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
            "expression" : "dataAbsentReason.empty() or value.empty()",
            "xpath" : "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity|"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Observation.id",
          "path" : "Observation.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Observation.meta",
          "path" : "Observation.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Observation.implicitRules",
          "path" : "Observation.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Observation.language",
          "path" : "Observation.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Observation.text",
          "path" : "Observation.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Observation.contained",
          "path" : "Observation.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Observation.extension",
          "path" : "Observation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Observation.modifierExtension",
          "path" : "Observation.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Observation.identifier",
          "path" : "Observation.identifier",
          "short" : "Business Identifier for observation",
          "definition" : "A unique identifier assigned to this observation.",
          "requirements" : "Allows observations to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "Observation.basedOn",
          "path" : "Observation.basedOn",
          "short" : "Fulfills plan, proposal or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.  For example, a MedicationRequest may require a patient to have laboratory test performed before  it is dispensed.",
          "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["Fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "Observation.partOf",
          "path" : "Observation.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular Observation is a component or step.  For example,  an observation as part of a procedure.",
          "comment" : "To link an Observation to an Encounter use `encounter`.  See the  [Notes](observation.html#obsgrouping) below for guidance on referencing another Observation.",
          "alias" : ["Container"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
            "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/ImagingStudy"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "Observation.status",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "default: final"
          }],
          "path" : "Observation.status",
          "short" : "registered | preliminary | final | amended +",
          "definition" : "The status of the result value.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of individual results. Some results are finalized before the whole report is finalized.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Observation.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationStatus"
            }],
            "strength" : "required",
            "description" : "Codes providing the status of an observation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 445584004 |Report by finality status|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-11"
          },
          {
            "identity" : "rim",
            "map" : "status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""
          }]
        },
        {
          "id" : "Observation.category",
          "path" : "Observation.category",
          "short" : "Classification of  type of observation",
          "definition" : "A code that classifies the general type of observation being made.",
          "comment" : "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.",
          "requirements" : "Used for filtering what observations are retrieved and displayed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCategory"
            }],
            "strength" : "preferred",
            "description" : "Codes for high level observation categories.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          }]
        },
        {
          "id" : "Observation.code",
          "path" : "Observation.code",
          "short" : "Type of observation (code / type)",
          "definition" : "Describes what was observed. Sometimes this is called the observation \"name\".",
          "comment" : "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
          "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
          "alias" : ["Name"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Observation.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCode"
            }],
            "strength" : "example",
            "description" : "Codes identifying names of simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          },
          {
            "identity" : "sct-attr",
            "map" : "116680003 |Is a|"
          }]
        },
        {
          "id" : "Observation.subject",
          "path" : "Observation.subject",
          "short" : "Who and/or what the observation is about",
          "definition" : "The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.",
          "comment" : "One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.",
          "requirements" : "Observations have no value if you don't know who or what they're about.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=RTGT] "
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Observation.focus",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "Observation.focus",
          "short" : "What the observation is about, when it is not about the subject of record",
          "definition" : "The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record.  The focus of an observation could also be an existing condition,  an intervention, the subject's diet,  another observation of the subject,  or a body structure such as tumor or implanted device.   An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.",
          "comment" : "Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element.  Use `specimen` if a reference to a specimen is required.  If a code is required instead of a resource use either  `bodysite` for bodysites or the standard extension [focusCode](extension-observation-focuscode.html).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.focus",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Observation.encounter",
          "path" : "Observation.encounter",
          "short" : "Healthcare event during which this observation is made",
          "definition" : "The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.",
          "comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).",
          "requirements" : "For some observations it may be important to know the link between an observation and a particular encounter.",
          "alias" : ["Context"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "Observation.effective[x]",
          "path" : "Observation.effective[x]",
          "short" : "Clinically relevant time/time-period for observation",
          "definition" : "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.",
          "comment" : "At least a date should be present unless this observation is a historical report.  For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.",
          "requirements" : "Knowing when an observation was deemed true is important to its relevance as well as determining trends.",
          "alias" : ["Occurrence"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.effective[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime"
          }]
        },
        {
          "id" : "Observation.issued",
          "path" : "Observation.issued",
          "short" : "Date/Time this version was made available",
          "definition" : "The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.",
          "comment" : "For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.issued",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Observation.performer",
          "path" : "Observation.performer",
          "short" : "Who is responsible for the observation",
          "definition" : "Who was responsible for asserting the observed value as \"true\".",
          "requirements" : "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "Observation.value[x]",
          "path" : "Observation.value[x]",
          "short" : "Actual result",
          "definition" : "The information determined as a result of making the observation, if the information has a simple value.",
          "comment" : "An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](observation.html#notes) below.",
          "requirements" : "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "time"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "condition" : ["obs-7"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 441742003 |Evaluation finding|"
          },
          {
            "identity" : "v2",
            "map" : "OBX.2, OBX.5, OBX.6"
          },
          {
            "identity" : "rim",
            "map" : "value"
          },
          {
            "identity" : "sct-attr",
            "map" : "363714003 |Interprets|"
          }]
        },
        {
          "id" : "Observation.dataAbsentReason",
          "path" : "Observation.dataAbsentReason",
          "short" : "Why the result is missing",
          "definition" : "Provides a reason why the expected value in the element Observation.value[x] is missing.",
          "comment" : "Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.",
          "requirements" : "For many results it is necessary to handle exceptional values in measurements.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.dataAbsentReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["obs-6"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationValueAbsentReason"
            }],
            "strength" : "extensible",
            "description" : "Codes specifying why the result (`Observation.value[x]`) is missing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "value.nullFlavor"
          }]
        },
        {
          "id" : "Observation.interpretation",
          "path" : "Observation.interpretation",
          "short" : "High, low, normal, etc.",
          "definition" : "A categorical assessment of an observation value.  For example, high, low, normal.",
          "comment" : "Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
          "requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
          "alias" : ["Abnormal Flag"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.interpretation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationInterpretation"
            }],
            "strength" : "extensible",
            "description" : "Codes identifying interpretations of observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-8"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "363713009 |Has interpretation|"
          }]
        },
        {
          "id" : "Observation.note",
          "path" : "Observation.note",
          "short" : "Comments about the observation",
          "definition" : "Comments about the observation or the results.",
          "comment" : "May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.",
          "requirements" : "Need to be able to provide free text additional information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"
          },
          {
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }]
        },
        {
          "id" : "Observation.bodySite",
          "path" : "Observation.bodySite",
          "short" : "Observed body part",
          "definition" : "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
          "comment" : "Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](extension-bodysite.html).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 123037004 |Body structure|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-20"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "718497002 |Inherent location|"
          }]
        },
        {
          "id" : "Observation.method",
          "path" : "Observation.method",
          "short" : "How it was done",
          "definition" : "Indicates the mechanism used to perform the observation.",
          "comment" : "Only used if not implicit in code for Observation.code.",
          "requirements" : "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationMethod"
            }],
            "strength" : "example",
            "description" : "Methods for simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-methods"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-17"
          },
          {
            "identity" : "rim",
            "map" : "methodCode"
          }]
        },
        {
          "id" : "Observation.specimen",
          "path" : "Observation.specimen",
          "short" : "Specimen used for this observation",
          "definition" : "The specimen that was used when this observation was made.",
          "comment" : "Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.specimen",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 123038009 |Specimen|"
          },
          {
            "identity" : "v2",
            "map" : "SPM segment"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SPC].specimen"
          },
          {
            "identity" : "sct-attr",
            "map" : "704319004 |Inherent in|"
          }]
        },
        {
          "id" : "Observation.device",
          "path" : "Observation.device",
          "short" : "(Measurement) Device",
          "definition" : "The device used to generate the observation data.",
          "comment" : "Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway.  Such devices may be documented using the Provenance resource where relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.device",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/DeviceMetric"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 49062001 |Device|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-17 / PRT -10"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=DEV]"
          },
          {
            "identity" : "sct-attr",
            "map" : "424226004 |Using device|"
          }]
        },
        {
          "id" : "Observation.referenceRange",
          "path" : "Observation.referenceRange",
          "short" : "Provides guide for interpretation",
          "definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range.  Multiple reference ranges are interpreted as an \"OR\".   In other words, to represent two distinct target populations, two `referenceRange` elements would be used.",
          "comment" : "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
          "requirements" : "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.referenceRange",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "obs-3",
            "severity" : "error",
            "human" : "Must have at least a low or a high or text",
            "expression" : "low.exists() or high.exists() or text.exists()",
            "xpath" : "(exists(f:low) or exists(f:high)or exists(f:text))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX.7"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Observation.referenceRange.id",
          "path" : "Observation.referenceRange.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Observation.referenceRange.extension",
          "path" : "Observation.referenceRange.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Observation.referenceRange.modifierExtension",
          "path" : "Observation.referenceRange.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Observation.referenceRange.low",
          "path" : "Observation.referenceRange.low",
          "short" : "Low Range, if relevant",
          "definition" : "The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.referenceRange.low",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "condition" : ["obs-3"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:IVL_PQ.low"
          }]
        },
        {
          "id" : "Observation.referenceRange.high",
          "path" : "Observation.referenceRange.high",
          "short" : "High Range, if relevant",
          "definition" : "The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.referenceRange.high",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "condition" : ["obs-3"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:IVL_PQ.high"
          }]
        },
        {
          "id" : "Observation.referenceRange.type",
          "path" : "Observation.referenceRange.type",
          "short" : "Reference range qualifier",
          "definition" : "Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.",
          "comment" : "This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.",
          "requirements" : "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc.,  - for proper interpretation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.referenceRange.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeMeaning"
            }],
            "strength" : "preferred",
            "description" : "Code for the meaning of a reference range.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-meaning"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-10"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          }]
        },
        {
          "id" : "Observation.referenceRange.appliesTo",
          "path" : "Observation.referenceRange.appliesTo",
          "short" : "Reference range population",
          "definition" : "Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.  Multiple `appliesTo`  are interpreted as an \"AND\" of the target populations.  For example, to represent a target population of African American females, both a code of female and a code for African American would be used.",
          "comment" : "This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.",
          "requirements" : "Need to be able to identify the target population for proper interpretation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.referenceRange.appliesTo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeType"
            }],
            "strength" : "example",
            "description" : "Codes identifying the population the reference range applies to.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-10"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          }]
        },
        {
          "id" : "Observation.referenceRange.age",
          "path" : "Observation.referenceRange.age",
          "short" : "Applicable age range, if relevant",
          "definition" : "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
          "requirements" : "Some analytes vary greatly over age.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.referenceRange.age",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"
          }]
        },
        {
          "id" : "Observation.referenceRange.text",
          "path" : "Observation.referenceRange.text",
          "short" : "Text based reference range in an observation",
          "definition" : "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of \"normals\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.referenceRange.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:ST"
          }]
        },
        {
          "id" : "Observation.hasMember",
          "path" : "Observation.hasMember",
          "short" : "Related resource that belongs to the Observation group",
          "definition" : "This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.",
          "comment" : "When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases.  For a discussion on the ways Observations can assembled in groups together, see [Notes](observation.html#obsgrouping) below.  Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html)  into a final score and represent the score as an Observation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.hasMember",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Relationships established by OBX-4 usage"
          },
          {
            "identity" : "rim",
            "map" : "outBoundRelationship"
          }]
        },
        {
          "id" : "Observation.derivedFrom",
          "path" : "Observation.derivedFrom",
          "short" : "Related measurements the observation is made from",
          "definition" : "The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.",
          "comment" : "All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](observation.html#obsgrouping) below.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.derivedFrom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
            "http://hl7.org/fhir/StructureDefinition/Media",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Relationships established by OBX-4 usage"
          },
          {
            "identity" : "rim",
            "map" : ".targetObservation"
          }]
        },
        {
          "id" : "Observation.component",
          "path" : "Observation.component",
          "short" : "Component results",
          "definition" : "Some observations have multiple component observations.  These component observations are expressed as separate code value pairs that share the same attributes.  Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.",
          "comment" : "For a discussion on the ways Observations can be assembled in groups together see [Notes](observation.html#notes) below.",
          "requirements" : "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.component",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "containment by OBX-4?"
          },
          {
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=COMP]"
          }]
        },
        {
          "id" : "Observation.component.id",
          "path" : "Observation.component.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Observation.component.extension",
          "path" : "Observation.component.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Observation.component.modifierExtension",
          "path" : "Observation.component.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Observation.component.code",
          "path" : "Observation.component.code",
          "short" : "Type of component observation (code / type)",
          "definition" : "Describes what was observed. Sometimes this is called the observation \"code\".",
          "comment" : "*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
          "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Observation.component.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCode"
            }],
            "strength" : "example",
            "description" : "Codes identifying names of simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "Observation.component.value[x]",
          "path" : "Observation.component.value[x]",
          "short" : "Actual component result",
          "definition" : "The information determined as a result of making the observation, if the information has a simple value.",
          "comment" : "Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](observation.html#notes) below.",
          "requirements" : "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.component.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "time"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "363714003 |Interprets| < 441742003 |Evaluation finding|"
          },
          {
            "identity" : "v2",
            "map" : "OBX.2, OBX.5, OBX.6"
          },
          {
            "identity" : "rim",
            "map" : "value"
          },
          {
            "identity" : "sct-attr",
            "map" : "363714003 |Interprets|"
          }]
        },
        {
          "id" : "Observation.component.dataAbsentReason",
          "path" : "Observation.component.dataAbsentReason",
          "short" : "Why the component result is missing",
          "definition" : "Provides a reason why the expected value in the element Observation.component.value[x] is missing.",
          "comment" : "\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.",
          "requirements" : "For many results it is necessary to handle exceptional values in measurements.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Observation.component.dataAbsentReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["obs-6"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationValueAbsentReason"
            }],
            "strength" : "extensible",
            "description" : "Codes specifying why the result (`Observation.value[x]`) is missing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "value.nullFlavor"
          }]
        },
        {
          "id" : "Observation.component.interpretation",
          "path" : "Observation.component.interpretation",
          "short" : "High, low, normal, etc.",
          "definition" : "A categorical assessment of an observation value.  For example, high, low, normal.",
          "comment" : "Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
          "requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
          "alias" : ["Abnormal Flag"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.component.interpretation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationInterpretation"
            }],
            "strength" : "extensible",
            "description" : "Codes identifying interpretations of observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-8"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "363713009 |Has interpretation|"
          }]
        },
        {
          "id" : "Observation.component.referenceRange",
          "path" : "Observation.component.referenceRange",
          "short" : "Provides guide for interpretation of component result",
          "definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range.",
          "comment" : "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
          "requirements" : "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Observation.component.referenceRange",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Observation.referenceRange",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX.7"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Observation",
          "path" : "Observation",
          "short" : "Measurements and simple assertions",
          "definition" : "Measurements and simple assertions made about a patient, device or other subject.",
          "comment" : "Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc.",
          "alias" : ["Vital Signs",
          "Measurement",
          "Results",
          "Tests"],
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "obs-7",
            "severity" : "error",
            "human" : "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
            "expression" : "value.empty() or component.code.where( (coding.code = %resource.code.coding.code) and (coding.system = %resource.code.coding.system)).empty()",
            "xpath" : "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))"
          },
          {
            "key" : "obs-6",
            "severity" : "error",
            "human" : "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
            "expression" : "dataAbsentReason.empty() or value.empty()",
            "xpath" : "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity|"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Observation.identifier",
          "path" : "Observation.identifier",
          "short" : "Business Identifier for observation",
          "definition" : "A unique identifier assigned to this observation.",
          "requirements" : "Allows observations to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "OBX.21  For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "Observation.basedOn",
          "path" : "Observation.basedOn",
          "short" : "Fulfills plan, proposal or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.  For example, a MedicationRequest may require a patient to have laboratory test performed before  it is dispensed.",
          "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["Fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/DeviceRequest",
            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "Observation.partOf",
          "path" : "Observation.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular Observation is a component or step.  For example,  an observation as part of a procedure.",
          "comment" : "To link an Observation to an Encounter use `encounter`.  See the  [Notes](observation.html#obsgrouping) below for guidance on referencing another Observation.",
          "alias" : ["Container"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
            "http://hl7.org/fhir/StructureDefinition/MedicationDispense",
            "http://hl7.org/fhir/StructureDefinition/MedicationStatement",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Immunization",
            "http://hl7.org/fhir/StructureDefinition/ImagingStudy"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "Observation.status",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
            "valueString" : "default: final"
          }],
          "path" : "Observation.status",
          "short" : "registered | preliminary | final | amended +",
          "definition" : "The status of the result value.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of individual results. Some results are finalized before the whole report is finalized.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationStatus"
            }],
            "strength" : "required",
            "description" : "Codes providing the status of an observation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 445584004 |Report by finality status|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-11"
          },
          {
            "identity" : "rim",
            "map" : "status  Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""
          }]
        },
        {
          "id" : "Observation.category",
          "path" : "Observation.category",
          "short" : "Classification of  type of observation",
          "definition" : "A code that classifies the general type of observation being made.",
          "comment" : "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.",
          "requirements" : "Used for filtering what observations are retrieved and displayed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCategory"
            }],
            "strength" : "preferred",
            "description" : "Codes for high level observation categories.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          }]
        },
        {
          "id" : "Observation.code",
          "path" : "Observation.code",
          "short" : "Type of observation (code / type)",
          "definition" : "Describes what was observed. Sometimes this is called the observation \"name\".",
          "comment" : "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
          "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
          "alias" : ["Name"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCode"
            }],
            "strength" : "example",
            "description" : "Codes identifying names of simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          },
          {
            "identity" : "sct-attr",
            "map" : "116680003 |Is a|"
          }]
        },
        {
          "id" : "Observation.subject",
          "path" : "Observation.subject",
          "short" : "Who and/or what the observation is about",
          "definition" : "The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.",
          "comment" : "One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated.",
          "requirements" : "Observations have no value if you don't know who or what they're about.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=RTGT] "
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Observation.focus",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "Observation.focus",
          "short" : "What the observation is about, when it is not about the subject of record",
          "definition" : "The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record.  The focus of an observation could also be an existing condition,  an intervention, the subject's diet,  another observation of the subject,  or a body structure such as tumor or implanted device.   An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.",
          "comment" : "Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element.  Use `specimen` if a reference to a specimen is required.  If a code is required instead of a resource use either  `bodysite` for bodysites or the standard extension [focusCode](extension-observation-focuscode.html).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SBJ]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Observation.encounter",
          "path" : "Observation.encounter",
          "short" : "Healthcare event during which this observation is made",
          "definition" : "The healthcare event  (e.g. a patient and healthcare provider interaction) during which this observation is made.",
          "comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).",
          "requirements" : "For some observations it may be important to know the link between an observation and a particular encounter.",
          "alias" : ["Context"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1"
          },
          {
            "identity" : "rim",
            "map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "Observation.effective[x]",
          "path" : "Observation.effective[x]",
          "short" : "Clinically relevant time/time-period for observation",
          "definition" : "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\". This is usually either the time of the procedure or of specimen collection, but very often the source of the date/time is not known, only the date/time itself.",
          "comment" : "At least a date should be present unless this observation is a historical report.  For recording imprecise or \"fuzzy\" times (For example, a blood glucose measurement taken \"after breakfast\") use the [Timing](datatypes.html#timing) datatype which allow the measurement to be tied to regular life events.",
          "requirements" : "Knowing when an observation was deemed true is important to its relevance as well as determining trends.",
          "alias" : ["Occurrence"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBX-14, and/or OBX-19 after v2.4  (depends on who observation made)"
          },
          {
            "identity" : "rim",
            "map" : "effectiveTime"
          }]
        },
        {
          "id" : "Observation.issued",
          "path" : "Observation.issued",
          "short" : "Date/Time this version was made available",
          "definition" : "The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.",
          "comment" : "For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](resource-definitions.html#Meta.lastUpdated) time of the resource itself.  For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Observation.performer",
          "path" : "Observation.performer",
          "short" : "Who is responsible for the observation",
          "definition" : "Who was responsible for asserting the observed value as \"true\".",
          "requirements" : "May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "OBX.15 / (Practitioner)  OBX-16,  PRT-5:PRT-4='RO' /  (Device)  OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization)  OBX-23,  PRT-8:PRT-4='PO'"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "Observation.value[x]",
          "path" : "Observation.value[x]",
          "short" : "Actual result",
          "definition" : "The information determined as a result of making the observation, if the information has a simple value.",
          "comment" : "An observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](observation.html#notes) below.",
          "requirements" : "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "time"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "condition" : ["obs-7"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 441742003 |Evaluation finding|"
          },
          {
            "identity" : "v2",
            "map" : "OBX.2, OBX.5, OBX.6"
          },
          {
            "identity" : "rim",
            "map" : "value"
          },
          {
            "identity" : "sct-attr",
            "map" : "363714003 |Interprets|"
          }]
        },
        {
          "id" : "Observation.dataAbsentReason",
          "path" : "Observation.dataAbsentReason",
          "short" : "Why the result is missing",
          "definition" : "Provides a reason why the expected value in the element Observation.value[x] is missing.",
          "comment" : "Null or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"specimen unsatisfactory\".   \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed. Note that an observation may only be reported if there are values to report. For example differential cell counts values may be reported only when > 0.  Because of these options, use-case agreements are required to interpret general observations for null or exceptional values.",
          "requirements" : "For many results it is necessary to handle exceptional values in measurements.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["obs-6"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationValueAbsentReason"
            }],
            "strength" : "extensible",
            "description" : "Codes specifying why the result (`Observation.value[x]`) is missing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "value.nullFlavor"
          }]
        },
        {
          "id" : "Observation.interpretation",
          "path" : "Observation.interpretation",
          "short" : "High, low, normal, etc.",
          "definition" : "A categorical assessment of an observation value.  For example, high, low, normal.",
          "comment" : "Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
          "requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
          "alias" : ["Abnormal Flag"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationInterpretation"
            }],
            "strength" : "extensible",
            "description" : "Codes identifying interpretations of observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-8"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "363713009 |Has interpretation|"
          }]
        },
        {
          "id" : "Observation.note",
          "path" : "Observation.note",
          "short" : "Comments about the observation",
          "definition" : "Comments about the observation or the results.",
          "comment" : "May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.",
          "requirements" : "Need to be able to provide free text additional information.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"
          },
          {
            "identity" : "rim",
            "map" : "subjectOf.observationEvent[code=\"annotation\"].value"
          }]
        },
        {
          "id" : "Observation.bodySite",
          "path" : "Observation.bodySite",
          "short" : "Observed body part",
          "definition" : "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
          "comment" : "Only used if not implicit in code found in Observation.code.  In many systems, this may be represented as a related observation instead of an inline component.   \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](extension-bodysite.html).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 123037004 |Body structure|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-20"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "718497002 |Inherent location|"
          }]
        },
        {
          "id" : "Observation.method",
          "path" : "Observation.method",
          "short" : "How it was done",
          "definition" : "Indicates the mechanism used to perform the observation.",
          "comment" : "Only used if not implicit in code for Observation.code.",
          "requirements" : "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationMethod"
            }],
            "strength" : "example",
            "description" : "Methods for simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-methods"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-17"
          },
          {
            "identity" : "rim",
            "map" : "methodCode"
          }]
        },
        {
          "id" : "Observation.specimen",
          "path" : "Observation.specimen",
          "short" : "Specimen used for this observation",
          "definition" : "The specimen that was used when this observation was made.",
          "comment" : "Should only be used if not implicit in code found in `Observation.code`.  Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 123038009 |Specimen|"
          },
          {
            "identity" : "v2",
            "map" : "SPM segment"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=SPC].specimen"
          },
          {
            "identity" : "sct-attr",
            "map" : "704319004 |Inherent in|"
          }]
        },
        {
          "id" : "Observation.device",
          "path" : "Observation.device",
          "short" : "(Measurement) Device",
          "definition" : "The device used to generate the observation data.",
          "comment" : "Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway.  Such devices may be documented using the Provenance resource where relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/DeviceMetric"]
          }],
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 49062001 |Device|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-17 / PRT -10"
          },
          {
            "identity" : "rim",
            "map" : "participation[typeCode=DEV]"
          },
          {
            "identity" : "sct-attr",
            "map" : "424226004 |Using device|"
          }]
        },
        {
          "id" : "Observation.referenceRange",
          "path" : "Observation.referenceRange",
          "short" : "Provides guide for interpretation",
          "definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range.  Multiple reference ranges are interpreted as an \"OR\".   In other words, to represent two distinct target populations, two `referenceRange` elements would be used.",
          "comment" : "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
          "requirements" : "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "obs-3",
            "severity" : "error",
            "human" : "Must have at least a low or a high or text",
            "expression" : "low.exists() or high.exists() or text.exists()",
            "xpath" : "(exists(f:low) or exists(f:high)or exists(f:text))"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX.7"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Observation.referenceRange.low",
          "path" : "Observation.referenceRange.low",
          "short" : "Low Range, if relevant",
          "definition" : "The value of the low bound of the reference range.  The low bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the low bound is omitted,  it is assumed to be meaningless (e.g. reference range is <=2.3).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "condition" : ["obs-3"],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:IVL_PQ.low"
          }]
        },
        {
          "id" : "Observation.referenceRange.high",
          "path" : "Observation.referenceRange.high",
          "short" : "High Range, if relevant",
          "definition" : "The value of the high bound of the reference range.  The high bound of the reference range endpoint is inclusive of the value (e.g.  reference range is >=5 - <=9). If the high bound is omitted,  it is assumed to be meaningless (e.g. reference range is >= 2.3).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "condition" : ["obs-3"],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:IVL_PQ.high"
          }]
        },
        {
          "id" : "Observation.referenceRange.type",
          "path" : "Observation.referenceRange.type",
          "short" : "Reference range qualifier",
          "definition" : "Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.",
          "comment" : "This SHOULD be populated if there is more than one range.  If this element is not present then the normal range is assumed.",
          "requirements" : "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc.,  - for proper interpretation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeMeaning"
            }],
            "strength" : "preferred",
            "description" : "Code for the meaning of a reference range.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-meaning"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-10"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          }]
        },
        {
          "id" : "Observation.referenceRange.appliesTo",
          "path" : "Observation.referenceRange.appliesTo",
          "short" : "Reference range population",
          "definition" : "Codes to indicate the target population this reference range applies to.  For example, a reference range may be based on the normal population or a particular sex or race.  Multiple `appliesTo`  are interpreted as an \"AND\" of the target populations.  For example, to represent a target population of African American females, both a code of female and a code for African American would be used.",
          "comment" : "This SHOULD be populated if there is more than one range.  If this element is not present then the normal population is assumed.",
          "requirements" : "Need to be able to identify the target population for proper interpretation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeType"
            }],
            "strength" : "example",
            "description" : "Codes identifying the population the reference range applies to.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values| OR  \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR  \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-10"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          }]
        },
        {
          "id" : "Observation.referenceRange.age",
          "path" : "Observation.referenceRange.age",
          "short" : "Applicable age range, if relevant",
          "definition" : "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
          "requirements" : "Some analytes vary greatly over age.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Range"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"
          }]
        },
        {
          "id" : "Observation.referenceRange.text",
          "path" : "Observation.referenceRange.text",
          "short" : "Text based reference range in an observation",
          "definition" : "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation.  An example would be a reference value of \"Negative\" or a list or table of \"normals\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-7"
          },
          {
            "identity" : "rim",
            "map" : "value:ST"
          }]
        },
        {
          "id" : "Observation.hasMember",
          "path" : "Observation.hasMember",
          "short" : "Related resource that belongs to the Observation group",
          "definition" : "This observation is a group observation (e.g. a battery, a panel of tests, a set of vital sign measurements) that includes the target as a member of the group.",
          "comment" : "When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases.  For a discussion on the ways Observations can assembled in groups together, see [Notes](observation.html#obsgrouping) below.  Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html)  into a final score and represent the score as an Observation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Relationships established by OBX-4 usage"
          },
          {
            "identity" : "rim",
            "map" : "outBoundRelationship"
          }]
        },
        {
          "id" : "Observation.derivedFrom",
          "path" : "Observation.derivedFrom",
          "short" : "Related measurements the observation is made from",
          "definition" : "The target resource that represents a measurement from which this observation value is derived. For example, a calculated anion gap or a fetal measurement based on an ultrasound image.",
          "comment" : "All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.  The most common reference will be another Observation.  For a discussion on the ways Observations can assembled in groups together, see [Notes](observation.html#obsgrouping) below.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/ImagingStudy",
            "http://hl7.org/fhir/StructureDefinition/Media",
            "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/MolecularSequence"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "Relationships established by OBX-4 usage"
          },
          {
            "identity" : "rim",
            "map" : ".targetObservation"
          }]
        },
        {
          "id" : "Observation.component",
          "path" : "Observation.component",
          "short" : "Component results",
          "definition" : "Some observations have multiple component observations.  These component observations are expressed as separate code value pairs that share the same attributes.  Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.",
          "comment" : "For a discussion on the ways Observations can be assembled in groups together see [Notes](observation.html#notes) below.",
          "requirements" : "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable).   However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "containment by OBX-4?"
          },
          {
            "identity" : "rim",
            "map" : "outBoundRelationship[typeCode=COMP]"
          }]
        },
        {
          "id" : "Observation.component.code",
          "path" : "Observation.component.code",
          "short" : "Type of component observation (code / type)",
          "definition" : "Describes what was observed. Sometimes this is called the observation \"code\".",
          "comment" : "*All* code-value and  component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
          "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCode"
            }],
            "strength" : "example",
            "description" : "Codes identifying names of simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "sct-concept",
            "map" : "< 363787002 |Observable entity| OR \r< 386053000 |Evaluation procedure|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "Observation.component.value[x]",
          "path" : "Observation.component.value[x]",
          "short" : "Actual component result",
          "definition" : "The information determined as a result of making the observation, if the information has a simple value.",
          "comment" : "Used when observation has a set of component observations. An observation may have both a value (e.g. an  Apgar score)  and component observations (the observations from which the Apgar score was derived). If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](observation.html#notes) below.",
          "requirements" : "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "time"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "363714003 |Interprets| < 441742003 |Evaluation finding|"
          },
          {
            "identity" : "v2",
            "map" : "OBX.2, OBX.5, OBX.6"
          },
          {
            "identity" : "rim",
            "map" : "value"
          },
          {
            "identity" : "sct-attr",
            "map" : "363714003 |Interprets|"
          }]
        },
        {
          "id" : "Observation.component.dataAbsentReason",
          "path" : "Observation.component.dataAbsentReason",
          "short" : "Why the component result is missing",
          "definition" : "Provides a reason why the expected value in the element Observation.component.value[x] is missing.",
          "comment" : "\"Null\" or exceptional values can be represented two ways in FHIR Observations.  One way is to simply include them in the value set and represent the exceptions in the value.  For example, measurement values for a serology test could be  \"detected\", \"not detected\", \"inconclusive\", or  \"test not done\". \n\nThe alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values.  For example, the dataAbsentReason code \"error\" could be used when the measurement was not completed.  Because of these options, use-case agreements are required to interpret general observations for exceptional values.",
          "requirements" : "For many results it is necessary to handle exceptional values in measurements.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["obs-6"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationValueAbsentReason"
            }],
            "strength" : "extensible",
            "description" : "Codes specifying why the result (`Observation.value[x]`) is missing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "value.nullFlavor"
          }]
        },
        {
          "id" : "Observation.component.interpretation",
          "path" : "Observation.component.interpretation",
          "short" : "High, low, normal, etc.",
          "definition" : "A categorical assessment of an observation value.  For example, high, low, normal.",
          "comment" : "Historically used for laboratory results (known as 'abnormal flag' ),  its use extends to other use cases where coded interpretations  are relevant.  Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
          "requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
          "alias" : ["Abnormal Flag"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationInterpretation"
            }],
            "strength" : "extensible",
            "description" : "Codes identifying interpretations of observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
          },
          "mapping" : [{
            "identity" : "sct-concept",
            "map" : "< 260245000 |Findings values|"
          },
          {
            "identity" : "v2",
            "map" : "OBX-8"
          },
          {
            "identity" : "rim",
            "map" : "interpretationCode"
          },
          {
            "identity" : "sct-attr",
            "map" : "363713009 |Has interpretation|"
          }]
        },
        {
          "id" : "Observation.component.referenceRange",
          "path" : "Observation.component.referenceRange",
          "short" : "Provides guide for interpretation of component result",
          "definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range.",
          "comment" : "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
          "requirements" : "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Observation.referenceRange",
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX.7"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ObservationDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ObservationDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ObservationDefinition 
TU
DomainResource
Definition of an observation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 category 
Σ
0..*
CodeableConcept
Category of observation
Observation Category Codes (Example)
 code 
Σ
1..1
CodeableConcept
Type of observation (code / type)
LOINC Codes (Example)
 identifier 
Σ
0..*
Identifier
Business identifier for this ObservationDefinition instance
 permittedDataType 
0..*
code
Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period
ObservationDataType (Required)
 multipleResultsAllowed 
0..1
boolean
Multiple results allowed
 method 
0..1
CodeableConcept
Method used to produce the observation
Observation Methods (Example)
 preferredReportName 
0..1
string
Preferred report name
 quantitativeDetails 
0..1
BackboneElement
Characteristics of quantitative results
 customaryUnit 
0..1
CodeableConcept
Customary unit for quantitative results
UCUM Codes (Extensible)
 unit 
0..1
CodeableConcept
SI unit for quantitative results
UCUM Codes (Extensible)
 conversionFactor 
0..1
decimal
SI to Customary unit conversion factor
 decimalPrecision 
0..1
integer
Decimal precision of observation quantitative results
 qualifiedInterval 
0..*
BackboneElement
Qualified range for continuous and ordinal observation results
 category 
0..1
code
reference | critical | absolute
ObservationRangeCategory (Required)
 range 
0..1
Range
The interval itself, for continuous or ordinal observations
 context 
0..1
CodeableConcept
Range context qualifier
Observation Reference Range Meaning Codes (Extensible)
 appliesTo 
0..*
CodeableConcept
Targetted population of the range
Observation Reference Range Applies To Codes (Example)
 gender 
0..1
code
male | female | other | unknown
AdministrativeGender (Required)
 age 
0..1
Range
Applicable age range, if relevant
 gestationalAge 
0..1
Range
Applicable gestational age range, if relevant
 condition 
0..1
string
Condition associated with the reference range
 validCodedValueSet 
0..1
Reference(ValueSet)
Value set of valid coded values for the observations conforming to this ObservationDefinition
 normalCodedValueSet 
0..1
Reference(ValueSet)
Value set of normal coded values for the observations conforming to this ObservationDefinition
 abnormalCodedValueSet 
0..1
Reference(ValueSet)
Value set of abnormal coded values for the observations conforming to this ObservationDefinition
 criticalCodedValueSet 
0..1
Reference(ValueSet)
Value set of critical coded values for the observations conforming to this ObservationDefinition

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Definitional Artifacts"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ObservationDefinition",
      "version" : "4.0.0",
      "name" : "ObservationDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service.",
      "purpose" : "In a catalog of health-related services that use or produce observations and measurements, this resource describes the expected characteristics of these observation / measurements.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ObservationDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ObservationDefinition",
          "path" : "ObservationDefinition",
          "short" : "Definition of an observation",
          "definition" : "Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service.",
          "comment" : "An instance of this resource informs the consumer of a health-related service (such as a lab diagnostic test or panel) about how the observations used or produced by this service will look like.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ObservationDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "OM2\nOM3\nOMC"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=DEF]"
          }]
        },
        {
          "id" : "ObservationDefinition.id",
          "path" : "ObservationDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ObservationDefinition.meta",
          "path" : "ObservationDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ObservationDefinition.implicitRules",
          "path" : "ObservationDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ObservationDefinition.language",
          "path" : "ObservationDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ObservationDefinition.text",
          "path" : "ObservationDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ObservationDefinition.contained",
          "path" : "ObservationDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ObservationDefinition.extension",
          "path" : "ObservationDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ObservationDefinition.modifierExtension",
          "path" : "ObservationDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ObservationDefinition.category",
          "path" : "ObservationDefinition.category",
          "short" : "Category of observation",
          "definition" : "A code that classifies the general type of observation.",
          "comment" : "This element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used for one instance of ObservationDefinition. The level of granularity is defined by the category concepts in the value set.",
          "requirements" : "Used for filtering what kinds of observations are retrieved and displayed.",
          "alias" : ["Class of observation"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ObservationDefinition.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCategory"
            }],
            "strength" : "example",
            "description" : "Codes for high level observation categories.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"DEF\"].code"
          }]
        },
        {
          "id" : "ObservationDefinition.code",
          "path" : "ObservationDefinition.code",
          "short" : "Type of observation (code / type)",
          "definition" : "Describes what will be observed. Sometimes this is called the observation \"name\".",
          "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
          "alias" : ["Name"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCode"
            }],
            "strength" : "example",
            "description" : "Codes identifying names of simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OM1-2\nOMC-4"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "ObservationDefinition.identifier",
          "path" : "ObservationDefinition.identifier",
          "short" : "Business identifier for this ObservationDefinition instance",
          "definition" : "A unique identifier assigned to this ObservationDefinition artifact.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ObservationDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ObservationDefinition.permittedDataType",
          "path" : "ObservationDefinition.permittedDataType",
          "short" : "Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period",
          "definition" : "The data types allowed for the value element of the instance observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ObservationDefinition.permittedDataType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationDataType"
            }],
            "strength" : "required",
            "description" : "Permitted data type for observation value.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/permitted-data-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-3"
          }]
        },
        {
          "id" : "ObservationDefinition.multipleResultsAllowed",
          "path" : "ObservationDefinition.multipleResultsAllowed",
          "short" : "Multiple results allowed",
          "definition" : "Multiple results allowed for observations conforming to this ObservationDefinition.",
          "comment" : "An example of observation allowing multiple results is \"bacteria identified by culture\". Conversely, the measurement of a potassium level allows a single result.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.multipleResultsAllowed",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "example" : [{
            "label" : "General",
            "valueBoolean" : true
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ObservationDefinition.method",
          "path" : "ObservationDefinition.method",
          "short" : "Method used to produce the observation",
          "definition" : "The method or technique used to perform the observation.",
          "comment" : "Only used if not implicit in observation code.",
          "requirements" : "In some cases, method can impact results.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationMethod"
            }],
            "strength" : "example",
            "description" : "Methods for simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-methods"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-14"
          },
          {
            "identity" : "rim",
            "map" : "methodCode"
          }]
        },
        {
          "id" : "ObservationDefinition.preferredReportName",
          "path" : "ObservationDefinition.preferredReportName",
          "short" : "Preferred report name",
          "definition" : "The preferred name to be used when reporting the results of observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.preferredReportName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-9"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails",
          "path" : "ObservationDefinition.quantitativeDetails",
          "short" : "Characteristics of quantitative results",
          "definition" : "Characteristics for quantitative results of this observation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.quantitativeDetails",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.id",
          "path" : "ObservationDefinition.quantitativeDetails.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.extension",
          "path" : "ObservationDefinition.quantitativeDetails.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.modifierExtension",
          "path" : "ObservationDefinition.quantitativeDetails.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.customaryUnit",
          "path" : "ObservationDefinition.quantitativeDetails.customaryUnit",
          "short" : "Customary unit for quantitative results",
          "definition" : "Customary unit used to report quantitative results of observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.quantitativeDetails.customaryUnit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationUnit"
            }],
            "strength" : "extensible",
            "description" : "Codes identifying units of measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-2"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.unit",
          "path" : "ObservationDefinition.quantitativeDetails.unit",
          "short" : "SI unit for quantitative results",
          "definition" : "SI unit used to report quantitative results of observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.quantitativeDetails.unit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationUnit"
            }],
            "strength" : "extensible",
            "description" : "Codes identifying units of measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-4"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.conversionFactor",
          "path" : "ObservationDefinition.quantitativeDetails.conversionFactor",
          "short" : "SI to Customary unit conversion factor",
          "definition" : "Factor for converting value expressed with SI unit to value expressed with customary unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.quantitativeDetails.conversionFactor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-5"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.decimalPrecision",
          "path" : "ObservationDefinition.quantitativeDetails.decimalPrecision",
          "short" : "Decimal precision of observation quantitative results",
          "definition" : "Number of digits after decimal separator when the results of such observations are of type Quantity.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.quantitativeDetails.decimalPrecision",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-3"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval",
          "path" : "ObservationDefinition.qualifiedInterval",
          "short" : "Qualified range for continuous and ordinal observation results",
          "definition" : "Multiple  ranges of results qualified by different contexts for ordinal or continuous observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-6"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.id",
          "path" : "ObservationDefinition.qualifiedInterval.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.extension",
          "path" : "ObservationDefinition.qualifiedInterval.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.modifierExtension",
          "path" : "ObservationDefinition.qualifiedInterval.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.category",
          "path" : "ObservationDefinition.qualifiedInterval.category",
          "short" : "reference | critical | absolute",
          "definition" : "The category of interval of values for continuous or ordinal observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "critical"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeCategory"
            }],
            "strength" : "required",
            "description" : "Codes identifying the category of observation range.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-range-category|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM-2"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.range",
          "path" : "ObservationDefinition.qualifiedInterval.range",
          "short" : "The interval itself, for continuous or ordinal observations",
          "definition" : "The low and high values determining the interval. There may be only one of the two.",
          "requirements" : "The unit may be not relevant for ordinal values. In case it is there, it is the same as quantitativeDetails.unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval.range",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM-2"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.context",
          "path" : "ObservationDefinition.qualifiedInterval.context",
          "short" : "Range context qualifier",
          "definition" : "Codes to indicate the health context the range applies to. For example, the normal or therapeutic range.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval.context",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeMeaning"
            }],
            "strength" : "extensible",
            "description" : "Code identifying the health context of a range.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-meaning"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "n.a."
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.appliesTo",
          "path" : "ObservationDefinition.qualifiedInterval.appliesTo",
          "short" : "Targetted population of the range",
          "definition" : "Codes to indicate the target population this reference range applies to.",
          "comment" : "If this element is not present then the global population is assumed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval.appliesTo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeAppliesTo"
            }],
            "strength" : "example",
            "description" : "Codes identifying the population the reference range applies to.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.6"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.gender",
          "path" : "ObservationDefinition.qualifiedInterval.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Sex of the population the range applies to.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval.gender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "female"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.2"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.age",
          "path" : "ObservationDefinition.qualifiedInterval.age",
          "short" : "Applicable age range, if relevant",
          "definition" : "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
          "comment" : "Some analytes vary greatly over age.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval.age",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.3"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.gestationalAge",
          "path" : "ObservationDefinition.qualifiedInterval.gestationalAge",
          "short" : "Applicable gestational age range, if relevant",
          "definition" : "The gestational age to which this reference range is applicable, in the context of pregnancy.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval.gestationalAge",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.4"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.condition",
          "path" : "ObservationDefinition.qualifiedInterval.condition",
          "short" : "Condition associated with the reference range",
          "definition" : "Text based condition for which the reference range is valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.qualifiedInterval.condition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.7"
          }]
        },
        {
          "id" : "ObservationDefinition.validCodedValueSet",
          "path" : "ObservationDefinition.validCodedValueSet",
          "short" : "Value set of valid coded values for the observations conforming to this ObservationDefinition",
          "definition" : "The set of valid coded results for the observations  conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.validCodedValueSet",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM3-3"
          }]
        },
        {
          "id" : "ObservationDefinition.normalCodedValueSet",
          "path" : "ObservationDefinition.normalCodedValueSet",
          "short" : "Value set of normal coded values for the observations conforming to this ObservationDefinition",
          "definition" : "The set of normal coded results for the observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.normalCodedValueSet",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM3-4"
          }]
        },
        {
          "id" : "ObservationDefinition.abnormalCodedValueSet",
          "path" : "ObservationDefinition.abnormalCodedValueSet",
          "short" : "Value set of abnormal coded values for the observations conforming to this ObservationDefinition",
          "definition" : "The set of abnormal coded results for the observation conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.abnormalCodedValueSet",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM3-5"
          }]
        },
        {
          "id" : "ObservationDefinition.criticalCodedValueSet",
          "path" : "ObservationDefinition.criticalCodedValueSet",
          "short" : "Value set of critical coded values for the observations conforming to this ObservationDefinition",
          "definition" : "The set of critical coded results for the observation conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ObservationDefinition.criticalCodedValueSet",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM3-6"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ObservationDefinition",
          "path" : "ObservationDefinition",
          "short" : "Definition of an observation",
          "definition" : "Set of definitional characteristics for a kind of observation or measurement produced or consumed by an orderable health care service.",
          "comment" : "An instance of this resource informs the consumer of a health-related service (such as a lab diagnostic test or panel) about how the observations used or produced by this service will look like.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2\nOM3\nOMC"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=DEF]"
          }]
        },
        {
          "id" : "ObservationDefinition.category",
          "path" : "ObservationDefinition.category",
          "short" : "Category of observation",
          "definition" : "A code that classifies the general type of observation.",
          "comment" : "This element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used for one instance of ObservationDefinition. The level of granularity is defined by the category concepts in the value set.",
          "requirements" : "Used for filtering what kinds of observations are retrieved and displayed.",
          "alias" : ["Class of observation"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCategory"
            }],
            "strength" : "example",
            "description" : "Codes for high level observation categories.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"DEF\"].code"
          }]
        },
        {
          "id" : "ObservationDefinition.code",
          "path" : "ObservationDefinition.code",
          "short" : "Type of observation (code / type)",
          "definition" : "Describes what will be observed. Sometimes this is called the observation \"name\".",
          "requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.",
          "alias" : ["Name"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationCode"
            }],
            "strength" : "example",
            "description" : "Codes identifying names of simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OM1-2\nOMC-4"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "ObservationDefinition.identifier",
          "path" : "ObservationDefinition.identifier",
          "short" : "Business identifier for this ObservationDefinition instance",
          "definition" : "A unique identifier assigned to this ObservationDefinition artifact.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "ObservationDefinition.permittedDataType",
          "path" : "ObservationDefinition.permittedDataType",
          "short" : "Quantity | CodeableConcept | string | boolean | integer | Range | Ratio | SampledData | time | dateTime | Period",
          "definition" : "The data types allowed for the value element of the instance observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationDataType"
            }],
            "strength" : "required",
            "description" : "Permitted data type for observation value.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/permitted-data-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-3"
          }]
        },
        {
          "id" : "ObservationDefinition.multipleResultsAllowed",
          "path" : "ObservationDefinition.multipleResultsAllowed",
          "short" : "Multiple results allowed",
          "definition" : "Multiple results allowed for observations conforming to this ObservationDefinition.",
          "comment" : "An example of observation allowing multiple results is \"bacteria identified by culture\". Conversely, the measurement of a potassium level allows a single result.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "example" : [{
            "label" : "General",
            "valueBoolean" : true
          }]
        },
        {
          "id" : "ObservationDefinition.method",
          "path" : "ObservationDefinition.method",
          "short" : "Method used to produce the observation",
          "definition" : "The method or technique used to perform the observation.",
          "comment" : "Only used if not implicit in observation code.",
          "requirements" : "In some cases, method can impact results.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationMethod"
            }],
            "strength" : "example",
            "description" : "Methods for simple observations.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-methods"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-14"
          },
          {
            "identity" : "rim",
            "map" : "methodCode"
          }]
        },
        {
          "id" : "ObservationDefinition.preferredReportName",
          "path" : "ObservationDefinition.preferredReportName",
          "short" : "Preferred report name",
          "definition" : "The preferred name to be used when reporting the results of observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-9"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails",
          "path" : "ObservationDefinition.quantitativeDetails",
          "short" : "Characteristics of quantitative results",
          "definition" : "Characteristics for quantitative results of this observation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.customaryUnit",
          "path" : "ObservationDefinition.quantitativeDetails.customaryUnit",
          "short" : "Customary unit for quantitative results",
          "definition" : "Customary unit used to report quantitative results of observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationUnit"
            }],
            "strength" : "extensible",
            "description" : "Codes identifying units of measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-2"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.unit",
          "path" : "ObservationDefinition.quantitativeDetails.unit",
          "short" : "SI unit for quantitative results",
          "definition" : "SI unit used to report quantitative results of observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationUnit"
            }],
            "strength" : "extensible",
            "description" : "Codes identifying units of measure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-4"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.conversionFactor",
          "path" : "ObservationDefinition.quantitativeDetails.conversionFactor",
          "short" : "SI to Customary unit conversion factor",
          "definition" : "Factor for converting value expressed with SI unit to value expressed with customary unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-5"
          }]
        },
        {
          "id" : "ObservationDefinition.quantitativeDetails.decimalPrecision",
          "path" : "ObservationDefinition.quantitativeDetails.decimalPrecision",
          "short" : "Decimal precision of observation quantitative results",
          "definition" : "Number of digits after decimal separator when the results of such observations are of type Quantity.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-3"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval",
          "path" : "ObservationDefinition.qualifiedInterval",
          "short" : "Qualified range for continuous and ordinal observation results",
          "definition" : "Multiple  ranges of results qualified by different contexts for ordinal or continuous observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM2-6"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.category",
          "path" : "ObservationDefinition.qualifiedInterval.category",
          "short" : "reference | critical | absolute",
          "definition" : "The category of interval of values for continuous or ordinal observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "critical"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeCategory"
            }],
            "strength" : "required",
            "description" : "Codes identifying the category of observation range.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-range-category|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM-2"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.range",
          "path" : "ObservationDefinition.qualifiedInterval.range",
          "short" : "The interval itself, for continuous or ordinal observations",
          "definition" : "The low and high values determining the interval. There may be only one of the two.",
          "requirements" : "The unit may be not relevant for ordinal values. In case it is there, it is the same as quantitativeDetails.unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Range"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM-2"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.context",
          "path" : "ObservationDefinition.qualifiedInterval.context",
          "short" : "Range context qualifier",
          "definition" : "Codes to indicate the health context the range applies to. For example, the normal or therapeutic range.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeMeaning"
            }],
            "strength" : "extensible",
            "description" : "Code identifying the health context of a range.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-meaning"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "n.a."
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.appliesTo",
          "path" : "ObservationDefinition.qualifiedInterval.appliesTo",
          "short" : "Targetted population of the range",
          "definition" : "Codes to indicate the target population this reference range applies to.",
          "comment" : "If this element is not present then the global population is assumed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ObservationRangeAppliesTo"
            }],
            "strength" : "example",
            "description" : "Codes identifying the population the reference range applies to.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.6"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.gender",
          "path" : "ObservationDefinition.qualifiedInterval.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Sex of the population the range applies to.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "female"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.2"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.age",
          "path" : "ObservationDefinition.qualifiedInterval.age",
          "short" : "Applicable age range, if relevant",
          "definition" : "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
          "comment" : "Some analytes vary greatly over age.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Range"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.3"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.gestationalAge",
          "path" : "ObservationDefinition.qualifiedInterval.gestationalAge",
          "short" : "Applicable gestational age range, if relevant",
          "definition" : "The gestational age to which this reference range is applicable, in the context of pregnancy.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Range"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.4"
          }]
        },
        {
          "id" : "ObservationDefinition.qualifiedInterval.condition",
          "path" : "ObservationDefinition.qualifiedInterval.condition",
          "short" : "Condition associated with the reference range",
          "definition" : "Text based condition for which the reference range is valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "RFR.7"
          }]
        },
        {
          "id" : "ObservationDefinition.validCodedValueSet",
          "path" : "ObservationDefinition.validCodedValueSet",
          "short" : "Value set of valid coded values for the observations conforming to this ObservationDefinition",
          "definition" : "The set of valid coded results for the observations  conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM3-3"
          }]
        },
        {
          "id" : "ObservationDefinition.normalCodedValueSet",
          "path" : "ObservationDefinition.normalCodedValueSet",
          "short" : "Value set of normal coded values for the observations conforming to this ObservationDefinition",
          "definition" : "The set of normal coded results for the observations conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM3-4"
          }]
        },
        {
          "id" : "ObservationDefinition.abnormalCodedValueSet",
          "path" : "ObservationDefinition.abnormalCodedValueSet",
          "short" : "Value set of abnormal coded values for the observations conforming to this ObservationDefinition",
          "definition" : "The set of abnormal coded results for the observation conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM3-5"
          }]
        },
        {
          "id" : "ObservationDefinition.criticalCodedValueSet",
          "path" : "ObservationDefinition.criticalCodedValueSet",
          "short" : "Value set of critical coded values for the observations conforming to this ObservationDefinition",
          "definition" : "The set of critical coded results for the observation conforming to this ObservationDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM3-6"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "OperationDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 OperationDefinition 
IN
DomainResource
Definition of an operation or a named query
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this operation definition, represented as a URI (globally unique)
 version 
Σ
0..1
string
Business version of the operation definition
 name 
ΣI
1..1
string
Name for this operation definition (computer friendly)
 title 
Σ
0..1
string
Name for this operation definition (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 kind 
Σ
1..1
code
operation | query
OperationKind (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the operation definition
 useContext 
ΣTU
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for operation definition (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this operation definition is defined
 affectsState 
Σ
0..1
boolean
Whether content is changed by the operation
 code 
Σ
1..1
code
Name used to invoke the operation
 comment 
0..1
markdown
Additional information about use
 base 
Σ
0..1
canonical(OperationDefinition)
Marks this as a profile of the base
 resource 
Σ
0..*
code
Types this operation applies to
ResourceType (Required)
 system 
Σ
1..1
boolean
Invoke at the system level?
 type 
Σ
1..1
boolean
Invoke at the type level?
 instance 
Σ
1..1
boolean
Invoke on an instance?
 inputProfile 
0..1
canonical(StructureDefinition)
Validation information for in parameters
 outputProfile 
0..1
canonical(StructureDefinition)
Validation information for out parameters
 parameter 
I
0..*
BackboneElement
Parameters for the operation/query
+ Rule: Either a type must be provided, or parts
+ Rule: A search type can only be specified for parameters of type string
+ Rule: A targetProfile can only be specified for parameters of type Reference or Canonical
 name 
1..1
code
Name in Parameters.parameter.name or in URL
 use 
1..1
code
in | out
OperationParameterUse (Required)
 min 
1..1
integer
Minimum Cardinality
 max 
1..1
string
Maximum Cardinality (a number or *)
 documentation 
0..1
string
Description of meaning/use
 type 
I
0..1
code
What type this parameter has
FHIRAllTypes (Required)
 targetProfile 
0..*
canonical(StructureDefinition)
If type is Reference | canonical, allowed targets
 searchType 
I
0..1
code
number | date | string | token | reference | composite | quantity | uri | special
SearchParamType (Required)
 binding 
0..1
BackboneElement
ValueSet details if this is coded
 strength 
1..1
code
required | extensible | preferred | example
BindingStrength (Required)
 valueSet 
1..1
canonical(ValueSet)
Source of value set
 referencedFrom 
TU
0..*
BackboneElement
References to this parameter
 source 
1..1
string
Referencing parameter
 sourceId 
0..1
string
Element id of reference
 part 
I
0..*
see parameter
Parts of a nested Parameter
 overload 
0..*
BackboneElement
Define overloaded variants for when  generating code
 parameterName 
0..*
string
Name of parameter to include in overload
 comment 
0..1
string
Comments to go on overload

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
      "version" : "4.0.0",
      "name" : "OperationDefinition",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction).",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "OperationDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "OperationDefinition",
          "path" : "OperationDefinition",
          "short" : "Definition of an operation or a named query",
          "definition" : "A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "opd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.id",
          "path" : "OperationDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.meta",
          "path" : "OperationDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.implicitRules",
          "path" : "OperationDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.language",
          "path" : "OperationDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "OperationDefinition.text",
          "path" : "OperationDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "OperationDefinition.contained",
          "path" : "OperationDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationDefinition.extension",
          "path" : "OperationDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationDefinition.modifierExtension",
          "path" : "OperationDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationDefinition.url",
          "path" : "OperationDefinition.url",
          "short" : "Canonical identifier for this operation definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this operation definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this operation definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the operation definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the operation definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "OperationDefinition.version",
          "path" : "OperationDefinition.version",
          "short" : "Business version of the operation definition",
          "definition" : "The identifier that is used to identify this version of the operation definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the operation definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different operation definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the operation definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "OperationDefinition.name",
          "path" : "OperationDefinition.name",
          "short" : "Name for this operation definition (computer friendly)",
          "definition" : "A natural language name identifying the operation definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "OperationDefinition.title",
          "path" : "OperationDefinition.title",
          "short" : "Name for this operation definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the operation definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "OperationDefinition.status",
          "path" : "OperationDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this operation definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of operation definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status {different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "OperationDefinition.kind",
          "path" : "OperationDefinition.kind",
          "short" : "operation | query",
          "definition" : "Whether this is an operation or a named query.",
          "comment" : "Named queries are invoked differently, and have different capabilities.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.kind",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OperationKind"
            }],
            "strength" : "required",
            "description" : "Whether an operation is a normal operation or a query.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/operation-kind|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "OperationDefinition.experimental",
          "path" : "OperationDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this operation definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of operation definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level operation definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "OperationDefinition.date",
          "path" : "OperationDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the operation definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the operation definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the operation definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "OperationDefinition.publisher",
          "path" : "OperationDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the operation definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the operation definition is the organization or individual primarily responsible for the maintenance and upkeep of the operation definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the operation definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the operation definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "OperationDefinition.contact",
          "path" : "OperationDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "OperationDefinition.description",
          "path" : "OperationDefinition.description",
          "short" : "Natural language description of the operation definition",
          "definition" : "A free text natural language description of the operation definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the operation definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the operation definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the operation definition is presumed to be the predominant language in the place the operation definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "OperationDefinition.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "OperationDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate operation definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "OperationDefinition.jurisdiction",
          "path" : "OperationDefinition.jurisdiction",
          "short" : "Intended jurisdiction for operation definition (if applicable)",
          "definition" : "A legal or geographic region in which the operation definition is intended to be used.",
          "comment" : "It may be possible for the operation definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "OperationDefinition.purpose",
          "path" : "OperationDefinition.purpose",
          "short" : "Why this operation definition is defined",
          "definition" : "Explanation of why this operation definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the operation definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this operation definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "OperationDefinition.affectsState",
          "path" : "OperationDefinition.affectsState",
          "short" : "Whether content is changed by the operation",
          "definition" : "Whether the operation affects state. Side effects such as producing audit trail entries do not count as 'affecting  state'.",
          "comment" : "What http methods can be used for the operation depends on the .affectsState value and whether the input parameters are primitive or complex:\n\n1. Servers SHALL support POST method for all operations.\n\n2. Servers SHALL support GET method if all the parameters for the operation are primitive or there are no parameters and the operation has affectsState = false.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.affectsState",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.code",
          "path" : "OperationDefinition.code",
          "short" : "Name used to invoke the operation",
          "definition" : "The name used to invoke the operation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.comment",
          "path" : "OperationDefinition.comment",
          "short" : "Additional information about use",
          "definition" : "Additional information about how to use this operation or named query.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.base",
          "path" : "OperationDefinition.base",
          "short" : "Marks this as a profile of the base",
          "definition" : "Indicates that this operation definition is a constraining profile on the base.",
          "comment" : "A constrained profile can make optional parameters required or not used and clarify documentation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.base",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.derivedFrom"
          }]
        },
        {
          "id" : "OperationDefinition.resource",
          "path" : "OperationDefinition.resource",
          "short" : "Types this operation applies to",
          "definition" : "The types on which this operation can be executed.",
          "comment" : "If the type is an abstract resource (\"Resource\" or \"DomainResource\") then the operation can be invoked on any concrete specialization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.resource",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject[x]"
          }]
        },
        {
          "id" : "OperationDefinition.system",
          "path" : "OperationDefinition.system",
          "short" : "Invoke at the system level?",
          "definition" : "Indicates whether this operation or named query can be invoked at the system level (e.g. without needing to choose a resource type for the context).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.system",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.type",
          "path" : "OperationDefinition.type",
          "short" : "Invoke at the type level?",
          "definition" : "Indicates whether this operation or named query can be invoked at the resource type level for any given resource type level (e.g. without needing to choose a specific resource id for the context).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.instance",
          "path" : "OperationDefinition.instance",
          "short" : "Invoke on an instance?",
          "definition" : "Indicates whether this operation can be invoked on a particular instance of one of the given types.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.instance",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.inputProfile",
          "path" : "OperationDefinition.inputProfile",
          "short" : "Validation information for in parameters",
          "definition" : "Additional validation information for the in parameters - a single profile that covers all the parameters. The profile is a constraint on the parameters resource as a whole.",
          "comment" : "If present the profile shall not conflict with what is specified in the parameters in the operation definition (max/min etc.), though it may provide additional constraints. The constraints expressed in the profile apply whether the operation is invoked by a POST wih parameters or not.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.inputProfile",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.outputProfile",
          "path" : "OperationDefinition.outputProfile",
          "short" : "Validation information for out parameters",
          "definition" : "Additional validation information for the out parameters - a single profile that covers all the parameters. The profile is a constraint on the parameters resource.",
          "comment" : "If present the profile shall not conflict with what is specified in the parameters in the operation definition (max/min etc.), though it may provide additional constraints. The constraints expressed in the profile apply whether the operation is invoked by a POST wih parameters or not.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.outputProfile",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter",
          "path" : "OperationDefinition.parameter",
          "short" : "Parameters for the operation/query",
          "definition" : "The parameters for the operation/query.",
          "comment" : "Query Definitions only have one output parameter, named \"result\". This might not be described, but can be to allow a profile to be defined.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "opd-1",
            "severity" : "error",
            "human" : "Either a type must be provided, or parts",
            "expression" : "type.exists() or part.exists()",
            "xpath" : "exists(f:type) or exists(f:part)"
          },
          {
            "key" : "opd-2",
            "severity" : "error",
            "human" : "A search type can only be specified for parameters of type string",
            "expression" : "searchType.exists() implies type = 'string'",
            "xpath" : "not(exists(f:searchType)) or (f:type/@value = 'string')"
          },
          {
            "key" : "opd-3",
            "severity" : "error",
            "human" : "A targetProfile can only be specified for parameters of type Reference or Canonical",
            "expression" : "targetProfile.exists() implies (type = 'Reference' or type = 'canonical')",
            "xpath" : "not(exists(f:targetProfile)) or ((f:type/@value = 'Reference') or (f:type/@value = 'canonical'))"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.id",
          "path" : "OperationDefinition.parameter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.extension",
          "path" : "OperationDefinition.parameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.modifierExtension",
          "path" : "OperationDefinition.parameter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.name",
          "path" : "OperationDefinition.parameter.name",
          "short" : "Name in Parameters.parameter.name or in URL",
          "definition" : "The name of used to identify the parameter.",
          "comment" : "This name must be a token (start with a letter in a..z, and only contain letters, numerals, and underscore. Note that for search parameters (type = string, with a search type), the name may be altered by the search modifiers.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.use",
          "path" : "OperationDefinition.parameter.use",
          "short" : "in | out",
          "definition" : "Whether this is an input or an output parameter.",
          "comment" : "If a parameter name is used for both an input and an output parameter, the parameter should be defined twice.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.use",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OperationParameterUse"
            }],
            "strength" : "required",
            "description" : "Whether an operation parameter is an input or an output parameter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.0"
          }
        },
        {
          "id" : "OperationDefinition.parameter.min",
          "path" : "OperationDefinition.parameter.min",
          "short" : "Minimum Cardinality",
          "definition" : "The minimum number of times this parameter SHALL appear in the request or response.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.min",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.max",
          "path" : "OperationDefinition.parameter.max",
          "short" : "Maximum Cardinality (a number or *)",
          "definition" : "The maximum number of times this element is permitted to appear in the request or response.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.max",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.documentation",
          "path" : "OperationDefinition.parameter.documentation",
          "short" : "Description of meaning/use",
          "definition" : "Describes the meaning or use of this parameter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.type",
          "path" : "OperationDefinition.parameter.type",
          "short" : "What type this parameter has",
          "definition" : "The type for this parameter.",
          "comment" : "if there is no stated parameter, then the parameter is a multi-part parameter; type and must have at least one part defined.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["opd-1"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRAllTypes"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "A list of all the concrete types defined in this version of the FHIR specification - Abstract Types, Data Types and Resource Types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/all-types|4.0.0"
          }
        },
        {
          "id" : "OperationDefinition.parameter.targetProfile",
          "path" : "OperationDefinition.parameter.targetProfile",
          "short" : "If type is Reference | canonical, allowed targets",
          "definition" : "Used when the type is \"Reference\" or \"canonical\", and identifies a profile structure or implementation Guide that applies to the target of the reference this parameter refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the target resource SHALL conform to at least one profile defined in the implementation guide.",
          "comment" : "Often, these profiles are the base definitions from the spec (e.g. http://hl7.org/fhir/StructureDefinition/Patient).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.parameter.targetProfile",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.searchType",
          "path" : "OperationDefinition.parameter.searchType",
          "short" : "number | date | string | token | reference | composite | quantity | uri | special",
          "definition" : "How the parameter is understood as a search parameter. This is only used if the parameter type is 'string'.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.searchType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["opd-2"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchParamType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "Data types allowed to be used for search parameters.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-param-type|4.0.0"
          }
        },
        {
          "id" : "OperationDefinition.parameter.binding",
          "path" : "OperationDefinition.parameter.binding",
          "short" : "ValueSet details if this is coded",
          "definition" : "Binds to a value set if this parameter is coded (code, Coding, CodeableConcept).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.binding",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.binding.id",
          "path" : "OperationDefinition.parameter.binding.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.binding.extension",
          "path" : "OperationDefinition.parameter.binding.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.binding.modifierExtension",
          "path" : "OperationDefinition.parameter.binding.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.binding.strength",
          "path" : "OperationDefinition.parameter.binding.strength",
          "short" : "required | extensible | preferred | example",
          "definition" : "Indicates the degree of conformance expectations associated with this binding - that is, the degree to which the provided value set must be adhered to in the instances.",
          "comment" : "For further discussion, see [Using Terminologies](terminologies.html).",
          "alias" : ["conformance",
          "extensibility"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.binding.strength",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BindingStrength"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "Indication of the degree of conformance expectations associated with a binding.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/binding-strength|4.0.0"
          }
        },
        {
          "id" : "OperationDefinition.parameter.binding.valueSet",
          "path" : "OperationDefinition.parameter.binding.valueSet",
          "short" : "Source of value set",
          "definition" : "Points to the value set or external definition (e.g. implicit value set) that identifies the set of codes to be used.",
          "comment" : "For value sets with a referenceResource, the display can contain the value set description.  The reference may be version-specific or not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.binding.valueSet",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "OperationDefinition.parameter.referencedFrom",
          "short" : "References to this parameter",
          "definition" : "Identifies other resource parameters within the operation invocation that are expected to resolve to this resource.",
          "comment" : "Resolution applies if the referenced parameter exists.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.parameter.referencedFrom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom.id",
          "path" : "OperationDefinition.parameter.referencedFrom.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom.extension",
          "path" : "OperationDefinition.parameter.referencedFrom.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom.modifierExtension",
          "path" : "OperationDefinition.parameter.referencedFrom.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom.source",
          "path" : "OperationDefinition.parameter.referencedFrom.source",
          "short" : "Referencing parameter",
          "definition" : "The name of the parameter or dot-separated path of parameter names pointing to the resource parameter that is expected to contain a reference to this resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.referencedFrom.source",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom.sourceId",
          "path" : "OperationDefinition.parameter.referencedFrom.sourceId",
          "short" : "Element id of reference",
          "definition" : "The id of the element in the referencing resource that is expected to resolve to this resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.parameter.referencedFrom.sourceId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.parameter.part",
          "path" : "OperationDefinition.parameter.part",
          "short" : "Parts of a nested Parameter",
          "definition" : "The parts of a nested Parameter.",
          "comment" : "Query Definitions only have one output parameter, named \"result\". This might not be described, but can be to allow a profile to be defined.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.parameter.part",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#OperationDefinition.parameter",
          "condition" : ["opd-1"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.overload",
          "path" : "OperationDefinition.overload",
          "short" : "Define overloaded variants for when  generating code",
          "definition" : "Defines an appropriate combination of parameters to use when invoking this operation, to help code generators when generating overloaded parameter sets for this operation.",
          "comment" : "The combinations are suggestions as to which sets of parameters to use together, but the combinations are not intended to be authoritative.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.overload",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.overload.id",
          "path" : "OperationDefinition.overload.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.overload.extension",
          "path" : "OperationDefinition.overload.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.overload.modifierExtension",
          "path" : "OperationDefinition.overload.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationDefinition.overload.parameterName",
          "path" : "OperationDefinition.overload.parameterName",
          "short" : "Name of parameter to include in overload",
          "definition" : "Name of parameter to include in overload.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationDefinition.overload.parameterName",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "OperationDefinition.overload.comment",
          "path" : "OperationDefinition.overload.comment",
          "short" : "Comments to go on overload",
          "definition" : "Comments to go on overload.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationDefinition.overload.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "OperationDefinition",
          "path" : "OperationDefinition",
          "short" : "Definition of an operation or a named query",
          "definition" : "A formal computable definition of an operation (on the RESTful interface) or a named query (using the search interaction).",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "opd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationDefinition.url",
          "path" : "OperationDefinition.url",
          "short" : "Canonical identifier for this operation definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this operation definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this operation definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the operation definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the operation definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "OperationDefinition.version",
          "path" : "OperationDefinition.version",
          "short" : "Business version of the operation definition",
          "definition" : "The identifier that is used to identify this version of the operation definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the operation definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different operation definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the operation definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "OperationDefinition.name",
          "path" : "OperationDefinition.name",
          "short" : "Name for this operation definition (computer friendly)",
          "definition" : "A natural language name identifying the operation definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "OperationDefinition.title",
          "path" : "OperationDefinition.title",
          "short" : "Name for this operation definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the operation definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "OperationDefinition.status",
          "path" : "OperationDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this operation definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of operation definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status {different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "OperationDefinition.kind",
          "path" : "OperationDefinition.kind",
          "short" : "operation | query",
          "definition" : "Whether this is an operation or a named query.",
          "comment" : "Named queries are invoked differently, and have different capabilities.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OperationKind"
            }],
            "strength" : "required",
            "description" : "Whether an operation is a normal operation or a query.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/operation-kind|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "OperationDefinition.experimental",
          "path" : "OperationDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this operation definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of operation definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level operation definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "OperationDefinition.date",
          "path" : "OperationDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the operation definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the operation definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the operation definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "OperationDefinition.publisher",
          "path" : "OperationDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the operation definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the operation definition is the organization or individual primarily responsible for the maintenance and upkeep of the operation definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the operation definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the operation definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "OperationDefinition.contact",
          "path" : "OperationDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "OperationDefinition.description",
          "path" : "OperationDefinition.description",
          "short" : "Natural language description of the operation definition",
          "definition" : "A free text natural language description of the operation definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the operation definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the operation definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the operation definition is presumed to be the predominant language in the place the operation definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "OperationDefinition.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "OperationDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate operation definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "OperationDefinition.jurisdiction",
          "path" : "OperationDefinition.jurisdiction",
          "short" : "Intended jurisdiction for operation definition (if applicable)",
          "definition" : "A legal or geographic region in which the operation definition is intended to be used.",
          "comment" : "It may be possible for the operation definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "OperationDefinition.purpose",
          "path" : "OperationDefinition.purpose",
          "short" : "Why this operation definition is defined",
          "definition" : "Explanation of why this operation definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the operation definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this operation definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "OperationDefinition.affectsState",
          "path" : "OperationDefinition.affectsState",
          "short" : "Whether content is changed by the operation",
          "definition" : "Whether the operation affects state. Side effects such as producing audit trail entries do not count as 'affecting  state'.",
          "comment" : "What http methods can be used for the operation depends on the .affectsState value and whether the input parameters are primitive or complex:\n\n1. Servers SHALL support POST method for all operations.\n\n2. Servers SHALL support GET method if all the parameters for the operation are primitive or there are no parameters and the operation has affectsState = false.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.code",
          "path" : "OperationDefinition.code",
          "short" : "Name used to invoke the operation",
          "definition" : "The name used to invoke the operation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.comment",
          "path" : "OperationDefinition.comment",
          "short" : "Additional information about use",
          "definition" : "Additional information about how to use this operation or named query.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "OperationDefinition.base",
          "path" : "OperationDefinition.base",
          "short" : "Marks this as a profile of the base",
          "definition" : "Indicates that this operation definition is a constraining profile on the base.",
          "comment" : "A constrained profile can make optional parameters required or not used and clarify documentation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/OperationDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.derivedFrom"
          }]
        },
        {
          "id" : "OperationDefinition.resource",
          "path" : "OperationDefinition.resource",
          "short" : "Types this operation applies to",
          "definition" : "The types on which this operation can be executed.",
          "comment" : "If the type is an abstract resource (\"Resource\" or \"DomainResource\") then the operation can be invoked on any concrete specialization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject[x]"
          }]
        },
        {
          "id" : "OperationDefinition.system",
          "path" : "OperationDefinition.system",
          "short" : "Invoke at the system level?",
          "definition" : "Indicates whether this operation or named query can be invoked at the system level (e.g. without needing to choose a resource type for the context).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.type",
          "path" : "OperationDefinition.type",
          "short" : "Invoke at the type level?",
          "definition" : "Indicates whether this operation or named query can be invoked at the resource type level for any given resource type level (e.g. without needing to choose a specific resource id for the context).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.instance",
          "path" : "OperationDefinition.instance",
          "short" : "Invoke on an instance?",
          "definition" : "Indicates whether this operation can be invoked on a particular instance of one of the given types.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "OperationDefinition.inputProfile",
          "path" : "OperationDefinition.inputProfile",
          "short" : "Validation information for in parameters",
          "definition" : "Additional validation information for the in parameters - a single profile that covers all the parameters. The profile is a constraint on the parameters resource as a whole.",
          "comment" : "If present the profile shall not conflict with what is specified in the parameters in the operation definition (max/min etc.), though it may provide additional constraints. The constraints expressed in the profile apply whether the operation is invoked by a POST wih parameters or not.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "OperationDefinition.outputProfile",
          "path" : "OperationDefinition.outputProfile",
          "short" : "Validation information for out parameters",
          "definition" : "Additional validation information for the out parameters - a single profile that covers all the parameters. The profile is a constraint on the parameters resource.",
          "comment" : "If present the profile shall not conflict with what is specified in the parameters in the operation definition (max/min etc.), though it may provide additional constraints. The constraints expressed in the profile apply whether the operation is invoked by a POST wih parameters or not.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "OperationDefinition.parameter",
          "path" : "OperationDefinition.parameter",
          "short" : "Parameters for the operation/query",
          "definition" : "The parameters for the operation/query.",
          "comment" : "Query Definitions only have one output parameter, named \"result\". This might not be described, but can be to allow a profile to be defined.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "opd-1",
            "severity" : "error",
            "human" : "Either a type must be provided, or parts",
            "expression" : "type.exists() or part.exists()",
            "xpath" : "exists(f:type) or exists(f:part)"
          },
          {
            "key" : "opd-2",
            "severity" : "error",
            "human" : "A search type can only be specified for parameters of type string",
            "expression" : "searchType.exists() implies type = 'string'",
            "xpath" : "not(exists(f:searchType)) or (f:type/@value = 'string')"
          },
          {
            "key" : "opd-3",
            "severity" : "error",
            "human" : "A targetProfile can only be specified for parameters of type Reference or Canonical",
            "expression" : "targetProfile.exists() implies (type = 'Reference' or type = 'canonical')",
            "xpath" : "not(exists(f:targetProfile)) or ((f:type/@value = 'Reference') or (f:type/@value = 'canonical'))"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.name",
          "path" : "OperationDefinition.parameter.name",
          "short" : "Name in Parameters.parameter.name or in URL",
          "definition" : "The name of used to identify the parameter.",
          "comment" : "This name must be a token (start with a letter in a..z, and only contain letters, numerals, and underscore. Note that for search parameters (type = string, with a search type), the name may be altered by the search modifiers.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.use",
          "path" : "OperationDefinition.parameter.use",
          "short" : "in | out",
          "definition" : "Whether this is an input or an output parameter.",
          "comment" : "If a parameter name is used for both an input and an output parameter, the parameter should be defined twice.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OperationParameterUse"
            }],
            "strength" : "required",
            "description" : "Whether an operation parameter is an input or an output parameter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/operation-parameter-use|4.0.0"
          }
        },
        {
          "id" : "OperationDefinition.parameter.min",
          "path" : "OperationDefinition.parameter.min",
          "short" : "Minimum Cardinality",
          "definition" : "The minimum number of times this parameter SHALL appear in the request or response.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.max",
          "path" : "OperationDefinition.parameter.max",
          "short" : "Maximum Cardinality (a number or *)",
          "definition" : "The maximum number of times this element is permitted to appear in the request or response.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.documentation",
          "path" : "OperationDefinition.parameter.documentation",
          "short" : "Description of meaning/use",
          "definition" : "Describes the meaning or use of this parameter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.type",
          "path" : "OperationDefinition.parameter.type",
          "short" : "What type this parameter has",
          "definition" : "The type for this parameter.",
          "comment" : "if there is no stated parameter, then the parameter is a multi-part parameter; type and must have at least one part defined.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["opd-1"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRAllTypes"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "A list of all the concrete types defined in this version of the FHIR specification - Abstract Types, Data Types and Resource Types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/all-types|4.0.0"
          }
        },
        {
          "id" : "OperationDefinition.parameter.targetProfile",
          "path" : "OperationDefinition.parameter.targetProfile",
          "short" : "If type is Reference | canonical, allowed targets",
          "definition" : "Used when the type is \"Reference\" or \"canonical\", and identifies a profile structure or implementation Guide that applies to the target of the reference this parameter refers to. If any profiles are specified, then the content must conform to at least one of them. The URL can be a local reference - to a contained StructureDefinition, or a reference to another StructureDefinition or Implementation Guide by a canonical URL. When an implementation guide is specified, the target resource SHALL conform to at least one profile defined in the implementation guide.",
          "comment" : "Often, these profiles are the base definitions from the spec (e.g. http://hl7.org/fhir/StructureDefinition/Patient).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }]
        },
        {
          "id" : "OperationDefinition.parameter.searchType",
          "path" : "OperationDefinition.parameter.searchType",
          "short" : "number | date | string | token | reference | composite | quantity | uri | special",
          "definition" : "How the parameter is understood as a search parameter. This is only used if the parameter type is 'string'.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["opd-2"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchParamType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "Data types allowed to be used for search parameters.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-param-type|4.0.0"
          }
        },
        {
          "id" : "OperationDefinition.parameter.binding",
          "path" : "OperationDefinition.parameter.binding",
          "short" : "ValueSet details if this is coded",
          "definition" : "Binds to a value set if this parameter is coded (code, Coding, CodeableConcept).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.binding.strength",
          "path" : "OperationDefinition.parameter.binding.strength",
          "short" : "required | extensible | preferred | example",
          "definition" : "Indicates the degree of conformance expectations associated with this binding - that is, the degree to which the provided value set must be adhered to in the instances.",
          "comment" : "For further discussion, see [Using Terminologies](terminologies.html).",
          "alias" : ["conformance",
          "extensibility"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BindingStrength"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "Indication of the degree of conformance expectations associated with a binding.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/binding-strength|4.0.0"
          }
        },
        {
          "id" : "OperationDefinition.parameter.binding.valueSet",
          "path" : "OperationDefinition.parameter.binding.valueSet",
          "short" : "Source of value set",
          "definition" : "Points to the value set or external definition (e.g. implicit value set) that identifies the set of codes to be used.",
          "comment" : "For value sets with a referenceResource, the display can contain the value set description.  The reference may be version-specific or not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }]
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "OperationDefinition.parameter.referencedFrom",
          "short" : "References to this parameter",
          "definition" : "Identifies other resource parameters within the operation invocation that are expected to resolve to this resource.",
          "comment" : "Resolution applies if the referenced parameter exists.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom.source",
          "path" : "OperationDefinition.parameter.referencedFrom.source",
          "short" : "Referencing parameter",
          "definition" : "The name of the parameter or dot-separated path of parameter names pointing to the resource parameter that is expected to contain a reference to this resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.referencedFrom.sourceId",
          "path" : "OperationDefinition.parameter.referencedFrom.sourceId",
          "short" : "Element id of reference",
          "definition" : "The id of the element in the referencing resource that is expected to resolve to this resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "OperationDefinition.parameter.part",
          "path" : "OperationDefinition.parameter.part",
          "short" : "Parts of a nested Parameter",
          "definition" : "The parts of a nested Parameter.",
          "comment" : "Query Definitions only have one output parameter, named \"result\". This might not be described, but can be to allow a profile to be defined.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#OperationDefinition.parameter",
          "condition" : ["opd-1"]
        },
        {
          "id" : "OperationDefinition.overload",
          "path" : "OperationDefinition.overload",
          "short" : "Define overloaded variants for when  generating code",
          "definition" : "Defines an appropriate combination of parameters to use when invoking this operation, to help code generators when generating overloaded parameter sets for this operation.",
          "comment" : "The combinations are suggestions as to which sets of parameters to use together, but the combinations are not intended to be authoritative.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "OperationDefinition.overload.parameterName",
          "path" : "OperationDefinition.overload.parameterName",
          "short" : "Name of parameter to include in overload",
          "definition" : "Name of parameter to include in overload.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "OperationDefinition.overload.comment",
          "path" : "OperationDefinition.overload.comment",
          "short" : "Comments to go on overload",
          "definition" : "Comments to go on overload.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/OperationOutcome",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "OperationOutcome",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 OperationOutcome 
ΣN
DomainResource
Information about the success/failure of an action
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 issue 
Σ
1..*
BackboneElement
A single issue associated with the action
 severity 
Σ
1..1
code
fatal | error | warning | information
IssueSeverity (Required)
 code 
Σ
1..1
code
Error or warning code
IssueType (Required)
 details 
Σ
0..1
CodeableConcept
Additional details about the error
Operation Outcome Codes (Example)
 diagnostics 
Σ
0..1
string
Additional diagnostic information about the issue
 location 
ΣXD
0..*
string
Deprecated: Path of element(s) related to issue
 expression 
Σ
0..*
string
FHIRPath of element(s) related to issue

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Other"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/OperationOutcome",
      "version" : "4.0.0",
      "name" : "OperationOutcome",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A collection of error, warning, or information messages that result from a system action.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "OperationOutcome",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "OperationOutcome",
          "path" : "OperationOutcome",
          "short" : "Information about the success/failure of an action",
          "definition" : "A collection of error, warning, or information messages that result from a system action.",
          "comment" : "Can result from the failure of a REST call or be part of the response message returned from a request message.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationOutcome",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Grouping is handled through multiple repetitions from whatever context references the outcomes (no specific grouper required)"
          }]
        },
        {
          "id" : "OperationOutcome.id",
          "path" : "OperationOutcome.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationOutcome.meta",
          "path" : "OperationOutcome.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OperationOutcome.implicitRules",
          "path" : "OperationOutcome.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "OperationOutcome.language",
          "path" : "OperationOutcome.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "OperationOutcome.text",
          "path" : "OperationOutcome.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "OperationOutcome.contained",
          "path" : "OperationOutcome.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationOutcome.extension",
          "path" : "OperationOutcome.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationOutcome.modifierExtension",
          "path" : "OperationOutcome.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationOutcome.issue",
          "path" : "OperationOutcome.issue",
          "short" : "A single issue associated with the action",
          "definition" : "An error, warning, or information message that results from a system action.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "OperationOutcome.issue",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR"
          },
          {
            "identity" : "rim",
            "map" : "AcknowledgementDetail or Observation[classCode=\"ALRT\" and moodCode=\"EVN\"]"
          }]
        },
        {
          "id" : "OperationOutcome.issue.id",
          "path" : "OperationOutcome.issue.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationOutcome.issue.extension",
          "path" : "OperationOutcome.issue.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "OperationOutcome.issue.modifierExtension",
          "path" : "OperationOutcome.issue.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OperationOutcome.issue.severity",
          "path" : "OperationOutcome.issue.severity",
          "short" : "fatal | error | warning | information",
          "definition" : "Indicates whether the issue indicates a variation from successful processing.",
          "comment" : "This is labeled as \"Is Modifier\" because applications should not confuse hints and warnings with errors.",
          "requirements" : "Indicates how relevant the issue is to the overall success of the action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationOutcome.issue.severity",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IssueSeverity"
            }],
            "strength" : "required",
            "description" : "How the issue affects the success of the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/issue-severity|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-4"
          },
          {
            "identity" : "rim",
            "map" : "./typeCode[parent::AcknowledgmentDetail] or unique(./inboundRelationship[parent::Observation and typeCode='SUBJ' and isNormalActRelationship()]/source[classCode=\"OBS\" and moodCode=\"EVN\" and implies(code, ActCode#SEV and isNormalAct())/value[xsi:type=\"CD\"]"
          }]
        },
        {
          "id" : "OperationOutcome.issue.code",
          "path" : "OperationOutcome.issue.code",
          "short" : "Error or warning code",
          "definition" : "Describes the type of the issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide its own code for the error in the details element.",
          "requirements" : "Expresses the issue in a human and computer-friendly way, allowing the requesting system to behave differently based on the type of issue.\n\nThe required element provides a base level of computable interoperability across all systems for processing an outcome, allowing systems to respond appropriately regardless of the internal system error codes returned.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "OperationOutcome.issue.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IssueType"
            }],
            "strength" : "required",
            "description" : "A code that describes the type of issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/issue-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-3"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "OperationOutcome.issue.details",
          "path" : "OperationOutcome.issue.details",
          "short" : "Additional details about the error",
          "definition" : "Additional details about the error. This may be a text description of the error or a system code that identifies the error.",
          "comment" : "A human readable description of the error issue SHOULD be placed in details.text.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationOutcome.issue.details",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IssueDetails"
            }],
            "strength" : "example",
            "description" : "A code that provides details as the exact issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/operation-outcome"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-5"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "OperationOutcome.issue.diagnostics",
          "path" : "OperationOutcome.issue.diagnostics",
          "short" : "Additional diagnostic information about the issue",
          "definition" : "Additional diagnostic information about the issue.",
          "comment" : "This may be a description of how a value is erroneous, a stack dump to help trace the issue or other troubleshooting information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OperationOutcome.issue.diagnostics",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-8"
          },
          {
            "identity" : "rim",
            "map" : "./text[parent::AcknowledgmentDetail]"
          }]
        },
        {
          "id" : "OperationOutcome.issue.location",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "deprecated"
          }],
          "path" : "OperationOutcome.issue.location",
          "short" : "Deprecated: Path of element(s) related to issue",
          "definition" : "This element is deprecated because it is XML specific. It is replaced by issue.expression, which is format independent, and simpler to parse. \n\nFor resource issues, this will be a simple XPath limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised.  For HTTP errors, will be \"http.\" + the parameter name.",
          "comment" : "The root of the XPath is the resource or bundle that generated OperationOutcome.  Each XPath SHALL resolve to a single node.  This element is deprecated, and is being replaced by expression.",
          "requirements" : "Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationOutcome.issue.location",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-2"
          },
          {
            "identity" : "rim",
            "map" : "./location[parent::AcknowledgmentDetail]"
          }]
        },
        {
          "id" : "OperationOutcome.issue.expression",
          "path" : "OperationOutcome.issue.expression",
          "short" : "FHIRPath of element(s) related to issue",
          "definition" : "A [simple subset of FHIRPath](fhirpath.html#simple) limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised.",
          "comment" : "The root of the FHIRPath is the resource or bundle that generated OperationOutcome.  Each FHIRPath SHALL resolve to a single node.",
          "requirements" : "Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OperationOutcome.issue.expression",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-2"
          },
          {
            "identity" : "rim",
            "map" : "./location[parent::AcknowledgmentDetail]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "OperationOutcome",
          "path" : "OperationOutcome",
          "short" : "Information about the success/failure of an action",
          "definition" : "A collection of error, warning, or information messages that result from a system action.",
          "comment" : "Can result from the failure of a REST call or be part of the response message returned from a request message.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Grouping is handled through multiple repetitions from whatever context references the outcomes (no specific grouper required)"
          }]
        },
        {
          "id" : "OperationOutcome.issue",
          "path" : "OperationOutcome.issue",
          "short" : "A single issue associated with the action",
          "definition" : "An error, warning, or information message that results from a system action.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR"
          },
          {
            "identity" : "rim",
            "map" : "AcknowledgementDetail or Observation[classCode=\"ALRT\" and moodCode=\"EVN\"]"
          }]
        },
        {
          "id" : "OperationOutcome.issue.severity",
          "path" : "OperationOutcome.issue.severity",
          "short" : "fatal | error | warning | information",
          "definition" : "Indicates whether the issue indicates a variation from successful processing.",
          "comment" : "This is labeled as \"Is Modifier\" because applications should not confuse hints and warnings with errors.",
          "requirements" : "Indicates how relevant the issue is to the overall success of the action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IssueSeverity"
            }],
            "strength" : "required",
            "description" : "How the issue affects the success of the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/issue-severity|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-4"
          },
          {
            "identity" : "rim",
            "map" : "./typeCode[parent::AcknowledgmentDetail] or unique(./inboundRelationship[parent::Observation and typeCode='SUBJ' and isNormalActRelationship()]/source[classCode=\"OBS\" and moodCode=\"EVN\" and implies(code, ActCode#SEV and isNormalAct())/value[xsi:type=\"CD\"]"
          }]
        },
        {
          "id" : "OperationOutcome.issue.code",
          "path" : "OperationOutcome.issue.code",
          "short" : "Error or warning code",
          "definition" : "Describes the type of the issue. The system that creates an OperationOutcome SHALL choose the most applicable code from the IssueType value set, and may additional provide its own code for the error in the details element.",
          "requirements" : "Expresses the issue in a human and computer-friendly way, allowing the requesting system to behave differently based on the type of issue.\n\nThe required element provides a base level of computable interoperability across all systems for processing an outcome, allowing systems to respond appropriately regardless of the internal system error codes returned.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IssueType"
            }],
            "strength" : "required",
            "description" : "A code that describes the type of issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/issue-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-3"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "OperationOutcome.issue.details",
          "path" : "OperationOutcome.issue.details",
          "short" : "Additional details about the error",
          "definition" : "Additional details about the error. This may be a text description of the error or a system code that identifies the error.",
          "comment" : "A human readable description of the error issue SHOULD be placed in details.text.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IssueDetails"
            }],
            "strength" : "example",
            "description" : "A code that provides details as the exact issue.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/operation-outcome"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-5"
          },
          {
            "identity" : "rim",
            "map" : "./code"
          }]
        },
        {
          "id" : "OperationOutcome.issue.diagnostics",
          "path" : "OperationOutcome.issue.diagnostics",
          "short" : "Additional diagnostic information about the issue",
          "definition" : "Additional diagnostic information about the issue.",
          "comment" : "This may be a description of how a value is erroneous, a stack dump to help trace the issue or other troubleshooting information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-8"
          },
          {
            "identity" : "rim",
            "map" : "./text[parent::AcknowledgmentDetail]"
          }]
        },
        {
          "id" : "OperationOutcome.issue.location",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "deprecated"
          }],
          "path" : "OperationOutcome.issue.location",
          "short" : "Deprecated: Path of element(s) related to issue",
          "definition" : "This element is deprecated because it is XML specific. It is replaced by issue.expression, which is format independent, and simpler to parse. \n\nFor resource issues, this will be a simple XPath limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised.  For HTTP errors, will be \"http.\" + the parameter name.",
          "comment" : "The root of the XPath is the resource or bundle that generated OperationOutcome.  Each XPath SHALL resolve to a single node.  This element is deprecated, and is being replaced by expression.",
          "requirements" : "Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-2"
          },
          {
            "identity" : "rim",
            "map" : "./location[parent::AcknowledgmentDetail]"
          }]
        },
        {
          "id" : "OperationOutcome.issue.expression",
          "path" : "OperationOutcome.issue.expression",
          "short" : "FHIRPath of element(s) related to issue",
          "definition" : "A [simple subset of FHIRPath](fhirpath.html#simple) limited to element names, repetition indicators and the default child accessor that identifies one of the elements in the resource that caused this issue to be raised.",
          "comment" : "The root of the FHIRPath is the resource or bundle that generated OperationOutcome.  Each FHIRPath SHALL resolve to a single node.",
          "requirements" : "Allows systems to highlight or otherwise guide users to elements implicated in issues to allow them to be fixed more easily.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ERR-2"
          },
          {
            "identity" : "rim",
            "map" : "./location[parent::AcknowledgmentDetail]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Organization",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Organization",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Organization 
ITU
DomainResource
A grouping of people or organizations with a common purpose
+ Rule: The organization SHALL at least have a name or an identifier, and possibly more than one
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
ΣI
0..*
Identifier
Identifies this organization  across multiple systems
 active 
?!Σ
0..1
boolean
Whether the organization's record is still in active use
 type 
Σ
0..*
CodeableConcept
Kind of organization
Organization type (Example)
 name 
ΣI
0..1
string
Name used for the organization
 alias 
0..*
string
A list of alternate names that the organization is known as, or was known as in the past
 telecom 
I
0..*
ContactPoint
A contact detail for the organization
+ Rule: The telecom of an organization can never be of use 'home'
 address 
I
0..*
Address
An address for the organization
+ Rule: An address of an organization can never be of use 'home'
 partOf 
Σ
0..1
Reference(Organization)
The organization of which this organization forms a part
 contact 
0..*
BackboneElement
Contact for the organization for a certain purpose
 purpose 
0..1
CodeableConcept
The type of contact
Contact entity type (Extensible)
 name 
0..1
HumanName
A name associated with the contact
 telecom 
0..*
ContactPoint
Contact details (telephone, email, etc.)  for a contact
 address 
0..1
Address
Visiting or postal addresses for the contact
 endpoint 
0..*
Reference(Endpoint)
Technical endpoints providing access to services operated for the organization

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Organization",
      "version" : "4.0.0",
      "name" : "Organization",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "servd",
        "uri" : "http://www.omg.org/spec/ServD/1.0/",
        "name" : "ServD"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Organization",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Organization",
          "path" : "Organization",
          "short" : "A grouping of people or organizations with a common purpose",
          "definition" : "A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "org-1",
            "severity" : "error",
            "human" : "The organization SHALL at least have a name or an identifier, and possibly more than one",
            "expression" : "(identifier.count() + name.count()) > 0",
            "xpath" : "count(f:identifier | f:name) > 0"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "(also see master files messages)"
          },
          {
            "identity" : "rim",
            "map" : "Organization(classCode=ORG, determinerCode=INST)"
          },
          {
            "identity" : "servd",
            "map" : "Organization"
          }]
        },
        {
          "id" : "Organization.id",
          "path" : "Organization.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Organization.meta",
          "path" : "Organization.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Organization.implicitRules",
          "path" : "Organization.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Organization.language",
          "path" : "Organization.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Organization.text",
          "path" : "Organization.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Organization.contained",
          "path" : "Organization.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Organization.extension",
          "path" : "Organization.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Organization.modifierExtension",
          "path" : "Organization.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Organization.identifier",
          "path" : "Organization.identifier",
          "short" : "Identifies this organization  across multiple systems",
          "definition" : "Identifier for the organization that is used to identify the organization across multiple disparate systems.",
          "requirements" : "Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "condition" : ["org-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "XON.10 / XON.3"
          },
          {
            "identity" : "rim",
            "map" : ".scopes[Role](classCode=IDENT)"
          },
          {
            "identity" : "servd",
            "map" : "./Identifiers"
          }]
        },
        {
          "id" : "Organization.active",
          "path" : "Organization.active",
          "short" : "Whether the organization's record is still in active use",
          "definition" : "Whether the organization's record is still in active use.",
          "comment" : "This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.\n\nThis element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "requirements" : "Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Organization.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "No equivalent in HL7 v2"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          },
          {
            "identity" : "servd",
            "map" : "./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date."
          }]
        },
        {
          "id" : "Organization.type",
          "path" : "Organization.type",
          "short" : "Kind of organization",
          "definition" : "The kind(s) of organization that this is.",
          "comment" : "Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes\n\nWhen considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.\n\nWe expect that some jurisdictions will profile this optionality to be a single cardinality.",
          "requirements" : "Need to be able to track the kind of organization that this is - different organization types have different uses.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OrganizationType"
            }],
            "strength" : "example",
            "description" : "Used to categorize the organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/organization-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "No equivalent in v2"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "servd",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Organization.name",
          "path" : "Organization.name",
          "short" : "Name used for the organization",
          "definition" : "A name associated with the organization.",
          "comment" : "If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.",
          "requirements" : "Need to use the name as the label of the organization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Organization.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["org-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "XON.1"
          },
          {
            "identity" : "rim",
            "map" : ".name"
          },
          {
            "identity" : "servd",
            "map" : ".PreferredName/Name"
          }]
        },
        {
          "id" : "Organization.alias",
          "path" : "Organization.alias",
          "short" : "A list of alternate names that the organization is known as, or was known as in the past",
          "definition" : "A list of alternate names that the organization is known as, or was known as in the past.",
          "comment" : "There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.",
          "requirements" : "Over time locations and organizations go through many changes and can be known by different names.\n\nFor searching knowing previous names that the organization was known by can be very useful.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization.alias",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "Organization.telecom",
          "path" : "Organization.telecom",
          "short" : "A contact detail for the organization",
          "definition" : "A contact detail for the organization.",
          "comment" : "The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.",
          "requirements" : "Human contact for the organization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "condition" : ["org-3"],
          "constraint" : [{
            "key" : "org-3",
            "severity" : "error",
            "human" : "The telecom of an organization can never be of use 'home'",
            "expression" : "where(use = 'home').empty()",
            "xpath" : "count(f:use[@value='home']) = 0"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ORC-22?"
          },
          {
            "identity" : "rim",
            "map" : ".telecom"
          },
          {
            "identity" : "servd",
            "map" : "./ContactPoints"
          }]
        },
        {
          "id" : "Organization.address",
          "path" : "Organization.address",
          "short" : "An address for the organization",
          "definition" : "An address for the organization.",
          "comment" : "Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.",
          "requirements" : "May need to keep track of the organization's addresses for contacting, billing or reporting requirements.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization.address",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Address"
          }],
          "condition" : ["org-2"],
          "constraint" : [{
            "key" : "org-2",
            "severity" : "error",
            "human" : "An address of an organization can never be of use 'home'",
            "expression" : "where(use = 'home').empty()",
            "xpath" : "count(f:use[@value='home']) = 0"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ORC-23?"
          },
          {
            "identity" : "rim",
            "map" : ".address"
          },
          {
            "identity" : "servd",
            "map" : "./PrimaryAddress and ./OtherAddresses"
          }]
        },
        {
          "id" : "Organization.partOf",
          "path" : "Organization.partOf",
          "short" : "The organization of which this organization forms a part",
          "definition" : "The organization of which this organization forms a part.",
          "requirements" : "Need to be able to track the hierarchy of organizations within an organization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Organization.partOf",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "No equivalent in HL7 v2"
          },
          {
            "identity" : "rim",
            "map" : ".playedBy[classCode=Part].scoper"
          },
          {
            "identity" : "servd",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Organization.contact",
          "path" : "Organization.contact",
          "short" : "Contact for the organization for a certain purpose",
          "definition" : "Contact for the organization for a certain purpose.",
          "comment" : "Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.",
          "requirements" : "Need to keep track of assigned contact points within bigger organization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".contactParty"
          }]
        },
        {
          "id" : "Organization.contact.id",
          "path" : "Organization.contact.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Organization.contact.extension",
          "path" : "Organization.contact.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Organization.contact.modifierExtension",
          "path" : "Organization.contact.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Organization.contact.purpose",
          "path" : "Organization.contact.purpose",
          "short" : "The type of contact",
          "definition" : "Indicates a purpose for which the contact can be reached.",
          "requirements" : "Need to distinguish between multiple contact persons.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Organization.contact.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContactPartyType"
            }],
            "strength" : "extensible",
            "description" : "The purpose for which you would contact a contact party.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contactentity-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./type"
          }]
        },
        {
          "id" : "Organization.contact.name",
          "path" : "Organization.contact.name",
          "short" : "A name associated with the contact",
          "definition" : "A name associated with the contact.",
          "requirements" : "Need to be able to track the person by name.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Organization.contact.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "HumanName"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-5, PID-9"
          },
          {
            "identity" : "rim",
            "map" : "./name"
          }]
        },
        {
          "id" : "Organization.contact.telecom",
          "path" : "Organization.contact.telecom",
          "short" : "Contact details (telephone, email, etc.)  for a contact",
          "definition" : "A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization.contact.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-13, PID-14"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          }]
        },
        {
          "id" : "Organization.contact.address",
          "path" : "Organization.contact.address",
          "short" : "Visiting or postal addresses for the contact",
          "definition" : "Visiting or postal addresses for the contact.",
          "requirements" : "May need to keep track of a contact party's address for contacting, billing or reporting requirements.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Organization.contact.address",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Address"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-11"
          },
          {
            "identity" : "rim",
            "map" : "./addr"
          }]
        },
        {
          "id" : "Organization.endpoint",
          "path" : "Organization.endpoint",
          "short" : "Technical endpoints providing access to services operated for the organization",
          "definition" : "Technical endpoints providing access to services operated for the organization.",
          "requirements" : "Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Organization.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Organization",
          "path" : "Organization",
          "short" : "A grouping of people or organizations with a common purpose",
          "definition" : "A formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action.  Includes companies, institutions, corporations, departments, community groups, healthcare practice groups, payer/insurer, etc.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "org-1",
            "severity" : "error",
            "human" : "The organization SHALL at least have a name or an identifier, and possibly more than one",
            "expression" : "(identifier.count() + name.count()) > 0",
            "xpath" : "count(f:identifier | f:name) > 0"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "(also see master files messages)"
          },
          {
            "identity" : "rim",
            "map" : "Organization(classCode=ORG, determinerCode=INST)"
          },
          {
            "identity" : "servd",
            "map" : "Organization"
          }]
        },
        {
          "id" : "Organization.identifier",
          "path" : "Organization.identifier",
          "short" : "Identifies this organization  across multiple systems",
          "definition" : "Identifier for the organization that is used to identify the organization across multiple disparate systems.",
          "requirements" : "Organizations are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the organization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "condition" : ["org-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "XON.10 / XON.3"
          },
          {
            "identity" : "rim",
            "map" : ".scopes[Role](classCode=IDENT)"
          },
          {
            "identity" : "servd",
            "map" : "./Identifiers"
          }]
        },
        {
          "id" : "Organization.active",
          "path" : "Organization.active",
          "short" : "Whether the organization's record is still in active use",
          "definition" : "Whether the organization's record is still in active use.",
          "comment" : "This active flag is not intended to be used to mark an organization as temporarily closed or under construction. Instead the Location(s) within the Organization should have the suspended status. If further details of the reason for the suspension are required, then an extension on this element should be used.\n\nThis element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "requirements" : "Need a flag to indicate a record is no longer to be used and should generally be hidden for the user in the UI.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "No equivalent in HL7 v2"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          },
          {
            "identity" : "servd",
            "map" : "./Status (however this concept in ServD more covers why the organization is active or not, could be delisted, deregistered, not operational yet) this could alternatively be derived from ./StartDate and ./EndDate and given a context date."
          }]
        },
        {
          "id" : "Organization.type",
          "path" : "Organization.type",
          "short" : "Kind of organization",
          "definition" : "The kind(s) of organization that this is.",
          "comment" : "Organizations can be corporations, wards, sections, clinical teams, government departments, etc. Note that code is generally a classifier of the type of organization; in many applications, codes are used to identity a particular organization (say, ward) as opposed to another of the same type - these are identifiers, not codes\n\nWhen considering if multiple types are appropriate, you should evaluate if child organizations would be a more appropriate use of the concept, as different types likely are in different sub-areas of the organization. This is most likely to be used where type values have orthogonal values, such as a religious, academic and medical center.\n\nWe expect that some jurisdictions will profile this optionality to be a single cardinality.",
          "requirements" : "Need to be able to track the kind of organization that this is - different organization types have different uses.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OrganizationType"
            }],
            "strength" : "example",
            "description" : "Used to categorize the organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/organization-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "No equivalent in v2"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "servd",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Organization.name",
          "path" : "Organization.name",
          "short" : "Name used for the organization",
          "definition" : "A name associated with the organization.",
          "comment" : "If the name of an organization changes, consider putting the old name in the alias column so that it can still be located through searches.",
          "requirements" : "Need to use the name as the label of the organization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["org-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "XON.1"
          },
          {
            "identity" : "rim",
            "map" : ".name"
          },
          {
            "identity" : "servd",
            "map" : ".PreferredName/Name"
          }]
        },
        {
          "id" : "Organization.alias",
          "path" : "Organization.alias",
          "short" : "A list of alternate names that the organization is known as, or was known as in the past",
          "definition" : "A list of alternate names that the organization is known as, or was known as in the past.",
          "comment" : "There are no dates associated with the alias/historic names, as this is not intended to track when names were used, but to assist in searching so that older names can still result in identifying the organization.",
          "requirements" : "Over time locations and organizations go through many changes and can be known by different names.\n\nFor searching knowing previous names that the organization was known by can be very useful.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".name"
          }]
        },
        {
          "id" : "Organization.telecom",
          "path" : "Organization.telecom",
          "short" : "A contact detail for the organization",
          "definition" : "A contact detail for the organization.",
          "comment" : "The use code 'home' is not to be used. Note that these contacts are not the contact details of people who are employed by or represent the organization, but official contacts for the organization itself.",
          "requirements" : "Human contact for the organization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "condition" : ["org-3"],
          "constraint" : [{
            "key" : "org-3",
            "severity" : "error",
            "human" : "The telecom of an organization can never be of use 'home'",
            "expression" : "where(use = 'home').empty()",
            "xpath" : "count(f:use[@value='home']) = 0"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ORC-22?"
          },
          {
            "identity" : "rim",
            "map" : ".telecom"
          },
          {
            "identity" : "servd",
            "map" : "./ContactPoints"
          }]
        },
        {
          "id" : "Organization.address",
          "path" : "Organization.address",
          "short" : "An address for the organization",
          "definition" : "An address for the organization.",
          "comment" : "Organization may have multiple addresses with different uses or applicable periods. The use code 'home' is not to be used.",
          "requirements" : "May need to keep track of the organization's addresses for contacting, billing or reporting requirements.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Address"
          }],
          "condition" : ["org-2"],
          "constraint" : [{
            "key" : "org-2",
            "severity" : "error",
            "human" : "An address of an organization can never be of use 'home'",
            "expression" : "where(use = 'home').empty()",
            "xpath" : "count(f:use[@value='home']) = 0"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "ORC-23?"
          },
          {
            "identity" : "rim",
            "map" : ".address"
          },
          {
            "identity" : "servd",
            "map" : "./PrimaryAddress and ./OtherAddresses"
          }]
        },
        {
          "id" : "Organization.partOf",
          "path" : "Organization.partOf",
          "short" : "The organization of which this organization forms a part",
          "definition" : "The organization of which this organization forms a part.",
          "requirements" : "Need to be able to track the hierarchy of organizations within an organization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "No equivalent in HL7 v2"
          },
          {
            "identity" : "rim",
            "map" : ".playedBy[classCode=Part].scoper"
          },
          {
            "identity" : "servd",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Organization.contact",
          "path" : "Organization.contact",
          "short" : "Contact for the organization for a certain purpose",
          "definition" : "Contact for the organization for a certain purpose.",
          "comment" : "Where multiple contacts for the same purpose are provided there is a standard extension that can be used to determine which one is the preferred contact to use.",
          "requirements" : "Need to keep track of assigned contact points within bigger organization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".contactParty"
          }]
        },
        {
          "id" : "Organization.contact.purpose",
          "path" : "Organization.contact.purpose",
          "short" : "The type of contact",
          "definition" : "Indicates a purpose for which the contact can be reached.",
          "requirements" : "Need to distinguish between multiple contact persons.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContactPartyType"
            }],
            "strength" : "extensible",
            "description" : "The purpose for which you would contact a contact party.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/contactentity-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./type"
          }]
        },
        {
          "id" : "Organization.contact.name",
          "path" : "Organization.contact.name",
          "short" : "A name associated with the contact",
          "definition" : "A name associated with the contact.",
          "requirements" : "Need to be able to track the person by name.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "HumanName"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-5, PID-9"
          },
          {
            "identity" : "rim",
            "map" : "./name"
          }]
        },
        {
          "id" : "Organization.contact.telecom",
          "path" : "Organization.contact.telecom",
          "short" : "Contact details (telephone, email, etc.)  for a contact",
          "definition" : "A contact detail (e.g. a telephone number or an email address) by which the party may be contacted.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-13, PID-14"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          }]
        },
        {
          "id" : "Organization.contact.address",
          "path" : "Organization.contact.address",
          "short" : "Visiting or postal addresses for the contact",
          "definition" : "Visiting or postal addresses for the contact.",
          "requirements" : "May need to keep track of a contact party's address for contacting, billing or reporting requirements.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Address"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-11"
          },
          {
            "identity" : "rim",
            "map" : "./addr"
          }]
        },
        {
          "id" : "Organization.endpoint",
          "path" : "Organization.endpoint",
          "short" : "Technical endpoints providing access to services operated for the organization",
          "definition" : "Technical endpoints providing access to services operated for the organization.",
          "requirements" : "Organizations have multiple systems that provide various services and need to be able to define the technical connection details for how to connect to them, and for what purpose.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/OrganizationAffiliation",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "OrganizationAffiliation",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 OrganizationAffiliation 
TU
DomainResource
Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifiers that are specific to this role
 active 
Σ
0..1
boolean
Whether this organization affiliation record is in active use
 period 
Σ
0..1
Period
The period during which the participatingOrganization is affiliated with the primary organization
 organization 
Σ
0..1
Reference(Organization)
Organization where the role is available
 participatingOrganization 
Σ
0..1
Reference(Organization)
Organization that provides/performs the role (e.g. providing services or is a member of)
 network 
Σ
0..*
Reference(Organization)
Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)
 code 
Σ
0..*
CodeableConcept
Definition of the role the participatingOrganization plays
Organization Affiliation Role (Example)
 specialty 
Σ
0..*
CodeableConcept
Specific specialty of the participatingOrganization in the context of the role
Practice Setting Code Value Set (Preferred)
 location 
Σ
0..*
Reference(Location)
The location(s) at which the role occurs
 healthcareService 
0..*
Reference(HealthcareService)
Healthcare services provided through the role
 telecom 
Σ
0..*
ContactPoint
Contact details at the participatingOrganization relevant to this Affiliation
 endpoint 
0..*
Reference(Endpoint)
Technical endpoints providing access to services operated for this role

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/OrganizationAffiliation",
      "version" : "4.0.0",
      "name" : "OrganizationAffiliation",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship.",
      "purpose" : "Need to define relationships between organizations that are not sub-divisions of the same organization (part-of relationships).",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "OrganizationAffiliation",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "OrganizationAffiliation",
          "path" : "OrganizationAffiliation",
          "short" : "Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship",
          "definition" : "Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Role"
          }]
        },
        {
          "id" : "OrganizationAffiliation.id",
          "path" : "OrganizationAffiliation.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OrganizationAffiliation.meta",
          "path" : "OrganizationAffiliation.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OrganizationAffiliation.implicitRules",
          "path" : "OrganizationAffiliation.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "OrganizationAffiliation.language",
          "path" : "OrganizationAffiliation.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "OrganizationAffiliation.text",
          "path" : "OrganizationAffiliation.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "OrganizationAffiliation.contained",
          "path" : "OrganizationAffiliation.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OrganizationAffiliation.extension",
          "path" : "OrganizationAffiliation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OrganizationAffiliation.modifierExtension",
          "path" : "OrganizationAffiliation.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "OrganizationAffiliation.identifier",
          "path" : "OrganizationAffiliation.identifier",
          "short" : "Business identifiers that are specific to this role",
          "definition" : "Business identifiers that are specific to this role.",
          "requirements" : "Often, specific identities are assigned for the agent.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "OrganizationAffiliation.active",
          "path" : "OrganizationAffiliation.active",
          "short" : "Whether this organization affiliation record is in active use",
          "definition" : "Whether this organization affiliation record is in active use.",
          "comment" : "If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.",
          "requirements" : "Need to be able to mark an organization affiliation record as not to be used because it was created in error, or otherwise no longer in active use.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OrganizationAffiliation.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "OrganizationAffiliation.period",
          "path" : "OrganizationAffiliation.period",
          "short" : "The period during which the participatingOrganization is affiliated with the primary organization",
          "definition" : "The period during which the participatingOrganization is affiliated with the primary organization.",
          "requirements" : "An affiliation may be created ahead of time and only be active for a defined period of time. Once the affiliation is complete, the fact that it existed may still be required.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OrganizationAffiliation.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime"
          }]
        },
        {
          "id" : "OrganizationAffiliation.organization",
          "path" : "OrganizationAffiliation.organization",
          "short" : "Organization where the role is available",
          "definition" : "Organization where the role is available (primary organization/has members).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OrganizationAffiliation.organization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "OrganizationAffiliation.participatingOrganization",
          "path" : "OrganizationAffiliation.participatingOrganization",
          "short" : "Organization that provides/performs the role (e.g. providing services or is a member of)",
          "definition" : "The Participating Organization provides/performs the role(s) defined by the code to the Primary Organization (e.g. providing services or is a member of).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "OrganizationAffiliation.participatingOrganization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "OrganizationAffiliation.network",
          "path" : "OrganizationAffiliation.network",
          "short" : "Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)",
          "definition" : "Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation.network",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "OrganizationAffiliation.code",
          "path" : "OrganizationAffiliation.code",
          "short" : "Definition of the role the participatingOrganization plays",
          "definition" : "Definition of the role the participatingOrganization plays in the association.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OrganizationAffiliation"
            }],
            "strength" : "example",
            "description" : "The role the participating organization providing services to the primary organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/organization-role"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "OrganizationAffiliation.specialty",
          "path" : "OrganizationAffiliation.specialty",
          "short" : "Specific specialty of the participatingOrganization in the context of the role",
          "definition" : "Specific specialty of the participatingOrganization in the context of the role.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation.specialty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OrganizationSpecialty"
            }],
            "strength" : "preferred",
            "description" : "Specific specialty associated with the participating organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.HealthCareProvider[@classCode = 'PROV'].code"
          }]
        },
        {
          "id" : "OrganizationAffiliation.location",
          "path" : "OrganizationAffiliation.location",
          "short" : "The location(s) at which the role occurs",
          "definition" : "The location(s) at which the role occurs.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation.location",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']"
          }]
        },
        {
          "id" : "OrganizationAffiliation.healthcareService",
          "path" : "OrganizationAffiliation.healthcareService",
          "short" : "Healthcare services provided through the role",
          "definition" : "Healthcare services provided through the role.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation.healthcareService",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.QualifiedEntity[@classCode = 'QUAL'].code"
          }]
        },
        {
          "id" : "OrganizationAffiliation.telecom",
          "path" : "OrganizationAffiliation.telecom",
          "short" : "Contact details at the participatingOrganization relevant to this Affiliation",
          "definition" : "Contact details at the participatingOrganization relevant to this Affiliation.",
          "requirements" : "Sometimes a participating organization provides dedicated contacts to handle enquiries specifically for the role provided to the affiliated organization.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "OrganizationAffiliation.endpoint",
          "path" : "OrganizationAffiliation.endpoint",
          "short" : "Technical endpoints providing access to services operated for this role",
          "definition" : "Technical endpoints providing access to services operated for this role.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "OrganizationAffiliation.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "OrganizationAffiliation",
          "path" : "OrganizationAffiliation",
          "short" : "Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship",
          "definition" : "Defines an affiliation/assotiation/relationship between 2 distinct oganizations, that is not a part-of relationship/sub-division relationship.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role"
          }]
        },
        {
          "id" : "OrganizationAffiliation.identifier",
          "path" : "OrganizationAffiliation.identifier",
          "short" : "Business identifiers that are specific to this role",
          "definition" : "Business identifiers that are specific to this role.",
          "requirements" : "Often, specific identities are assigned for the agent.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "OrganizationAffiliation.active",
          "path" : "OrganizationAffiliation.active",
          "short" : "Whether this organization affiliation record is in active use",
          "definition" : "Whether this organization affiliation record is in active use.",
          "comment" : "If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.",
          "requirements" : "Need to be able to mark an organization affiliation record as not to be used because it was created in error, or otherwise no longer in active use.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "OrganizationAffiliation.period",
          "path" : "OrganizationAffiliation.period",
          "short" : "The period during which the participatingOrganization is affiliated with the primary organization",
          "definition" : "The period during which the participatingOrganization is affiliated with the primary organization.",
          "requirements" : "An affiliation may be created ahead of time and only be active for a defined period of time. Once the affiliation is complete, the fact that it existed may still be required.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime"
          }]
        },
        {
          "id" : "OrganizationAffiliation.organization",
          "path" : "OrganizationAffiliation.organization",
          "short" : "Organization where the role is available",
          "definition" : "Organization where the role is available (primary organization/has members).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "OrganizationAffiliation.participatingOrganization",
          "path" : "OrganizationAffiliation.participatingOrganization",
          "short" : "Organization that provides/performs the role (e.g. providing services or is a member of)",
          "definition" : "The Participating Organization provides/performs the role(s) defined by the code to the Primary Organization (e.g. providing services or is a member of).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "OrganizationAffiliation.network",
          "path" : "OrganizationAffiliation.network",
          "short" : "Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined)",
          "definition" : "Health insurance provider network in which the participatingOrganization provides the role's services (if defined) at the indicated locations (if defined).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "OrganizationAffiliation.code",
          "path" : "OrganizationAffiliation.code",
          "short" : "Definition of the role the participatingOrganization plays",
          "definition" : "Definition of the role the participatingOrganization plays in the association.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OrganizationAffiliation"
            }],
            "strength" : "example",
            "description" : "The role the participating organization providing services to the primary organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/organization-role"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "OrganizationAffiliation.specialty",
          "path" : "OrganizationAffiliation.specialty",
          "short" : "Specific specialty of the participatingOrganization in the context of the role",
          "definition" : "Specific specialty of the participatingOrganization in the context of the role.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OrganizationSpecialty"
            }],
            "strength" : "preferred",
            "description" : "Specific specialty associated with the participating organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.HealthCareProvider[@classCode = 'PROV'].code"
          }]
        },
        {
          "id" : "OrganizationAffiliation.location",
          "path" : "OrganizationAffiliation.location",
          "short" : "The location(s) at which the role occurs",
          "definition" : "The location(s) at which the role occurs.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']"
          }]
        },
        {
          "id" : "OrganizationAffiliation.healthcareService",
          "path" : "OrganizationAffiliation.healthcareService",
          "short" : "Healthcare services provided through the role",
          "definition" : "Healthcare services provided through the role.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.QualifiedEntity[@classCode = 'QUAL'].code"
          }]
        },
        {
          "id" : "OrganizationAffiliation.telecom",
          "path" : "OrganizationAffiliation.telecom",
          "short" : "Contact details at the participatingOrganization relevant to this Affiliation",
          "definition" : "Contact details at the participatingOrganization relevant to this Affiliation.",
          "requirements" : "Sometimes a participating organization provides dedicated contacts to handle enquiries specifically for the role provided to the affiliated organization.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "OrganizationAffiliation.endpoint",
          "path" : "OrganizationAffiliation.endpoint",
          "short" : "Technical endpoints providing access to services operated for this role",
          "definition" : "Technical endpoints providing access to services operated for this role.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Parameters",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Parameters",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Parameters 
ΣN
Resource
Operation Request or Response
Elements defined in Ancestors: id, meta, implicitRules, language
 parameter 
ΣI
0..*
BackboneElement
Operation Parameter
+ Rule: A parameter must have one and only one of (value, resource, part)
 name 
Σ
1..1
string
Name from the definition
 value[x] 
ΣI
0..1
*
If parameter is a data type
 resource 
ΣI
0..1
Resource
If parameter is a whole resource
 part 
Σ
0..*
see parameter
Named part of a multi-part parameter

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Other"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Parameters",
      "version" : "4.0.0",
      "name" : "Parameters",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "This resource is a non-persisted resource used to pass information into and back from an [operation](operations.html). It has no other use, and there is no RESTful endpoint associated with it.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Parameters",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Resource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Parameters",
          "path" : "Parameters",
          "short" : "Operation Request or Response",
          "definition" : "This resource is a non-persisted resource used to pass information into and back from an [operation](operations.html). It has no other use, and there is no RESTful endpoint associated with it.",
          "comment" : "The parameters that may be used are defined by the OperationDefinition resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Parameters",
            "min" : 0,
            "max" : "*"
          },
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Parameters.id",
          "path" : "Parameters.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Parameters.meta",
          "path" : "Parameters.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Parameters.implicitRules",
          "path" : "Parameters.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Parameters.language",
          "path" : "Parameters.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Parameters.parameter",
          "path" : "Parameters.parameter",
          "short" : "Operation Parameter",
          "definition" : "A parameter passed to or received from the operation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Parameters.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "inv-1",
            "severity" : "error",
            "human" : "A parameter must have one and only one of (value, resource, part)",
            "expression" : "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))",
            "xpath" : "(exists(f:resource) or exists(f:part) or exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:*[starts-with(local-name(.), 'value')])) and exists(f:resource))) and not(exists(f:*[starts-with(local-name(.), 'value')])) and exists(f:part))) and not(exists(f:part) and exists(f:resource))"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Parameters.parameter.id",
          "path" : "Parameters.parameter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Parameters.parameter.extension",
          "path" : "Parameters.parameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Parameters.parameter.modifierExtension",
          "path" : "Parameters.parameter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Parameters.parameter.name",
          "path" : "Parameters.parameter.name",
          "short" : "Name from the definition",
          "definition" : "The name of the parameter (reference to the operation definition).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Parameters.parameter.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Parameters.parameter.value[x]",
          "path" : "Parameters.parameter.value[x]",
          "short" : "If parameter is a data type",
          "definition" : "If the parameter is a data type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Parameters.parameter.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "url"
          },
          {
            "code" : "uuid"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "ContactDetail"
          },
          {
            "code" : "Contributor"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "ParameterDefinition"
          },
          {
            "code" : "RelatedArtifact"
          },
          {
            "code" : "TriggerDefinition"
          },
          {
            "code" : "UsageContext"
          },
          {
            "code" : "Dosage"
          }],
          "condition" : ["inv-1"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Parameters.parameter.resource",
          "path" : "Parameters.parameter.resource",
          "short" : "If parameter is a whole resource",
          "definition" : "If the parameter is a whole resource.",
          "comment" : "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Parameters.parameter.resource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "condition" : ["inv-1"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Parameters.parameter.part",
          "path" : "Parameters.parameter.part",
          "short" : "Named part of a multi-part parameter",
          "definition" : "A named part of a multi-part parameter.",
          "comment" : "Only one level of nested parameters is allowed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Parameters.parameter.part",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Parameters.parameter",
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Parameters",
          "path" : "Parameters",
          "short" : "Operation Request or Response",
          "definition" : "This resource is a non-persisted resource used to pass information into and back from an [operation](operations.html). It has no other use, and there is no RESTful endpoint associated with it.",
          "comment" : "The parameters that may be used are defined by the OperationDefinition resource.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "v2",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Parameters.parameter",
          "path" : "Parameters.parameter",
          "short" : "Operation Parameter",
          "definition" : "A parameter passed to or received from the operation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "inv-1",
            "severity" : "error",
            "human" : "A parameter must have one and only one of (value, resource, part)",
            "expression" : "(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))",
            "xpath" : "(exists(f:resource) or exists(f:part) or exists(f:*[starts-with(local-name(.), 'value')])) and not(exists(f:*[starts-with(local-name(.), 'value')])) and exists(f:resource))) and not(exists(f:*[starts-with(local-name(.), 'value')])) and exists(f:part))) and not(exists(f:part) and exists(f:resource))"
          }],
          "isSummary" : true
        },
        {
          "id" : "Parameters.parameter.name",
          "path" : "Parameters.parameter.name",
          "short" : "Name from the definition",
          "definition" : "The name of the parameter (reference to the operation definition).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Parameters.parameter.value[x]",
          "path" : "Parameters.parameter.value[x]",
          "short" : "If parameter is a data type",
          "definition" : "If the parameter is a data type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "url"
          },
          {
            "code" : "uuid"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "ContactDetail"
          },
          {
            "code" : "Contributor"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "ParameterDefinition"
          },
          {
            "code" : "RelatedArtifact"
          },
          {
            "code" : "TriggerDefinition"
          },
          {
            "code" : "UsageContext"
          },
          {
            "code" : "Dosage"
          }],
          "condition" : ["inv-1"],
          "isSummary" : true
        },
        {
          "id" : "Parameters.parameter.resource",
          "path" : "Parameters.parameter.resource",
          "short" : "If parameter is a whole resource",
          "definition" : "If the parameter is a whole resource.",
          "comment" : "When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Resource"
          }],
          "condition" : ["inv-1"],
          "isSummary" : true
        },
        {
          "id" : "Parameters.parameter.part",
          "path" : "Parameters.parameter.part",
          "short" : "Named part of a multi-part parameter",
          "definition" : "A named part of a multi-part parameter.",
          "comment" : "Only one level of nested parameters is allowed.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Parameters.parameter",
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Patient",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Patient",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Patient 
N
DomainResource
Information about an individual or animal receiving health care services
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
An identifier for this patient
 active 
?!Σ
0..1
boolean
Whether this patient's record is in active use
 name 
Σ
0..*
HumanName
A name associated with the patient
 telecom 
Σ
0..*
ContactPoint
A contact detail for the individual
 gender 
Σ
0..1
code
male | female | other | unknown
AdministrativeGender (Required)
 birthDate 
Σ
0..1
date
The date of birth for the individual
 deceased[x] 
?!Σ
0..1
Indicates if the individual is deceased or not
 deceasedBoolean
boolean
 deceasedDateTime
dateTime
 address 
Σ
0..*
Address
An address for the individual
 maritalStatus 
0..1
CodeableConcept
Marital (civil) status of a patient
MaritalStatus (Extensible)
 multipleBirth[x] 
0..1
Whether patient is part of a multiple birth
 multipleBirthBoolean
boolean
 multipleBirthInteger
integer
 photo 
0..*
Attachment
Image of the patient
 contact 
I
0..*
BackboneElement
A contact party (e.g. guardian, partner, friend) for the patient
+ Rule: SHALL at least contain a contact's details or a reference to an organization
 relationship 
0..*
CodeableConcept
The kind of relationship
Patient Contact Relationship  (Extensible)
 name 
0..1
HumanName
A name associated with the contact person
 telecom 
0..*
ContactPoint
A contact detail for the person
 address 
0..1
Address
Address for the contact person
 gender 
0..1
code
male | female | other | unknown
AdministrativeGender (Required)
 organization 
I
0..1
Reference(Organization)
Organization that is associated with the contact
 period 
0..1
Period
The period during which this contact person or organization is valid to be contacted relating to this patient
 communication 
0..*
BackboneElement
A language which may be used to communicate with the patient about his or her health
 language 
1..1
CodeableConcept
The language which can be used to communicate with the patient about his or her health
Common Languages (Preferred but limited to AllLanguages)
 preferred 
0..1
boolean
Language preference indicator
 generalPractitioner 
0..*
Reference(Organization | Practitioner | PractitionerRole)
Patient's nominated primary care provider
 managingOrganization 
Σ
0..1
Reference(Organization)
Organization that is the custodian of the patient record
 link 
?!Σ
0..*
BackboneElement
Link to another patient resource that concerns the same actual person
 other 
Σ
1..1
Reference(Patient | RelatedPerson)
The other patient or related person resource that the link refers to
 type 
Σ
1..1
code
replaced-by | replaces | refer | seealso
LinkType (Required)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Individuals"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Patient",
      "version" : "4.0.0",
      "name" : "Patient",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
      "purpose" : "Tracking patient is the center of the healthcare process.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "cda",
        "uri" : "http://hl7.org/v3/cda",
        "name" : "CDA (R2)"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "loinc",
        "uri" : "http://loinc.org",
        "name" : "LOINC code for the element"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Patient",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Patient",
          "path" : "Patient",
          "short" : "Information about an individual or animal receiving health care services",
          "definition" : "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
          "alias" : ["SubjectOfCare Client Resident"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Patient[classCode=PAT]"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument.recordTarget.patientRole"
          }]
        },
        {
          "id" : "Patient.id",
          "path" : "Patient.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Patient.meta",
          "path" : "Patient.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Patient.implicitRules",
          "path" : "Patient.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Patient.language",
          "path" : "Patient.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Patient.text",
          "path" : "Patient.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Patient.contained",
          "path" : "Patient.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Patient.extension",
          "path" : "Patient.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Patient.modifierExtension",
          "path" : "Patient.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Patient.identifier",
          "path" : "Patient.identifier",
          "short" : "An identifier for this patient",
          "definition" : "An identifier for this patient.",
          "requirements" : "Patients are almost always assigned specific numerical identifiers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : "id"
          },
          {
            "identity" : "cda",
            "map" : ".id"
          }]
        },
        {
          "id" : "Patient.active",
          "path" : "Patient.active",
          "short" : "Whether this patient's record is in active use",
          "definition" : "Whether this patient record is in active use. \nMany systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.",
          "comment" : "If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.",
          "requirements" : "Need to be able to mark a patient record as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.name",
          "path" : "Patient.name",
          "short" : "A name associated with the patient",
          "definition" : "A name associated with the individual.",
          "comment" : "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
          "requirements" : "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.name",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "HumanName"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-5, PID-9"
          },
          {
            "identity" : "rim",
            "map" : "name"
          },
          {
            "identity" : "cda",
            "map" : ".patient.name"
          }]
        },
        {
          "id" : "Patient.telecom",
          "path" : "Patient.telecom",
          "short" : "A contact detail for the individual",
          "definition" : "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
          "comment" : "A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-13, PID-14, PID-40"
          },
          {
            "identity" : "rim",
            "map" : "telecom"
          },
          {
            "identity" : "cda",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "Patient.gender",
          "path" : "Patient.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
          "comment" : "The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \"hard\" error.  See the Patient Gender and Sex section for additional information about communicating patient gender and sex.",
          "requirements" : "Needed for identification of the individual, in combination with (at least) name and birth date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.gender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-8"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          },
          {
            "identity" : "cda",
            "map" : ".patient.administrativeGenderCode"
          }]
        },
        {
          "id" : "Patient.birthDate",
          "path" : "Patient.birthDate",
          "short" : "The date of birth for the individual",
          "definition" : "The date of birth for the individual.",
          "comment" : "At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternity/infant care systems).",
          "requirements" : "Age of the individual drives many clinical processes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.birthDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-7"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"
          },
          {
            "identity" : "cda",
            "map" : ".patient.birthTime"
          },
          {
            "identity" : "loinc",
            "map" : "21112-8"
          }]
        },
        {
          "id" : "Patient.deceased[x]",
          "path" : "Patient.deceased[x]",
          "short" : "Indicates if the individual is deceased or not",
          "definition" : "Indicates if the individual is deceased or not.",
          "comment" : "If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
          "requirements" : "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.deceased[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "dateTime"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-30  (bool) and PID-29 (datetime)"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.address",
          "path" : "Patient.address",
          "short" : "An address for the individual",
          "definition" : "An address for the individual.",
          "comment" : "Patient may have multiple addresses with different uses or applicable periods.",
          "requirements" : "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.address",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Address"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-11"
          },
          {
            "identity" : "rim",
            "map" : "addr"
          },
          {
            "identity" : "cda",
            "map" : ".addr"
          }]
        },
        {
          "id" : "Patient.maritalStatus",
          "path" : "Patient.maritalStatus",
          "short" : "Marital (civil) status of a patient",
          "definition" : "This field contains a patient's most recent marital (civil) status.",
          "requirements" : "Most, if not all systems capture it.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.maritalStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MaritalStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "The domestic partnership status of a person.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/marital-status"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-16"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN]/maritalStatusCode"
          },
          {
            "identity" : "cda",
            "map" : ".patient.maritalStatusCode"
          }]
        },
        {
          "id" : "Patient.multipleBirth[x]",
          "path" : "Patient.multipleBirth[x]",
          "short" : "Whether patient is part of a multiple birth",
          "definition" : "Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).",
          "comment" : "Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).",
          "requirements" : "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.multipleBirth[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-24 (bool), PID-25 (integer)"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.photo",
          "path" : "Patient.photo",
          "short" : "Image of the patient",
          "definition" : "Image of the patient.",
          "comment" : "Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.",
          "requirements" : "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.photo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 - needs a profile"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Contact"
          }],
          "path" : "Patient.contact",
          "short" : "A contact party (e.g. guardian, partner, friend) for the patient",
          "definition" : "A contact party (e.g. guardian, partner, friend) for the patient.",
          "comment" : "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.",
          "requirements" : "Need to track people you can contact about the patient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "pat-1",
            "severity" : "error",
            "human" : "SHALL at least contain a contact's details or a reference to an organization",
            "expression" : "name.exists() or telecom.exists() or address.exists() or organization.exists()",
            "xpath" : "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.id",
          "path" : "Patient.contact.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.extension",
          "path" : "Patient.contact.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.modifierExtension",
          "path" : "Patient.contact.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Patient.contact.relationship",
          "path" : "Patient.contact.relationship",
          "short" : "The kind of relationship",
          "definition" : "The nature of the relationship between the patient and the contact person.",
          "requirements" : "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.contact.relationship",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContactRelationship"
            }],
            "strength" : "extensible",
            "description" : "The nature of the relationship between a patient and a contact person for that patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/patient-contactrelationship"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-7, NK1-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.name",
          "path" : "Patient.contact.name",
          "short" : "A name associated with the contact person",
          "definition" : "A name associated with the contact person.",
          "requirements" : "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.contact.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "HumanName"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-2"
          },
          {
            "identity" : "rim",
            "map" : "name"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.telecom",
          "path" : "Patient.contact.telecom",
          "short" : "A contact detail for the person",
          "definition" : "A contact detail for the person, e.g. a telephone number or an email address.",
          "comment" : "Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.contact.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-5, NK1-6, NK1-40"
          },
          {
            "identity" : "rim",
            "map" : "telecom"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.address",
          "path" : "Patient.contact.address",
          "short" : "Address for the contact person",
          "definition" : "Address for the contact person.",
          "requirements" : "Need to keep track where the contact person can be contacted per postal mail or visited.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.contact.address",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Address"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-4"
          },
          {
            "identity" : "rim",
            "map" : "addr"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.gender",
          "path" : "Patient.contact.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
          "requirements" : "Needed to address the person correctly.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.contact.gender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-15"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.organization",
          "path" : "Patient.contact.organization",
          "short" : "Organization that is associated with the contact",
          "definition" : "Organization on behalf of which the contact is acting or for which the contact is working.",
          "requirements" : "For guardians or business related contacts, the organization is relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.contact.organization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "condition" : ["pat-1"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"
          },
          {
            "identity" : "rim",
            "map" : "scoper"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.period",
          "path" : "Patient.contact.period",
          "short" : "The period during which this contact person or organization is valid to be contacted relating to this patient",
          "definition" : "The period during which this contact person or organization is valid to be contacted relating to this patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.contact.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "effectiveTime"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.communication",
          "path" : "Patient.communication",
          "short" : "A language which may be used to communicate with the patient about his or her health",
          "definition" : "A language which may be used to communicate with the patient about his or her health.",
          "comment" : "If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
          "requirements" : "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.communication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "LanguageCommunication"
          },
          {
            "identity" : "cda",
            "map" : "patient.languageCommunication"
          }]
        },
        {
          "id" : "Patient.communication.id",
          "path" : "Patient.communication.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.communication.extension",
          "path" : "Patient.communication.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.communication.modifierExtension",
          "path" : "Patient.communication.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Patient.communication.language",
          "path" : "Patient.communication.language",
          "short" : "The language which can be used to communicate with the patient about his or her health",
          "definition" : "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
          "comment" : "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
          "requirements" : "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Patient.communication.language",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-15, LAN-2"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
          },
          {
            "identity" : "cda",
            "map" : ".languageCode"
          }]
        },
        {
          "id" : "Patient.communication.preferred",
          "path" : "Patient.communication.preferred",
          "short" : "Language preference indicator",
          "definition" : "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
          "comment" : "This language is specifically identified for communicating healthcare information.",
          "requirements" : "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.communication.preferred",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-15"
          },
          {
            "identity" : "rim",
            "map" : "preferenceInd"
          },
          {
            "identity" : "cda",
            "map" : ".preferenceInd"
          }]
        },
        {
          "id" : "Patient.generalPractitioner",
          "path" : "Patient.generalPractitioner",
          "short" : "Patient's nominated primary care provider",
          "definition" : "Patient's nominated care provider.",
          "comment" : "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a \"fly-in/fly-out\" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.",
          "alias" : ["careProvider"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.generalPractitioner",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PD1-4"
          },
          {
            "identity" : "rim",
            "map" : "subjectOf.CareEvent.performer.AssignedEntity"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.managingOrganization",
          "path" : "Patient.managingOrganization",
          "short" : "Organization that is the custodian of the patient record",
          "definition" : "Organization that is the custodian of the patient record.",
          "comment" : "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).",
          "requirements" : "Need to know who recognizes this patient record, manages and updates it.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Patient.managingOrganization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "scoper"
          },
          {
            "identity" : "cda",
            "map" : ".providerOrganization"
          }]
        },
        {
          "id" : "Patient.link",
          "path" : "Patient.link",
          "short" : "Link to another patient resource that concerns the same actual person",
          "definition" : "Link to another patient resource that concerns the same actual patient.",
          "comment" : "There is no assumption that linked patient records have mutual links.",
          "requirements" : "There are multiple use cases:   \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Patient.link",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundLink"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.link.id",
          "path" : "Patient.link.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.link.extension",
          "path" : "Patient.link.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.link.modifierExtension",
          "path" : "Patient.link.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Patient.link.other",
          "path" : "Patient.link.other",
          "short" : "The other patient or related person resource that the link refers to",
          "definition" : "The other patient resource that the link refers to.",
          "comment" : "Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Patient.link.other",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : false
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-3, MRG-1"
          },
          {
            "identity" : "rim",
            "map" : "id"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.link.type",
          "path" : "Patient.link.type",
          "short" : "replaced-by | replaces | refer | seealso",
          "definition" : "The type of link between this patient resource and another patient resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Patient.link.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LinkType"
            }],
            "strength" : "required",
            "description" : "The type of link between this patient resource and another patient resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/link-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "typeCode"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Patient",
          "path" : "Patient",
          "short" : "Information about an individual or animal receiving health care services",
          "definition" : "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
          "alias" : ["SubjectOfCare Client Resident"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Patient[classCode=PAT]"
          },
          {
            "identity" : "cda",
            "map" : "ClinicalDocument.recordTarget.patientRole"
          }]
        },
        {
          "id" : "Patient.identifier",
          "path" : "Patient.identifier",
          "short" : "An identifier for this patient",
          "definition" : "An identifier for this patient.",
          "requirements" : "Patients are almost always assigned specific numerical identifiers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : "id"
          },
          {
            "identity" : "cda",
            "map" : ".id"
          }]
        },
        {
          "id" : "Patient.active",
          "path" : "Patient.active",
          "short" : "Whether this patient's record is in active use",
          "definition" : "Whether this patient record is in active use. \nMany systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.",
          "comment" : "If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.",
          "requirements" : "Need to be able to mark a patient record as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.name",
          "path" : "Patient.name",
          "short" : "A name associated with the patient",
          "definition" : "A name associated with the individual.",
          "comment" : "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
          "requirements" : "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "HumanName"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-5, PID-9"
          },
          {
            "identity" : "rim",
            "map" : "name"
          },
          {
            "identity" : "cda",
            "map" : ".patient.name"
          }]
        },
        {
          "id" : "Patient.telecom",
          "path" : "Patient.telecom",
          "short" : "A contact detail for the individual",
          "definition" : "A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.",
          "comment" : "A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-13, PID-14, PID-40"
          },
          {
            "identity" : "rim",
            "map" : "telecom"
          },
          {
            "identity" : "cda",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "Patient.gender",
          "path" : "Patient.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.",
          "comment" : "The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \"hard\" error.  See the Patient Gender and Sex section for additional information about communicating patient gender and sex.",
          "requirements" : "Needed for identification of the individual, in combination with (at least) name and birth date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-8"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          },
          {
            "identity" : "cda",
            "map" : ".patient.administrativeGenderCode"
          }]
        },
        {
          "id" : "Patient.birthDate",
          "path" : "Patient.birthDate",
          "short" : "The date of birth for the individual",
          "definition" : "The date of birth for the individual.",
          "comment" : "At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternity/infant care systems).",
          "requirements" : "Age of the individual drives many clinical processes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-7"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime"
          },
          {
            "identity" : "cda",
            "map" : ".patient.birthTime"
          },
          {
            "identity" : "loinc",
            "map" : "21112-8"
          }]
        },
        {
          "id" : "Patient.deceased[x]",
          "path" : "Patient.deceased[x]",
          "short" : "Indicates if the individual is deceased or not",
          "definition" : "Indicates if the individual is deceased or not.",
          "comment" : "If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
          "requirements" : "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "dateTime"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-30  (bool) and PID-29 (datetime)"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.address",
          "path" : "Patient.address",
          "short" : "An address for the individual",
          "definition" : "An address for the individual.",
          "comment" : "Patient may have multiple addresses with different uses or applicable periods.",
          "requirements" : "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Address"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-11"
          },
          {
            "identity" : "rim",
            "map" : "addr"
          },
          {
            "identity" : "cda",
            "map" : ".addr"
          }]
        },
        {
          "id" : "Patient.maritalStatus",
          "path" : "Patient.maritalStatus",
          "short" : "Marital (civil) status of a patient",
          "definition" : "This field contains a patient's most recent marital (civil) status.",
          "requirements" : "Most, if not all systems capture it.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MaritalStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "The domestic partnership status of a person.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/marital-status"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-16"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN]/maritalStatusCode"
          },
          {
            "identity" : "cda",
            "map" : ".patient.maritalStatusCode"
          }]
        },
        {
          "id" : "Patient.multipleBirth[x]",
          "path" : "Patient.multipleBirth[x]",
          "short" : "Whether patient is part of a multiple birth",
          "definition" : "Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).",
          "comment" : "Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).",
          "requirements" : "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "integer"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-24 (bool), PID-25 (integer)"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.photo",
          "path" : "Patient.photo",
          "short" : "Image of the patient",
          "definition" : "Image of the patient.",
          "comment" : "Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.",
          "requirements" : "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Attachment"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 - needs a profile"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Contact"
          }],
          "path" : "Patient.contact",
          "short" : "A contact party (e.g. guardian, partner, friend) for the patient",
          "definition" : "A contact party (e.g. guardian, partner, friend) for the patient.",
          "comment" : "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.",
          "requirements" : "Need to track people you can contact about the patient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "pat-1",
            "severity" : "error",
            "human" : "SHALL at least contain a contact's details or a reference to an organization",
            "expression" : "name.exists() or telecom.exists() or address.exists() or organization.exists()",
            "xpath" : "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.relationship",
          "path" : "Patient.contact.relationship",
          "short" : "The kind of relationship",
          "definition" : "The nature of the relationship between the patient and the contact person.",
          "requirements" : "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContactRelationship"
            }],
            "strength" : "extensible",
            "description" : "The nature of the relationship between a patient and a contact person for that patient.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/patient-contactrelationship"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-7, NK1-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.name",
          "path" : "Patient.contact.name",
          "short" : "A name associated with the contact person",
          "definition" : "A name associated with the contact person.",
          "requirements" : "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "HumanName"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-2"
          },
          {
            "identity" : "rim",
            "map" : "name"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.telecom",
          "path" : "Patient.contact.telecom",
          "short" : "A contact detail for the person",
          "definition" : "A contact detail for the person, e.g. a telephone number or an email address.",
          "comment" : "Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-5, NK1-6, NK1-40"
          },
          {
            "identity" : "rim",
            "map" : "telecom"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.address",
          "path" : "Patient.contact.address",
          "short" : "Address for the contact person",
          "definition" : "Address for the contact person.",
          "requirements" : "Need to keep track where the contact person can be contacted per postal mail or visited.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Address"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-4"
          },
          {
            "identity" : "rim",
            "map" : "addr"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.gender",
          "path" : "Patient.contact.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
          "requirements" : "Needed to address the person correctly.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-15"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.organization",
          "path" : "Patient.contact.organization",
          "short" : "Organization that is associated with the contact",
          "definition" : "Organization on behalf of which the contact is acting or for which the contact is working.",
          "requirements" : "For guardians or business related contacts, the organization is relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "condition" : ["pat-1"],
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41"
          },
          {
            "identity" : "rim",
            "map" : "scoper"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.contact.period",
          "path" : "Patient.contact.period",
          "short" : "The period during which this contact person or organization is valid to be contacted relating to this patient",
          "definition" : "The period during which this contact person or organization is valid to be contacted relating to this patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "effectiveTime"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.communication",
          "path" : "Patient.communication",
          "short" : "A language which may be used to communicate with the patient about his or her health",
          "definition" : "A language which may be used to communicate with the patient about his or her health.",
          "comment" : "If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
          "requirements" : "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "LanguageCommunication"
          },
          {
            "identity" : "cda",
            "map" : "patient.languageCommunication"
          }]
        },
        {
          "id" : "Patient.communication.language",
          "path" : "Patient.communication.language",
          "short" : "The language which can be used to communicate with the patient about his or her health",
          "definition" : "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
          "comment" : "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
          "requirements" : "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-15, LAN-2"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
          },
          {
            "identity" : "cda",
            "map" : ".languageCode"
          }]
        },
        {
          "id" : "Patient.communication.preferred",
          "path" : "Patient.communication.preferred",
          "short" : "Language preference indicator",
          "definition" : "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
          "comment" : "This language is specifically identified for communicating healthcare information.",
          "requirements" : "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-15"
          },
          {
            "identity" : "rim",
            "map" : "preferenceInd"
          },
          {
            "identity" : "cda",
            "map" : ".preferenceInd"
          }]
        },
        {
          "id" : "Patient.generalPractitioner",
          "path" : "Patient.generalPractitioner",
          "short" : "Patient's nominated primary care provider",
          "definition" : "Patient's nominated care provider.",
          "comment" : "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a \"fly-in/fly-out\" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.",
          "alias" : ["careProvider"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PD1-4"
          },
          {
            "identity" : "rim",
            "map" : "subjectOf.CareEvent.performer.AssignedEntity"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.managingOrganization",
          "path" : "Patient.managingOrganization",
          "short" : "Organization that is the custodian of the patient record",
          "definition" : "Organization that is the custodian of the patient record.",
          "comment" : "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).",
          "requirements" : "Need to know who recognizes this patient record, manages and updates it.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "scoper"
          },
          {
            "identity" : "cda",
            "map" : ".providerOrganization"
          }]
        },
        {
          "id" : "Patient.link",
          "path" : "Patient.link",
          "short" : "Link to another patient resource that concerns the same actual person",
          "definition" : "Link to another patient resource that concerns the same actual patient.",
          "comment" : "There is no assumption that linked patient records have mutual links.",
          "requirements" : "There are multiple use cases:   \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundLink"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.link.other",
          "path" : "Patient.link.other",
          "short" : "The other patient or related person resource that the link refers to",
          "definition" : "The other patient resource that the link refers to.",
          "comment" : "Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : false
            }],
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-3, MRG-1"
          },
          {
            "identity" : "rim",
            "map" : "id"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Patient.link.type",
          "path" : "Patient.link.type",
          "short" : "replaced-by | replaces | refer | seealso",
          "definition" : "The type of link between this patient resource and another patient resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "LinkType"
            }],
            "strength" : "required",
            "description" : "The type of link between this patient resource and another patient resource.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/link-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "typeCode"
          },
          {
            "identity" : "cda",
            "map" : "n/a"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/PaymentNotice",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "PaymentNotice",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 PaymentNotice 
TU
DomainResource
PaymentNotice request
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier for the payment noctice
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 request 
0..1
Reference(Any)
Request reference
 response 
0..1
Reference(Any)
Response reference
 created 
Σ
1..1
dateTime
Creation date
 provider 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Responsible practitioner
 payment 
Σ
1..1
Reference(PaymentReconciliation)
Payment reference
 paymentDate 
0..1
date
Payment or clearing date
 payee 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Party being paid
 recipient 
Σ
1..1
Reference(Organization)
Party being notified
 amount 
Σ
1..1
Money
Monetary amount of the payment
 paymentStatus 
0..1
CodeableConcept
Issued or cleared Status of the payment
Payment Status Codes (Example)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Payment"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/PaymentNotice",
      "version" : "4.0.0",
      "name" : "PaymentNotice",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "This resource provides the status of the payment for goods and services rendered, and the request and response resource references.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "cdanetv4",
        "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
        "name" : "Canadian Dental Association eclaims standard"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "PaymentNotice",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "PaymentNotice",
          "path" : "PaymentNotice",
          "short" : "PaymentNotice request",
          "definition" : "This resource provides the status of the payment for goods and services rendered, and the request and response resource references.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PaymentNotice",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.id",
          "path" : "PaymentNotice.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PaymentNotice.meta",
          "path" : "PaymentNotice.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PaymentNotice.implicitRules",
          "path" : "PaymentNotice.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "PaymentNotice.language",
          "path" : "PaymentNotice.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "PaymentNotice.text",
          "path" : "PaymentNotice.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "PaymentNotice.contained",
          "path" : "PaymentNotice.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PaymentNotice.extension",
          "path" : "PaymentNotice.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PaymentNotice.modifierExtension",
          "path" : "PaymentNotice.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PaymentNotice.identifier",
          "path" : "PaymentNotice.identifier",
          "short" : "Business Identifier for the payment noctice",
          "definition" : "A unique identifier assigned to this payment notice.",
          "requirements" : "Allows payment notices to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PaymentNotice.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.status",
          "path" : "PaymentNotice.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentNoticeStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.request",
          "path" : "PaymentNotice.request",
          "short" : "Request reference",
          "definition" : "Reference of resource for which payment is being made.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.request",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "PaymentNotice.response",
          "path" : "PaymentNotice.response",
          "short" : "Response reference",
          "definition" : "Reference of response to resource for which payment is being made.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.response",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "PaymentNotice.created",
          "path" : "PaymentNotice.created",
          "short" : "Creation date",
          "definition" : "The date when this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.created",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.provider",
          "path" : "PaymentNotice.provider",
          "short" : "Responsible practitioner",
          "definition" : "The practitioner who is responsible for the services rendered to the patient.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.provider",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "cdanetv4",
            "map" : "B01"
          },
          {
            "identity" : "v2",
            "map" : "B01"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.payment",
          "path" : "PaymentNotice.payment",
          "short" : "Payment reference",
          "definition" : "A reference to the payment which is the subject of this notice.",
          "requirements" : "Need to identify the actual payment.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.payment",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PaymentReconciliation"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PaymentNotice.paymentDate",
          "path" : "PaymentNotice.paymentDate",
          "short" : "Payment or clearing date",
          "definition" : "The date when the above payment action occurred.",
          "requirements" : "Need to convey the date when the action being notified occurred.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.paymentDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentNotice.payee",
          "path" : "PaymentNotice.payee",
          "short" : "Party being paid",
          "definition" : "The party who will receive or has received payment that is the subject of this notification.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.payee",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentNotice.recipient",
          "path" : "PaymentNotice.recipient",
          "short" : "Party being notified",
          "definition" : "The party who is notified of the payment status.",
          "requirements" : "Need to identified the recipient of the notification.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.recipient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.amount",
          "path" : "PaymentNotice.amount",
          "short" : "Monetary amount of the payment",
          "definition" : "The amount sent to the payee.",
          "requirements" : "Provided for validation purposes.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.amount",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PaymentNotice.paymentStatus",
          "path" : "PaymentNotice.paymentStatus",
          "short" : "Issued or cleared Status of the payment",
          "definition" : "A code indicating whether payment has been sent or cleared.",
          "comment" : "Typically paid: payment sent, cleared: payment received.",
          "requirements" : "The purpose of the notification.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentNotice.paymentStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentStatus"
            }],
            "strength" : "example",
            "description" : "The payment conveyance status codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payment-status"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "PaymentNotice",
          "path" : "PaymentNotice",
          "short" : "PaymentNotice request",
          "definition" : "This resource provides the status of the payment for goods and services rendered, and the request and response resource references.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.identifier",
          "path" : "PaymentNotice.identifier",
          "short" : "Business Identifier for the payment noctice",
          "definition" : "A unique identifier assigned to this payment notice.",
          "requirements" : "Allows payment notices to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.status",
          "path" : "PaymentNotice.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentNoticeStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.request",
          "path" : "PaymentNotice.request",
          "short" : "Request reference",
          "definition" : "Reference of resource for which payment is being made.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "PaymentNotice.response",
          "path" : "PaymentNotice.response",
          "short" : "Response reference",
          "definition" : "Reference of response to resource for which payment is being made.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "PaymentNotice.created",
          "path" : "PaymentNotice.created",
          "short" : "Creation date",
          "definition" : "The date when this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.provider",
          "path" : "PaymentNotice.provider",
          "short" : "Responsible practitioner",
          "definition" : "The practitioner who is responsible for the services rendered to the patient.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "cdanetv4",
            "map" : "B01"
          },
          {
            "identity" : "v2",
            "map" : "B01"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.payment",
          "path" : "PaymentNotice.payment",
          "short" : "Payment reference",
          "definition" : "A reference to the payment which is the subject of this notice.",
          "requirements" : "Need to identify the actual payment.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PaymentReconciliation"]
          }],
          "isSummary" : true
        },
        {
          "id" : "PaymentNotice.paymentDate",
          "path" : "PaymentNotice.paymentDate",
          "short" : "Payment or clearing date",
          "definition" : "The date when the above payment action occurred.",
          "requirements" : "Need to convey the date when the action being notified occurred.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }]
        },
        {
          "id" : "PaymentNotice.payee",
          "path" : "PaymentNotice.payee",
          "short" : "Party being paid",
          "definition" : "The party who will receive or has received payment that is the subject of this notification.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "PaymentNotice.recipient",
          "path" : "PaymentNotice.recipient",
          "short" : "Party being notified",
          "definition" : "The party who is notified of the payment status.",
          "requirements" : "Need to identified the recipient of the notification.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentNotice.amount",
          "path" : "PaymentNotice.amount",
          "short" : "Monetary amount of the payment",
          "definition" : "The amount sent to the payee.",
          "requirements" : "Provided for validation purposes.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "isSummary" : true
        },
        {
          "id" : "PaymentNotice.paymentStatus",
          "path" : "PaymentNotice.paymentStatus",
          "short" : "Issued or cleared Status of the payment",
          "definition" : "A code indicating whether payment has been sent or cleared.",
          "comment" : "Typically paid: payment sent, cleared: payment received.",
          "requirements" : "The purpose of the notification.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentStatus"
            }],
            "strength" : "example",
            "description" : "The payment conveyance status codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payment-status"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/PaymentReconciliation",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "PaymentReconciliation",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 PaymentReconciliation 
TU
DomainResource
PaymentReconciliation resource
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier for a payment reconciliation
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 period 
Σ
0..1
Period
Period covered
 created 
Σ
1..1
dateTime
Creation date
 paymentIssuer 
Σ
0..1
Reference(Organization)
Party generating payment
 request 
0..1
Reference(Task)
Reference to requesting resource
 requestor 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Responsible practitioner
 outcome 
0..1
code
queued | complete | error | partial
RemittanceOutcome (Required)
 disposition 
0..1
string
Disposition message
 paymentDate 
Σ
1..1
date
When payment issued
 paymentAmount 
Σ
1..1
Money
Total amount of Payment
 paymentIdentifier 
0..1
Identifier
Business identifier for the payment
 detail 
0..*
BackboneElement
Settlement particulars
 identifier 
0..1
Identifier
Business identifier of the payment detail
 predecessor 
0..1
Identifier
Business identifier of the prior payment detail
 type 
1..1
CodeableConcept
Category of payment
Payment Type Codes (Example)
 request 
0..1
Reference(Any)
Request giving rise to the payment
 submitter 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Submitter of the request
 response 
0..1
Reference(Any)
Response committing to a payment
 date 
0..1
date
Date of commitment to pay
 responsible 
0..1
Reference(PractitionerRole)
Contact for the response
 payee 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Recipient of the payment
 amount 
0..1
Money
Amount allocated to this payable
 formCode 
0..1
CodeableConcept
Printed form identifier
Forms (Example)
 processNote 
0..*
BackboneElement
Note concerning processing
 type 
0..1
code
display | print | printoper
NoteType (Required)
 text 
0..1
string
Note explanatory text

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Financial.Payment"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/PaymentReconciliation",
      "version" : "4.0.0",
      "name" : "PaymentReconciliation",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "This resource provides the details including amount of a payment and allocates the payment items being paid.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "cdanetv4",
        "uri" : "http://www.cda-adc.ca/en/services/cdanet/",
        "name" : "Canadian Dental Association eclaims standard"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "PaymentReconciliation",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "PaymentReconciliation",
          "path" : "PaymentReconciliation",
          "short" : "PaymentReconciliation resource",
          "definition" : "This resource provides the details including amount of a payment and allocates the payment items being paid.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PaymentReconciliation",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "PaymentReconciliation.id",
          "path" : "PaymentReconciliation.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PaymentReconciliation.meta",
          "path" : "PaymentReconciliation.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PaymentReconciliation.implicitRules",
          "path" : "PaymentReconciliation.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "PaymentReconciliation.language",
          "path" : "PaymentReconciliation.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "PaymentReconciliation.text",
          "path" : "PaymentReconciliation.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "PaymentReconciliation.contained",
          "path" : "PaymentReconciliation.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PaymentReconciliation.extension",
          "path" : "PaymentReconciliation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PaymentReconciliation.modifierExtension",
          "path" : "PaymentReconciliation.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PaymentReconciliation.identifier",
          "path" : "PaymentReconciliation.identifier",
          "short" : "Business Identifier for a payment reconciliation",
          "definition" : "A unique identifier assigned to this payment reconciliation.",
          "requirements" : "Allows payment reconciliations to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PaymentReconciliation.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "PaymentReconciliation.status",
          "path" : "PaymentReconciliation.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentReconciliationStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "PaymentReconciliation.period",
          "path" : "PaymentReconciliation.period",
          "short" : "Period covered",
          "definition" : "The period of time for which payments have been gathered into this bulk payment for settlement.",
          "requirements" : "Needed to allow receivers to monitor and reconcile payment issuer schedules.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "PaymentReconciliation.created",
          "path" : "PaymentReconciliation.created",
          "short" : "Creation date",
          "definition" : "The date when the resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.created",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "PaymentReconciliation.paymentIssuer",
          "path" : "PaymentReconciliation.paymentIssuer",
          "short" : "Party generating payment",
          "definition" : "The party who generated the payment.",
          "comment" : "This party is also responsible for the reconciliation.",
          "requirements" : "Need to identify the party resonsible for the payment and this resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.paymentIssuer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "PaymentReconciliation.request",
          "path" : "PaymentReconciliation.request",
          "short" : "Reference to requesting resource",
          "definition" : "Original request resource reference.",
          "requirements" : "Needed to allow the response to be linked to the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.request",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Task"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "A02|G01"
          }]
        },
        {
          "id" : "PaymentReconciliation.requestor",
          "path" : "PaymentReconciliation.requestor",
          "short" : "Responsible practitioner",
          "definition" : "The practitioner who is responsible for the services rendered to the patient.",
          "requirements" : "Need to identify the party responsible for the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.requestor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        },
        {
          "id" : "PaymentReconciliation.outcome",
          "path" : "PaymentReconciliation.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "The outcome of a request for a reconciliation.",
          "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
          "requirements" : "To advise the requestor of an overall processing outcome.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.outcome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The outcome of the processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "PaymentReconciliation.disposition",
          "path" : "PaymentReconciliation.disposition",
          "short" : "Disposition message",
          "definition" : "A human readable description of the status of the request for the reconciliation.",
          "requirements" : "Provided for user display.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.disposition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        },
        {
          "id" : "PaymentReconciliation.paymentDate",
          "path" : "PaymentReconciliation.paymentDate",
          "short" : "When payment issued",
          "definition" : "The date of payment as indicated on the financial instrument.",
          "requirements" : "To advise the payee when payment can be expected.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.paymentDate",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PaymentReconciliation.paymentAmount",
          "path" : "PaymentReconciliation.paymentAmount",
          "short" : "Total amount of Payment",
          "definition" : "Total payment amount as indicated on the financial instrument.",
          "requirements" : "Needed to provide the actual payment amount.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.paymentAmount",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PaymentReconciliation.paymentIdentifier",
          "path" : "PaymentReconciliation.paymentIdentifier",
          "short" : "Business identifier for the payment",
          "definition" : "Issuer's unique identifier for the payment instrument.",
          "comment" : "For example: EFT number or check number.",
          "requirements" : "Enable the receiver to reconcile when payment is received.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.paymentIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Details"
          }],
          "path" : "PaymentReconciliation.detail",
          "short" : "Settlement particulars",
          "definition" : "Distribution of the payment amount for a previously acknowledged payable.",
          "requirements" : "Needed to show how the payment amount is distributed across the payables.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PaymentReconciliation.detail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.id",
          "path" : "PaymentReconciliation.detail.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.extension",
          "path" : "PaymentReconciliation.detail.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.modifierExtension",
          "path" : "PaymentReconciliation.detail.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.identifier",
          "path" : "PaymentReconciliation.detail.identifier",
          "short" : "Business identifier of the payment detail",
          "definition" : "Unique identifier for the current payment item for the referenced payable.",
          "requirements" : "Needed for reconciliation of payments.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.predecessor",
          "path" : "PaymentReconciliation.detail.predecessor",
          "short" : "Business identifier of the prior payment detail",
          "definition" : "Unique identifier for the prior payment item for the referenced payable.",
          "requirements" : "Needed for reconciliation of payments.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.predecessor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.type",
          "path" : "PaymentReconciliation.detail.type",
          "short" : "Category of payment",
          "definition" : "Code to indicate the nature of the payment.",
          "comment" : "For example: payment, adjustment, funds advance, etc.",
          "requirements" : "Needed to provide context for the amount.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentType"
            }],
            "strength" : "example",
            "description" : "The reason for the amount: payment, adjustment, advance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payment-type"
          }
        },
        {
          "id" : "PaymentReconciliation.detail.request",
          "path" : "PaymentReconciliation.detail.request",
          "short" : "Request giving rise to the payment",
          "definition" : "A resource, such as a Claim, the evaluation of which could lead to payment.",
          "requirements" : "Needed to provide a linkage  to the original request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.request",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.submitter",
          "path" : "PaymentReconciliation.detail.submitter",
          "short" : "Submitter of the request",
          "definition" : "The party which submitted the claim or financial transaction.",
          "requirements" : "Needed for audit and validation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.submitter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.response",
          "path" : "PaymentReconciliation.detail.response",
          "short" : "Response committing to a payment",
          "definition" : "A resource, such as a ClaimResponse, which contains a commitment to payment.",
          "requirements" : "Needed to provide a linkage to the payment commitment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.response",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.date",
          "path" : "PaymentReconciliation.detail.date",
          "short" : "Date of commitment to pay",
          "definition" : "The date from the response resource containing a commitment to pay.",
          "requirements" : "Needed for audit and validation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.responsible",
          "path" : "PaymentReconciliation.detail.responsible",
          "short" : "Contact for the response",
          "definition" : "A reference to the individual who is responsible for inquiries regarding the response and its payment.",
          "requirements" : "To provide contact information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.responsible",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.payee",
          "path" : "PaymentReconciliation.detail.payee",
          "short" : "Recipient of the payment",
          "definition" : "The party which is receiving the payment.",
          "requirements" : "Needed for audit and validation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.payee",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.detail.amount",
          "path" : "PaymentReconciliation.detail.amount",
          "short" : "Amount allocated to this payable",
          "definition" : "The monetary amount allocated from the total payment to the payable.",
          "requirements" : "Needed to explain the distribution of the payment to the payables.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.detail.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Money"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.formCode",
          "path" : "PaymentReconciliation.formCode",
          "short" : "Printed form identifier",
          "definition" : "A code for the form to be used for printing the content.",
          "comment" : "May be needed to identify specific jurisdictional forms.",
          "requirements" : "Needed to specify the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.formCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Forms"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The forms codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
          }
        },
        {
          "id" : "PaymentReconciliation.processNote",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Notes"
          }],
          "path" : "PaymentReconciliation.processNote",
          "short" : "Note concerning processing",
          "definition" : "A note that describes or explains the processing in a human readable form.",
          "requirements" : "Provides the specific textual explanations associated with the processing.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PaymentReconciliation.processNote",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PaymentReconciliation.processNote.id",
          "path" : "PaymentReconciliation.processNote.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentReconciliation.processNote.extension",
          "path" : "PaymentReconciliation.processNote.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PaymentReconciliation.processNote.modifierExtension",
          "path" : "PaymentReconciliation.processNote.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PaymentReconciliation.processNote.type",
          "path" : "PaymentReconciliation.processNote.type",
          "short" : "display | print | printoper",
          "definition" : "The business purpose of the note text.",
          "requirements" : "To convey the expectation for when the text is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.processNote.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NoteType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The presentation types of notes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/note-type|4.0.0"
          }
        },
        {
          "id" : "PaymentReconciliation.processNote.text",
          "path" : "PaymentReconciliation.processNote.text",
          "short" : "Note explanatory text",
          "definition" : "The explanation or description associated with the processing.",
          "requirements" : "Required to provide human readable explanation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PaymentReconciliation.processNote.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "G32"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "PaymentReconciliation",
          "path" : "PaymentReconciliation",
          "short" : "PaymentReconciliation resource",
          "definition" : "This resource provides the details including amount of a payment and allocates the payment items being paid.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          }]
        },
        {
          "id" : "PaymentReconciliation.identifier",
          "path" : "PaymentReconciliation.identifier",
          "short" : "Business Identifier for a payment reconciliation",
          "definition" : "A unique identifier assigned to this payment reconciliation.",
          "requirements" : "Allows payment reconciliations to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "PaymentReconciliation.status",
          "path" : "PaymentReconciliation.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentReconciliationStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "PaymentReconciliation.period",
          "path" : "PaymentReconciliation.period",
          "short" : "Period covered",
          "definition" : "The period of time for which payments have been gathered into this bulk payment for settlement.",
          "requirements" : "Needed to allow receivers to monitor and reconcile payment issuer schedules.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "PaymentReconciliation.created",
          "path" : "PaymentReconciliation.created",
          "short" : "Creation date",
          "definition" : "The date when the resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "PaymentReconciliation.paymentIssuer",
          "path" : "PaymentReconciliation.paymentIssuer",
          "short" : "Party generating payment",
          "definition" : "The party who generated the payment.",
          "comment" : "This party is also responsible for the reconciliation.",
          "requirements" : "Need to identify the party resonsible for the payment and this resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.source"
          }]
        },
        {
          "id" : "PaymentReconciliation.request",
          "path" : "PaymentReconciliation.request",
          "short" : "Reference to requesting resource",
          "definition" : "Original request resource reference.",
          "requirements" : "Needed to allow the response to be linked to the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Task"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "cdanetv4",
            "map" : "A02|G01"
          }]
        },
        {
          "id" : "PaymentReconciliation.requestor",
          "path" : "PaymentReconciliation.requestor",
          "short" : "Responsible practitioner",
          "definition" : "The practitioner who is responsible for the services rendered to the patient.",
          "requirements" : "Need to identify the party responsible for the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "B01"
          }]
        },
        {
          "id" : "PaymentReconciliation.outcome",
          "path" : "PaymentReconciliation.outcome",
          "short" : "queued | complete | error | partial",
          "definition" : "The outcome of a request for a reconciliation.",
          "comment" : "The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).",
          "requirements" : "To advise the requestor of an overall processing outcome.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RemittanceOutcome"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The outcome of the processing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/remittance-outcome|4.0.0"
          }
        },
        {
          "id" : "PaymentReconciliation.disposition",
          "path" : "PaymentReconciliation.disposition",
          "short" : "Disposition message",
          "definition" : "A human readable description of the status of the request for the reconciliation.",
          "requirements" : "Provided for user display.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        },
        {
          "id" : "PaymentReconciliation.paymentDate",
          "path" : "PaymentReconciliation.paymentDate",
          "short" : "When payment issued",
          "definition" : "The date of payment as indicated on the financial instrument.",
          "requirements" : "To advise the payee when payment can be expected.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true
        },
        {
          "id" : "PaymentReconciliation.paymentAmount",
          "path" : "PaymentReconciliation.paymentAmount",
          "short" : "Total amount of Payment",
          "definition" : "Total payment amount as indicated on the financial instrument.",
          "requirements" : "Needed to provide the actual payment amount.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }],
          "isSummary" : true
        },
        {
          "id" : "PaymentReconciliation.paymentIdentifier",
          "path" : "PaymentReconciliation.paymentIdentifier",
          "short" : "Business identifier for the payment",
          "definition" : "Issuer's unique identifier for the payment instrument.",
          "comment" : "For example: EFT number or check number.",
          "requirements" : "Enable the receiver to reconcile when payment is received.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "PaymentReconciliation.detail",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Details"
          }],
          "path" : "PaymentReconciliation.detail",
          "short" : "Settlement particulars",
          "definition" : "Distribution of the payment amount for a previously acknowledged payable.",
          "requirements" : "Needed to show how the payment amount is distributed across the payables.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.identifier",
          "path" : "PaymentReconciliation.detail.identifier",
          "short" : "Business identifier of the payment detail",
          "definition" : "Unique identifier for the current payment item for the referenced payable.",
          "requirements" : "Needed for reconciliation of payments.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.predecessor",
          "path" : "PaymentReconciliation.detail.predecessor",
          "short" : "Business identifier of the prior payment detail",
          "definition" : "Unique identifier for the prior payment item for the referenced payable.",
          "requirements" : "Needed for reconciliation of payments.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.type",
          "path" : "PaymentReconciliation.detail.type",
          "short" : "Category of payment",
          "definition" : "Code to indicate the nature of the payment.",
          "comment" : "For example: payment, adjustment, funds advance, etc.",
          "requirements" : "Needed to provide context for the amount.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PaymentType"
            }],
            "strength" : "example",
            "description" : "The reason for the amount: payment, adjustment, advance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/payment-type"
          }
        },
        {
          "id" : "PaymentReconciliation.detail.request",
          "path" : "PaymentReconciliation.detail.request",
          "short" : "Request giving rise to the payment",
          "definition" : "A resource, such as a Claim, the evaluation of which could lead to payment.",
          "requirements" : "Needed to provide a linkage  to the original request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.submitter",
          "path" : "PaymentReconciliation.detail.submitter",
          "short" : "Submitter of the request",
          "definition" : "The party which submitted the claim or financial transaction.",
          "requirements" : "Needed for audit and validation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.response",
          "path" : "PaymentReconciliation.detail.response",
          "short" : "Response committing to a payment",
          "definition" : "A resource, such as a ClaimResponse, which contains a commitment to payment.",
          "requirements" : "Needed to provide a linkage to the payment commitment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.date",
          "path" : "PaymentReconciliation.detail.date",
          "short" : "Date of commitment to pay",
          "definition" : "The date from the response resource containing a commitment to pay.",
          "requirements" : "Needed for audit and validation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.responsible",
          "path" : "PaymentReconciliation.detail.responsible",
          "short" : "Contact for the response",
          "definition" : "A reference to the individual who is responsible for inquiries regarding the response and its payment.",
          "requirements" : "To provide contact information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.payee",
          "path" : "PaymentReconciliation.detail.payee",
          "short" : "Recipient of the payment",
          "definition" : "The party which is receiving the payment.",
          "requirements" : "Needed for audit and validation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "PaymentReconciliation.detail.amount",
          "path" : "PaymentReconciliation.detail.amount",
          "short" : "Amount allocated to this payable",
          "definition" : "The monetary amount allocated from the total payment to the payable.",
          "requirements" : "Needed to explain the distribution of the payment to the payables.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Money"
          }]
        },
        {
          "id" : "PaymentReconciliation.formCode",
          "path" : "PaymentReconciliation.formCode",
          "short" : "Printed form identifier",
          "definition" : "A code for the form to be used for printing the content.",
          "comment" : "May be needed to identify specific jurisdictional forms.",
          "requirements" : "Needed to specify the specific form used for producing output for this response.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Forms"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "example",
            "description" : "The forms codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/forms"
          }
        },
        {
          "id" : "PaymentReconciliation.processNote",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Notes"
          }],
          "path" : "PaymentReconciliation.processNote",
          "short" : "Note concerning processing",
          "definition" : "A note that describes or explains the processing in a human readable form.",
          "requirements" : "Provides the specific textual explanations associated with the processing.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "PaymentReconciliation.processNote.type",
          "path" : "PaymentReconciliation.processNote.type",
          "short" : "display | print | printoper",
          "definition" : "The business purpose of the note text.",
          "requirements" : "To convey the expectation for when the text is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "NoteType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The presentation types of notes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/note-type|4.0.0"
          }
        },
        {
          "id" : "PaymentReconciliation.processNote.text",
          "path" : "PaymentReconciliation.processNote.text",
          "short" : "Note explanatory text",
          "definition" : "The explanation or description associated with the processing.",
          "requirements" : "Required to provide human readable explanation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "cdanetv4",
            "map" : "G32"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Person",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Person",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Person 
TU
DomainResource
A generic person record
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
A human identifier for this person
 name 
Σ
0..*
HumanName
A name associated with the person
 telecom 
Σ
0..*
ContactPoint
A contact detail for the person
 gender 
Σ
0..1
code
male | female | other | unknown
AdministrativeGender (Required)
 birthDate 
Σ
0..1
date
The date on which the person was born
 address 
0..*
Address
One or more addresses for the person
 photo 
0..1
Attachment
Image of the person
 managingOrganization 
Σ
0..1
Reference(Organization)
The organization that is the custodian of the person record
 active 
?!Σ
0..1
boolean
This person's record is in active use
 link 
0..*
BackboneElement
Link to a resource that concerns the same actual person
 target 
1..1
Reference(Patient | Practitioner | RelatedPerson | Person)
The resource to which this actual person is associated
 assurance 
0..1
code
level1 | level2 | level3 | level4
IdentityAssuranceLevel (Required)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Individuals"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Person",
      "version" : "4.0.0",
      "name" : "Person",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "Demographics and administrative information about a person independent of a specific health-related context.",
      "purpose" : "Need to track persons potentially across multiple roles.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Person",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Person",
          "path" : "Person",
          "short" : "A generic person record",
          "definition" : "Demographics and administrative information about a person independent of a specific health-related context.",
          "comment" : "The Person resource does justice to person registries that keep track of persons regardless of their role. The Person resource is also a primary resource to point to for people acting in a particular role such as SubjectofCare, Practitioner, and Agent. Very few attributes are specific to any role and so Person is kept lean. Most attributes are expected to be tied to the role the Person plays rather than the Person himself. Examples of that are Guardian (SubjectofCare), ContactParty (SubjectOfCare, Practitioner), and multipleBirthInd (SubjectofCare).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Person",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Person(classCode=\"PSN\" and determinerCode=\"INST\" and quantity=\"1\")"
          }]
        },
        {
          "id" : "Person.id",
          "path" : "Person.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Person.meta",
          "path" : "Person.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Person.implicitRules",
          "path" : "Person.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Person.language",
          "path" : "Person.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Person.text",
          "path" : "Person.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Person.contained",
          "path" : "Person.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Person.extension",
          "path" : "Person.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Person.modifierExtension",
          "path" : "Person.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Person.identifier",
          "path" : "Person.identifier",
          "short" : "A human identifier for this person",
          "definition" : "Identifier for a person within a particular scope.",
          "requirements" : "People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the person. Examples are national person identifier and local identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Person.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".plays:Role(classCode='IDENT').id"
          }]
        },
        {
          "id" : "Person.name",
          "path" : "Person.name",
          "short" : "A name associated with the person",
          "definition" : "A name associated with the person.",
          "comment" : "Person may have multiple names with different uses or applicable periods.",
          "requirements" : "Need to be able to track the person by multiple names. Examples are your official name and a partner name.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Person.name",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "HumanName"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-5, PID-9"
          },
          {
            "identity" : "rim",
            "map" : "./name"
          }]
        },
        {
          "id" : "Person.telecom",
          "path" : "Person.telecom",
          "short" : "A contact detail for the person",
          "definition" : "A contact detail for the person, e.g. a telephone number or an email address.",
          "comment" : "Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Person.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-13, PID-14"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          }]
        },
        {
          "id" : "Person.gender",
          "path" : "Person.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender.",
          "comment" : "The gender might not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though a clear majority of systems and contexts only support M and F.",
          "requirements" : "Needed for identification of the person, in combination with (at least) name and birth date. Gender of person drives many clinical processes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Person.gender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-8"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          }]
        },
        {
          "id" : "Person.birthDate",
          "path" : "Person.birthDate",
          "short" : "The date on which the person was born",
          "definition" : "The birth date for the person.",
          "comment" : "At least an estimated year should be provided as a guess if the real DOB is unknown.",
          "requirements" : "Age of person drives many clinical processes, and is often used in performing identification of the person. Times are not included so as to not confuse things with potential timezone issues.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Person.birthDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-7"
          },
          {
            "identity" : "rim",
            "map" : "./birthTime"
          }]
        },
        {
          "id" : "Person.address",
          "path" : "Person.address",
          "short" : "One or more addresses for the person",
          "definition" : "One or more addresses for the person.",
          "comment" : "Person may have multiple addresses with different uses or applicable periods.",
          "requirements" : "May need to keep track of person's addresses for contacting, billing or reporting requirements and also to help with identification.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Person.address",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Address"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-11"
          },
          {
            "identity" : "rim",
            "map" : "./addr"
          }]
        },
        {
          "id" : "Person.photo",
          "path" : "Person.photo",
          "short" : "Image of the person",
          "definition" : "An image that can be displayed as a thumbnail of the person to enhance the identification of the individual.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Person.photo",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 - needs a profile"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
          }]
        },
        {
          "id" : "Person.managingOrganization",
          "path" : "Person.managingOrganization",
          "short" : "The organization that is the custodian of the person record",
          "definition" : "The organization that is the custodian of the person record.",
          "requirements" : "Need to know who recognizes this person record, manages and updates it.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Person.managingOrganization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "scoper"
          }]
        },
        {
          "id" : "Person.active",
          "path" : "Person.active",
          "short" : "This person's record is in active use",
          "definition" : "Whether this person's record is in active use.",
          "requirements" : "Need to be able to mark a person record as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Person.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }]
        },
        {
          "id" : "Person.link",
          "path" : "Person.link",
          "short" : "Link to a resource that concerns the same actual person",
          "definition" : "Link to a resource that concerns the same actual person.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Person.link",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundLink"
          }]
        },
        {
          "id" : "Person.link.id",
          "path" : "Person.link.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Person.link.extension",
          "path" : "Person.link.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Person.link.modifierExtension",
          "path" : "Person.link.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Person.link.target",
          "path" : "Person.link.target",
          "short" : "The resource to which this actual person is associated",
          "definition" : "The resource to which this actual person is associated.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Person.link.target",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Person"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "Person.link.assurance",
          "path" : "Person.link.assurance",
          "short" : "level1 | level2 | level3 | level4",
          "definition" : "Level of assurance that this link is associated with the target resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Person.link.assurance",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentityAssuranceLevel"
            }],
            "strength" : "required",
            "description" : "The level of confidence that this link represents the same actual person, based on NIST Authentication Levels.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "priorityNumber?"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Person",
          "path" : "Person",
          "short" : "A generic person record",
          "definition" : "Demographics and administrative information about a person independent of a specific health-related context.",
          "comment" : "The Person resource does justice to person registries that keep track of persons regardless of their role. The Person resource is also a primary resource to point to for people acting in a particular role such as SubjectofCare, Practitioner, and Agent. Very few attributes are specific to any role and so Person is kept lean. Most attributes are expected to be tied to the role the Person plays rather than the Person himself. Examples of that are Guardian (SubjectofCare), ContactParty (SubjectOfCare, Practitioner), and multipleBirthInd (SubjectofCare).",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Person(classCode=\"PSN\" and determinerCode=\"INST\" and quantity=\"1\")"
          }]
        },
        {
          "id" : "Person.identifier",
          "path" : "Person.identifier",
          "short" : "A human identifier for this person",
          "definition" : "Identifier for a person within a particular scope.",
          "requirements" : "People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the person. Examples are national person identifier and local identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".plays:Role(classCode='IDENT').id"
          }]
        },
        {
          "id" : "Person.name",
          "path" : "Person.name",
          "short" : "A name associated with the person",
          "definition" : "A name associated with the person.",
          "comment" : "Person may have multiple names with different uses or applicable periods.",
          "requirements" : "Need to be able to track the person by multiple names. Examples are your official name and a partner name.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "HumanName"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-5, PID-9"
          },
          {
            "identity" : "rim",
            "map" : "./name"
          }]
        },
        {
          "id" : "Person.telecom",
          "path" : "Person.telecom",
          "short" : "A contact detail for the person",
          "definition" : "A contact detail for the person, e.g. a telephone number or an email address.",
          "comment" : "Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-13, PID-14"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          }]
        },
        {
          "id" : "Person.gender",
          "path" : "Person.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender.",
          "comment" : "The gender might not match the biological sex as determined by genetics, or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than M and F, though a clear majority of systems and contexts only support M and F.",
          "requirements" : "Needed for identification of the person, in combination with (at least) name and birth date. Gender of person drives many clinical processes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-8"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender"
          }]
        },
        {
          "id" : "Person.birthDate",
          "path" : "Person.birthDate",
          "short" : "The date on which the person was born",
          "definition" : "The birth date for the person.",
          "comment" : "At least an estimated year should be provided as a guess if the real DOB is unknown.",
          "requirements" : "Age of person drives many clinical processes, and is often used in performing identification of the person. Times are not included so as to not confuse things with potential timezone issues.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-7"
          },
          {
            "identity" : "rim",
            "map" : "./birthTime"
          }]
        },
        {
          "id" : "Person.address",
          "path" : "Person.address",
          "short" : "One or more addresses for the person",
          "definition" : "One or more addresses for the person.",
          "comment" : "Person may have multiple addresses with different uses or applicable periods.",
          "requirements" : "May need to keep track of person's addresses for contacting, billing or reporting requirements and also to help with identification.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Address"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-11"
          },
          {
            "identity" : "rim",
            "map" : "./addr"
          }]
        },
        {
          "id" : "Person.photo",
          "path" : "Person.photo",
          "short" : "Image of the person",
          "definition" : "An image that can be displayed as a thumbnail of the person to enhance the identification of the individual.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 - needs a profile"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc"
          }]
        },
        {
          "id" : "Person.managingOrganization",
          "path" : "Person.managingOrganization",
          "short" : "The organization that is the custodian of the person record",
          "definition" : "The organization that is the custodian of the person record.",
          "requirements" : "Need to know who recognizes this person record, manages and updates it.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "scoper"
          }]
        },
        {
          "id" : "Person.active",
          "path" : "Person.active",
          "short" : "This person's record is in active use",
          "definition" : "Whether this person's record is in active use.",
          "requirements" : "Need to be able to mark a person record as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }]
        },
        {
          "id" : "Person.link",
          "path" : "Person.link",
          "short" : "Link to a resource that concerns the same actual person",
          "definition" : "Link to a resource that concerns the same actual person.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "outboundLink"
          }]
        },
        {
          "id" : "Person.link.target",
          "path" : "Person.link.target",
          "short" : "The resource to which this actual person is associated",
          "definition" : "The resource to which this actual person is associated.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Person"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "Person.link.assurance",
          "path" : "Person.link.assurance",
          "short" : "level1 | level2 | level3 | level4",
          "definition" : "Level of assurance that this link is associated with the target resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IdentityAssuranceLevel"
            }],
            "strength" : "required",
            "description" : "The level of confidence that this link represents the same actual person, based on NIST Authentication Levels.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/identity-assuranceLevel|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "priorityNumber?"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "PlanDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 PlanDefinition 
ITU
DomainResource
The definition of a plan for a series of actions, independent of any specific patient or context
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this plan definition, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the plan definition
 version 
Σ
0..1
string
Business version of the plan definition
 name 
ΣI
0..1
string
Name for this plan definition (computer friendly)
 title 
Σ
0..1
string
Name for this plan definition (human friendly)
 subtitle 
0..1
string
Subordinate title of the plan definition
 type 
Σ
0..1
CodeableConcept
order-set | clinical-protocol | eca-rule | workflow-definition
PlanDefinitionType (Extensible)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 subject[x] 
0..1
Type of individual the plan definition is focused on
Subject type (Extensible)
 subjectCodeableConcept
CodeableConcept
 subjectReference
Reference(Group)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the plan definition
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for plan definition (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this plan definition is defined
 usage 
0..1
string
Describes the clinical usage of the plan
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the plan definition was approved by publisher
 lastReviewDate 
0..1
date
When the plan definition was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the plan definition is expected to be used
 topic 
0..*
CodeableConcept
E.g. Education, Treatment, Assessment
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations
 library 
0..*
canonical(Library)
Logic used by the plan definition
 goal 
0..*
BackboneElement
What the plan is trying to accomplish
 category 
0..1
CodeableConcept
E.g. Treatment, dietary, behavioral
Goal category (Example)
 description 
1..1
CodeableConcept
Code or text describing the goal
SNOMED CT Clinical Findings (Example)
 priority 
0..1
CodeableConcept
high-priority | medium-priority | low-priority
Goal priority (Preferred)
 start 
0..1
CodeableConcept
When goal pursuit begins
Goal start event (Example)
 addresses 
0..*
CodeableConcept
What does the goal address
Condition/Problem/Diagnosis Codes (Example)
 documentation 
0..*
RelatedArtifact
Supporting documentation for the goal
 target 
0..*
BackboneElement
Target outcome for the goal
 measure 
0..1
CodeableConcept
The parameter whose value is to be tracked
LOINC Codes (Example)
 detail[x] 
0..1
The target value to be achieved
 detailQuantity
Quantity
 detailRange
Range
 detailCodeableConcept
CodeableConcept
 due 
0..1
Duration
Reach goal within
 action 
0..*
BackboneElement
Action defined by the plan
 prefix 
0..1
string
User-visible prefix for the action (e.g. 1. or A.)
 title 
0..1
string
User-visible title
 description 
0..1
string
Brief description of the action
 textEquivalent 
0..1
string
Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
 priority 
0..1
code
routine | urgent | asap | stat
Request priority (Required)
 code 
0..*
CodeableConcept
Code representing the meaning of the action or sub-actions
 reason 
0..*
CodeableConcept
Why the action should be performed
 documentation 
0..*
RelatedArtifact
Supporting documentation for the intended performer of the action
 goalId 
0..*
id
What goals this action supports
 subject[x] 
0..1
Type of individual the action is focused on
Subject type (Extensible)
 subjectCodeableConcept
CodeableConcept
 subjectReference
Reference(Group)
 trigger 
0..*
TriggerDefinition
When the action should be triggered
 condition 
0..*
BackboneElement
Whether or not the action is applicable
 kind 
1..1
code
applicability | start | stop
ActionConditionKind (Required)
 expression 
0..1
Expression
Boolean-valued expression
 input 
0..*
DataRequirement
Input data requirements
 output 
0..*
DataRequirement
Output data definition
 relatedAction 
0..*
BackboneElement
Relationship to another action
 actionId 
1..1
id
What action is this related to
 relationship 
1..1
code
before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
ActionRelationshipType (Required)
 offset[x] 
0..1
Time offset for the relationship
 offsetDuration
Duration
 offsetRange
Range
 timing[x] 
0..1
When the action should take place
 timingDateTime
dateTime
 timingAge
Age
 timingPeriod
Period
 timingDuration
Duration
 timingRange
Range
 timingTiming
Timing
 participant 
0..*
BackboneElement
Who should participate in the action
 type 
1..1
code
patient | practitioner | related-person | device
ActionParticipantType (Required)
 role 
0..1
CodeableConcept
E.g. Nurse, Surgeon, Parent
Action participant role (Example)
 type 
0..1
CodeableConcept
create | update | remove | fire-event
ActionType (Extensible)
 groupingBehavior 
0..1
code
visual-group | logical-group | sentence-group
ActionGroupingBehavior (Required)
 selectionBehavior 
0..1
code
any | all | all-or-none | exactly-one | at-most-one | one-or-more
ActionSelectionBehavior (Required)
 requiredBehavior 
0..1
code
must | could | must-unless-documented
ActionRequiredBehavior (Required)
 precheckBehavior 
0..1
code
yes | no
ActionPrecheckBehavior (Required)
 cardinalityBehavior 
0..1
code
single | multiple
ActionCardinalityBehavior (Required)
 definition[x] 
0..1
Description of the activity to be performed
 definitionCanonical
canonical(ActivityDefinition | PlanDefinition | Questionnaire)
 definitionUri
uri
 transform 
0..1
canonical(StructureMap)
Transform to apply the template
 dynamicValue 
0..*
BackboneElement
Dynamic aspects of the definition
 path 
0..1
string
The path to the element to be set dynamically
 expression 
0..1
Expression
An expression that provides the dynamic value for the customization
 action 
0..*
see action
A sub-action

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Definitional Artifacts"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
      "version" : "4.0.0",
      "name" : "PlanDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "PlanDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "PlanDefinition",
          "path" : "PlanDefinition",
          "short" : "The definition of a plan for a series of actions, independent of any specific patient or context",
          "definition" : "This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "pdf-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "PlanDefinition.id",
          "path" : "PlanDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PlanDefinition.meta",
          "path" : "PlanDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PlanDefinition.implicitRules",
          "path" : "PlanDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "PlanDefinition.language",
          "path" : "PlanDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "PlanDefinition.text",
          "path" : "PlanDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "PlanDefinition.contained",
          "path" : "PlanDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.extension",
          "path" : "PlanDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.modifierExtension",
          "path" : "PlanDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.url",
          "path" : "PlanDefinition.url",
          "short" : "Canonical identifier for this plan definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this plan definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the plan definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the plan definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "PlanDefinition.identifier",
          "path" : "PlanDefinition.identifier",
          "short" : "Additional identifier for the plan definition",
          "definition" : "A formal identifier that is used to identify this plan definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this plan definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.version",
          "path" : "PlanDefinition.version",
          "short" : "Business version of the plan definition",
          "definition" : "The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different plan definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "PlanDefinition.name",
          "path" : "PlanDefinition.name",
          "short" : "Name for this plan definition (computer friendly)",
          "definition" : "A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PlanDefinition.title",
          "path" : "PlanDefinition.title",
          "short" : "Name for this plan definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the plan definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "PlanDefinition.subtitle",
          "path" : "PlanDefinition.subtitle",
          "short" : "Subordinate title of the plan definition",
          "definition" : "An explanatory or alternate title for the plan definition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.type",
          "path" : "PlanDefinition.type",
          "short" : "order-set | clinical-protocol | eca-rule | workflow-definition",
          "definition" : "A high-level category for the plan definition that distinguishes the kinds of systems that would be interested in the plan definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PlanDefinitionType"
            }],
            "strength" : "extensible",
            "description" : "The type of PlanDefinition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/plan-definition-type"
          }
        },
        {
          "id" : "PlanDefinition.status",
          "path" : "PlanDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this plan definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of plan definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status {different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "PlanDefinition.experimental",
          "path" : "PlanDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of plan definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level plan definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "PlanDefinition.subject[x]",
          "path" : "PlanDefinition.subject[x]",
          "short" : "Type of individual the plan definition is focused on",
          "definition" : "A code or group definition that describes the intended subject of the plan definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.subject[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "PlanDefinition.date",
          "path" : "PlanDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the plan definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the plan definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the plan definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "PlanDefinition.publisher",
          "path" : "PlanDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the plan definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the plan definition is the organization or individual primarily responsible for the maintenance and upkeep of the plan definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the plan definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the plan definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "PlanDefinition.contact",
          "path" : "PlanDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "PlanDefinition.description",
          "path" : "PlanDefinition.description",
          "short" : "Natural language description of the plan definition",
          "definition" : "A free text natural language description of the plan definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the plan definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the plan definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the plan definition is presumed to be the predominant language in the place the plan definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "PlanDefinition.useContext",
          "path" : "PlanDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate plan definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "PlanDefinition.jurisdiction",
          "path" : "PlanDefinition.jurisdiction",
          "short" : "Intended jurisdiction for plan definition (if applicable)",
          "definition" : "A legal or geographic region in which the plan definition is intended to be used.",
          "comment" : "It may be possible for the plan definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "PlanDefinition.purpose",
          "path" : "PlanDefinition.purpose",
          "short" : "Why this plan definition is defined",
          "definition" : "Explanation of why this plan definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the plan definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this plan definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.usage",
          "path" : "PlanDefinition.usage",
          "short" : "Describes the clinical usage of the plan",
          "definition" : "A detailed description of how the plan definition is used from a clinical perspective.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.usage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.copyright",
          "path" : "PlanDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the plan definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the plan definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the plan definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.approvalDate",
          "path" : "PlanDefinition.approvalDate",
          "short" : "When the plan definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.lastReviewDate",
          "path" : "PlanDefinition.lastReviewDate",
          "short" : "When the plan definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.effectivePeriod",
          "path" : "PlanDefinition.effectivePeriod",
          "short" : "When the plan definition is expected to be used",
          "definition" : "The period during which the plan definition content was or is planned to be in active use.",
          "comment" : "The effective period for a plan definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the plan definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.topic",
          "path" : "PlanDefinition.topic",
          "short" : "E.g. Education, Treatment, Assessment",
          "definition" : "Descriptive topics related to the content of the plan definition. Topics provide a high-level categorization of the definition that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the plan definition so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject[x]"
          }]
        },
        {
          "id" : "PlanDefinition.author",
          "path" : "PlanDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "PlanDefinition.editor",
          "path" : "PlanDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.reviewer",
          "path" : "PlanDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "PlanDefinition.endorser",
          "path" : "PlanDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "PlanDefinition.relatedArtifact",
          "path" : "PlanDefinition.relatedArtifact",
          "short" : "Additional documentation, citations",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.library",
          "path" : "PlanDefinition.library",
          "short" : "Logic used by the plan definition",
          "definition" : "A reference to a Library resource containing any formal logic used by the plan definition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.library",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.goal",
          "path" : "PlanDefinition.goal",
          "short" : "What the plan is trying to accomplish",
          "definition" : "Goals that describe what the activities within the plan are intended to achieve. For example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.",
          "requirements" : "Goal information needs to be captured for order sets, protocols, and care plan definitions to better describe the objectives of the protocol activities and to guide the creation of specific goals within the derived care plans and orders.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.goal",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.goal.id",
          "path" : "PlanDefinition.goal.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.goal.extension",
          "path" : "PlanDefinition.goal.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.goal.modifierExtension",
          "path" : "PlanDefinition.goal.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.goal.category",
          "path" : "PlanDefinition.goal.category",
          "short" : "E.g. Treatment, dietary, behavioral",
          "definition" : "Indicates a category the goal falls within.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.goal.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalCategory"
            }],
            "strength" : "example",
            "description" : "Example codes for grouping goals for filtering or presentation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-category"
          }
        },
        {
          "id" : "PlanDefinition.goal.description",
          "path" : "PlanDefinition.goal.description",
          "short" : "Code or text describing the goal",
          "definition" : "Human-readable and/or coded description of a specific desired objective of care, such as \"control blood pressure\" or \"negotiate an obstacle course\" or \"dance with child at wedding\".",
          "comment" : "If no code is available, use CodeableConcept.text.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.goal.description",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalDescription"
            }],
            "strength" : "example",
            "description" : "Describes goals that can be achieved.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          }
        },
        {
          "id" : "PlanDefinition.goal.priority",
          "path" : "PlanDefinition.goal.priority",
          "short" : "high-priority | medium-priority | low-priority",
          "definition" : "Identifies the expected level of importance associated with reaching/sustaining the defined goal.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.goal.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalPriority"
            }],
            "strength" : "preferred",
            "description" : "Indicates the level of importance associated with reaching or sustaining a goal.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-priority"
          }
        },
        {
          "id" : "PlanDefinition.goal.start",
          "path" : "PlanDefinition.goal.start",
          "short" : "When goal pursuit begins",
          "definition" : "The event after which the goal should begin being pursued.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.goal.start",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalStartEvent"
            }],
            "strength" : "example",
            "description" : "Identifies the types of events that might trigger the start of a goal.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-start-event"
          }
        },
        {
          "id" : "PlanDefinition.goal.addresses",
          "path" : "PlanDefinition.goal.addresses",
          "short" : "What does the goal address",
          "definition" : "Identifies problems, conditions, issues, or concerns the goal is intended to address.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.goal.addresses",
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            "max" : "*"
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          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalAddresses"
            }],
            "strength" : "example",
            "description" : "Identifies problems, conditions, issues, or concerns that goals may address.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          }
        },
        {
          "id" : "PlanDefinition.goal.documentation",
          "path" : "PlanDefinition.goal.documentation",
          "short" : "Supporting documentation for the goal",
          "definition" : "Didactic or other informational resources associated with the goal that provide further supporting information about the goal. Information resources can include inline text commentary and links to web resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.goal.documentation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.goal.target",
          "path" : "PlanDefinition.goal.target",
          "short" : "Target outcome for the goal",
          "definition" : "Indicates what should be done and within what timeframe.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.goal.target",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
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        },
        {
          "id" : "PlanDefinition.goal.target.id",
          "path" : "PlanDefinition.goal.target.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
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          "type" : [{
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          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.goal.target.extension",
          "path" : "PlanDefinition.goal.target.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.goal.target.modifierExtension",
          "path" : "PlanDefinition.goal.target.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.goal.target.measure",
          "path" : "PlanDefinition.goal.target.measure",
          "short" : "The parameter whose value is to be tracked",
          "definition" : "The parameter whose value is to be tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.goal.target.measure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalTargetMeasure"
            }],
            "strength" : "example",
            "description" : "Identifies types of parameters that can be tracked to determine goal achievement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          }
        },
        {
          "id" : "PlanDefinition.goal.target.detail[x]",
          "path" : "PlanDefinition.goal.target.detail[x]",
          "short" : "The target value to be achieved",
          "definition" : "The target value of the measure to be achieved to signify fulfillment of the goal, e.g. 150 pounds or 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any value at or above the low value.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.goal.target.detail[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.goal.target.due",
          "path" : "PlanDefinition.goal.target.due",
          "short" : "Reach goal within",
          "definition" : "Indicates the timeframe after the start of the goal in which the goal should be met.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.goal.target.due",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action",
          "path" : "PlanDefinition.action",
          "short" : "Action defined by the plan",
          "definition" : "An action or group of actions to be taken as part of the plan.",
          "comment" : "Note that there is overlap between many of the elements defined here and the ActivityDefinition resource. When an ActivityDefinition is referenced (using the definition element), the overlapping elements in the plan override the content of the referenced ActivityDefinition unless otherwise documented in the specific elements. See the PlanDefinition resource for more detailed information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action",
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            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{Is a contained Definition}"
          }]
        },
        {
          "id" : "PlanDefinition.action.id",
          "path" : "PlanDefinition.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
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          "type" : [{
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          }],
          "isModifier" : false,
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          "mapping" : [{
            "identity" : "rim",
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          }]
        },
        {
          "id" : "PlanDefinition.action.extension",
          "path" : "PlanDefinition.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.modifierExtension",
          "path" : "PlanDefinition.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.action.prefix",
          "path" : "PlanDefinition.action.prefix",
          "short" : "User-visible prefix for the action (e.g. 1. or A.)",
          "definition" : "A user-visible prefix for the action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.prefix",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.title",
          "path" : "PlanDefinition.action.title",
          "short" : "User-visible title",
          "definition" : "The title of the action displayed to a user.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "PlanDefinition.action.description",
          "path" : "PlanDefinition.action.description",
          "short" : "Brief description of the action",
          "definition" : "A brief description of the action used to provide a summary to display to the user.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.description",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
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          }]
        },
        {
          "id" : "PlanDefinition.action.textEquivalent",
          "path" : "PlanDefinition.action.textEquivalent",
          "short" : "Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system",
          "definition" : "A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that might not be capable of interpreting it dynamically.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.textEquivalent",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "PlanDefinition.action.priority",
          "path" : "PlanDefinition.action.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the action should be addressed with respect to other actions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.code",
          "path" : "PlanDefinition.action.code",
          "short" : "Code representing the meaning of the action or sub-actions",
          "definition" : "A code that provides meaning for the action or action group. For example, a section may have a LOINC code for the section of a documentation template.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.reason",
          "path" : "PlanDefinition.action.reason",
          "short" : "Why the action should be performed",
          "definition" : "A description of why this action is necessary or appropriate.",
          "comment" : "This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.reason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.documentation",
          "path" : "PlanDefinition.action.documentation",
          "short" : "Supporting documentation for the intended performer of the action",
          "definition" : "Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.documentation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.goalId",
          "path" : "PlanDefinition.action.goalId",
          "short" : "What goals this action supports",
          "definition" : "Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.goalId",
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            "max" : "*"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.subject[x]",
          "path" : "PlanDefinition.action.subject[x]",
          "short" : "Type of individual the action is focused on",
          "definition" : "A code or group definition that describes the intended subject of the action and its children, if any.",
          "comment" : "The subject of an action overrides the subject at a parent action or on the root of the PlanDefinition if specified.\n\nIn addition, because the subject needs to be resolved during realization, use of subjects in actions (or in the ActivityDefinition referenced by the action) resolves based on the set of subjects supplied in context and by type (i.e. the patient subject would resolve to a resource of type Patient).",
          "requirements" : "Multiple steps in a protocol often have different groups of steps that are focused on testing different things. The subject of an action specifies the focus of the action and any child actions.",
          "min" : 0,
          "max" : "1",
          "base" : {
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            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "PlanDefinition.action.trigger",
          "path" : "PlanDefinition.action.trigger",
          "short" : "When the action should be triggered",
          "definition" : "A description of when the action should be triggered.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.trigger",
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            "max" : "*"
          },
          "type" : [{
            "code" : "TriggerDefinition"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.condition",
          "path" : "PlanDefinition.action.condition",
          "short" : "Whether or not the action is applicable",
          "definition" : "An expression that describes applicability criteria or start/stop conditions for the action.",
          "comment" : "When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all the conditions are true.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.condition",
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            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.condition.id",
          "path" : "PlanDefinition.action.condition.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.condition.extension",
          "path" : "PlanDefinition.action.condition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.condition.modifierExtension",
          "path" : "PlanDefinition.action.condition.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.action.condition.kind",
          "path" : "PlanDefinition.action.condition.kind",
          "short" : "applicability | start | stop",
          "definition" : "The kind of condition.",
          "comment" : "Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.condition.kind",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionConditionKind"
            }],
            "strength" : "required",
            "description" : "Defines the kinds of conditions that can appear on actions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.condition.expression",
          "path" : "PlanDefinition.action.condition.expression",
          "short" : "Boolean-valued expression",
          "definition" : "An expression that returns true or false, indicating whether the condition is satisfied.",
          "comment" : "The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.condition.expression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Expression"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.input",
          "path" : "PlanDefinition.action.input",
          "short" : "Input data requirements",
          "definition" : "Defines input data requirements for the action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.input",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "DataRequirement"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.output",
          "path" : "PlanDefinition.action.output",
          "short" : "Output data definition",
          "definition" : "Defines the outputs of the action, if any.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.output",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "DataRequirement"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.relatedAction",
          "path" : "PlanDefinition.action.relatedAction",
          "short" : "Relationship to another action",
          "definition" : "A relationship to another action such as \"before\" or \"30-60 minutes after start of\".",
          "comment" : "When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.relatedAction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.relatedAction.id",
          "path" : "PlanDefinition.action.relatedAction.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.relatedAction.extension",
          "path" : "PlanDefinition.action.relatedAction.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.relatedAction.modifierExtension",
          "path" : "PlanDefinition.action.relatedAction.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.action.relatedAction.actionId",
          "path" : "PlanDefinition.action.relatedAction.actionId",
          "short" : "What action is this related to",
          "definition" : "The element id of the related action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.relatedAction.actionId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.relatedAction.relationship",
          "path" : "PlanDefinition.action.relatedAction.relationship",
          "short" : "before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end",
          "definition" : "The relationship of this action to the related action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.relatedAction.relationship",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionRelationshipType"
            }],
            "strength" : "required",
            "description" : "Defines the types of relationships between actions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.relatedAction.offset[x]",
          "path" : "PlanDefinition.action.relatedAction.offset[x]",
          "short" : "Time offset for the relationship",
          "definition" : "A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.relatedAction.offset[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          },
          {
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.timing[x]",
          "path" : "PlanDefinition.action.timing[x]",
          "short" : "When the action should take place",
          "definition" : "An optional value describing when the action should be performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.timing[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.participant",
          "path" : "PlanDefinition.action.participant",
          "short" : "Who should participate in the action",
          "definition" : "Indicates who should participate in performing the action described.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.participant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.participant.id",
          "path" : "PlanDefinition.action.participant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.participant.extension",
          "path" : "PlanDefinition.action.participant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.participant.modifierExtension",
          "path" : "PlanDefinition.action.participant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.action.participant.type",
          "path" : "PlanDefinition.action.participant.type",
          "short" : "patient | practitioner | related-person | device",
          "definition" : "The type of participant in the action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.participant.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionParticipantType"
            }],
            "strength" : "required",
            "description" : "The type of participant for the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.participant.role",
          "path" : "PlanDefinition.action.participant.role",
          "short" : "E.g. Nurse, Surgeon, Parent",
          "definition" : "The role the participant should play in performing the described action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.participant.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionParticipantRole"
            }],
            "strength" : "example",
            "description" : "Defines roles played by participants for the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-participant-role"
          }
        },
        {
          "id" : "PlanDefinition.action.type",
          "path" : "PlanDefinition.action.type",
          "short" : "create | update | remove | fire-event",
          "definition" : "The type of action to perform (create, update, remove).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionType"
            }],
            "strength" : "extensible",
            "description" : "The type of action to be performed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-type"
          }
        },
        {
          "id" : "PlanDefinition.action.groupingBehavior",
          "path" : "PlanDefinition.action.groupingBehavior",
          "short" : "visual-group | logical-group | sentence-group",
          "definition" : "Defines the grouping behavior for the action and its children.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.groupingBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionGroupingBehavior"
            }],
            "strength" : "required",
            "description" : "Defines organization behavior of a group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.selectionBehavior",
          "path" : "PlanDefinition.action.selectionBehavior",
          "short" : "any | all | all-or-none | exactly-one | at-most-one | one-or-more",
          "definition" : "Defines the selection behavior for the action and its children.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.selectionBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionSelectionBehavior"
            }],
            "strength" : "required",
            "description" : "Defines selection behavior of a group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.requiredBehavior",
          "path" : "PlanDefinition.action.requiredBehavior",
          "short" : "must | could | must-unless-documented",
          "definition" : "Defines the required behavior for the action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.requiredBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionRequiredBehavior"
            }],
            "strength" : "required",
            "description" : "Defines expectations around whether an action or action group is required.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.precheckBehavior",
          "path" : "PlanDefinition.action.precheckBehavior",
          "short" : "yes | no",
          "definition" : "Defines whether the action should usually be preselected.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.precheckBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionPrecheckBehavior"
            }],
            "strength" : "required",
            "description" : "Defines selection frequency behavior for an action or group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.cardinalityBehavior",
          "path" : "PlanDefinition.action.cardinalityBehavior",
          "short" : "single | multiple",
          "definition" : "Defines whether the action can be selected multiple times.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.cardinalityBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionCardinalityBehavior"
            }],
            "strength" : "required",
            "description" : "Defines behavior for an action or a group for how many times that item may be repeated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.definition[x]",
          "path" : "PlanDefinition.action.definition[x]",
          "short" : "Description of the activity to be performed",
          "definition" : "A reference to an ActivityDefinition that describes the action to be taken in detail, or a PlanDefinition that describes a series of actions to be taken.",
          "comment" : "Note that the definition is optional, and if no definition is specified, a dynamicValue with a root ($this) path can be used to define the entire resource dynamically.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.definition[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          },
          {
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.derivedFrom"
          }]
        },
        {
          "id" : "PlanDefinition.action.transform",
          "path" : "PlanDefinition.action.transform",
          "short" : "Transform to apply the template",
          "definition" : "A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.",
          "comment" : "Note that when a referenced ActivityDefinition also defines a transform, the transform specified here generally takes precedence. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.transform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureMap"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.dynamicValue",
          "path" : "PlanDefinition.action.dynamicValue",
          "short" : "Dynamic aspects of the definition",
          "definition" : "Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result.",
          "comment" : "Dynamic values are applied in the order in which they are defined in the PlanDefinition resource. Note that when dynamic values are also specified by a referenced ActivityDefinition, the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues specified here. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.dynamicValue",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.dynamicValue.id",
          "path" : "PlanDefinition.action.dynamicValue.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.dynamicValue.extension",
          "path" : "PlanDefinition.action.dynamicValue.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PlanDefinition.action.dynamicValue.modifierExtension",
          "path" : "PlanDefinition.action.dynamicValue.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PlanDefinition.action.dynamicValue.path",
          "path" : "PlanDefinition.action.dynamicValue.path",
          "short" : "The path to the element to be set dynamically",
          "definition" : "The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details).",
          "comment" : "To specify the path to the current action being realized, the %action environment variable is available in this path. For example, to specify the description element of the target action, the path would be %action.description. The path attribute contains a [Simple FHIRPath Subset](fhirpath.html#simple) that allows path traversal, but not calculation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.dynamicValue.path",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.dynamicValue.expression",
          "path" : "PlanDefinition.action.dynamicValue.expression",
          "short" : "An expression that provides the dynamic value for the customization",
          "definition" : "An expression specifying the value of the customized element.",
          "comment" : "The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PlanDefinition.action.dynamicValue.expression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Expression"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "PlanDefinition.action.action",
          "path" : "PlanDefinition.action.action",
          "short" : "A sub-action",
          "definition" : "Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PlanDefinition.action.action",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#PlanDefinition.action",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{InverseRelationship of Definition.partOf}"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "PlanDefinition",
          "path" : "PlanDefinition",
          "short" : "The definition of a plan for a series of actions, independent of any specific patient or context",
          "definition" : "This resource allows for the definition of various types of plans as a sharable, consumable, and executable artifact. The resource is general enough to support the description of a broad range of clinical artifacts such as clinical decision support rules, order sets and protocols.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "pdf-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "PlanDefinition.url",
          "path" : "PlanDefinition.url",
          "short" : "Canonical identifier for this plan definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this plan definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this plan definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the plan definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the plan definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "PlanDefinition.identifier",
          "path" : "PlanDefinition.identifier",
          "short" : "Additional identifier for the plan definition",
          "definition" : "A formal identifier that is used to identify this plan definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this plan definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.version",
          "path" : "PlanDefinition.version",
          "short" : "Business version of the plan definition",
          "definition" : "The identifier that is used to identify this version of the plan definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the plan definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different plan definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the plan definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "PlanDefinition.name",
          "path" : "PlanDefinition.name",
          "short" : "Name for this plan definition (computer friendly)",
          "definition" : "A natural language name identifying the plan definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "PlanDefinition.title",
          "path" : "PlanDefinition.title",
          "short" : "Name for this plan definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the plan definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "PlanDefinition.subtitle",
          "path" : "PlanDefinition.subtitle",
          "short" : "Subordinate title of the plan definition",
          "definition" : "An explanatory or alternate title for the plan definition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "PlanDefinition.type",
          "path" : "PlanDefinition.type",
          "short" : "order-set | clinical-protocol | eca-rule | workflow-definition",
          "definition" : "A high-level category for the plan definition that distinguishes the kinds of systems that would be interested in the plan definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PlanDefinitionType"
            }],
            "strength" : "extensible",
            "description" : "The type of PlanDefinition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/plan-definition-type"
          }
        },
        {
          "id" : "PlanDefinition.status",
          "path" : "PlanDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this plan definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of plan definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status {different ValueSet}"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "PlanDefinition.experimental",
          "path" : "PlanDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this plan definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of plan definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level plan definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "PlanDefinition.subject[x]",
          "path" : "PlanDefinition.subject[x]",
          "short" : "Type of individual the plan definition is focused on",
          "definition" : "A code or group definition that describes the intended subject of the plan definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "PlanDefinition.date",
          "path" : "PlanDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the plan definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the plan definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the plan definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "PlanDefinition.publisher",
          "path" : "PlanDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the plan definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the plan definition is the organization or individual primarily responsible for the maintenance and upkeep of the plan definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the plan definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the plan definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "PlanDefinition.contact",
          "path" : "PlanDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "PlanDefinition.description",
          "path" : "PlanDefinition.description",
          "short" : "Natural language description of the plan definition",
          "definition" : "A free text natural language description of the plan definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the plan definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the plan definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the plan definition is presumed to be the predominant language in the place the plan definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "PlanDefinition.useContext",
          "path" : "PlanDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate plan definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "PlanDefinition.jurisdiction",
          "path" : "PlanDefinition.jurisdiction",
          "short" : "Intended jurisdiction for plan definition (if applicable)",
          "definition" : "A legal or geographic region in which the plan definition is intended to be used.",
          "comment" : "It may be possible for the plan definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "PlanDefinition.purpose",
          "path" : "PlanDefinition.purpose",
          "short" : "Why this plan definition is defined",
          "definition" : "Explanation of why this plan definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the plan definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this plan definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.usage",
          "path" : "PlanDefinition.usage",
          "short" : "Describes the clinical usage of the plan",
          "definition" : "A detailed description of how the plan definition is used from a clinical perspective.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "PlanDefinition.copyright",
          "path" : "PlanDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the plan definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the plan definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the plan definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.approvalDate",
          "path" : "PlanDefinition.approvalDate",
          "short" : "When the plan definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.lastReviewDate",
          "path" : "PlanDefinition.lastReviewDate",
          "short" : "When the plan definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.effectivePeriod",
          "path" : "PlanDefinition.effectivePeriod",
          "short" : "When the plan definition is expected to be used",
          "definition" : "The period during which the plan definition content was or is planned to be in active use.",
          "comment" : "The effective period for a plan definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the plan definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "PlanDefinition.topic",
          "path" : "PlanDefinition.topic",
          "short" : "E.g. Education, Treatment, Assessment",
          "definition" : "Descriptive topics related to the content of the plan definition. Topics provide a high-level categorization of the definition that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the plan definition so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject[x]"
          }]
        },
        {
          "id" : "PlanDefinition.author",
          "path" : "PlanDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "PlanDefinition.editor",
          "path" : "PlanDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "PlanDefinition.reviewer",
          "path" : "PlanDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "PlanDefinition.endorser",
          "path" : "PlanDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "PlanDefinition.relatedArtifact",
          "path" : "PlanDefinition.relatedArtifact",
          "short" : "Additional documentation, citations",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "Plan definitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "PlanDefinition.library",
          "path" : "PlanDefinition.library",
          "short" : "Logic used by the plan definition",
          "definition" : "A reference to a Library resource containing any formal logic used by the plan definition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }]
        },
        {
          "id" : "PlanDefinition.goal",
          "path" : "PlanDefinition.goal",
          "short" : "What the plan is trying to accomplish",
          "definition" : "Goals that describe what the activities within the plan are intended to achieve. For example, weight loss, restoring an activity of daily living, obtaining herd immunity via immunization, meeting a process improvement objective, etc.",
          "requirements" : "Goal information needs to be captured for order sets, protocols, and care plan definitions to better describe the objectives of the protocol activities and to guide the creation of specific goals within the derived care plans and orders.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "PlanDefinition.goal.category",
          "path" : "PlanDefinition.goal.category",
          "short" : "E.g. Treatment, dietary, behavioral",
          "definition" : "Indicates a category the goal falls within.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalCategory"
            }],
            "strength" : "example",
            "description" : "Example codes for grouping goals for filtering or presentation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-category"
          }
        },
        {
          "id" : "PlanDefinition.goal.description",
          "path" : "PlanDefinition.goal.description",
          "short" : "Code or text describing the goal",
          "definition" : "Human-readable and/or coded description of a specific desired objective of care, such as \"control blood pressure\" or \"negotiate an obstacle course\" or \"dance with child at wedding\".",
          "comment" : "If no code is available, use CodeableConcept.text.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalDescription"
            }],
            "strength" : "example",
            "description" : "Describes goals that can be achieved.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/clinical-findings"
          }
        },
        {
          "id" : "PlanDefinition.goal.priority",
          "path" : "PlanDefinition.goal.priority",
          "short" : "high-priority | medium-priority | low-priority",
          "definition" : "Identifies the expected level of importance associated with reaching/sustaining the defined goal.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalPriority"
            }],
            "strength" : "preferred",
            "description" : "Indicates the level of importance associated with reaching or sustaining a goal.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-priority"
          }
        },
        {
          "id" : "PlanDefinition.goal.start",
          "path" : "PlanDefinition.goal.start",
          "short" : "When goal pursuit begins",
          "definition" : "The event after which the goal should begin being pursued.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalStartEvent"
            }],
            "strength" : "example",
            "description" : "Identifies the types of events that might trigger the start of a goal.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/goal-start-event"
          }
        },
        {
          "id" : "PlanDefinition.goal.addresses",
          "path" : "PlanDefinition.goal.addresses",
          "short" : "What does the goal address",
          "definition" : "Identifies problems, conditions, issues, or concerns the goal is intended to address.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalAddresses"
            }],
            "strength" : "example",
            "description" : "Identifies problems, conditions, issues, or concerns that goals may address.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          }
        },
        {
          "id" : "PlanDefinition.goal.documentation",
          "path" : "PlanDefinition.goal.documentation",
          "short" : "Supporting documentation for the goal",
          "definition" : "Didactic or other informational resources associated with the goal that provide further supporting information about the goal. Information resources can include inline text commentary and links to web resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "PlanDefinition.goal.target",
          "path" : "PlanDefinition.goal.target",
          "short" : "Target outcome for the goal",
          "definition" : "Indicates what should be done and within what timeframe.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "PlanDefinition.goal.target.measure",
          "path" : "PlanDefinition.goal.target.measure",
          "short" : "The parameter whose value is to be tracked",
          "definition" : "The parameter whose value is to be tracked, e.g. body weight, blood pressure, or hemoglobin A1c level.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GoalTargetMeasure"
            }],
            "strength" : "example",
            "description" : "Identifies types of parameters that can be tracked to determine goal achievement.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
          }
        },
        {
          "id" : "PlanDefinition.goal.target.detail[x]",
          "path" : "PlanDefinition.goal.target.detail[x]",
          "short" : "The target value to be achieved",
          "definition" : "The target value of the measure to be achieved to signify fulfillment of the goal, e.g. 150 pounds or 7.0%. Either the high or low or both values of the range can be specified. When a low value is missing, it indicates that the goal is achieved at any value at or below the high value. Similarly, if the high value is missing, it indicates that the goal is achieved at any value at or above the low value.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "PlanDefinition.goal.target.due",
          "path" : "PlanDefinition.goal.target.due",
          "short" : "Reach goal within",
          "definition" : "Indicates the timeframe after the start of the goal in which the goal should be met.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }]
        },
        {
          "id" : "PlanDefinition.action",
          "path" : "PlanDefinition.action",
          "short" : "Action defined by the plan",
          "definition" : "An action or group of actions to be taken as part of the plan.",
          "comment" : "Note that there is overlap between many of the elements defined here and the ActivityDefinition resource. When an ActivityDefinition is referenced (using the definition element), the overlapping elements in the plan override the content of the referenced ActivityDefinition unless otherwise documented in the specific elements. See the PlanDefinition resource for more detailed information.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{Is a contained Definition}"
          }]
        },
        {
          "id" : "PlanDefinition.action.prefix",
          "path" : "PlanDefinition.action.prefix",
          "short" : "User-visible prefix for the action (e.g. 1. or A.)",
          "definition" : "A user-visible prefix for the action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "PlanDefinition.action.title",
          "path" : "PlanDefinition.action.title",
          "short" : "User-visible title",
          "definition" : "The title of the action displayed to a user.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "PlanDefinition.action.description",
          "path" : "PlanDefinition.action.description",
          "short" : "Brief description of the action",
          "definition" : "A brief description of the action used to provide a summary to display to the user.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "PlanDefinition.action.textEquivalent",
          "path" : "PlanDefinition.action.textEquivalent",
          "short" : "Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system",
          "definition" : "A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that might not be capable of interpreting it dynamically.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "PlanDefinition.action.priority",
          "path" : "PlanDefinition.action.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the action should be addressed with respect to other actions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.code",
          "path" : "PlanDefinition.action.code",
          "short" : "Code representing the meaning of the action or sub-actions",
          "definition" : "A code that provides meaning for the action or action group. For example, a section may have a LOINC code for the section of a documentation template.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "PlanDefinition.action.reason",
          "path" : "PlanDefinition.action.reason",
          "short" : "Why the action should be performed",
          "definition" : "A description of why this action is necessary or appropriate.",
          "comment" : "This is different than the clinical evidence documentation, it's an actual business description of the reason for performing the action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }]
        },
        {
          "id" : "PlanDefinition.action.documentation",
          "path" : "PlanDefinition.action.documentation",
          "short" : "Supporting documentation for the intended performer of the action",
          "definition" : "Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "PlanDefinition.action.goalId",
          "path" : "PlanDefinition.action.goalId",
          "short" : "What goals this action supports",
          "definition" : "Identifies goals that this action supports. The reference must be to a goal element defined within this plan definition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "PlanDefinition.action.subject[x]",
          "path" : "PlanDefinition.action.subject[x]",
          "short" : "Type of individual the action is focused on",
          "definition" : "A code or group definition that describes the intended subject of the action and its children, if any.",
          "comment" : "The subject of an action overrides the subject at a parent action or on the root of the PlanDefinition if specified.\n\nIn addition, because the subject needs to be resolved during realization, use of subjects in actions (or in the ActivityDefinition referenced by the action) resolves based on the set of subjects supplied in context and by type (i.e. the patient subject would resolve to a resource of type Patient).",
          "requirements" : "Multiple steps in a protocol often have different groups of steps that are focused on testing different things. The subject of an action specifies the focus of the action and any child actions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a plan definition (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "PlanDefinition.action.trigger",
          "path" : "PlanDefinition.action.trigger",
          "short" : "When the action should be triggered",
          "definition" : "A description of when the action should be triggered.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "TriggerDefinition"
          }]
        },
        {
          "id" : "PlanDefinition.action.condition",
          "path" : "PlanDefinition.action.condition",
          "short" : "Whether or not the action is applicable",
          "definition" : "An expression that describes applicability criteria or start/stop conditions for the action.",
          "comment" : "When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all the conditions are true.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "PlanDefinition.action.condition.kind",
          "path" : "PlanDefinition.action.condition.kind",
          "short" : "applicability | start | stop",
          "definition" : "The kind of condition.",
          "comment" : "Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionConditionKind"
            }],
            "strength" : "required",
            "description" : "Defines the kinds of conditions that can appear on actions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.condition.expression",
          "path" : "PlanDefinition.action.condition.expression",
          "short" : "Boolean-valued expression",
          "definition" : "An expression that returns true or false, indicating whether the condition is satisfied.",
          "comment" : "The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Expression"
          }]
        },
        {
          "id" : "PlanDefinition.action.input",
          "path" : "PlanDefinition.action.input",
          "short" : "Input data requirements",
          "definition" : "Defines input data requirements for the action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "DataRequirement"
          }]
        },
        {
          "id" : "PlanDefinition.action.output",
          "path" : "PlanDefinition.action.output",
          "short" : "Output data definition",
          "definition" : "Defines the outputs of the action, if any.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "DataRequirement"
          }]
        },
        {
          "id" : "PlanDefinition.action.relatedAction",
          "path" : "PlanDefinition.action.relatedAction",
          "short" : "Relationship to another action",
          "definition" : "A relationship to another action such as \"before\" or \"30-60 minutes after start of\".",
          "comment" : "When an action depends on multiple actions, the meaning is that all actions are dependencies, rather than that any of the actions are a dependency.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "PlanDefinition.action.relatedAction.actionId",
          "path" : "PlanDefinition.action.relatedAction.actionId",
          "short" : "What action is this related to",
          "definition" : "The element id of the related action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "PlanDefinition.action.relatedAction.relationship",
          "path" : "PlanDefinition.action.relatedAction.relationship",
          "short" : "before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end",
          "definition" : "The relationship of this action to the related action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionRelationshipType"
            }],
            "strength" : "required",
            "description" : "Defines the types of relationships between actions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.relatedAction.offset[x]",
          "path" : "PlanDefinition.action.relatedAction.offset[x]",
          "short" : "Time offset for the relationship",
          "definition" : "A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          },
          {
            "code" : "Range"
          }]
        },
        {
          "id" : "PlanDefinition.action.timing[x]",
          "path" : "PlanDefinition.action.timing[x]",
          "short" : "When the action should take place",
          "definition" : "An optional value describing when the action should be performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Timing"
          }]
        },
        {
          "id" : "PlanDefinition.action.participant",
          "path" : "PlanDefinition.action.participant",
          "short" : "Who should participate in the action",
          "definition" : "Indicates who should participate in performing the action described.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "PlanDefinition.action.participant.type",
          "path" : "PlanDefinition.action.participant.type",
          "short" : "patient | practitioner | related-person | device",
          "definition" : "The type of participant in the action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionParticipantType"
            }],
            "strength" : "required",
            "description" : "The type of participant for the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-participant-type|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.participant.role",
          "path" : "PlanDefinition.action.participant.role",
          "short" : "E.g. Nurse, Surgeon, Parent",
          "definition" : "The role the participant should play in performing the described action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionParticipantRole"
            }],
            "strength" : "example",
            "description" : "Defines roles played by participants for the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-participant-role"
          }
        },
        {
          "id" : "PlanDefinition.action.type",
          "path" : "PlanDefinition.action.type",
          "short" : "create | update | remove | fire-event",
          "definition" : "The type of action to perform (create, update, remove).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionType"
            }],
            "strength" : "extensible",
            "description" : "The type of action to be performed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-type"
          }
        },
        {
          "id" : "PlanDefinition.action.groupingBehavior",
          "path" : "PlanDefinition.action.groupingBehavior",
          "short" : "visual-group | logical-group | sentence-group",
          "definition" : "Defines the grouping behavior for the action and its children.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionGroupingBehavior"
            }],
            "strength" : "required",
            "description" : "Defines organization behavior of a group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.selectionBehavior",
          "path" : "PlanDefinition.action.selectionBehavior",
          "short" : "any | all | all-or-none | exactly-one | at-most-one | one-or-more",
          "definition" : "Defines the selection behavior for the action and its children.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionSelectionBehavior"
            }],
            "strength" : "required",
            "description" : "Defines selection behavior of a group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.requiredBehavior",
          "path" : "PlanDefinition.action.requiredBehavior",
          "short" : "must | could | must-unless-documented",
          "definition" : "Defines the required behavior for the action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionRequiredBehavior"
            }],
            "strength" : "required",
            "description" : "Defines expectations around whether an action or action group is required.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.precheckBehavior",
          "path" : "PlanDefinition.action.precheckBehavior",
          "short" : "yes | no",
          "definition" : "Defines whether the action should usually be preselected.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionPrecheckBehavior"
            }],
            "strength" : "required",
            "description" : "Defines selection frequency behavior for an action or group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.cardinalityBehavior",
          "path" : "PlanDefinition.action.cardinalityBehavior",
          "short" : "single | multiple",
          "definition" : "Defines whether the action can be selected multiple times.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionCardinalityBehavior"
            }],
            "strength" : "required",
            "description" : "Defines behavior for an action or a group for how many times that item may be repeated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0"
          }
        },
        {
          "id" : "PlanDefinition.action.definition[x]",
          "path" : "PlanDefinition.action.definition[x]",
          "short" : "Description of the activity to be performed",
          "definition" : "A reference to an ActivityDefinition that describes the action to be taken in detail, or a PlanDefinition that describes a series of actions to be taken.",
          "comment" : "Note that the definition is optional, and if no definition is specified, a dynamicValue with a root ($this) path can be used to define the entire resource dynamically.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          },
          {
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.derivedFrom"
          }]
        },
        {
          "id" : "PlanDefinition.action.transform",
          "path" : "PlanDefinition.action.transform",
          "short" : "Transform to apply the template",
          "definition" : "A reference to a StructureMap resource that defines a transform that can be executed to produce the intent resource using the ActivityDefinition instance as the input.",
          "comment" : "Note that when a referenced ActivityDefinition also defines a transform, the transform specified here generally takes precedence. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureMap"]
          }]
        },
        {
          "id" : "PlanDefinition.action.dynamicValue",
          "path" : "PlanDefinition.action.dynamicValue",
          "short" : "Dynamic aspects of the definition",
          "definition" : "Customizations that should be applied to the statically defined resource. For example, if the dosage of a medication must be computed based on the patient's weight, a customization would be used to specify an expression that calculated the weight, and the path on the resource that would contain the result.",
          "comment" : "Dynamic values are applied in the order in which they are defined in the PlanDefinition resource. Note that when dynamic values are also specified by a referenced ActivityDefinition, the dynamicValues from the ActivityDefinition are applied first, followed by the dynamicValues specified here. In addition, if both a transform and dynamic values are specific, the dynamic values are applied to the result of the transform.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "PlanDefinition.action.dynamicValue.path",
          "path" : "PlanDefinition.action.dynamicValue.path",
          "short" : "The path to the element to be set dynamically",
          "definition" : "The path to the element to be customized. This is the path on the resource that will hold the result of the calculation defined by the expression. The specified path SHALL be a FHIRPath resolveable on the specified target type of the ActivityDefinition, and SHALL consist only of identifiers, constant indexers, and a restricted subset of functions. The path is allowed to contain qualifiers (.) to traverse sub-elements, as well as indexers ([x]) to traverse multiple-cardinality sub-elements (see the [Simple FHIRPath Profile](fhirpath.html#simple) for full details).",
          "comment" : "To specify the path to the current action being realized, the %action environment variable is available in this path. For example, to specify the description element of the target action, the path would be %action.description. The path attribute contains a [Simple FHIRPath Subset](fhirpath.html#simple) that allows path traversal, but not calculation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "PlanDefinition.action.dynamicValue.expression",
          "path" : "PlanDefinition.action.dynamicValue.expression",
          "short" : "An expression that provides the dynamic value for the customization",
          "definition" : "An expression specifying the value of the customized element.",
          "comment" : "The expression may be inlined or may be a reference to a named expression within a logic library referenced by the library element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Expression"
          }]
        },
        {
          "id" : "PlanDefinition.action.action",
          "path" : "PlanDefinition.action.action",
          "short" : "A sub-action",
          "definition" : "Sub actions that are contained within the action. The behavior of this action determines the functionality of the sub-actions. For example, a selection behavior of at-most-one indicates that of the sub-actions, at most one may be chosen as part of realizing the action definition.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#PlanDefinition.action",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "{InverseRelationship of Definition.partOf}"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Practitioner",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Practitioner",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Practitioner 
TU
DomainResource
A person with a  formal responsibility in the provisioning of healthcare or related services
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
An identifier for the person as this agent
 active 
Σ
0..1
boolean
Whether this practitioner's record is in active use
 name 
Σ
0..*
HumanName
The name(s) associated with the practitioner
 telecom 
Σ
0..*
ContactPoint
A contact detail for the practitioner (that apply to all roles)
 address 
Σ
0..*
Address
Address(es) of the practitioner that are not role specific (typically home address)
 gender 
Σ
0..1
code
male | female | other | unknown
AdministrativeGender (Required)
 birthDate 
Σ
0..1
date
The date  on which the practitioner was born
 photo 
0..*
Attachment
Image of the person
 qualification 
0..*
BackboneElement
Certification, licenses, or training pertaining to the provision of care
 identifier 
0..*
Identifier
An identifier for this qualification for the practitioner
 code 
1..1
CodeableConcept
Coded representation of the qualification
v2 table 0360, Version 2.7 (Example)
 period 
0..1
Period
Period during which the qualification is valid
 issuer 
0..1
Reference(Organization)
Organization that regulates and issues the qualification
 communication 
0..*
CodeableConcept
A language the practitioner can use in patient communication
Common Languages (Preferred but limited to AllLanguages)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Individuals"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "individual"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Practitioner",
      "version" : "4.0.0",
      "name" : "Practitioner",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "A person who is directly or indirectly involved in the provisioning of healthcare.",
      "purpose" : "Need to track doctors, staff, locums etc. for both healthcare practitioners, funders, etc.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "servd",
        "uri" : "http://www.omg.org/spec/ServD/1.0/",
        "name" : "ServD"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Practitioner",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Practitioner",
          "path" : "Practitioner",
          "short" : "A person with a  formal responsibility in the provisioning of healthcare or related services",
          "definition" : "A person who is directly or indirectly involved in the provisioning of healthcare.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "PRD (as one example)"
          },
          {
            "identity" : "rim",
            "map" : "Role"
          },
          {
            "identity" : "servd",
            "map" : "Provider"
          }]
        },
        {
          "id" : "Practitioner.id",
          "path" : "Practitioner.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Practitioner.meta",
          "path" : "Practitioner.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Practitioner.implicitRules",
          "path" : "Practitioner.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Practitioner.language",
          "path" : "Practitioner.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Practitioner.text",
          "path" : "Practitioner.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Practitioner.contained",
          "path" : "Practitioner.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Practitioner.extension",
          "path" : "Practitioner.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Practitioner.modifierExtension",
          "path" : "Practitioner.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Practitioner.identifier",
          "path" : "Practitioner.identifier",
          "short" : "An identifier for the person as this agent",
          "definition" : "An identifier that applies to this person in this role.",
          "requirements" : "Often, specific identities are assigned for the agent.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PRD-7 (or XCN.1)"
          },
          {
            "identity" : "rim",
            "map" : "./id"
          },
          {
            "identity" : "servd",
            "map" : "./Identifiers"
          }]
        },
        {
          "id" : "Practitioner.active",
          "path" : "Practitioner.active",
          "short" : "Whether this practitioner's record is in active use",
          "definition" : "Whether this practitioner's record is in active use.",
          "comment" : "If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.",
          "requirements" : "Need to be able to mark a practitioner record as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Practitioner.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "./statusCode"
          }]
        },
        {
          "id" : "Practitioner.name",
          "path" : "Practitioner.name",
          "short" : "The name(s) associated with the practitioner",
          "definition" : "The name(s) associated with the practitioner.",
          "comment" : "The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.  \r\rIn general, select the value to be used in the ResourceReference.display based on this:\r\r1. There is more than 1 name\r2. Use = usual\r3. Period is current to the date of the usage\r4. Use = official\r5. Other order as decided by internal business rules.",
          "requirements" : "The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner.name",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "HumanName"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "XCN Components"
          },
          {
            "identity" : "rim",
            "map" : "./name"
          },
          {
            "identity" : "servd",
            "map" : "./PreferredName (GivenNames, FamilyName, TitleCode)"
          }]
        },
        {
          "id" : "Practitioner.telecom",
          "path" : "Practitioner.telecom",
          "short" : "A contact detail for the practitioner (that apply to all roles)",
          "definition" : "A contact detail for the practitioner, e.g. a telephone number or an email address.",
          "comment" : "Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and to help with identification.  These typically will have home numbers, or mobile numbers that are not role specific.",
          "requirements" : "Need to know how to reach a practitioner independent to any roles the practitioner may have.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRT-15, STF-10, ROL-12"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          },
          {
            "identity" : "servd",
            "map" : "./ContactPoints"
          }]
        },
        {
          "id" : "Practitioner.address",
          "path" : "Practitioner.address",
          "short" : "Address(es) of the practitioner that are not role specific (typically home address)",
          "definition" : "Address(es) of the practitioner that are not role specific (typically home address). \rWork addresses are not typically entered in this property as they are usually role dependent.",
          "comment" : "The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).",
          "requirements" : "The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner.address",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Address"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ORC-24, STF-11, ROL-11, PRT-14"
          },
          {
            "identity" : "rim",
            "map" : "./addr"
          },
          {
            "identity" : "servd",
            "map" : "./Addresses"
          }]
        },
        {
          "id" : "Practitioner.gender",
          "path" : "Practitioner.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.",
          "requirements" : "Needed to address the person correctly.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Practitioner.gender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "STF-5"
          },
          {
            "identity" : "rim",
            "map" : "./administrativeGender"
          },
          {
            "identity" : "servd",
            "map" : "./GenderCode"
          }]
        },
        {
          "id" : "Practitioner.birthDate",
          "path" : "Practitioner.birthDate",
          "short" : "The date  on which the practitioner was born",
          "definition" : "The date of birth for the practitioner.",
          "requirements" : "Needed for identification.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Practitioner.birthDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "STF-6"
          },
          {
            "identity" : "rim",
            "map" : "./birthTime"
          },
          {
            "identity" : "servd",
            "map" : "(not represented in ServD)"
          }]
        },
        {
          "id" : "Practitioner.photo",
          "path" : "Practitioner.photo",
          "short" : "Image of the person",
          "definition" : "Image of the person.",
          "requirements" : "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner.photo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./subjectOf/ObservationEvent[code=\"photo\"]/value"
          },
          {
            "identity" : "servd",
            "map" : "./ImageURI (only supports the URI reference)"
          }]
        },
        {
          "id" : "Practitioner.qualification",
          "path" : "Practitioner.qualification",
          "short" : "Certification, licenses, or training pertaining to the provision of care",
          "definition" : "The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner.  For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner.qualification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "CER?"
          },
          {
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].code"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications"
          }]
        },
        {
          "id" : "Practitioner.qualification.id",
          "path" : "Practitioner.qualification.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Practitioner.qualification.extension",
          "path" : "Practitioner.qualification.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Practitioner.qualification.modifierExtension",
          "path" : "Practitioner.qualification.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Practitioner.qualification.identifier",
          "path" : "Practitioner.qualification.identifier",
          "short" : "An identifier for this qualification for the practitioner",
          "definition" : "An identifier that applies to this person's qualification in this role.",
          "requirements" : "Often, specific identities are assigned for the qualification.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner.qualification.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].id"
          }]
        },
        {
          "id" : "Practitioner.qualification.code",
          "path" : "Practitioner.qualification.code",
          "short" : "Coded representation of the qualification",
          "definition" : "Coded representation of the qualification.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Practitioner.qualification.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Qualification"
            }],
            "strength" : "example",
            "description" : "Specific qualification the practitioner has to provide a service.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-2.7-0360"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].code"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications.Value"
          }]
        },
        {
          "id" : "Practitioner.qualification.period",
          "path" : "Practitioner.qualification.period",
          "short" : "Period during which the qualification is valid",
          "definition" : "Period during which the qualification is valid.",
          "requirements" : "Qualifications are often for a limited period of time, and can be revoked.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Practitioner.qualification.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].effectiveTime"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications.StartDate and ./Qualifications.EndDate"
          }]
        },
        {
          "id" : "Practitioner.qualification.issuer",
          "path" : "Practitioner.qualification.issuer",
          "short" : "Organization that regulates and issues the qualification",
          "definition" : "Organization that regulates and issues the qualification.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Practitioner.qualification.issuer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].scoper"
          }]
        },
        {
          "id" : "Practitioner.communication",
          "path" : "Practitioner.communication",
          "short" : "A language the practitioner can use in patient communication",
          "definition" : "A language the practitioner can use in patient communication.",
          "comment" : "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
          "requirements" : "Knowing which language a practitioner speaks can help in facilitating communication with patients.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Practitioner.communication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-15, NK1-20, LAN-2"
          },
          {
            "identity" : "rim",
            "map" : "./languageCommunication"
          },
          {
            "identity" : "servd",
            "map" : "./Languages.LanguageSpokenCode"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Practitioner",
          "path" : "Practitioner",
          "short" : "A person with a  formal responsibility in the provisioning of healthcare or related services",
          "definition" : "A person who is directly or indirectly involved in the provisioning of healthcare.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRD (as one example)"
          },
          {
            "identity" : "rim",
            "map" : "Role"
          },
          {
            "identity" : "servd",
            "map" : "Provider"
          }]
        },
        {
          "id" : "Practitioner.identifier",
          "path" : "Practitioner.identifier",
          "short" : "An identifier for the person as this agent",
          "definition" : "An identifier that applies to this person in this role.",
          "requirements" : "Often, specific identities are assigned for the agent.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PRD-7 (or XCN.1)"
          },
          {
            "identity" : "rim",
            "map" : "./id"
          },
          {
            "identity" : "servd",
            "map" : "./Identifiers"
          }]
        },
        {
          "id" : "Practitioner.active",
          "path" : "Practitioner.active",
          "short" : "Whether this practitioner's record is in active use",
          "definition" : "Whether this practitioner's record is in active use.",
          "comment" : "If the practitioner is not in use by one organization, then it should mark the period on the PractitonerRole with an end date (even if they are active) as they may be active in another role.",
          "requirements" : "Need to be able to mark a practitioner record as not to be used because it was created in error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "./statusCode"
          }]
        },
        {
          "id" : "Practitioner.name",
          "path" : "Practitioner.name",
          "short" : "The name(s) associated with the practitioner",
          "definition" : "The name(s) associated with the practitioner.",
          "comment" : "The selection of the use property should ensure that there is a single usual name specified, and others use the nickname (alias), old, or other values as appropriate.  \r\rIn general, select the value to be used in the ResourceReference.display based on this:\r\r1. There is more than 1 name\r2. Use = usual\r3. Period is current to the date of the usage\r4. Use = official\r5. Other order as decided by internal business rules.",
          "requirements" : "The name(s) that a Practitioner is known by. Where there are multiple, the name that the practitioner is usually known as should be used in the display.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "HumanName"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "XCN Components"
          },
          {
            "identity" : "rim",
            "map" : "./name"
          },
          {
            "identity" : "servd",
            "map" : "./PreferredName (GivenNames, FamilyName, TitleCode)"
          }]
        },
        {
          "id" : "Practitioner.telecom",
          "path" : "Practitioner.telecom",
          "short" : "A contact detail for the practitioner (that apply to all roles)",
          "definition" : "A contact detail for the practitioner, e.g. a telephone number or an email address.",
          "comment" : "Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and to help with identification.  These typically will have home numbers, or mobile numbers that are not role specific.",
          "requirements" : "Need to know how to reach a practitioner independent to any roles the practitioner may have.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRT-15, STF-10, ROL-12"
          },
          {
            "identity" : "rim",
            "map" : "./telecom"
          },
          {
            "identity" : "servd",
            "map" : "./ContactPoints"
          }]
        },
        {
          "id" : "Practitioner.address",
          "path" : "Practitioner.address",
          "short" : "Address(es) of the practitioner that are not role specific (typically home address)",
          "definition" : "Address(es) of the practitioner that are not role specific (typically home address). \rWork addresses are not typically entered in this property as they are usually role dependent.",
          "comment" : "The PractitionerRole does not have an address value on it, as it is expected that the location property be used for this purpose (which has an address).",
          "requirements" : "The home/mailing address of the practitioner is often required for employee administration purposes, and also for some rostering services where the start point (practitioners home) can be used in calculations.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Address"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "ORC-24, STF-11, ROL-11, PRT-14"
          },
          {
            "identity" : "rim",
            "map" : "./addr"
          },
          {
            "identity" : "servd",
            "map" : "./Addresses"
          }]
        },
        {
          "id" : "Practitioner.gender",
          "path" : "Practitioner.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.",
          "requirements" : "Needed to address the person correctly.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "STF-5"
          },
          {
            "identity" : "rim",
            "map" : "./administrativeGender"
          },
          {
            "identity" : "servd",
            "map" : "./GenderCode"
          }]
        },
        {
          "id" : "Practitioner.birthDate",
          "path" : "Practitioner.birthDate",
          "short" : "The date  on which the practitioner was born",
          "definition" : "The date of birth for the practitioner.",
          "requirements" : "Needed for identification.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "STF-6"
          },
          {
            "identity" : "rim",
            "map" : "./birthTime"
          },
          {
            "identity" : "servd",
            "map" : "(not represented in ServD)"
          }]
        },
        {
          "id" : "Practitioner.photo",
          "path" : "Practitioner.photo",
          "short" : "Image of the person",
          "definition" : "Image of the person.",
          "requirements" : "Many EHR systems have the capability to capture an image of patients and personnel. Fits with newer social media usage too.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Attachment"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./subjectOf/ObservationEvent[code=\"photo\"]/value"
          },
          {
            "identity" : "servd",
            "map" : "./ImageURI (only supports the URI reference)"
          }]
        },
        {
          "id" : "Practitioner.qualification",
          "path" : "Practitioner.qualification",
          "short" : "Certification, licenses, or training pertaining to the provision of care",
          "definition" : "The official certifications, training, and licenses that authorize or otherwise pertain to the provision of care by the practitioner.  For example, a medical license issued by a medical board authorizing the practitioner to practice medicine within a certian locality.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "CER?"
          },
          {
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].code"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications"
          }]
        },
        {
          "id" : "Practitioner.qualification.identifier",
          "path" : "Practitioner.qualification.identifier",
          "short" : "An identifier for this qualification for the practitioner",
          "definition" : "An identifier that applies to this person's qualification in this role.",
          "requirements" : "Often, specific identities are assigned for the qualification.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].id"
          }]
        },
        {
          "id" : "Practitioner.qualification.code",
          "path" : "Practitioner.qualification.code",
          "short" : "Coded representation of the qualification",
          "definition" : "Coded representation of the qualification.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Qualification"
            }],
            "strength" : "example",
            "description" : "Specific qualification the practitioner has to provide a service.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-2.7-0360"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].code"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications.Value"
          }]
        },
        {
          "id" : "Practitioner.qualification.period",
          "path" : "Practitioner.qualification.period",
          "short" : "Period during which the qualification is valid",
          "definition" : "Period during which the qualification is valid.",
          "requirements" : "Qualifications are often for a limited period of time, and can be revoked.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].effectiveTime"
          },
          {
            "identity" : "servd",
            "map" : "./Qualifications.StartDate and ./Qualifications.EndDate"
          }]
        },
        {
          "id" : "Practitioner.qualification.issuer",
          "path" : "Practitioner.qualification.issuer",
          "short" : "Organization that regulates and issues the qualification",
          "definition" : "Organization that regulates and issues the qualification.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".playingEntity.playingRole[classCode=QUAL].scoper"
          }]
        },
        {
          "id" : "Practitioner.communication",
          "path" : "Practitioner.communication",
          "short" : "A language the practitioner can use in patient communication",
          "definition" : "A language the practitioner can use in patient communication.",
          "comment" : "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
          "requirements" : "Knowing which language a practitioner speaks can help in facilitating communication with patients.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-15, NK1-20, LAN-2"
          },
          {
            "identity" : "rim",
            "map" : "./languageCommunication"
          },
          {
            "identity" : "servd",
            "map" : "./Languages.LanguageSpokenCode"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "PractitionerRole",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 PractitionerRole 
TU
DomainResource
Roles/organizations the practitioner is associated with
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business Identifiers that are specific to a role/location
 active 
Σ
0..1
boolean
Whether this practitioner role record is in active use
 period 
Σ
0..1
Period
The period during which the practitioner is authorized to perform in these role(s)
 practitioner 
Σ
0..1
Reference(Practitioner)
Practitioner that is able to provide the defined services for the organization
 organization 
Σ
0..1
Reference(Organization)
Organization where the roles are available
 code 
Σ
0..*
CodeableConcept
Roles which this practitioner may perform
Practitioner role (Example)
 specialty 
Σ
0..*
CodeableConcept
Specific specialty of the practitioner
Practice Setting Code Value Set (Preferred)
 location 
Σ
0..*
Reference(Location)
The location(s) at which this practitioner provides care
 healthcareService 
0..*
Reference(HealthcareService)
The list of healthcare services that this worker provides for this role's Organization/Location(s)
 telecom 
Σ
0..*
ContactPoint
Contact details that are specific to the role/location/service
 availableTime 
0..*
BackboneElement
Times the Service Site is available
 daysOfWeek 
0..*
code
mon | tue | wed | thu | fri | sat | sun
DaysOfWeek (Required)
 allDay 
0..1
boolean
Always available? e.g. 24 hour service
 availableStartTime 
0..1
time
Opening time of day (ignored if allDay = true)
 availableEndTime 
0..1
time
Closing time of day (ignored if allDay = true)
 notAvailable 
0..*
BackboneElement
Not available during this time due to provided reason
 description 
1..1
string
Reason presented to the user explaining why time not available
 during 
0..1
Period
Service not available from this date
 availabilityExceptions 
0..1
string
Description of availability exceptions
 endpoint 
0..*
Reference(Endpoint)
Technical endpoints providing access to services operated for the practitioner with this role

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Individuals"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "individual"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
      "version" : "4.0.0",
      "name" : "PractitionerRole",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.",
      "purpose" : "Need to track services that a healthcare provider is able to provide at an organization's location, and the services that they can perform there.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "servd",
        "uri" : "http://www.omg.org/spec/ServD/1.0/",
        "name" : "ServD"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "PractitionerRole",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "PractitionerRole",
          "path" : "PractitionerRole",
          "short" : "Roles/organizations the practitioner is associated with",
          "definition" : "A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "PRD (as one example)"
          },
          {
            "identity" : "rim",
            "map" : "Role"
          },
          {
            "identity" : "servd",
            "map" : "ServiceSiteProvider"
          }]
        },
        {
          "id" : "PractitionerRole.id",
          "path" : "PractitionerRole.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PractitionerRole.meta",
          "path" : "PractitionerRole.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "PractitionerRole.implicitRules",
          "path" : "PractitionerRole.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "PractitionerRole.language",
          "path" : "PractitionerRole.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "PractitionerRole.text",
          "path" : "PractitionerRole.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "PractitionerRole.contained",
          "path" : "PractitionerRole.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PractitionerRole.extension",
          "path" : "PractitionerRole.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PractitionerRole.modifierExtension",
          "path" : "PractitionerRole.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PractitionerRole.identifier",
          "path" : "PractitionerRole.identifier",
          "short" : "Business Identifiers that are specific to a role/location",
          "definition" : "Business Identifiers that are specific to a role/location.",
          "requirements" : "Often, specific identities are assigned for the agent.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PRD-7 (or XCN.1)"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "servd",
            "map" : "./Identifiers"
          }]
        },
        {
          "id" : "PractitionerRole.active",
          "path" : "PractitionerRole.active",
          "short" : "Whether this practitioner role record is in active use",
          "definition" : "Whether this practitioner role record is in active use.",
          "comment" : "If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.",
          "requirements" : "Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "STF-7"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "PractitionerRole.period",
          "path" : "PractitionerRole.period",
          "short" : "The period during which the practitioner is authorized to perform in these role(s)",
          "definition" : "The period during which the person is authorized to act as a practitioner in these role(s) for the organization.",
          "requirements" : "Even after the agencies is revoked, the fact that it existed must still be recorded.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRD-8/9 / PRA-5.4"
          },
          {
            "identity" : "rim",
            "map" : ".performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime"
          },
          {
            "identity" : "servd",
            "map" : "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"
          }]
        },
        {
          "id" : "PractitionerRole.practitioner",
          "path" : "PractitionerRole.practitioner",
          "short" : "Practitioner that is able to provide the defined services for the organization",
          "definition" : "Practitioner that is able to provide the defined services for the organization.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.practitioner",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "PractitionerRole.organization",
          "path" : "PractitionerRole.organization",
          "short" : "Organization where the roles are available",
          "definition" : "The organization where the Practitioner performs the roles associated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.organization",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "PractitionerRole.code",
          "path" : "PractitionerRole.code",
          "short" : "Roles which this practitioner may perform",
          "definition" : "Roles which this practitioner is authorized to perform for the organization.",
          "comment" : "A person may have more than one role.",
          "requirements" : "Need to know what authority the practitioner has - what can they do?",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PractitionerRole"
            }],
            "strength" : "example",
            "description" : "The role a person plays representing an organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/practitioner-role"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRD-1 / STF-18  / PRA-3  / PRT-4  / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "servd",
            "map" : "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"
          }]
        },
        {
          "id" : "PractitionerRole.specialty",
          "path" : "PractitionerRole.specialty",
          "short" : "Specific specialty of the practitioner",
          "definition" : "Specific specialty of the practitioner.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.specialty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PractitionerSpecialty"
            }],
            "strength" : "preferred",
            "description" : "Specific specialty associated with the agency.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRA-5"
          },
          {
            "identity" : "rim",
            "map" : ".player.HealthCareProvider[@classCode = 'PROV'].code"
          },
          {
            "identity" : "servd",
            "map" : "./Specialty"
          }]
        },
        {
          "id" : "PractitionerRole.location",
          "path" : "PractitionerRole.location",
          "short" : "The location(s) at which this practitioner provides care",
          "definition" : "The location(s) at which this practitioner provides care.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.location",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']"
          },
          {
            "identity" : "servd",
            "map" : "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)
 However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)"
          }]
        },
        {
          "id" : "PractitionerRole.healthcareService",
          "path" : "PractitionerRole.healthcareService",
          "short" : "The list of healthcare services that this worker provides for this role's Organization/Location(s)",
          "definition" : "The list of healthcare services that this worker provides for this role's Organization/Location(s).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.healthcareService",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "EDU-2 / AFF-3"
          },
          {
            "identity" : "rim",
            "map" : ".player.QualifiedEntity[@classCode = 'QUAL'].code"
          }]
        },
        {
          "id" : "PractitionerRole.telecom",
          "path" : "PractitionerRole.telecom",
          "short" : "Contact details that are specific to the role/location/service",
          "definition" : "Contact details that are specific to the role/location/service.",
          "requirements" : "Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime",
          "path" : "PractitionerRole.availableTime",
          "short" : "Times the Service Site is available",
          "definition" : "A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.",
          "comment" : "More detailed availability information may be provided in associated Schedule/Slot resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.availableTime",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.id",
          "path" : "PractitionerRole.availableTime.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.extension",
          "path" : "PractitionerRole.availableTime.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.modifierExtension",
          "path" : "PractitionerRole.availableTime.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.daysOfWeek",
          "path" : "PractitionerRole.availableTime.daysOfWeek",
          "short" : "mon | tue | wed | thu | fri | sat | sun",
          "definition" : "Indicates which days of the week are available between the start and end Times.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.availableTime.daysOfWeek",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DaysOfWeek"
            }],
            "strength" : "required",
            "description" : "The days of the week.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/days-of-week|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.allDay",
          "path" : "PractitionerRole.availableTime.allDay",
          "short" : "Always available? e.g. 24 hour service",
          "definition" : "Is this always available? (hence times are irrelevant) e.g. 24 hour service.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.availableTime.allDay",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.availableStartTime",
          "path" : "PractitionerRole.availableTime.availableStartTime",
          "short" : "Opening time of day (ignored if allDay = true)",
          "definition" : "The opening time of day. Note: If the AllDay flag is set, then this time is ignored.",
          "comment" : "The timezone is expected to be for where this HealthcareService is provided at.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.availableTime.availableStartTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "time"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.availableEndTime",
          "path" : "PractitionerRole.availableTime.availableEndTime",
          "short" : "Closing time of day (ignored if allDay = true)",
          "definition" : "The closing time of day. Note: If the AllDay flag is set, then this time is ignored.",
          "comment" : "The timezone is expected to be for where this HealthcareService is provided at.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.availableTime.availableEndTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "time"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable",
          "path" : "PractitionerRole.notAvailable",
          "short" : "Not available during this time due to provided reason",
          "definition" : "The practitioner is not available or performing this role during this period of time due to the provided reason.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.notAvailable",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable.id",
          "path" : "PractitionerRole.notAvailable.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable.extension",
          "path" : "PractitionerRole.notAvailable.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable.modifierExtension",
          "path" : "PractitionerRole.notAvailable.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable.description",
          "path" : "PractitionerRole.notAvailable.description",
          "short" : "Reason presented to the user explaining why time not available",
          "definition" : "The reason that can be presented to the user as to why this time is not available.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.notAvailable.description",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable.during",
          "path" : "PractitionerRole.notAvailable.during",
          "short" : "Service not available from this date",
          "definition" : "Service is not available (seasonally or for a public holiday) from this date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.notAvailable.during",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availabilityExceptions",
          "path" : "PractitionerRole.availabilityExceptions",
          "short" : "Description of availability exceptions",
          "definition" : "A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "PractitionerRole.availabilityExceptions",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.endpoint",
          "path" : "PractitionerRole.endpoint",
          "short" : "Technical endpoints providing access to services operated for the practitioner with this role",
          "definition" : "Technical endpoints providing access to services operated for the practitioner with this role.",
          "requirements" : "Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.\r\rSo the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "PractitionerRole.endpoint",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "PractitionerRole",
          "path" : "PractitionerRole",
          "short" : "Roles/organizations the practitioner is associated with",
          "definition" : "A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRD (as one example)"
          },
          {
            "identity" : "rim",
            "map" : "Role"
          },
          {
            "identity" : "servd",
            "map" : "ServiceSiteProvider"
          }]
        },
        {
          "id" : "PractitionerRole.identifier",
          "path" : "PractitionerRole.identifier",
          "short" : "Business Identifiers that are specific to a role/location",
          "definition" : "Business Identifiers that are specific to a role/location.",
          "requirements" : "Often, specific identities are assigned for the agent.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "PRD-7 (or XCN.1)"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "servd",
            "map" : "./Identifiers"
          }]
        },
        {
          "id" : "PractitionerRole.active",
          "path" : "PractitionerRole.active",
          "short" : "Whether this practitioner role record is in active use",
          "definition" : "Whether this practitioner role record is in active use.",
          "comment" : "If this value is false, you may refer to the period to see when the role was in active use. If there is no period specified, no inference can be made about when it was active.",
          "requirements" : "Need to be able to mark a practitioner role record as not to be used because it was created in error, or otherwise no longer in active use.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "STF-7"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "PractitionerRole.period",
          "path" : "PractitionerRole.period",
          "short" : "The period during which the practitioner is authorized to perform in these role(s)",
          "definition" : "The period during which the person is authorized to act as a practitioner in these role(s) for the organization.",
          "requirements" : "Even after the agencies is revoked, the fact that it existed must still be recorded.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "PRD-8/9 / PRA-5.4"
          },
          {
            "identity" : "rim",
            "map" : ".performance[@typeCode <= 'PPRF'].ActDefinitionOrEvent.effectiveTime"
          },
          {
            "identity" : "servd",
            "map" : "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"
          }]
        },
        {
          "id" : "PractitionerRole.practitioner",
          "path" : "PractitionerRole.practitioner",
          "short" : "Practitioner that is able to provide the defined services for the organization",
          "definition" : "Practitioner that is able to provide the defined services for the organization.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player"
          }]
        },
        {
          "id" : "PractitionerRole.organization",
          "path" : "PractitionerRole.organization",
          "short" : "Organization where the roles are available",
          "definition" : "The organization where the Practitioner performs the roles associated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "PractitionerRole.code",
          "path" : "PractitionerRole.code",
          "short" : "Roles which this practitioner may perform",
          "definition" : "Roles which this practitioner is authorized to perform for the organization.",
          "comment" : "A person may have more than one role.",
          "requirements" : "Need to know what authority the practitioner has - what can they do?",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PractitionerRole"
            }],
            "strength" : "example",
            "description" : "The role a person plays representing an organization.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/practitioner-role"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRD-1 / STF-18  / PRA-3  / PRT-4  / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "servd",
            "map" : "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)"
          }]
        },
        {
          "id" : "PractitionerRole.specialty",
          "path" : "PractitionerRole.specialty",
          "short" : "Specific specialty of the practitioner",
          "definition" : "Specific specialty of the practitioner.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PractitionerSpecialty"
            }],
            "strength" : "preferred",
            "description" : "Specific specialty associated with the agency.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRA-5"
          },
          {
            "identity" : "rim",
            "map" : ".player.HealthCareProvider[@classCode = 'PROV'].code"
          },
          {
            "identity" : "servd",
            "map" : "./Specialty"
          }]
        },
        {
          "id" : "PractitionerRole.location",
          "path" : "PractitionerRole.location",
          "short" : "The location(s) at which this practitioner provides care",
          "definition" : "The location(s) at which this practitioner provides care.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".performance.ActDefinitionOrEvent.ServiceDeliveryLocation[@classCode = 'SDLOC']"
          },
          {
            "identity" : "servd",
            "map" : "(ServD maps Practitioners and Organizations via another entity, so this concept is not available)
 However these are accessed via the Site.ServiceSite.ServiceSiteProvider record. (The Site has the location)"
          }]
        },
        {
          "id" : "PractitionerRole.healthcareService",
          "path" : "PractitionerRole.healthcareService",
          "short" : "The list of healthcare services that this worker provides for this role's Organization/Location(s)",
          "definition" : "The list of healthcare services that this worker provides for this role's Organization/Location(s).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "EDU-2 / AFF-3"
          },
          {
            "identity" : "rim",
            "map" : ".player.QualifiedEntity[@classCode = 'QUAL'].code"
          }]
        },
        {
          "id" : "PractitionerRole.telecom",
          "path" : "PractitionerRole.telecom",
          "short" : "Contact details that are specific to the role/location/service",
          "definition" : "Contact details that are specific to the role/location/service.",
          "requirements" : "Often practitioners have a dedicated line for each location (or service) that they work at, and need to be able to define separate contact details for each of these.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".telecom"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime",
          "path" : "PractitionerRole.availableTime",
          "short" : "Times the Service Site is available",
          "definition" : "A collection of times the practitioner is available or performing this role at the location and/or healthcareservice.",
          "comment" : "More detailed availability information may be provided in associated Schedule/Slot resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.daysOfWeek",
          "path" : "PractitionerRole.availableTime.daysOfWeek",
          "short" : "mon | tue | wed | thu | fri | sat | sun",
          "definition" : "Indicates which days of the week are available between the start and end Times.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DaysOfWeek"
            }],
            "strength" : "required",
            "description" : "The days of the week.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/days-of-week|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.allDay",
          "path" : "PractitionerRole.availableTime.allDay",
          "short" : "Always available? e.g. 24 hour service",
          "definition" : "Is this always available? (hence times are irrelevant) e.g. 24 hour service.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.availableStartTime",
          "path" : "PractitionerRole.availableTime.availableStartTime",
          "short" : "Opening time of day (ignored if allDay = true)",
          "definition" : "The opening time of day. Note: If the AllDay flag is set, then this time is ignored.",
          "comment" : "The timezone is expected to be for where this HealthcareService is provided at.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "time"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availableTime.availableEndTime",
          "path" : "PractitionerRole.availableTime.availableEndTime",
          "short" : "Closing time of day (ignored if allDay = true)",
          "definition" : "The closing time of day. Note: If the AllDay flag is set, then this time is ignored.",
          "comment" : "The timezone is expected to be for where this HealthcareService is provided at.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "time"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable",
          "path" : "PractitionerRole.notAvailable",
          "short" : "Not available during this time due to provided reason",
          "definition" : "The practitioner is not available or performing this role during this period of time due to the provided reason.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable.description",
          "path" : "PractitionerRole.notAvailable.description",
          "short" : "Reason presented to the user explaining why time not available",
          "definition" : "The reason that can be presented to the user as to why this time is not available.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "PractitionerRole.notAvailable.during",
          "path" : "PractitionerRole.notAvailable.during",
          "short" : "Service not available from this date",
          "definition" : "Service is not available (seasonally or for a public holiday) from this date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.availabilityExceptions",
          "path" : "PractitionerRole.availabilityExceptions",
          "short" : "Description of availability exceptions",
          "definition" : "A description of site availability exceptions, e.g. public holiday availability. Succinctly describing all possible exceptions to normal site availability as details in the available Times and not available Times.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "PractitionerRole.endpoint",
          "path" : "PractitionerRole.endpoint",
          "short" : "Technical endpoints providing access to services operated for the practitioner with this role",
          "definition" : "Technical endpoints providing access to services operated for the practitioner with this role.",
          "requirements" : "Organizations have multiple systems that provide various services and ,ay also be different for practitioners too.\r\rSo the endpoint satisfies the need to be able to define the technical connection details for how to connect to them, and for what purpose.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Endpoint"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Procedure",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Procedure",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Procedure 
TU
DomainResource
An action that is being or was performed on a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Identifiers for this procedure
 instantiatesCanonical 
Σ
0..*
canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire)
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 basedOn 
Σ
0..*
Reference(CarePlan | ServiceRequest)
A request for this procedure
 partOf 
Σ
0..*
Reference(Procedure | Observation | MedicationAdministration)
Part of referenced event
 status 
?!Σ
1..1
code
preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown
EventStatus (Required)
 statusReason 
Σ
0..1
CodeableConcept
Reason for current status
Procedure Not Performed Reason (SNOMED-CT) (Example)
 category 
Σ
0..1
CodeableConcept
Classification of the procedure
Procedure Category Codes (SNOMED CT) (Example)
 code 
Σ
0..1
CodeableConcept
Identification of the procedure
Procedure Codes (SNOMED CT) (Example)
 subject 
Σ
1..1
Reference(Patient | Group)
Who the procedure was performed on
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 performed[x] 
Σ
0..1
When the procedure was performed
 performedDateTime
dateTime
 performedPeriod
Period
 performedString
string
 performedAge
Age
 performedRange
Range
 recorder 
Σ
0..1
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
Who recorded the procedure
 asserter 
Σ
0..1
Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)
Person who asserts this procedure
 performer 
Σ
0..*
BackboneElement
The people who performed the procedure
 function 
Σ
0..1
CodeableConcept
Type of performance
Procedure Performer Role Codes (Example)
 actor 
Σ
1..1
Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)
The reference to the practitioner
 onBehalfOf 
0..1
Reference(Organization)
Organization the device or practitioner was acting for
 location 
Σ
0..1
Reference(Location)
Where the procedure happened
 reasonCode 
Σ
0..*
CodeableConcept
Coded reason procedure performed
Procedure Reason Codes (Example)
 reasonReference 
Σ
0..*
Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference)
The justification that the procedure was performed
 bodySite 
Σ
0..*
CodeableConcept
Target body sites
SNOMED CT Body Structures (Example)
 outcome 
Σ
0..1
CodeableConcept
The result of procedure
Procedure Outcome Codes (SNOMED CT) (Example)
 report 
0..*
Reference(DiagnosticReport | DocumentReference | Composition)
Any report resulting from the procedure
 complication 
0..*
CodeableConcept
Complication following the procedure
Condition/Problem/Diagnosis Codes (Example)
 complicationDetail 
0..*
Reference(Condition)
A condition that is a result of the procedure
 followUp 
0..*
CodeableConcept
Instructions for follow up
Procedure Follow up Codes (SNOMED CT) (Example)
 note 
0..*
Annotation
Additional information about the procedure
 focalDevice 
0..*
BackboneElement
Manipulated, implanted, or removed device
 action 
0..1
CodeableConcept
Kind of change to device
Procedure Device Action Codes (Preferred)
 manipulated 
1..1
Reference(Device)
Device that was changed
 usedReference 
0..*
Reference(Device | Medication | Substance)
Items used during procedure
 usedCode 
0..*
CodeableConcept
Coded items used during the procedure
FHIR Device Types (Example)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Summary"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pc"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Procedure",
      "version" : "4.0.0",
      "name" : "Procedure",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Care)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare/index.cfm"
        }]
      }],
      "description" : "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Procedure",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Procedure",
          "path" : "Procedure",
          "short" : "An action that is being or was performed on a patient",
          "definition" : "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Procedure[moodCode=EVN]"
          }]
        },
        {
          "id" : "Procedure.id",
          "path" : "Procedure.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Procedure.meta",
          "path" : "Procedure.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Procedure.implicitRules",
          "path" : "Procedure.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Procedure.language",
          "path" : "Procedure.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Procedure.text",
          "path" : "Procedure.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Procedure.contained",
          "path" : "Procedure.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Procedure.extension",
          "path" : "Procedure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Procedure.modifierExtension",
          "path" : "Procedure.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Procedure.identifier",
          "path" : "Procedure.identifier",
          "short" : "External Identifiers for this procedure",
          "definition" : "Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and Person resource instances might share the same social insurance number.",
          "requirements" : "Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Procedure.instantiatesCanonical",
          "path" : "Procedure.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Procedure.instantiatesUri",
          "path" : "Procedure.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Procedure.basedOn",
          "path" : "Procedure.basedOn",
          "short" : "A request for this procedure",
          "definition" : "A reference to a resource that contains details of the request for this procedure.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"
          }]
        },
        {
          "id" : "Procedure.partOf",
          "path" : "Procedure.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular procedure is a component or step.",
          "comment" : "The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference.   For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure).  For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Procedure.status",
          "path" : "Procedure.status",
          "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown",
          "definition" : "A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.",
          "comment" : "The \"unknown\" code is not to be used to convey other statuses.  The \"unknown\" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Procedure.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/event-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }]
        },
        {
          "id" : "Procedure.statusReason",
          "path" : "Procedure.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the procedure.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.",
          "alias" : ["Suspended Reason",
          "Cancelled Reason"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureNegationReason"
            }],
            "strength" : "example",
            "description" : "A code that identifies the reason a procedure was not performed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".reason.Observation.value"
          }]
        },
        {
          "id" : "Procedure.category",
          "path" : "Procedure.category",
          "short" : "Classification of the procedure",
          "definition" : "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureCategory"
            }],
            "strength" : "example",
            "description" : "A code that classifies a procedure for searching, sorting and display purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          }]
        },
        {
          "id" : "Procedure.code",
          "path" : "Procedure.code",
          "short" : "Identification of the procedure",
          "definition" : "The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\").",
          "requirements" : "0..1 to account for primarily narrative only resources.",
          "alias" : ["type"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureCode"
            }],
            "strength" : "example",
            "description" : "A code to identify a specific procedure .",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBR-44/OBR-45"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Procedure.subject",
          "path" : "Procedure.subject",
          "short" : "Who the procedure was performed on",
          "definition" : "The person, animal or group on which the procedure was performed.",
          "alias" : ["patient"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Procedure.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Procedure.encounter",
          "path" : "Procedure.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "Procedure.performed[x]",
          "path" : "Procedure.performed[x]",
          "short" : "When the procedure was performed",
          "definition" : "Estimated or actual date, date-time, period, or age when the procedure was performed.  Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.",
          "comment" : "Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old.  dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.performed[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBR-7"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Procedure.recorder",
          "path" : "Procedure.recorder",
          "short" : "Who recorded the procedure",
          "definition" : "Individual who recorded the record and takes responsibility for its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.recorder",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "Procedure.asserter",
          "path" : "Procedure.asserter",
          "short" : "Person who asserts this procedure",
          "definition" : "Individual who is making the procedure statement.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.asserter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }]
        },
        {
          "id" : "Procedure.performer",
          "path" : "Procedure.performer",
          "short" : "The people who performed the procedure",
          "definition" : "Limited to \"real\" people rather than equipment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "Procedure.performer.id",
          "path" : "Procedure.performer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Procedure.performer.extension",
          "path" : "Procedure.performer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Procedure.performer.modifierExtension",
          "path" : "Procedure.performer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Procedure.performer.function",
          "path" : "Procedure.performer.function",
          "short" : "Type of performance",
          "definition" : "Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist.",
          "requirements" : "Allows disambiguation of the types of involvement of different performers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.performer.function",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedurePerformerRole"
            }],
            "strength" : "example",
            "description" : "A code that identifies the role of a performer of the procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "v2",
            "map" : "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25"
          },
          {
            "identity" : "rim",
            "map" : ".functionCode"
          }]
        },
        {
          "id" : "Procedure.performer.actor",
          "path" : "Procedure.performer.actor",
          "short" : "The reference to the practitioner",
          "definition" : "The practitioner who was involved in the procedure.",
          "requirements" : "A reference to Device supports use cases, such as pacemakers.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Procedure.performer.actor",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "ORC-19/PRT-5"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "Procedure.performer.onBehalfOf",
          "path" : "Procedure.performer.onBehalfOf",
          "short" : "Organization the device or practitioner was acting for",
          "definition" : "The organization the device or practitioner was acting on behalf of.",
          "requirements" : "Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when performing the action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.performer.onBehalfOf",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "Procedure.location",
          "path" : "Procedure.location",
          "short" : "Where the procedure happened",
          "definition" : "The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant.",
          "requirements" : "Ties a procedure to where the records are likely kept.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role[classCode=SDLOC]"
          }]
        },
        {
          "id" : "Procedure.reasonCode",
          "path" : "Procedure.reasonCode",
          "short" : "Coded reason procedure performed",
          "definition" : "The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text.",
          "comment" : "Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureReason"
            }],
            "strength" : "example",
            "description" : "A code that identifies the reason a procedure is  required.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Procedure.reasonReference",
          "path" : "Procedure.reasonReference",
          "short" : "The justification that the procedure was performed",
          "definition" : "The justification of why the procedure was performed.",
          "comment" : "It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). \nUse Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Procedure.bodySite",
          "path" : "Procedure.bodySite",
          "short" : "Target body sites",
          "definition" : "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.",
          "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](extension-procedure-targetbodystructure.html).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.bodySite",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-20"
          },
          {
            "identity" : "rim",
            "map" : ".targetSiteCode"
          }]
        },
        {
          "id" : "Procedure.outcome",
          "path" : "Procedure.outcome",
          "short" : "The result of procedure",
          "definition" : "The outcome of the procedure - did it resolve the reasons for the procedure being performed?",
          "comment" : "If outcome contains narrative text only, it can be captured using the CodeableConcept.text.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.outcome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureOutcome"
            }],
            "strength" : "example",
            "description" : "An outcome of a procedure - whether it was resolved or otherwise.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=OUT].target.text"
          }]
        },
        {
          "id" : "Procedure.report",
          "path" : "Procedure.report",
          "short" : "Any report resulting from the procedure",
          "definition" : "This could be a histology result, pathology report, surgical report, etc.",
          "comment" : "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.report",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Composition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Procedure.complication",
          "path" : "Procedure.complication",
          "short" : "Complication following the procedure",
          "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.",
          "comment" : "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.complication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureComplication"
            }],
            "strength" : "example",
            "description" : "Codes describing complications that resulted from a procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
          }]
        },
        {
          "id" : "Procedure.complicationDetail",
          "path" : "Procedure.complicationDetail",
          "short" : "A condition that is a result of the procedure",
          "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period.",
          "requirements" : "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.complicationDetail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
          }]
        },
        {
          "id" : "Procedure.followUp",
          "path" : "Procedure.followUp",
          "short" : "Instructions for follow up",
          "definition" : "If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.followUp",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureFollowUp"
            }],
            "strength" : "example",
            "description" : "Specific follow up required for a procedure e.g. removal of sutures.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"
          }]
        },
        {
          "id" : "Procedure.note",
          "path" : "Procedure.note",
          "short" : "Additional information about the procedure",
          "definition" : "Any other notes and comments about the procedure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        },
        {
          "id" : "Procedure.focalDevice",
          "path" : "Procedure.focalDevice",
          "short" : "Manipulated, implanted, or removed device",
          "definition" : "A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.focalDevice",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=DEV].role[classCode=MANU]"
          }]
        },
        {
          "id" : "Procedure.focalDevice.id",
          "path" : "Procedure.focalDevice.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Procedure.focalDevice.extension",
          "path" : "Procedure.focalDevice.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Procedure.focalDevice.modifierExtension",
          "path" : "Procedure.focalDevice.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Procedure.focalDevice.action",
          "path" : "Procedure.focalDevice.action",
          "short" : "Kind of change to device",
          "definition" : "The kind of change that happened to the device during the procedure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Procedure.focalDevice.action",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceActionKind"
            }],
            "strength" : "preferred",
            "description" : "A kind of change that happened to the device during the procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-action"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes"
          }]
        },
        {
          "id" : "Procedure.focalDevice.manipulated",
          "path" : "Procedure.focalDevice.manipulated",
          "short" : "Device that was changed",
          "definition" : "The device that was manipulated (changed) during the procedure.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Procedure.focalDevice.manipulated",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=DEV].role[classCode=SDLOC]"
          }]
        },
        {
          "id" : "Procedure.usedReference",
          "path" : "Procedure.usedReference",
          "short" : "Items used during procedure",
          "definition" : "Identifies medications, devices and any other substance used as part of the procedure.",
          "comment" : "For devices actually implanted or removed, use Procedure.device.",
          "requirements" : "Used for tracking contamination, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.usedReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"
          }]
        },
        {
          "id" : "Procedure.usedCode",
          "path" : "Procedure.usedCode",
          "short" : "Coded items used during the procedure",
          "definition" : "Identifies coded items that were used as part of the procedure.",
          "comment" : "For devices actually implanted or removed, use Procedure.device.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Procedure.usedCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureUsed"
            }],
            "strength" : "example",
            "description" : "Codes describing items used during a procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "participation[typeCode=Dev].role[classCode=MANU]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Procedure",
          "path" : "Procedure",
          "short" : "An action that is being or was performed on a patient",
          "definition" : "An action that is or was performed on or for a patient. This can be a physical intervention like an operation, or less invasive like long term services, counseling, or hypnotherapy.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Procedure[moodCode=EVN]"
          }]
        },
        {
          "id" : "Procedure.identifier",
          "path" : "Procedure.identifier",
          "short" : "External Identifiers for this procedure",
          "definition" : "Business identifiers assigned to this procedure by the performer or other systems which remain constant as the resource is updated and is propagated from server to server.",
          "comment" : "This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and Person resource instances might share the same social insurance number.",
          "requirements" : "Allows identification of the procedure as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Procedure.instantiatesCanonical",
          "path" : "Procedure.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition",
            "http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/Measure",
            "http://hl7.org/fhir/StructureDefinition/OperationDefinition",
            "http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Procedure.instantiatesUri",
          "path" : "Procedure.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, order set or other definition that is adhered to in whole or in part by this Procedure.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUri"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Procedure.basedOn",
          "path" : "Procedure.basedOn",
          "short" : "A request for this procedure",
          "definition" : "A reference to a resource that contains details of the request for this procedure.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT,  moodCode=RQO].code"
          }]
        },
        {
          "id" : "Procedure.partOf",
          "path" : "Procedure.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular procedure is a component or step.",
          "comment" : "The MedicationAdministration resource has a partOf reference to Procedure, but this is not a circular reference.   For example, the anesthesia MedicationAdministration is part of the surgical Procedure (MedicationAdministration.partOf = Procedure).  For example, the procedure to insert the IV port for an IV medication administration is part of the medication administration (Procedure.partOf = MedicationAdministration).",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Procedure.status",
          "path" : "Procedure.status",
          "short" : "preparation | in-progress | not-done | suspended | aborted | completed | entered-in-error | unknown",
          "definition" : "A code specifying the state of the procedure. Generally, this will be the in-progress or completed state.",
          "comment" : "The \"unknown\" code is not to be used to convey other statuses.  The \"unknown\" code should be used when one of the statuses applies, but the authoring system doesn't know the current state of the procedure.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/event-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "statusCode"
          }]
        },
        {
          "id" : "Procedure.statusReason",
          "path" : "Procedure.statusReason",
          "short" : "Reason for current status",
          "definition" : "Captures the reason for the current state of the procedure.",
          "comment" : "This is generally only used for \"exception\" statuses such as \"not-done\", \"suspended\" or \"aborted\". The reason for performing the event at all is captured in reasonCode, not here.",
          "alias" : ["Suspended Reason",
          "Cancelled Reason"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureNegationReason"
            }],
            "strength" : "example",
            "description" : "A code that identifies the reason a procedure was not performed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-not-performed-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.statusReason"
          },
          {
            "identity" : "rim",
            "map" : ".reason.Observation.value"
          }]
        },
        {
          "id" : "Procedure.category",
          "path" : "Procedure.category",
          "short" : "Classification of the procedure",
          "definition" : "A code that classifies the procedure for searching, sorting and display purposes (e.g. \"Surgical Procedure\").",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureCategory"
            }],
            "strength" : "example",
            "description" : "A code that classifies a procedure for searching, sorting and display purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
          }]
        },
        {
          "id" : "Procedure.code",
          "path" : "Procedure.code",
          "short" : "Identification of the procedure",
          "definition" : "The specific procedure that is performed. Use text if the exact nature of the procedure cannot be coded (e.g. \"Laparoscopic Appendectomy\").",
          "requirements" : "0..1 to account for primarily narrative only resources.",
          "alias" : ["type"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureCode"
            }],
            "strength" : "example",
            "description" : "A code to identify a specific procedure .",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBR-44/OBR-45"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Procedure.subject",
          "path" : "Procedure.subject",
          "short" : "Who the procedure was performed on",
          "definition" : "The person, animal or group on which the procedure was performed.",
          "alias" : ["patient"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Procedure.encounter",
          "path" : "Procedure.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this Procedure was created or performed or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "Procedure.performed[x]",
          "path" : "Procedure.performed[x]",
          "short" : "When the procedure was performed",
          "definition" : "Estimated or actual date, date-time, period, or age when the procedure was performed.  Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.",
          "comment" : "Age is generally used when the patient reports an age at which the procedure was performed. Range is generally used when the patient reports an age range when the procedure was performed, such as sometime between 20-25 years old.  dateTime supports a range of precision due to some procedures being reported as past procedures that might not have millisecond precision while other procedures performed and documented during the encounter might have more precise UTC timestamps with timezone.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Range"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "OBR-7"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Procedure.recorder",
          "path" : "Procedure.recorder",
          "short" : "Who recorded the procedure",
          "definition" : "Individual who recorded the record and takes responsibility for its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "Procedure.asserter",
          "path" : "Procedure.asserter",
          "short" : "Person who asserts this procedure",
          "definition" : "Individual who is making the procedure statement.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }]
        },
        {
          "id" : "Procedure.performer",
          "path" : "Procedure.performer",
          "short" : "The people who performed the procedure",
          "definition" : "Limited to \"real\" people rather than equipment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF]"
          }]
        },
        {
          "id" : "Procedure.performer.function",
          "path" : "Procedure.performer.function",
          "short" : "Type of performance",
          "definition" : "Distinguishes the type of involvement of the performer in the procedure. For example, surgeon, anaesthetist, endoscopist.",
          "requirements" : "Allows disambiguation of the types of involvement of different performers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedurePerformerRole"
            }],
            "strength" : "example",
            "description" : "A code that identifies the role of a performer of the procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "v2",
            "map" : "Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25"
          },
          {
            "identity" : "rim",
            "map" : ".functionCode"
          }]
        },
        {
          "id" : "Procedure.performer.actor",
          "path" : "Procedure.performer.actor",
          "short" : "The reference to the practitioner",
          "definition" : "The practitioner who was involved in the procedure.",
          "requirements" : "A reference to Device supports use cases, such as pacemakers.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "ORC-19/PRT-5"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          }]
        },
        {
          "id" : "Procedure.performer.onBehalfOf",
          "path" : "Procedure.performer.onBehalfOf",
          "short" : "Organization the device or practitioner was acting for",
          "definition" : "The organization the device or practitioner was acting on behalf of.",
          "requirements" : "Practitioners and Devices can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of when performing the action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scoper"
          }]
        },
        {
          "id" : "Procedure.location",
          "path" : "Procedure.location",
          "short" : "Where the procedure happened",
          "definition" : "The location where the procedure actually happened.  E.g. a newborn at home, a tracheostomy at a restaurant.",
          "requirements" : "Ties a procedure to where the records are likely kept.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role[classCode=SDLOC]"
          }]
        },
        {
          "id" : "Procedure.reasonCode",
          "path" : "Procedure.reasonCode",
          "short" : "Coded reason procedure performed",
          "definition" : "The coded reason why the procedure was performed. This may be a coded entity of some type, or may simply be present as text.",
          "comment" : "Use Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureReason"
            }],
            "strength" : "example",
            "description" : "A code that identifies the reason a procedure is  required.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Procedure.reasonReference",
          "path" : "Procedure.reasonReference",
          "short" : "The justification that the procedure was performed",
          "definition" : "The justification of why the procedure was performed.",
          "comment" : "It is possible for a procedure to be a reason (such as C-Section) for another procedure (such as an epidural). Other examples include endoscopy for dilatation and biopsy (a combination of diagnostic and therapeutic use). \nUse Procedure.reasonCode when a code sufficiently describes the reason.  Use Procedure.reasonReference when referencing a resource, which allows more information to be conveyed, such as onset date. Procedure.reasonCode and Procedure.reasonReference are not meant to be duplicative.  For a single reason, either Procedure.reasonCode or Procedure.reasonReference can be used.  Procedure.reasonCode may be a summary code, or Procedure.reasonReference may be used to reference a very precise definition of the reason using Condition | Observation | Procedure | DiagnosticReport | DocumentReference.  Both Procedure.reasonCode and Procedure.reasonReference can be used if they are describing different reasons for the procedure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Procedure",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Procedure.bodySite",
          "path" : "Procedure.bodySite",
          "short" : "Target body sites",
          "definition" : "Detailed and structured anatomical location information. Multiple locations are allowed - e.g. multiple punch biopsies of a lesion.",
          "comment" : "If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [procedure-targetbodystructure](extension-procedure-targetbodystructure.html).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-20"
          },
          {
            "identity" : "rim",
            "map" : ".targetSiteCode"
          }]
        },
        {
          "id" : "Procedure.outcome",
          "path" : "Procedure.outcome",
          "short" : "The result of procedure",
          "definition" : "The outcome of the procedure - did it resolve the reasons for the procedure being performed?",
          "comment" : "If outcome contains narrative text only, it can be captured using the CodeableConcept.text.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureOutcome"
            }],
            "strength" : "example",
            "description" : "An outcome of a procedure - whether it was resolved or otherwise.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-outcome"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=OUT].target.text"
          }]
        },
        {
          "id" : "Procedure.report",
          "path" : "Procedure.report",
          "short" : "Any report resulting from the procedure",
          "definition" : "This could be a histology result, pathology report, surgical report, etc.",
          "comment" : "There could potentially be multiple reports - e.g. if this was a procedure which took multiple biopsies resulting in a number of anatomical pathology reports.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference",
            "http://hl7.org/fhir/StructureDefinition/Composition"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "Procedure.complication",
          "path" : "Procedure.complication",
          "short" : "Complication following the procedure",
          "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period. These are generally tracked separately from the notes, which will typically describe the procedure itself rather than any 'post procedure' issues.",
          "comment" : "If complications are only expressed by the narrative text, they can be captured using the CodeableConcept.text.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureComplication"
            }],
            "strength" : "example",
            "description" : "Codes describing complications that resulted from a procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
          }]
        },
        {
          "id" : "Procedure.complicationDetail",
          "path" : "Procedure.complicationDetail",
          "short" : "A condition that is a result of the procedure",
          "definition" : "Any complications that occurred during the procedure, or in the immediate post-performance period.",
          "requirements" : "This is used to document a condition that is a result of the procedure, not the condition that was the reason for the procedure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=OUTC].target[classCode=OBS, code=\"complication\", moodCode=EVN].value"
          }]
        },
        {
          "id" : "Procedure.followUp",
          "path" : "Procedure.followUp",
          "short" : "Instructions for follow up",
          "definition" : "If the procedure required specific follow up - e.g. removal of sutures. The follow up may be represented as a simple note or could potentially be more complex, in which case the CarePlan resource can be used.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureFollowUp"
            }],
            "strength" : "example",
            "description" : "Specific follow up required for a procedure e.g. removal of sutures.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-followup"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code"
          }]
        },
        {
          "id" : "Procedure.note",
          "path" : "Procedure.note",
          "short" : "Additional information about the procedure",
          "definition" : "Any other notes and comments about the procedure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        },
        {
          "id" : "Procedure.focalDevice",
          "path" : "Procedure.focalDevice",
          "short" : "Manipulated, implanted, or removed device",
          "definition" : "A device that is implanted, removed or otherwise manipulated (calibration, battery replacement, fitting a prosthesis, attaching a wound-vac, etc.) as a focal portion of the Procedure.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=DEV].role[classCode=MANU]"
          }]
        },
        {
          "id" : "Procedure.focalDevice.action",
          "path" : "Procedure.focalDevice.action",
          "short" : "Kind of change to device",
          "definition" : "The kind of change that happened to the device during the procedure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DeviceActionKind"
            }],
            "strength" : "preferred",
            "description" : "A kind of change that happened to the device during the procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-action"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"procedure device action\"].value=:procedure device action codes"
          }]
        },
        {
          "id" : "Procedure.focalDevice.manipulated",
          "path" : "Procedure.focalDevice.manipulated",
          "short" : "Device that was changed",
          "definition" : "The device that was manipulated (changed) during the procedure.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=DEV].role[classCode=SDLOC]"
          }]
        },
        {
          "id" : "Procedure.usedReference",
          "path" : "Procedure.usedReference",
          "short" : "Items used during procedure",
          "definition" : "Identifies medications, devices and any other substance used as part of the procedure.",
          "comment" : "For devices actually implanted or removed, use Procedure.device.",
          "requirements" : "Used for tracking contamination, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=DEV].role[classCode=MANU] or\n.participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)"
          }]
        },
        {
          "id" : "Procedure.usedCode",
          "path" : "Procedure.usedCode",
          "short" : "Coded items used during the procedure",
          "definition" : "Identifies coded items that were used as part of the procedure.",
          "comment" : "For devices actually implanted or removed, use Procedure.device.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureUsed"
            }],
            "strength" : "example",
            "description" : "Codes describing items used during a procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/device-kind"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "participation[typeCode=Dev].role[classCode=MANU]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Provenance",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Provenance",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Provenance 
TU
DomainResource
Who, What, When for a set of resources
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 target 
Σ
1..*
Reference(Any)
Target Reference(s) (usually version specific)
 occurred[x] 
0..1
When the activity occurred
 occurredPeriod
Period
 occurredDateTime
dateTime
 recorded 
Σ
1..1
instant
When the activity was recorded / updated
 policy 
0..*
uri
Policy or plan the activity was defined by
 location 
0..1
Reference(Location)
Where the activity occurred, if relevant
 reason 
0..*
CodeableConcept
Reason the activity is occurring
V3 Value SetPurposeOfUse (Extensible)
 activity 
0..1
CodeableConcept
Activity that occurred
Provenance activity type (Extensible)
 agent 
1..*
BackboneElement
Actor involved
 type 
Σ
0..1
CodeableConcept
How the agent participated
Provenance participant type (Extensible)
 role 
0..*
CodeableConcept
What the agents role was
SecurityRoleType (Example)
 who 
Σ
1..1
Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)
Who participated
 onBehalfOf 
0..1
Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)
Who the agent is representing
 entity 
0..*
BackboneElement
An entity used in this activity
 role 
Σ
1..1
code
derivation | revision | quotation | source | removal
ProvenanceEntityRole (Required)
 what 
Σ
1..1
Reference(Any)
Identity of entity
 agent 
0..*
see agent
Entity is attributed to this agent
 signature 
0..*
Signature
Signature on target

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Security"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "sec"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Provenance",
      "version" : "4.0.0",
      "name" : "Provenance",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Security)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/secure/index.cfm"
        }]
      }],
      "description" : "Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w3c.prov",
        "uri" : "http://www.w3.org/ns/prov",
        "name" : "W3C PROV"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "fhirauditevent",
        "uri" : "http://hl7.org/fhir/auditevent",
        "name" : "FHIR AuditEvent Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Provenance",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Provenance",
          "path" : "Provenance",
          "short" : "Who, What, When for a set of resources",
          "definition" : "Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies.",
          "comment" : "Some parties may be duplicated between the target resource and its provenance.  For instance, the prescriber is usually (but not always) the author of the prescription resource. This resource is defined with close consideration for W3C Provenance.",
          "alias" : ["History",
          "Event",
          "Activity"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Provenance",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN]"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity"
          }]
        },
        {
          "id" : "Provenance.id",
          "path" : "Provenance.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Provenance.meta",
          "path" : "Provenance.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Provenance.implicitRules",
          "path" : "Provenance.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Provenance.language",
          "path" : "Provenance.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Provenance.text",
          "path" : "Provenance.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Provenance.contained",
          "path" : "Provenance.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Provenance.extension",
          "path" : "Provenance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Provenance.modifierExtension",
          "path" : "Provenance.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Provenance.target",
          "path" : "Provenance.target",
          "short" : "Target Reference(s) (usually version specific)",
          "definition" : "The Reference(s) that were generated or updated by  the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity.",
          "comment" : "Target references are usually version specific, but might not be, if a version has not been assigned or if the provenance information is part of the set of resources being maintained (i.e. a document). When using the RESTful API, the identity of the resource might not be known (especially not the version specific one); the client may either submit the resource first, and then the provenance, or it may submit both using a single transaction. See the notes on transaction for further discussion.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Provenance.target",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target  OR  ./participation[isNormalParticipation() and typeCode=SBJ]/role  OR  ./participation[isNormalParticipation() and typeCode=SBJ]/role[isNormalRole()]/player"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.entity.reference"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity Created/Updated"
          }]
        },
        {
          "id" : "Provenance.occurred[x]",
          "path" : "Provenance.occurred[x]",
          "short" : "When the activity occurred",
          "definition" : "The period during which the activity occurred.",
          "comment" : "The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Provenance.occurred[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          },
          {
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurred[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "./effectiveTime[type=IVL_TS]"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.startTime & Activity.endTime"
          }]
        },
        {
          "id" : "Provenance.recorded",
          "path" : "Provenance.recorded",
          "short" : "When the activity was recorded / updated",
          "definition" : "The instant of time at which the activity was recorded.",
          "comment" : "This can be a little different from the time stamp on the resource if there is a delay between recording the event and updating the provenance and target resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Provenance.recorded",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS])"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.recorded"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.when"
          }]
        },
        {
          "id" : "Provenance.policy",
          "path" : "Provenance.policy",
          "short" : "Policy or plan the activity was defined by",
          "definition" : "Policy or plan the activity was defined by. Typically, a single activity may have multiple applicable policy documents, such as patient consent, guarantor funding, etc.",
          "comment" : "For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Provenance.policy",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./inboundRelationship[isNormalActRelationship() and typeCode=\"SUBJ\"]/source[isNormalAct and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent.policy"
          }]
        },
        {
          "id" : "Provenance.location",
          "path" : "Provenance.location",
          "short" : "Where the activity occurred, if relevant",
          "definition" : "Where the activity occurred, if relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Provenance.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode=\"LOC\" and determinerCode=\"INST\"]"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent.location"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.location"
          }]
        },
        {
          "id" : "Provenance.reason",
          "path" : "Provenance.reason",
          "short" : "Reason the activity is occurring",
          "definition" : "The reason that the activity was taking place.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Provenance.reason",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceReason"
            }],
            "strength" : "extensible",
            "description" : "The reason the activity took place.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "unique(./reasonCode)"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.purposeOfEvent"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.Activity"
          }]
        },
        {
          "id" : "Provenance.activity",
          "path" : "Provenance.activity",
          "short" : "Activity that occurred",
          "definition" : "An activity is something that occurs over a period of time and acts upon or with entities; it may include consuming, processing, transforming, modifying, relocating, using, or generating entities.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Provenance.activity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceActivity"
            }],
            "strength" : "extensible",
            "description" : "The activity that took place.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-activity-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "Act.code"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.Activity"
          }]
        },
        {
          "id" : "Provenance.agent",
          "path" : "Provenance.agent",
          "short" : "Actor involved",
          "definition" : "An actor taking a role in an activity  for which it can be assigned some degree of responsibility for the activity taking place.",
          "comment" : "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.",
          "requirements" : "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Provenance.agent",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : "./participation[isNormalParticipation()]  OR  ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent"
          }]
        },
        {
          "id" : "Provenance.agent.id",
          "path" : "Provenance.agent.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Provenance.agent.extension",
          "path" : "Provenance.agent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Provenance.agent.modifierExtension",
          "path" : "Provenance.agent.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Provenance.agent.type",
          "path" : "Provenance.agent.type",
          "short" : "How the agent participated",
          "definition" : "The participation the agent had with respect to the activity.",
          "comment" : "For example: author, performer, enterer, attester, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Provenance.agent.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceAgentType"
            }],
            "strength" : "extensible",
            "description" : "The type of participation that a provenance agent played with respect to the activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-agent-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent.type"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Attribution"
          }]
        },
        {
          "id" : "Provenance.agent.role",
          "path" : "Provenance.agent.role",
          "short" : "What the agents role was",
          "definition" : "The function of the agent with respect to the activity. The security role enabling the agent with respect to the activity.",
          "comment" : "For example: doctor, nurse, clerk, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Provenance.agent.role",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceAgentRole"
            }],
            "strength" : "example",
            "description" : "The role that a provenance agent played with respect to the activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-role-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".typecode"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent.role"
          }]
        },
        {
          "id" : "Provenance.agent.who",
          "path" : "Provenance.agent.who",
          "short" : "Who participated",
          "definition" : "The individual, device or organization that participated in the event.",
          "comment" : "whoIdentity should be used when the agent is not a Resource type.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Provenance.agent.who",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Provenance.agent.onBehalfOf",
          "path" : "Provenance.agent.onBehalfOf",
          "short" : "Who the agent is representing",
          "definition" : "The individual, device, or organization for whom the change was made.",
          "comment" : "onBehalfOfIdentity should be used when the agent is not a Resource type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Provenance.agent.onBehalfOf",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]"
          }]
        },
        {
          "id" : "Provenance.entity",
          "path" : "Provenance.entity",
          "short" : "An entity used in this activity",
          "definition" : "An entity used in this activity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Provenance.entity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./subjectOf"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.entity"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity"
          }]
        },
        {
          "id" : "Provenance.entity.id",
          "path" : "Provenance.entity.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Provenance.entity.extension",
          "path" : "Provenance.entity.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Provenance.entity.modifierExtension",
          "path" : "Provenance.entity.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Provenance.entity.role",
          "path" : "Provenance.entity.role",
          "short" : "derivation | revision | quotation | source | removal",
          "definition" : "How the entity was used during the activity.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Provenance.entity.role",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceEntityRole"
            }],
            "strength" : "required",
            "description" : "How an entity was used in an activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./typeCode"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.entity.lifecycle"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.role"
          }]
        },
        {
          "id" : "Provenance.entity.what",
          "path" : "Provenance.entity.what",
          "short" : "Identity of entity",
          "definition" : "Identity of the  Entity used. May be a logical or physical uri and maybe absolute or relative.",
          "comment" : "whatIdentity should be used for entities that are not a Resource type.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Provenance.entity.what",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./text/reference"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.entity.reference"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.Identity"
          }]
        },
        {
          "id" : "Provenance.entity.agent",
          "path" : "Provenance.entity.agent",
          "short" : "Entity is attributed to this agent",
          "definition" : "The entity is attributed to an agent to express the agent's responsibility for that entity, possibly along with other agents. This description can be understood as shorthand for saying that the agent was responsible for the activity which generated the entity.",
          "comment" : "A usecase where one Provenance.entity.agent is used where the Entity that was used in the creation/updating of the Target, is not in the context of the same custodianship as the Target, and thus the meaning of Provenance.entity.agent is to say that the entity referenced is managed elsewhere and that this Agent provided access to it.  This would be similar to where the Entity being referenced is managed outside FHIR, such as through HL7 v2, v3, or XDS. This might be where the Entity being referenced is managed in another FHIR resource server. Thus it explains the Provenance of that Entity's use in the context of this Provenance activity.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Provenance.entity.agent",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Provenance.agent",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./author/role"
          }]
        },
        {
          "id" : "Provenance.signature",
          "path" : "Provenance.signature",
          "short" : "Signature on target",
          "definition" : "A digital signature on the target Reference(s). The signer should match a Provenance.agent. The purpose of the signature is indicated.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Provenance.signature",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Signature"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./signatureText"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Provenance",
          "path" : "Provenance",
          "short" : "Who, What, When for a set of resources",
          "definition" : "Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies.",
          "comment" : "Some parties may be duplicated between the target resource and its provenance.  For instance, the prescriber is usually (but not always) the author of the prescription resource. This resource is defined with close consideration for W3C Provenance.",
          "alias" : ["History",
          "Event",
          "Activity"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN]"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity"
          }]
        },
        {
          "id" : "Provenance.target",
          "path" : "Provenance.target",
          "short" : "Target Reference(s) (usually version specific)",
          "definition" : "The Reference(s) that were generated or updated by  the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity.",
          "comment" : "Target references are usually version specific, but might not be, if a version has not been assigned or if the provenance information is part of the set of resources being maintained (i.e. a document). When using the RESTful API, the identity of the resource might not be known (especially not the version specific one); the client may either submit the resource first, and then the provenance, or it may submit both using a single transaction. See the notes on transaction for further discussion.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target  OR  ./participation[isNormalParticipation() and typeCode=SBJ]/role  OR  ./participation[isNormalParticipation() and typeCode=SBJ]/role[isNormalRole()]/player"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.entity.reference"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity Created/Updated"
          }]
        },
        {
          "id" : "Provenance.occurred[x]",
          "path" : "Provenance.occurred[x]",
          "short" : "When the activity occurred",
          "definition" : "The period during which the activity occurred.",
          "comment" : "The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          },
          {
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurred[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : "./effectiveTime[type=IVL_TS]"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.startTime & Activity.endTime"
          }]
        },
        {
          "id" : "Provenance.recorded",
          "path" : "Provenance.recorded",
          "short" : "When the activity was recorded / updated",
          "definition" : "The instant of time at which the activity was recorded.",
          "comment" : "This can be a little different from the time stamp on the resource if there is a delay between recording the event and updating the provenance and target resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS])"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.recorded"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.when"
          }]
        },
        {
          "id" : "Provenance.policy",
          "path" : "Provenance.policy",
          "short" : "Policy or plan the activity was defined by",
          "definition" : "Policy or plan the activity was defined by. Typically, a single activity may have multiple applicable policy documents, such as patient consent, guarantor funding, etc.",
          "comment" : "For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./inboundRelationship[isNormalActRelationship() and typeCode=\"SUBJ\"]/source[isNormalAct and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent.policy"
          }]
        },
        {
          "id" : "Provenance.location",
          "path" : "Provenance.location",
          "short" : "Where the activity occurred, if relevant",
          "definition" : "Where the activity occurred, if relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : "unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode=\"LOC\" and determinerCode=\"INST\"]"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent.location"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.location"
          }]
        },
        {
          "id" : "Provenance.reason",
          "path" : "Provenance.reason",
          "short" : "Reason the activity is occurring",
          "definition" : "The reason that the activity was taking place.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceReason"
            }],
            "strength" : "extensible",
            "description" : "The reason the activity took place.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "unique(./reasonCode)"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.purposeOfEvent"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.Activity"
          }]
        },
        {
          "id" : "Provenance.activity",
          "path" : "Provenance.activity",
          "short" : "Activity that occurred",
          "definition" : "An activity is something that occurs over a period of time and acts upon or with entities; it may include consuming, processing, transforming, modifying, relocating, using, or generating entities.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceActivity"
            }],
            "strength" : "extensible",
            "description" : "The activity that took place.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-activity-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : "Act.code"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Activity.Activity"
          }]
        },
        {
          "id" : "Provenance.agent",
          "path" : "Provenance.agent",
          "short" : "Actor involved",
          "definition" : "An actor taking a role in an activity  for which it can be assigned some degree of responsibility for the activity taking place.",
          "comment" : "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.",
          "requirements" : "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.who"
          },
          {
            "identity" : "rim",
            "map" : "./participation[isNormalParticipation()]  OR  ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent"
          }]
        },
        {
          "id" : "Provenance.agent.type",
          "path" : "Provenance.agent.type",
          "short" : "How the agent participated",
          "definition" : "The participation the agent had with respect to the activity.",
          "comment" : "For example: author, performer, enterer, attester, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceAgentType"
            }],
            "strength" : "extensible",
            "description" : "The type of participation that a provenance agent played with respect to the activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-agent-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.function"
          },
          {
            "identity" : "rim",
            "map" : ".role"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent.type"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Agent.Attribution"
          }]
        },
        {
          "id" : "Provenance.agent.role",
          "path" : "Provenance.agent.role",
          "short" : "What the agents role was",
          "definition" : "The function of the agent with respect to the activity. The security role enabling the agent with respect to the activity.",
          "comment" : "For example: doctor, nurse, clerk, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceAgentRole"
            }],
            "strength" : "example",
            "description" : "The role that a provenance agent played with respect to the activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/security-role-type"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".typecode"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.agent.role"
          }]
        },
        {
          "id" : "Provenance.agent.who",
          "path" : "Provenance.agent.who",
          "short" : "Who participated",
          "definition" : "The individual, device or organization that participated in the event.",
          "comment" : "whoIdentity should be used when the agent is not a Resource type.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Provenance.agent.onBehalfOf",
          "path" : "Provenance.agent.onBehalfOf",
          "short" : "Who the agent is representing",
          "definition" : "The individual, device, or organization for whom the change was made.",
          "comment" : "onBehalfOfIdentity should be used when the agent is not a Resource type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]"
          }]
        },
        {
          "id" : "Provenance.entity",
          "path" : "Provenance.entity",
          "short" : "An entity used in this activity",
          "definition" : "An entity used in this activity.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./subjectOf"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.entity"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity"
          }]
        },
        {
          "id" : "Provenance.entity.role",
          "path" : "Provenance.entity.role",
          "short" : "derivation | revision | quotation | source | removal",
          "definition" : "How the entity was used during the activity.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProvenanceEntityRole"
            }],
            "strength" : "required",
            "description" : "How an entity was used in an activity.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "./typeCode"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.entity.lifecycle"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.role"
          }]
        },
        {
          "id" : "Provenance.entity.what",
          "path" : "Provenance.entity.what",
          "short" : "Identity of entity",
          "definition" : "Identity of the  Entity used. May be a logical or physical uri and maybe absolute or relative.",
          "comment" : "whatIdentity should be used for entities that are not a Resource type.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "./text/reference"
          },
          {
            "identity" : "fhirauditevent",
            "map" : "AuditEvent.entity.reference"
          },
          {
            "identity" : "w3c.prov",
            "map" : "Entity.Identity"
          }]
        },
        {
          "id" : "Provenance.entity.agent",
          "path" : "Provenance.entity.agent",
          "short" : "Entity is attributed to this agent",
          "definition" : "The entity is attributed to an agent to express the agent's responsibility for that entity, possibly along with other agents. This description can be understood as shorthand for saying that the agent was responsible for the activity which generated the entity.",
          "comment" : "A usecase where one Provenance.entity.agent is used where the Entity that was used in the creation/updating of the Target, is not in the context of the same custodianship as the Target, and thus the meaning of Provenance.entity.agent is to say that the entity referenced is managed elsewhere and that this Agent provided access to it.  This would be similar to where the Entity being referenced is managed outside FHIR, such as through HL7 v2, v3, or XDS. This might be where the Entity being referenced is managed in another FHIR resource server. Thus it explains the Provenance of that Entity's use in the context of this Provenance activity.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Provenance.agent",
          "mapping" : [{
            "identity" : "rim",
            "map" : "./author/role"
          }]
        },
        {
          "id" : "Provenance.signature",
          "path" : "Provenance.signature",
          "short" : "Signature on target",
          "definition" : "A digital signature on the target Reference(s). The signer should match a Provenance.agent. The purpose of the signature is indicated.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Signature"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "./signatureText"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Questionnaire",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Questionnaire",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Questionnaire 
ITU
DomainResource
A structured set of questions
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: The link ids for groups and questions must be unique within the questionnaire
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this questionnaire, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the questionnaire
 version 
Σ
0..1
string
Business version of the questionnaire
 name 
ΣI
0..1
string
Name for this questionnaire (computer friendly)
 title 
Σ
0..1
string
Name for this questionnaire (human friendly)
 derivedFrom 
0..*
canonical(Questionnaire)
Instantiates protocol or definition
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 subjectType 
Σ
0..*
code
Resource that can be subject of QuestionnaireResponse
ResourceType (Required)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the questionnaire
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for questionnaire (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this questionnaire is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the questionnaire was approved by publisher
 lastReviewDate 
0..1
date
When the questionnaire was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the questionnaire is expected to be used
 code 
Σ
0..*
Coding
Concept that represents the overall questionnaire
Questionnaire Question Codes (Example)
 item 
I
0..*
BackboneElement
Questions and sections within the Questionnaire
+ Rule: Group items must have nested items, display items cannot have nested items
+ Rule: Display items cannot have a "code" asserted
+ Rule: A question cannot have both answerOption and answerValueSet
+ Rule: Only 'choice' and 'open-choice' items can have answerValueSet
+ Rule: Required and repeat aren't permitted for display items
+ Rule: Initial values can't be specified for groups or display items
+ Rule: Read-only can't be specified for "display" items
+ Rule: Maximum length can only be declared for simple question types
+ Rule: If one or more answerOption is present, initial[x] must be missing
+ Rule: If there are more than one enableWhen, enableBehavior must be specified
+ Rule: Can only have multiple initial values for repeating items
 linkId 
1..1
string
Unique id for item in questionnaire
 definition 
0..1
uri
ElementDefinition - details for the item
 code 
I
0..*
Coding
Corresponding concept for this item in a terminology
Questionnaire Question Codes (Example)
 prefix 
0..1
string
E.g. "1(a)", "2.5.3"
 text 
0..1
string
Primary text for the item
 type 
1..1
code
group | display | boolean | decimal | integer | date | dateTime +
QuestionnaireItemType (Required)
 enableWhen 
?!I
0..*
BackboneElement
Only allow data when
+ Rule: If the operator is 'exists', the value must be a boolean
 question 
1..1
string
Question that determines whether item is enabled
 operator 
1..1
code
exists | = | != | > | < | >= | <=
QuestionnaireItemOperator (Required)
 answer[x] 
I
1..1
Value for question comparison based on operator
Questionnaire Answer Codes (Example)
 answerBoolean
boolean
 answerDecimal
decimal
 answerInteger
integer
 answerDate
date
 answerDateTime
dateTime
 answerTime
time
 answerString
string
 answerCoding
Coding
 answerQuantity
Quantity
 answerReference
Reference(Any)
 enableBehavior 
I
0..1
code
all | any
EnableWhenBehavior (Required)
 required 
I
0..1
boolean
Whether the item must be included in data results
 repeats 
I
0..1
boolean
Whether the item may repeat
 readOnly 
I
0..1
boolean
Don't allow human editing
 maxLength 
I
0..1
integer
No more than this many characters
 answerValueSet 
I
0..1
canonical(ValueSet)
Valueset containing permitted answers
 answerOption 
I
0..*
BackboneElement
Permitted answer
 value[x] 
1..1
Answer value
Questionnaire Answer Codes (Example)
 valueInteger
integer
 valueDate
date
 valueTime
time
 valueString
string
 valueCoding
Coding
 valueReference
Reference(Any)
 initialSelected 
0..1
boolean
Whether option is selected by default
 initial 
I
0..*
BackboneElement
Initial value(s) when item is first rendered
 value[x] 
1..1
Actual value for initializing the question
Questionnaire Answer Codes (Example)
 valueBoolean
boolean
 valueDecimal
decimal
 valueInteger
integer
 valueDate
date
 valueDateTime
dateTime
 valueTime
time
 valueString
string
 valueUri
uri
 valueAttachment
Attachment
 valueCoding
Coding
 valueQuantity
Quantity
 valueReference
Reference(Any)
 item 
I
0..*
see item
Nested questionnaire items

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Definitional Artifacts"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Questionnaire",
      "version" : "4.0.0",
      "name" : "Questionnaire",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.",
      "purpose" : "To support structured, hierarchical registration of data gathered using digital forms and other questionnaires.  Questionnaires provide greater control over presentation and allow capture of data in a domain-independent way (i.e. capturing information that would otherwise require multiple distinct types of resources).",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Questionnaire",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Questionnaire",
          "path" : "Questionnaire",
          "short" : "A structured set of questions",
          "definition" : "A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.",
          "alias" : ["Form",
          "CRF",
          "Survey"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "que-2",
            "severity" : "error",
            "human" : "The link ids for groups and questions must be unique within the questionnaire",
            "expression" : "descendants().linkId.isDistinct()",
            "xpath" : "count(descendant::f:linkId/@value)=count(distinct-values(descendant::f:linkId/@value))"
          },
          {
            "key" : "que-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          },
          {
            "identity" : "rim",
            "map" : "Observation[moodCode=DEF]"
          }]
        },
        {
          "id" : "Questionnaire.id",
          "path" : "Questionnaire.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Questionnaire.meta",
          "path" : "Questionnaire.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Questionnaire.implicitRules",
          "path" : "Questionnaire.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Questionnaire.language",
          "path" : "Questionnaire.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Questionnaire.text",
          "path" : "Questionnaire.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Questionnaire.contained",
          "path" : "Questionnaire.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.extension",
          "path" : "Questionnaire.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.modifierExtension",
          "path" : "Questionnaire.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.url",
          "path" : "Questionnaire.url",
          "short" : "Canonical identifier for this questionnaire, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this questionnaire is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the questionnaire is stored on different servers.",
          "comment" : "The name of the referenced questionnaire can be conveyed using the http://hl7.org/fhir/StructureDefinition/display extension.",
          "requirements" : "…  This is the id that will be used to link a QuestionnaireResponse to the Questionnaire the response is for.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier[scope=BUSN;reliability=ISS]"
          }]
        },
        {
          "id" : "Questionnaire.identifier",
          "path" : "Questionnaire.identifier",
          "short" : "Additional identifier for the questionnaire",
          "definition" : "A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this questionnaire outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.version",
          "path" : "Questionnaire.version",
          "short" : "Business version of the questionnaire",
          "definition" : "The identifier that is used to identify this version of the questionnaire when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the questionnaire author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different questionnaire instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the questionnaire with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Questionnaire.name",
          "path" : "Questionnaire.name",
          "short" : "Name for this questionnaire (computer friendly)",
          "definition" : "A natural language name identifying the questionnaire. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.title",
          "path" : "Questionnaire.title",
          "short" : "Name for this questionnaire (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the questionnaire.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "Questionnaire.derivedFrom",
          "path" : "Questionnaire.derivedFrom",
          "short" : "Instantiates protocol or definition",
          "definition" : "The URL of a Questionnaire that this Questionnaire is based on.",
          "requirements" : "Allows a Questionnaire to be created based on another Questionnaire.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.derivedFrom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.derivedFrom"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DRIV].target[classCode=OBS, moodCode=DEFN]"
          }]
        },
        {
          "id" : "Questionnaire.status",
          "path" : "Questionnaire.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this questionnaire. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of questionnaires that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Questionnaire.experimental",
          "path" : "Questionnaire.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this questionnaire is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of questionnaires that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level questionnaire.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.subjectType",
          "path" : "Questionnaire.subjectType",
          "short" : "Resource that can be subject of QuestionnaireResponse",
          "definition" : "The types of subjects that can be the subject of responses created for the questionnaire.",
          "comment" : "If none are specified, then the subject is unlimited.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.subjectType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=META].target[classCode=OBS, moodCode=DEFN, isCriterion=true].participation.role.classCode"
          }]
        },
        {
          "id" : "Questionnaire.date",
          "path" : "Questionnaire.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the questionnaire was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the questionnaire changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the questionnaire. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Questionnaire.publisher",
          "path" : "Questionnaire.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the questionnaire.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the questionnaire is the organization or individual primarily responsible for the maintenance and upkeep of the questionnaire. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the questionnaire. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the questionnaire.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "Questionnaire.contact",
          "path" : "Questionnaire.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CALLBCK].role"
          }]
        },
        {
          "id" : "Questionnaire.description",
          "path" : "Questionnaire.description",
          "short" : "Natural language description of the questionnaire",
          "definition" : "A free text natural language description of the questionnaire from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the questionnaire was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the questionnaire as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the questionnaire is presumed to be the predominant language in the place the questionnaire was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Questionnaire.useContext",
          "path" : "Questionnaire.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate questionnaire instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Questionnaire.jurisdiction",
          "path" : "Questionnaire.jurisdiction",
          "short" : "Intended jurisdiction for questionnaire (if applicable)",
          "definition" : "A legal or geographic region in which the questionnaire is intended to be used.",
          "comment" : "It may be possible for the questionnaire to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Questionnaire.purpose",
          "path" : "Questionnaire.purpose",
          "short" : "Why this questionnaire is defined",
          "definition" : "Explanation of why this questionnaire is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the questionnaire. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this questionnaire.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode.text"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.copyright",
          "path" : "Questionnaire.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the questionnaire and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the questionnaire.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the questionnaire and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.approvalDate",
          "path" : "Questionnaire.approvalDate",
          "short" : "When the questionnaire was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].act[classCode=CACT;moodCode=EVN;code=\"approval\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.lastReviewDate",
          "path" : "Questionnaire.lastReviewDate",
          "short" : "When the questionnaire was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"; subsetCode=\"RECENT\"].act[classCode=CACT;moodCode=EVN;code=\"review\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.effectivePeriod",
          "path" : "Questionnaire.effectivePeriod",
          "short" : "When the questionnaire is expected to be used",
          "definition" : "The period during which the questionnaire content was or is planned to be in active use.",
          "comment" : "The effective period for a questionnaire  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the questionnaire are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.code",
          "path" : "Questionnaire.code",
          "short" : "Concept that represents the overall questionnaire",
          "definition" : "An identifier for this question or group of questions in a particular terminology such as LOINC.",
          "requirements" : "Allows linking of the complete Questionnaire resources to formal terminologies.  It's common for \"panels\" of questions to be identified by a code.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireConcept"
            }],
            "strength" : "example",
            "description" : "Codes for questionnaires, groups and individual questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Questionnaire.item",
          "path" : "Questionnaire.item",
          "short" : "Questions and sections within the Questionnaire",
          "definition" : "A particular question, question grouping or display text that is part of the questionnaire.",
          "comment" : "The content of the questionnaire is constructed from an ordered, hierarchical collection of items.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.item",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["que-3"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "que-9",
            "severity" : "error",
            "human" : "Read-only can't be specified for \"display\" items",
            "expression" : "type!='display' or readOnly.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])"
          },
          {
            "key" : "que-8",
            "severity" : "error",
            "human" : "Initial values can't be specified for groups or display items",
            "expression" : "(type!='group' and type!='display') or initial.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])"
          },
          {
            "key" : "que-6",
            "severity" : "error",
            "human" : "Required and repeat aren't permitted for display items",
            "expression" : "type!='display' or (required.empty() and repeats.empty())",
            "xpath" : "not(f:type/@value='display' and (f:required or f:repeats))"
          },
          {
            "key" : "que-5",
            "severity" : "error",
            "human" : "Only 'choice' and 'open-choice' items can have answerValueSet",
            "expression" : "(type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty())",
            "xpath" : "f:type/@value=('choice','open-choice','decimal','integer','date','dateTime','time','string','quantity',') or not(f:answerOption or f:answerValueSet)"
          },
          {
            "key" : "que-4",
            "severity" : "error",
            "human" : "A question cannot have both answerOption and answerValueSet",
            "expression" : "answerOption.empty() or answerValueSet.empty()",
            "xpath" : "not(f:answerValueSet and f:answerOption)"
          },
          {
            "key" : "que-3",
            "severity" : "error",
            "human" : "Display items cannot have a \"code\" asserted",
            "expression" : "type!='display' or code.empty()",
            "xpath" : "not(f:type/@value='display' and f:code)"
          },
          {
            "key" : "que-10",
            "severity" : "error",
            "human" : "Maximum length can only be declared for simple question types",
            "expression" : "(type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty()",
            "xpath" : "f:type/@value=('boolean', 'decimal', 'integer', 'open-choice', 'string', 'text', 'url') or not(f:maxLength)"
          },
          {
            "key" : "que-1",
            "severity" : "error",
            "human" : "Group items must have nested items, display items cannot have nested items",
            "expression" : "(type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty())",
            "xpath" : "not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))"
          },
          {
            "key" : "que-13",
            "severity" : "error",
            "human" : "Can only have multiple initial values for repeating items",
            "expression" : "repeats=true or initial.count() <= 1",
            "xpath" : "f:repeats/@value='true' or count(f:initial)<=1"
          },
          {
            "key" : "que-11",
            "severity" : "error",
            "human" : "If one or more answerOption is present, initial[x] must be missing",
            "expression" : "answerOption.empty() or initial.empty()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))"
          },
          {
            "key" : "que-12",
            "severity" : "error",
            "human" : "If there are more than one enableWhen, enableBehavior must be specified",
            "expression" : "enableWhen.count() > 2 implies enableBehavior.exists()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=DEF]"
          }]
        },
        {
          "id" : "Questionnaire.item.id",
          "path" : "Questionnaire.item.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Questionnaire.item.extension",
          "path" : "Questionnaire.item.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Questionnaire.item.modifierExtension",
          "path" : "Questionnaire.item.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.item.linkId",
          "path" : "Questionnaire.item.linkId",
          "short" : "Unique id for item in questionnaire",
          "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
          "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
          "requirements" : "[QuestionnaireResponse](questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.linkId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Questionnaire.item.definition",
          "path" : "Questionnaire.item.definition",
          "short" : "ElementDefinition - details for the item",
          "definition" : "This element is a URI that refers to an [ElementDefinition](elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
          "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](structuredefinition.html#) and always starts with the [canonical URL](references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
          "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.definition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=INST].target[classCode=OBS, moodCode=DEF]"
          }]
        },
        {
          "id" : "Questionnaire.item.code",
          "path" : "Questionnaire.item.code",
          "short" : "Corresponding concept for this item in a terminology",
          "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
          "comment" : "The value may come from the ElementDefinition referred to by .definition.",
          "requirements" : "Allows linking of groups of questions to formal terminologies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.item.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "condition" : ["que-3"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireConcept"
            }],
            "strength" : "example",
            "description" : "Codes for questionnaires, groups and individual questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Questionnaire.item.prefix",
          "path" : "Questionnaire.item.prefix",
          "short" : "E.g. \"1(a)\", \"2.5.3\"",
          "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
          "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
          "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
          "alias" : ["label"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.prefix",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Not supported"
          }]
        },
        {
          "id" : "Questionnaire.item.text",
          "path" : "Questionnaire.item.text",
          "short" : "Primary text for the item",
          "definition" : "The name of a section, the text of a question or text content for a display item.",
          "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Questionnaire.item.type",
          "path" : "Questionnaire.item.type",
          "short" : "group | display | boolean | decimal | integer | date | dateTime +",
          "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
          "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
          "requirements" : "Defines the format in which the user is to be prompted for the answer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }],
            "strength" : "required",
            "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen",
          "path" : "Questionnaire.item.enableWhen",
          "short" : "Only allow data when",
          "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
          "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
          "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.item.enableWhen",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }],
          "isModifier" : true,
          "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.id",
          "path" : "Questionnaire.item.enableWhen.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.extension",
          "path" : "Questionnaire.item.enableWhen.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.modifierExtension",
          "path" : "Questionnaire.item.enableWhen.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.question",
          "path" : "Questionnaire.item.enableWhen.question",
          "short" : "Question that determines whether item is enabled",
          "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
          "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.enableWhen.question",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.operator",
          "path" : "Questionnaire.item.enableWhen.operator",
          "short" : "exists | = | != | > | < | >= | <=",
          "definition" : "Specifies the criteria by which the question is enabled.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.enableWhen.operator",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }],
            "strength" : "required",
            "description" : "The criteria by which a question is enabled.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.answer[x]",
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "short" : "Value for question comparison based on operator",
          "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.enableWhen.answer[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "condition" : ["que-7"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireQuestionOption3"
            }],
            "strength" : "example",
            "description" : "Allowed values to answer questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableBehavior",
          "path" : "Questionnaire.item.enableBehavior",
          "short" : "all | any",
          "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "comment" : "This element must be specified if more than one enableWhen value is provided.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.enableBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["que-12"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnableWhenBehavior"
            }],
            "strength" : "required",
            "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.required",
          "path" : "Questionnaire.item.required",
          "short" : "Whether the item must be included in data results",
          "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
          "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.required",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
          "condition" : ["que-6"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.repeats",
          "path" : "Questionnaire.item.repeats",
          "short" : "Whether the item may repeat",
          "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
          "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
          "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.repeats",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
          "condition" : ["que-6"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.readOnly",
          "path" : "Questionnaire.item.readOnly",
          "short" : "Don't allow human editing",
          "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
          "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
          "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.readOnly",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "condition" : ["que-9"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.maxLength",
          "path" : "Questionnaire.item.maxLength",
          "short" : "No more than this many characters",
          "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
          "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.maxLength",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "condition" : ["que-10"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.answerValueSet",
          "path" : "Questionnaire.item.answerValueSet",
          "short" : "Valueset containing permitted answers",
          "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
          "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.answerValueSet",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "condition" : ["que-4",
          "que-5"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption",
          "path" : "Questionnaire.item.answerOption",
          "short" : "Permitted answer",
          "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
          "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.item.answerOption",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["que-4",
          "que-5"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption.id",
          "path" : "Questionnaire.item.answerOption.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption.extension",
          "path" : "Questionnaire.item.answerOption.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption.modifierExtension",
          "path" : "Questionnaire.item.answerOption.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption.value[x]",
          "path" : "Questionnaire.item.answerOption.value[x]",
          "short" : "Answer value",
          "definition" : "A potential answer that's allowed as the answer to this question.",
          "comment" : "The data type of the value must agree with the item.type.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.answerOption.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireQuestionOption"
            }],
            "strength" : "example",
            "description" : "Allowed values to answer questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption.initialSelected",
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "short" : "Whether option is selected by default",
          "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
          "comment" : "Use this instead of initial[v] if answerValueSet is present.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.answerOption.initialSelected",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.initial",
          "path" : "Questionnaire.item.initial",
          "short" : "Initial value(s) when item is first rendered",
          "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
          "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
          "requirements" : "In some workflows, having defaults saves time.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.item.initial",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["que-8",
          "que-13"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.initial.id",
          "path" : "Questionnaire.item.initial.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Questionnaire.item.initial.extension",
          "path" : "Questionnaire.item.initial.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Questionnaire.item.initial.modifierExtension",
          "path" : "Questionnaire.item.initial.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.item.initial.value[x]",
          "path" : "Questionnaire.item.initial.value[x]",
          "short" : "Actual value for initializing the question",
          "definition" : "The actual value to for an initial answer.",
          "comment" : "The type of the initial value must be consistent with the type of the item.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Questionnaire.item.initial.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireQuestionOption2"
            }],
            "strength" : "example",
            "description" : "Allowed values to answer questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.item",
          "path" : "Questionnaire.item.item",
          "short" : "Nested questionnaire items",
          "definition" : "Text, questions and other groups to be nested beneath a question or group.",
          "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
          "requirements" : "Reports can consist of complex nested groups.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Questionnaire.item.item",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#Questionnaire.item",
          "condition" : ["que-1"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Questionnaire",
          "path" : "Questionnaire",
          "short" : "A structured set of questions",
          "definition" : "A structured set of questions intended to guide the collection of answers from end-users. Questionnaires provide detailed control over order, presentation, phraseology and grouping to allow coherent, consistent data collection.",
          "alias" : ["Form",
          "CRF",
          "Survey"],
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "que-2",
            "severity" : "error",
            "human" : "The link ids for groups and questions must be unique within the questionnaire",
            "expression" : "descendants().linkId.isDistinct()",
            "xpath" : "count(descendant::f:linkId/@value)=count(distinct-values(descendant::f:linkId/@value))"
          },
          {
            "key" : "que-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          },
          {
            "identity" : "rim",
            "map" : "Observation[moodCode=DEF]"
          }]
        },
        {
          "id" : "Questionnaire.url",
          "path" : "Questionnaire.url",
          "short" : "Canonical identifier for this questionnaire, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this questionnaire when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this questionnaire is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the questionnaire is stored on different servers.",
          "comment" : "The name of the referenced questionnaire can be conveyed using the http://hl7.org/fhir/StructureDefinition/display extension.",
          "requirements" : "…  This is the id that will be used to link a QuestionnaireResponse to the Questionnaire the response is for.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier[scope=BUSN;reliability=ISS]"
          }]
        },
        {
          "id" : "Questionnaire.identifier",
          "path" : "Questionnaire.identifier",
          "short" : "Additional identifier for the questionnaire",
          "definition" : "A formal identifier that is used to identify this questionnaire when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this questionnaire outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.version",
          "path" : "Questionnaire.version",
          "short" : "Business version of the questionnaire",
          "definition" : "The identifier that is used to identify this version of the questionnaire when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the questionnaire author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different questionnaire instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the questionnaire with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Questionnaire.name",
          "path" : "Questionnaire.name",
          "short" : "Name for this questionnaire (computer friendly)",
          "definition" : "A natural language name identifying the questionnaire. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.title",
          "path" : "Questionnaire.title",
          "short" : "Name for this questionnaire (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the questionnaire.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          },
          {
            "identity" : "rim",
            "map" : ".title"
          }]
        },
        {
          "id" : "Questionnaire.derivedFrom",
          "path" : "Questionnaire.derivedFrom",
          "short" : "Instantiates protocol or definition",
          "definition" : "The URL of a Questionnaire that this Questionnaire is based on.",
          "requirements" : "Allows a Questionnaire to be created based on another Questionnaire.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.derivedFrom"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DRIV].target[classCode=OBS, moodCode=DEFN]"
          }]
        },
        {
          "id" : "Questionnaire.status",
          "path" : "Questionnaire.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this questionnaire. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of questionnaires that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "Questionnaire.experimental",
          "path" : "Questionnaire.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this questionnaire is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of questionnaires that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level questionnaire.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Questionnaire.subjectType",
          "path" : "Questionnaire.subjectType",
          "short" : "Resource that can be subject of QuestionnaireResponse",
          "definition" : "The types of subjects that can be the subject of responses created for the questionnaire.",
          "comment" : "If none are specified, then the subject is unlimited.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=META].target[classCode=OBS, moodCode=DEFN, isCriterion=true].participation.role.classCode"
          }]
        },
        {
          "id" : "Questionnaire.date",
          "path" : "Questionnaire.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the questionnaire was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the questionnaire changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the questionnaire. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Questionnaire.publisher",
          "path" : "Questionnaire.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the questionnaire.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the questionnaire is the organization or individual primarily responsible for the maintenance and upkeep of the questionnaire. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the questionnaire. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the questionnaire.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "Questionnaire.contact",
          "path" : "Questionnaire.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CALLBCK].role"
          }]
        },
        {
          "id" : "Questionnaire.description",
          "path" : "Questionnaire.description",
          "short" : "Natural language description of the questionnaire",
          "definition" : "A free text natural language description of the questionnaire from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the questionnaire was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the questionnaire as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the questionnaire is presumed to be the predominant language in the place the questionnaire was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Questionnaire.useContext",
          "path" : "Questionnaire.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate questionnaire instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Questionnaire.jurisdiction",
          "path" : "Questionnaire.jurisdiction",
          "short" : "Intended jurisdiction for questionnaire (if applicable)",
          "definition" : "A legal or geographic region in which the questionnaire is intended to be used.",
          "comment" : "It may be possible for the questionnaire to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          }]
        },
        {
          "id" : "Questionnaire.purpose",
          "path" : "Questionnaire.purpose",
          "short" : "Why this questionnaire is defined",
          "definition" : "Explanation of why this questionnaire is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the questionnaire. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this questionnaire.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode.text"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.copyright",
          "path" : "Questionnaire.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the questionnaire and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the questionnaire.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the questionnaire and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.approvalDate",
          "path" : "Questionnaire.approvalDate",
          "short" : "When the questionnaire was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"].act[classCode=CACT;moodCode=EVN;code=\"approval\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.lastReviewDate",
          "path" : "Questionnaire.lastReviewDate",
          "short" : "When the questionnaire was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"SUBJ\"; subsetCode=\"RECENT\"].act[classCode=CACT;moodCode=EVN;code=\"review\"].effectiveTime"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.effectivePeriod",
          "path" : "Questionnaire.effectivePeriod",
          "short" : "When the questionnaire is expected to be used",
          "definition" : "The period during which the questionnaire content was or is planned to be in active use.",
          "comment" : "The effective period for a questionnaire  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the questionnaire are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "rim",
            "map" : "N/A (to add?)"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "Questionnaire.code",
          "path" : "Questionnaire.code",
          "short" : "Concept that represents the overall questionnaire",
          "definition" : "An identifier for this question or group of questions in a particular terminology such as LOINC.",
          "requirements" : "Allows linking of the complete Questionnaire resources to formal terminologies.  It's common for \"panels\" of questions to be identified by a code.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireConcept"
            }],
            "strength" : "example",
            "description" : "Codes for questionnaires, groups and individual questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Questionnaire.item",
          "path" : "Questionnaire.item",
          "short" : "Questions and sections within the Questionnaire",
          "definition" : "A particular question, question grouping or display text that is part of the questionnaire.",
          "comment" : "The content of the questionnaire is constructed from an ordered, hierarchical collection of items.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["que-3"],
          "constraint" : [{
            "key" : "que-9",
            "severity" : "error",
            "human" : "Read-only can't be specified for \"display\" items",
            "expression" : "type!='display' or readOnly.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])"
          },
          {
            "key" : "que-8",
            "severity" : "error",
            "human" : "Initial values can't be specified for groups or display items",
            "expression" : "(type!='group' and type!='display') or initial.empty()",
            "xpath" : "not(f:type/@value=('group', 'display') and f:*[starts-with(local-name(.), 'initial')])"
          },
          {
            "key" : "que-6",
            "severity" : "error",
            "human" : "Required and repeat aren't permitted for display items",
            "expression" : "type!='display' or (required.empty() and repeats.empty())",
            "xpath" : "not(f:type/@value='display' and (f:required or f:repeats))"
          },
          {
            "key" : "que-5",
            "severity" : "error",
            "human" : "Only 'choice' and 'open-choice' items can have answerValueSet",
            "expression" : "(type ='choice' or type = 'open-choice' or type = 'decimal' or type = 'integer' or type = 'date' or type = 'dateTime' or type = 'time' or type = 'string' or type = 'quantity') or (answerValueSet.empty() and answerOption.empty())",
            "xpath" : "f:type/@value=('choice','open-choice','decimal','integer','date','dateTime','time','string','quantity',') or not(f:answerOption or f:answerValueSet)"
          },
          {
            "key" : "que-4",
            "severity" : "error",
            "human" : "A question cannot have both answerOption and answerValueSet",
            "expression" : "answerOption.empty() or answerValueSet.empty()",
            "xpath" : "not(f:answerValueSet and f:answerOption)"
          },
          {
            "key" : "que-3",
            "severity" : "error",
            "human" : "Display items cannot have a \"code\" asserted",
            "expression" : "type!='display' or code.empty()",
            "xpath" : "not(f:type/@value='display' and f:code)"
          },
          {
            "key" : "que-10",
            "severity" : "error",
            "human" : "Maximum length can only be declared for simple question types",
            "expression" : "(type in ('boolean' | 'decimal' | 'integer' | 'string' | 'text' | 'url' | 'open-choice')) or maxLength.empty()",
            "xpath" : "f:type/@value=('boolean', 'decimal', 'integer', 'open-choice', 'string', 'text', 'url') or not(f:maxLength)"
          },
          {
            "key" : "que-1",
            "severity" : "error",
            "human" : "Group items must have nested items, display items cannot have nested items",
            "expression" : "(type='group' implies item.empty().not()) and (type.trace('type')='display' implies item.trace('item').empty())",
            "xpath" : "not((f:type/@value='group' and not(f:item)) or (f:type/@value='display' and f:item))"
          },
          {
            "key" : "que-13",
            "severity" : "error",
            "human" : "Can only have multiple initial values for repeating items",
            "expression" : "repeats=true or initial.count() <= 1",
            "xpath" : "f:repeats/@value='true' or count(f:initial)<=1"
          },
          {
            "key" : "que-11",
            "severity" : "error",
            "human" : "If one or more answerOption is present, initial[x] must be missing",
            "expression" : "answerOption.empty() or initial.empty()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))"
          },
          {
            "key" : "que-12",
            "severity" : "error",
            "human" : "If there are more than one enableWhen, enableBehavior must be specified",
            "expression" : "enableWhen.count() > 2 implies enableBehavior.exists()",
            "xpath" : "not(f:answerOption) or not(count(f:*[starts-with(local-name(.), 'initial')]))"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=DEF]"
          }]
        },
        {
          "id" : "Questionnaire.item.linkId",
          "path" : "Questionnaire.item.linkId",
          "short" : "Unique id for item in questionnaire",
          "definition" : "An identifier that is unique within the Questionnaire allowing linkage to the equivalent item in a QuestionnaireResponse resource.",
          "comment" : "This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning.  GUIDs or sequential numbers are appropriate here.",
          "requirements" : "[QuestionnaireResponse](questionnaireresponse.html#) does not require omitted items to be included and may have some items that repeat, so linkage based on position alone is not sufficient.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Questionnaire.item.definition",
          "path" : "Questionnaire.item.definition",
          "short" : "ElementDefinition - details for the item",
          "definition" : "This element is a URI that refers to an [ElementDefinition](elementdefinition.html) that provides information about this item, including information that might otherwise be included in the instance of the Questionnaire resource. A detailed description of the construction of the URI is shown in Comments, below. If this element is present then the following element values MAY be derived from the Element Definition if the corresponding elements of this Questionnaire resource instance have no value:\n\n* code (ElementDefinition.code) \n* type (ElementDefinition.type) \n* required (ElementDefinition.min) \n* repeats (ElementDefinition.max) \n* maxLength (ElementDefinition.maxLength) \n* answerValueSet (ElementDefinition.binding)\n* options (ElementDefinition.binding).",
          "comment" : "The uri refers to an ElementDefinition in a [StructureDefinition](structuredefinition.html#) and always starts with the [canonical URL](references.html#canonical) for the target resource. When referring to a StructureDefinition, a fragment identifier is used to specify the element definition by its id [Element.id](element-definitions.html#Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x]. In the absence of a fragment identifier, the first/root element definition in the target is the matching element definition.",
          "requirements" : "A common pattern is to define a set of data elements and then build multiple questionnaires for different circumstances to gather the data. This element provides traceability to the common definition and allows the content for the question to come from the underlying definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=INST].target[classCode=OBS, moodCode=DEF]"
          }]
        },
        {
          "id" : "Questionnaire.item.code",
          "path" : "Questionnaire.item.code",
          "short" : "Corresponding concept for this item in a terminology",
          "definition" : "A terminology code that corresponds to this group or question (e.g. a code from LOINC, which defines many questions and answers).",
          "comment" : "The value may come from the ElementDefinition referred to by .definition.",
          "requirements" : "Allows linking of groups of questions to formal terminologies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "condition" : ["que-3"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireConcept"
            }],
            "strength" : "example",
            "description" : "Codes for questionnaires, groups and individual questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-questions"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Questionnaire.item.prefix",
          "path" : "Questionnaire.item.prefix",
          "short" : "E.g. \"1(a)\", \"2.5.3\"",
          "definition" : "A short label for a particular group, question or set of display text within the questionnaire used for reference by the individual completing the questionnaire.",
          "comment" : "These are generally unique within a questionnaire, though this is not guaranteed. Some questionnaires may have multiple questions with the same label with logic to control which gets exposed.  Typically, these won't be used for \"display\" items, though such use is not prohibited.  Systems SHOULD NOT generate their own prefixes if prefixes are defined for any items within a Questionnaire.",
          "requirements" : "Separating the label from the question text allows improved rendering.  Also, instructions will often refer to specific prefixes, so there's a need for the questionnaire design to have control over what labels are used.",
          "alias" : ["label"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Not supported"
          }]
        },
        {
          "id" : "Questionnaire.item.text",
          "path" : "Questionnaire.item.text",
          "short" : "Primary text for the item",
          "definition" : "The name of a section, the text of a question or text content for a display item.",
          "comment" : "When using this element to represent the name of a section, use group type item and also make sure to limit the text element to a short string suitable for display as a section heading.  Group item instructions should be included as a display type item within the group.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Questionnaire.item.type",
          "path" : "Questionnaire.item.type",
          "short" : "group | display | boolean | decimal | integer | date | dateTime +",
          "definition" : "The type of questionnaire item this is - whether text for display, a grouping of other items or a particular type of data to be captured (string, integer, coded choice, etc.).",
          "comment" : "Additional constraints on the type of answer can be conveyed by extensions. The value may come from the ElementDefinition referred to by .definition.",
          "requirements" : "Defines the format in which the user is to be prompted for the answer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemType"
            }],
            "strength" : "required",
            "description" : "Distinguishes groups from questions and display text and indicates data type for questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/item-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen",
          "path" : "Questionnaire.item.enableWhen",
          "short" : "Only allow data when",
          "definition" : "A constraint indicating that this item should only be enabled (displayed/allow answers to be captured) when the specified condition is true.",
          "comment" : "If multiple repetitions of this extension are present, the item should be enabled when the condition for *any* of the repetitions is true.  I.e. treat \"enableWhen\"s as being joined by an \"or\" clause.  This element is a modifier because if enableWhen is present for an item, \"required\" is ignored unless one of the enableWhen conditions is met. When an item is disabled, all of its descendants are disabled, regardless of what their own enableWhen logic might evaluate to.",
          "requirements" : "Allows questionnaires to adapt based on answers to other questions. E.g. If physical gender is specified as a male, no need to capture pregnancy history.  Also allows conditional display of instructions or groups of questions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "que-7",
            "severity" : "error",
            "human" : "If the operator is 'exists', the value must be a boolean",
            "expression" : "operator = 'exists' implies (answer is Boolean)",
            "xpath" : "f:operator/@value != 'exists' or exists(f:answerBoolean)"
          }],
          "isModifier" : true,
          "isModifierReason" : "If enableWhen is present and the condition evaluates to false, then the Questionnaire behaves as though the elements weren't actually present",
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.question",
          "path" : "Questionnaire.item.enableWhen.question",
          "short" : "Question that determines whether item is enabled",
          "definition" : "The linkId for the question whose answer (or lack of answer) governs whether this item is enabled.",
          "comment" : "If multiple question occurrences are present for the same question (same linkId), then this refers to the nearest question occurrence reachable by tracing first the \"ancestor\" axis and then the \"preceding\" axis and then the \"following\" axis.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.operator",
          "path" : "Questionnaire.item.enableWhen.operator",
          "short" : "exists | = | != | > | < | >= | <=",
          "definition" : "Specifies the criteria by which the question is enabled.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireItemOperator"
            }],
            "strength" : "required",
            "description" : "The criteria by which a question is enabled.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-operator|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableWhen.answer[x]",
          "path" : "Questionnaire.item.enableWhen.answer[x]",
          "short" : "Value for question comparison based on operator",
          "definition" : "A value that the referenced question is tested using the specified operator in order for the item to be enabled.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "condition" : ["que-7"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireQuestionOption3"
            }],
            "strength" : "example",
            "description" : "Allowed values to answer questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.enableBehavior",
          "path" : "Questionnaire.item.enableBehavior",
          "short" : "all | any",
          "definition" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
          "comment" : "This element must be specified if more than one enableWhen value is provided.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["que-12"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "EnableWhenBehavior"
            }],
            "strength" : "required",
            "description" : "Controls how multiple enableWhen values are interpreted -  whether all or any must be true.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-enable-behavior|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.required",
          "path" : "Questionnaire.item.required",
          "short" : "Whether the item must be included in data results",
          "definition" : "An indication, if true, that the item must be present in a \"completed\" QuestionnaireResponse.  If false, the item may be skipped when answering the questionnaire.",
          "comment" : "Questionnaire.item.required only has meaning for elements that are conditionally enabled with enableWhen if the condition evaluates to true.  If an item that contains other items is marked as required, that does not automatically make the contained elements required (though required groups must contain at least one child element). The value may come from the ElementDefinition referred to by .definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "Items are generally assumed not to be required unless explicitly specified. Systems SHOULD always populate this value",
          "condition" : ["que-6"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.repeats",
          "path" : "Questionnaire.item.repeats",
          "short" : "Whether the item may repeat",
          "definition" : "An indication, if true, that the item may occur multiple times in the response, collecting multiple answers for questions or multiple sets of answers for groups.",
          "comment" : "If a question is marked as repeats=true, then multiple answers can be provided for the question in the corresponding QuestionnaireResponse.  When rendering the questionnaire, it is up to the rendering software whether to render the question text for each answer repetition (i.e. \"repeat the question\") or to simply allow entry/selection of multiple answers for the question (repeat the answers).  Which is most appropriate visually may depend on the type of answer as well as whether there are nested items.\n\nThe resulting QuestionnaireResponse will be populated the same way regardless of rendering - one 'question' item with multiple answer values.\n\n The value may come from the ElementDefinition referred to by .definition.",
          "requirements" : "Items may be used to create set of (related) questions that can be repeated to give multiple answers to such a set.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "Items are generally assumed not to repeat unless explicitly specified. Systems SHOULD always populate this value",
          "condition" : ["que-6"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.readOnly",
          "path" : "Questionnaire.item.readOnly",
          "short" : "Don't allow human editing",
          "definition" : "An indication, when true, that the value cannot be changed by a human respondent to the Questionnaire.",
          "comment" : "The value of readOnly elements can be established by asserting  extensions for defaultValues, linkages that support pre-population and/or extensions that support calculation based on other answers.",
          "requirements" : "Allows certain information to be phrased (and rendered) as a question and an answer, while keeping users from changing it.  May also be useful for preventing changes to pre-populated portions of a questionnaire, for calculated values, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "condition" : ["que-9"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.maxLength",
          "path" : "Questionnaire.item.maxLength",
          "short" : "No more than this many characters",
          "definition" : "The maximum number of characters that are permitted in the answer to be considered a \"valid\" QuestionnaireResponse.",
          "comment" : "For base64binary, reflects the number of characters representing the encoded data, not the number of bytes of the binary data. The value may come from the ElementDefinition referred to by .definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "condition" : ["que-10"],
          "mapping" : [{
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.answerValueSet",
          "path" : "Questionnaire.item.answerValueSet",
          "short" : "Valueset containing permitted answers",
          "definition" : "A reference to a value set containing a list of codes representing permitted answers for a \"choice\" or \"open-choice\" question.",
          "comment" : "LOINC defines many useful value sets for questionnaire responses. See [LOINC Answer Lists](loinc.html#alist). The value may come from the ElementDefinition referred to by .definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "condition" : ["que-4",
          "que-5"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption",
          "path" : "Questionnaire.item.answerOption",
          "short" : "Permitted answer",
          "definition" : "One of the permitted answers for a \"choice\" or \"open-choice\" question.",
          "comment" : "This element can be used when the value set machinery of answerValueSet is deemed too cumbersome or when there's a need to capture possible answers that are not codes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["que-4",
          "que-5"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption.value[x]",
          "path" : "Questionnaire.item.answerOption.value[x]",
          "short" : "Answer value",
          "definition" : "A potential answer that's allowed as the answer to this question.",
          "comment" : "The data type of the value must agree with the item.type.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireQuestionOption"
            }],
            "strength" : "example",
            "description" : "Allowed values to answer questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.answerOption.initialSelected",
          "path" : "Questionnaire.item.answerOption.initialSelected",
          "short" : "Whether option is selected by default",
          "definition" : "Indicates whether the answer value is selected when the list of possible answers is initially shown.",
          "comment" : "Use this instead of initial[v] if answerValueSet is present.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "Only selected items explicitly marked to be selected",
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.initial",
          "path" : "Questionnaire.item.initial",
          "short" : "Initial value(s) when item is first rendered",
          "definition" : "One or more values that should be pre-populated in the answer when initially rendering the questionnaire for user input.",
          "comment" : "The user is allowed to change the value and override the default (unless marked as read-only). If the user doesn't change the value, then this initial value will be persisted when the QuestionnaireResponse is initially created.  Note that initial values can influence results.  The data type of initial[x] must agree with the item.type, and only repeating items can have more then one initial value.",
          "requirements" : "In some workflows, having defaults saves time.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["que-8",
          "que-13"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.initial.value[x]",
          "path" : "Questionnaire.item.initial.value[x]",
          "short" : "Actual value for initializing the question",
          "definition" : "The actual value to for an initial answer.",
          "comment" : "The type of the initial value must be consistent with the type of the item.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireQuestionOption2"
            }],
            "strength" : "example",
            "description" : "Allowed values to answer questions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A - MIF rather than RIM level"
          }]
        },
        {
          "id" : "Questionnaire.item.item",
          "path" : "Questionnaire.item.item",
          "short" : "Nested questionnaire items",
          "definition" : "Text, questions and other groups to be nested beneath a question or group.",
          "comment" : "There is no specified limit to the depth of nesting.  However, Questionnaire authors are encouraged to consider the impact on the user and user interface of overly deep nesting.",
          "requirements" : "Reports can consist of complex nested groups.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#Questionnaire.item",
          "condition" : ["que-1"],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "QuestionnaireResponse",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 QuestionnaireResponse 
TU
DomainResource
A structured set of questions and their answers
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..1
Identifier
Unique id for this set of answers
 basedOn 
Σ
0..*
Reference(CarePlan | ServiceRequest)
Request fulfilled by this QuestionnaireResponse
 partOf 
Σ
0..*
Reference(Observation | Procedure)
Part of this action
 questionnaire 
Σ
0..1
canonical(Questionnaire)
Form being answered
 status 
?!Σ
1..1
code
in-progress | completed | amended | entered-in-error | stopped
QuestionnaireResponseStatus (Required)
 subject 
Σ
0..1
Reference(Any)
The subject of the questions
 encounter 
Σ
0..1
Reference(Encounter)
Encounter created as part of
 authored 
Σ
0..1
dateTime
Date the answers were gathered
 author 
Σ
0..1
Reference(Device | Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
Person who received and recorded the answers
 source 
Σ
0..1
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson)
The person who answered the questions
 item 
I
0..*
BackboneElement
Groups and questions
+ Rule: Nested item can't be beneath both item and answer
 linkId 
1..1
string
Pointer to specific item from Questionnaire
 definition 
0..1
uri
ElementDefinition - details for the item
 text 
0..1
string
Name for group or question text
 answer 
0..*
BackboneElement
The response(s) to the question
 value[x] 
0..1
Single-valued answer to the question
Questionnaire Answer Codes (Example)
 valueBoolean
boolean
 valueDecimal
decimal
 valueInteger
integer
 valueDate
date
 valueDateTime
dateTime
 valueTime
time
 valueString
string
 valueUri
uri
 valueAttachment
Attachment
 valueCoding
Coding
 valueQuantity
Quantity
 valueReference
Reference(Any)
 item 
0..*
see item
Nested groups and questions
 item 
0..*
see item
Nested questionnaire response items

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Diagnostics"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
      "version" : "4.0.0",
      "name" : "QuestionnaireResponse",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.",
      "purpose" : "To support structured, hierarchical reporting of data gathered using digital forms and other questionnaires.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "QuestionnaireResponse",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "QuestionnaireResponse",
          "path" : "QuestionnaireResponse",
          "short" : "A structured set of questions and their answers",
          "definition" : "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.",
          "comment" : "The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on.  I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.",
          "alias" : ["Form",
          "QuestionnaireAnswers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "QuestionnaireResponse",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Observation[moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.id",
          "path" : "QuestionnaireResponse.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "QuestionnaireResponse.meta",
          "path" : "QuestionnaireResponse.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "QuestionnaireResponse.implicitRules",
          "path" : "QuestionnaireResponse.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "QuestionnaireResponse.language",
          "path" : "QuestionnaireResponse.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "QuestionnaireResponse.text",
          "path" : "QuestionnaireResponse.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "QuestionnaireResponse.contained",
          "path" : "QuestionnaireResponse.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "QuestionnaireResponse.extension",
          "path" : "QuestionnaireResponse.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "QuestionnaireResponse.modifierExtension",
          "path" : "QuestionnaireResponse.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "QuestionnaireResponse.identifier",
          "path" : "QuestionnaireResponse.identifier",
          "short" : "Unique id for this set of answers",
          "definition" : "A business identifier assigned to a particular completed (or partially completed) questionnaire.",
          "requirements" : "Used for tracking, registration and other business purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "QuestionnaireResponse.basedOn",
          "path" : "QuestionnaireResponse.basedOn",
          "short" : "Request fulfilled by this QuestionnaireResponse",
          "definition" : "The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse.  For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.",
          "requirements" : "Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.",
          "alias" : ["order"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "QuestionnaireResponse.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "QuestionnaireResponse.partOf",
          "path" : "QuestionnaireResponse.partOf",
          "short" : "Part of this action",
          "definition" : "A procedure or observation that this questionnaire was performed as part of the execution of.  For example, the surgery a checklist was executed as part of.",
          "comment" : "Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire.  For relationships to referrals, and other types of requests, use basedOn.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "QuestionnaireResponse.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.questionnaire",
          "path" : "QuestionnaireResponse.questionnaire",
          "short" : "Form being answered",
          "definition" : "The Questionnaire that defines and organizes the questions for which answers are being provided.",
          "comment" : "If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).",
          "requirements" : "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.",
          "alias" : ["Form"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.questionnaire",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiates"
          },
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.status",
          "path" : "QuestionnaireResponse.status",
          "short" : "in-progress | completed | amended | entered-in-error | stopped",
          "definition" : "The position of the questionnaire response within its overall lifecycle.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "The information on Questionnaire resources  may possibly be gathered during multiple sessions and altered after considered being finished.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireResponseStatus"
            }],
            "strength" : "required",
            "description" : "Lifecycle status of the questionnaire response.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish \"in-progress\" from \"published)"
          }]
        },
        {
          "id" : "QuestionnaireResponse.subject",
          "path" : "QuestionnaireResponse.subject",
          "short" : "The subject of the questions",
          "definition" : "The subject of the questionnaire response.  This could be a patient, organization, practitioner, device, etc.  This is who/what the answers apply to, but is not necessarily the source of information.",
          "comment" : "If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.",
          "requirements" : "Allows linking the answers to the individual the answers describe.  May also affect access control.",
          "alias" : ["Patient",
          "Focus"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "QuestionnaireResponse.encounter",
          "path" : "QuestionnaireResponse.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.",
          "requirements" : "Provides context for the information that was captured.  May also affect access control.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.authored",
          "path" : "QuestionnaireResponse.authored",
          "short" : "Date the answers were gathered",
          "definition" : "The date and/or time that this set of answers were last changed.",
          "comment" : "May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.\n\nThis element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible.",
          "requirements" : "Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.",
          "alias" : ["Date Created",
          "Date published",
          "Date Issued",
          "Date updated"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.authored",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "QuestionnaireResponse.author",
          "path" : "QuestionnaireResponse.author",
          "short" : "Person who received and recorded the answers",
          "definition" : "Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.",
          "comment" : "Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation.  Authoring by device would indicate that some portion of the questionnaire had been auto-populated.",
          "requirements" : "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.",
          "alias" : ["Laboratory",
          "Service",
          "Practitioner",
          "Department",
          "Company",
          "Performer"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "QuestionnaireResponse.source",
          "path" : "QuestionnaireResponse.source",
          "short" : "The person who answered the questions",
          "definition" : "The person who answered the questions about the subject.",
          "comment" : "If not specified, no inference can be made about who provided the data.",
          "requirements" : "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.source",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item",
          "path" : "QuestionnaireResponse.item",
          "short" : "Groups and questions",
          "definition" : "A group or question item from the original questionnaire for which answers are provided.",
          "comment" : "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "QuestionnaireResponse.item",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "qrs-1",
            "severity" : "error",
            "human" : "Nested item can't be beneath both item and answer",
            "expression" : "(answer.exists() and item.exists()).not()",
            "xpath" : "not(exists(f:answer) and exists(f:item))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.id",
          "path" : "QuestionnaireResponse.item.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.extension",
          "path" : "QuestionnaireResponse.item.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.modifierExtension",
          "path" : "QuestionnaireResponse.item.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.linkId",
          "path" : "QuestionnaireResponse.item.linkId",
          "short" : "Pointer to specific item from Questionnaire",
          "definition" : "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
          "requirements" : "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.item.linkId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.definition",
          "path" : "QuestionnaireResponse.item.definition",
          "short" : "ElementDefinition - details for the item",
          "definition" : "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.",
          "comment" : "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
          "requirements" : "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.item.definition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.text",
          "path" : "QuestionnaireResponse.item.text",
          "short" : "Name for group or question text",
          "definition" : "Text that is displayed above the contents of the group or as the text of the question being answered.",
          "requirements" : "Allows the questionnaire response to be read without access to the questionnaire.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.item.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer",
          "path" : "QuestionnaireResponse.item.answer",
          "short" : "The response(s) to the question",
          "definition" : "The respondent's answer(s) to the question.",
          "comment" : "The value is nested because we cannot have a repeating structure that has variable type.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "QuestionnaireResponse.item.answer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".value[type=LIST_ANY]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer.id",
          "path" : "QuestionnaireResponse.item.answer.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer.extension",
          "path" : "QuestionnaireResponse.item.answer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer.modifierExtension",
          "path" : "QuestionnaireResponse.item.answer.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer.value[x]",
          "path" : "QuestionnaireResponse.item.answer.value[x]",
          "short" : "Single-valued answer to the question",
          "definition" : "The answer (or one of the answers) provided by the respondent to the question.",
          "comment" : "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
          "requirements" : "Ability to retain a single-valued answer to a question.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "QuestionnaireResponse.item.answer.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireAnswer"
            }],
            "strength" : "example",
            "description" : "Code indicating the response provided for a question.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".item"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer.item",
          "path" : "QuestionnaireResponse.item.answer.item",
          "short" : "Nested groups and questions",
          "definition" : "Nested groups and/or questions found within this particular answer.",
          "requirements" : "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "QuestionnaireResponse.item.answer.item",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#QuestionnaireResponse.item",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.item",
          "path" : "QuestionnaireResponse.item.item",
          "short" : "Nested questionnaire response items",
          "definition" : "Questions or sub-groups nested beneath a question or group.",
          "requirements" : "Reports can consist of complex nested groups.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "QuestionnaireResponse.item.item",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#QuestionnaireResponse.item",
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "QuestionnaireResponse",
          "path" : "QuestionnaireResponse",
          "short" : "A structured set of questions and their answers",
          "definition" : "A structured set of questions and their answers. The questions are ordered and grouped into coherent subsets, corresponding to the structure of the grouping of the questionnaire being responded to.",
          "comment" : "The QuestionnaireResponse contains enough information about the questions asked and their organization that it can be interpreted somewhat independently from the Questionnaire it is based on.  I.e. You don't need access to the Questionnaire in order to extract basic information from a QuestionnaireResponse.",
          "alias" : ["Form",
          "QuestionnaireAnswers"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Observation[moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.identifier",
          "path" : "QuestionnaireResponse.identifier",
          "short" : "Unique id for this set of answers",
          "definition" : "A business identifier assigned to a particular completed (or partially completed) questionnaire.",
          "requirements" : "Used for tracking, registration and other business purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "QuestionnaireResponse.basedOn",
          "path" : "QuestionnaireResponse.basedOn",
          "short" : "Request fulfilled by this QuestionnaireResponse",
          "definition" : "The order, proposal or plan that is fulfilled in whole or in part by this QuestionnaireResponse.  For example, a ServiceRequest seeking an intake assessment or a decision support recommendation to assess for post-partum depression.",
          "requirements" : "Supports traceability of responsibility for the action and allows linkage of an action to the recommendations acted upon.",
          "alias" : ["order"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "QuestionnaireResponse.partOf",
          "path" : "QuestionnaireResponse.partOf",
          "short" : "Part of this action",
          "definition" : "A procedure or observation that this questionnaire was performed as part of the execution of.  For example, the surgery a checklist was executed as part of.",
          "comment" : "Composition of questionnaire responses will be handled by the parent questionnaire having answers that reference the child questionnaire.  For relationships to referrals, and other types of requests, use basedOn.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/Procedure"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.questionnaire",
          "path" : "QuestionnaireResponse.questionnaire",
          "short" : "Form being answered",
          "definition" : "The Questionnaire that defines and organizes the questions for which answers are being provided.",
          "comment" : "If a QuestionnaireResponse references a Questionnaire, then the QuestionnaireResponse structure must be consistent with the Questionnaire (i.e. questions must be organized into the same groups, nested questions must still be nested, etc.).",
          "requirements" : "Needed to allow editing of the questionnaire response in a manner that enforces the constraints of the original form.",
          "alias" : ["Form"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Questionnaire"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiates"
          },
          {
            "identity" : "rim",
            "map" : "./outboundRelationship[typeCode=INST]/target[classCode=OBS, moodCode=DEFN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.status",
          "path" : "QuestionnaireResponse.status",
          "short" : "in-progress | completed | amended | entered-in-error | stopped",
          "definition" : "The position of the questionnaire response within its overall lifecycle.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "The information on Questionnaire resources  may possibly be gathered during multiple sessions and altered after considered being finished.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireResponseStatus"
            }],
            "strength" : "required",
            "description" : "Lifecycle status of the questionnaire response.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode (also whether there's a revisionControlAct - and possibly mood to distinguish \"in-progress\" from \"published)"
          }]
        },
        {
          "id" : "QuestionnaireResponse.subject",
          "path" : "QuestionnaireResponse.subject",
          "short" : "The subject of the questions",
          "definition" : "The subject of the questionnaire response.  This could be a patient, organization, practitioner, device, etc.  This is who/what the answers apply to, but is not necessarily the source of information.",
          "comment" : "If the Questionnaire declared a subjectType, the resource pointed to by this element must be an instance of one of the listed types.",
          "requirements" : "Allows linking the answers to the individual the answers describe.  May also affect access control.",
          "alias" : ["Patient",
          "Focus"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "QuestionnaireResponse.encounter",
          "path" : "QuestionnaireResponse.encounter",
          "short" : "Encounter created as part of",
          "definition" : "The Encounter during which this questionnaire response was created or to which the creation of this record is tightly associated.",
          "comment" : "This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter. A questionnaire that was initiated during an encounter but not fully completed during the encounter would still generally be associated with the encounter.",
          "requirements" : "Provides context for the information that was captured.  May also affect access control.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.authored",
          "path" : "QuestionnaireResponse.authored",
          "short" : "Date the answers were gathered",
          "definition" : "The date and/or time that this set of answers were last changed.",
          "comment" : "May be different from the lastUpdateTime of the resource itself, because that reflects when the data was known to the server, not when the data was captured.\n\nThis element is optional to allow for systems that might not know the value, however it SHOULD be populated if possible.",
          "requirements" : "Clinicians need to be able to check the date that the information in the questionnaire was collected, to derive the context of the answers.",
          "alias" : ["Date Created",
          "Date published",
          "Date Issued",
          "Date updated"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "QuestionnaireResponse.author",
          "path" : "QuestionnaireResponse.author",
          "short" : "Person who received and recorded the answers",
          "definition" : "Person who received the answers to the questions in the QuestionnaireResponse and recorded them in the system.",
          "comment" : "Mapping a subject's answers to multiple choice options and determining what to put in the textual answer is a matter of interpretation.  Authoring by device would indicate that some portion of the questionnaire had been auto-populated.",
          "requirements" : "Need to know who interpreted the subject's answers to the questions in the questionnaire, and selected the appropriate options for answers.",
          "alias" : ["Laboratory",
          "Service",
          "Practitioner",
          "Department",
          "Company",
          "Performer"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "QuestionnaireResponse.source",
          "path" : "QuestionnaireResponse.source",
          "short" : "The person who answered the questions",
          "definition" : "The person who answered the questions about the subject.",
          "comment" : "If not specified, no inference can be made about who provided the data.",
          "requirements" : "When answering questions about a subject that is minor, incapable of answering or an animal, another human source may answer the questions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.source"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=INF].role"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item",
          "path" : "QuestionnaireResponse.item",
          "short" : "Groups and questions",
          "definition" : "A group or question item from the original questionnaire for which answers are provided.",
          "comment" : "Groups cannot have answers and therefore must nest directly within item. When dealing with questions, nesting must occur within each answer because some questions may have multiple answers (and the nesting occurs for each answer).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "qrs-1",
            "severity" : "error",
            "human" : "Nested item can't be beneath both item and answer",
            "expression" : "(answer.exists() and item.exists()).not()",
            "xpath" : "not(exists(f:answer) and exists(f:item))"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.linkId",
          "path" : "QuestionnaireResponse.item.linkId",
          "short" : "Pointer to specific item from Questionnaire",
          "definition" : "The item from the Questionnaire that corresponds to this item in the QuestionnaireResponse resource.",
          "requirements" : "Items can repeat in the answers, so a direct 1..1 correspondence by position might not exist - requiring correspondence by identifier.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.definition",
          "path" : "QuestionnaireResponse.item.definition",
          "short" : "ElementDefinition - details for the item",
          "definition" : "A reference to an [ElementDefinition](elementdefinition.html) that provides the details for the item.",
          "comment" : "The ElementDefinition must be in a [StructureDefinition](structuredefinition.html#), and must have a fragment identifier that identifies the specific data element by its id (Element.id). E.g. http://hl7.org/fhir/StructureDefinition/Observation#Observation.value[x].\n\nThere is no need for this element if the item pointed to by the linkId has a definition listed.",
          "requirements" : "A common pattern is to define a set of data elements, and then build multiple different questionnaires for different circumstances to gather the data. This element provides traceability to the common definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].code"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.text",
          "path" : "QuestionnaireResponse.item.text",
          "short" : "Name for group or question text",
          "definition" : "Text that is displayed above the contents of the group or as the text of the question being answered.",
          "requirements" : "Allows the questionnaire response to be read without access to the questionnaire.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer",
          "path" : "QuestionnaireResponse.item.answer",
          "short" : "The response(s) to the question",
          "definition" : "The respondent's answer(s) to the question.",
          "comment" : "The value is nested because we cannot have a repeating structure that has variable type.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".value[type=LIST_ANY]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer.value[x]",
          "path" : "QuestionnaireResponse.item.answer.value[x]",
          "short" : "Single-valued answer to the question",
          "definition" : "The answer (or one of the answers) provided by the respondent to the question.",
          "comment" : "More complex structures (Attachment, Resource and Quantity) will typically be limited to electronic forms that can expose an appropriate user interface to capture the components and enforce the constraints of a complex data type.  Additional complex types can be introduced through extensions. Must match the datatype specified by Questionnaire.item.type in the corresponding Questionnaire.",
          "requirements" : "Ability to retain a single-valued answer to a question.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "time"
          },
          {
            "code" : "string"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QuestionnaireAnswer"
            }],
            "strength" : "example",
            "description" : "Code indicating the response provided for a question.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/questionnaire-answers"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".item"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.answer.item",
          "path" : "QuestionnaireResponse.item.answer.item",
          "short" : "Nested groups and questions",
          "definition" : "Nested groups and/or questions found within this particular answer.",
          "requirements" : "It is useful to have \"sub-questions\", questions which normally appear when certain answers are given and which collect additional details.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#QuestionnaireResponse.item",
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "QuestionnaireResponse.item.item",
          "path" : "QuestionnaireResponse.item.item",
          "short" : "Nested questionnaire response items",
          "definition" : "Questions or sub-groups nested beneath a question or group.",
          "requirements" : "Reports can consist of complex nested groups.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#QuestionnaireResponse.item",
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COMP].target[classCode=OBS, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "RelatedPerson",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 RelatedPerson 
TU
DomainResource
A person that is related to a patient, but who is not a direct target of care
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
A human identifier for this person
 active 
?!Σ
0..1
boolean
Whether this related person's record is in active use
 patient 
Σ
1..1
Reference(Patient)
The patient this person is related to
 relationship 
Σ
0..*
CodeableConcept
The nature of the relationship
Patient relationship type (Preferred)
 name 
Σ
0..*
HumanName
A name associated with the person
 telecom 
Σ
0..*
ContactPoint
A contact detail for the person
 gender 
Σ
0..1
code
male | female | other | unknown
AdministrativeGender (Required)
 birthDate 
Σ
0..1
date
The date on which the related person was born
 address 
Σ
0..*
Address
Address where the related person can be contacted or visited
 photo 
0..*
Attachment
Image of the person
 period 
0..1
Period
Period of time that this relationship is considered valid
 communication 
0..*
BackboneElement
A language which may be used to communicate with about the patient's health
 language 
1..1
CodeableConcept
The language which can be used to communicate with the patient about his or her health
Common Languages (Preferred but limited to AllLanguages)
 preferred 
0..1
boolean
Language preference indicator

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Individuals"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
      "version" : "4.0.0",
      "name" : "RelatedPerson",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.",
      "purpose" : "Need to track persons related to the patient or the healthcare process.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "RelatedPerson",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "RelatedPerson",
          "path" : "RelatedPerson",
          "short" : "A person that is related to a patient, but who is not a direct target of care",
          "definition" : "Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RelatedPerson",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "role"
          }]
        },
        {
          "id" : "RelatedPerson.id",
          "path" : "RelatedPerson.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RelatedPerson.meta",
          "path" : "RelatedPerson.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RelatedPerson.implicitRules",
          "path" : "RelatedPerson.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "RelatedPerson.language",
          "path" : "RelatedPerson.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "RelatedPerson.text",
          "path" : "RelatedPerson.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "RelatedPerson.contained",
          "path" : "RelatedPerson.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RelatedPerson.extension",
          "path" : "RelatedPerson.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RelatedPerson.modifierExtension",
          "path" : "RelatedPerson.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RelatedPerson.identifier",
          "path" : "RelatedPerson.identifier",
          "short" : "A human identifier for this person",
          "definition" : "Identifier for a person within a particular scope.",
          "requirements" : "People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RelatedPerson.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "NK1-33"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "RelatedPerson.active",
          "path" : "RelatedPerson.active",
          "short" : "Whether this related person's record is in active use",
          "definition" : "Whether this related person record is in active use.",
          "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "requirements" : "Need to be able to mark a related person record as not to be used, such as if it was created in error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RelatedPerson.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "RelatedPerson.patient",
          "path" : "RelatedPerson.patient",
          "short" : "The patient this person is related to",
          "definition" : "The patient this person is related to.",
          "requirements" : "We need to know which patient this RelatedPerson is related to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RelatedPerson.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : "scoper[classCode=PSN|ANM and determinerCode='INSTANCE']/playedRole[classCode='PAT']/id"
          }]
        },
        {
          "id" : "RelatedPerson.relationship",
          "path" : "RelatedPerson.relationship",
          "short" : "The nature of the relationship",
          "definition" : "The nature of the relationship between a patient and the related person.",
          "requirements" : "We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RelatedPerson.relationship",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PatientRelationshipType"
            }],
            "strength" : "preferred",
            "description" : "The nature of the relationship between a patient and the related person.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "NK1-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "RelatedPerson.name",
          "path" : "RelatedPerson.name",
          "short" : "A name associated with the person",
          "definition" : "A name associated with the person.",
          "requirements" : "Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RelatedPerson.name",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "HumanName"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-2"
          },
          {
            "identity" : "rim",
            "map" : "name"
          }]
        },
        {
          "id" : "RelatedPerson.telecom",
          "path" : "RelatedPerson.telecom",
          "short" : "A contact detail for the person",
          "definition" : "A contact detail for the person, e.g. a telephone number or an email address.",
          "comment" : "Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RelatedPerson.telecom",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-5 / NK1-6 / NK1-40"
          },
          {
            "identity" : "rim",
            "map" : "telecom"
          }]
        },
        {
          "id" : "RelatedPerson.gender",
          "path" : "RelatedPerson.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.",
          "requirements" : "Needed for identification of the person, in combination with (at least) name and birth date.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RelatedPerson.gender",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-15"
          },
          {
            "identity" : "rim",
            "map" : "administrativeGender"
          }]
        },
        {
          "id" : "RelatedPerson.birthDate",
          "path" : "RelatedPerson.birthDate",
          "short" : "The date on which the related person was born",
          "definition" : "The date on which the related person was born.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RelatedPerson.birthDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "player.birthTime"
          }]
        },
        {
          "id" : "RelatedPerson.address",
          "path" : "RelatedPerson.address",
          "short" : "Address where the related person can be contacted or visited",
          "definition" : "Address where the related person can be contacted or visited.",
          "requirements" : "Need to keep track where the related person can be contacted per postal mail or visited.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RelatedPerson.address",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Address"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-4"
          },
          {
            "identity" : "rim",
            "map" : "addr"
          }]
        },
        {
          "id" : "RelatedPerson.photo",
          "path" : "RelatedPerson.photo",
          "short" : "Image of the person",
          "definition" : "Image of the person.",
          "requirements" : "Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RelatedPerson.photo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 - needs a profile"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode='PSN' and determinerCode='INSTANCE']/desc"
          }]
        },
        {
          "id" : "RelatedPerson.period",
          "path" : "RelatedPerson.period",
          "short" : "Period of time that this relationship is considered valid",
          "definition" : "The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RelatedPerson.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "RelatedPerson.communication",
          "path" : "RelatedPerson.communication",
          "short" : "A language which may be used to communicate with about the patient's health",
          "definition" : "A language which may be used to communicate with about the patient's health.",
          "comment" : "If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple RelatedPerson.Communication associations.   If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
          "requirements" : "If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RelatedPerson.communication",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "LanguageCommunication"
          }]
        },
        {
          "id" : "RelatedPerson.communication.id",
          "path" : "RelatedPerson.communication.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RelatedPerson.communication.extension",
          "path" : "RelatedPerson.communication.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RelatedPerson.communication.modifierExtension",
          "path" : "RelatedPerson.communication.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RelatedPerson.communication.language",
          "path" : "RelatedPerson.communication.language",
          "short" : "The language which can be used to communicate with the patient about his or her health",
          "definition" : "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
          "comment" : "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
          "requirements" : "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RelatedPerson.communication.language",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
          }]
        },
        {
          "id" : "RelatedPerson.communication.preferred",
          "path" : "RelatedPerson.communication.preferred",
          "short" : "Language preference indicator",
          "definition" : "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
          "comment" : "This language is specifically identified for communicating healthcare information.",
          "requirements" : "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RelatedPerson.communication.preferred",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "preferenceInd"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "RelatedPerson",
          "path" : "RelatedPerson",
          "short" : "A person that is related to a patient, but who is not a direct target of care",
          "definition" : "Information about a person that is involved in the care for a patient, but who is not the target of healthcare, nor has a formal responsibility in the care process.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "role"
          }]
        },
        {
          "id" : "RelatedPerson.identifier",
          "path" : "RelatedPerson.identifier",
          "short" : "A human identifier for this person",
          "definition" : "Identifier for a person within a particular scope.",
          "requirements" : "People are known by a variety of ids. Some institutions maintain several, and most collect identifiers for exchange with other organizations concerning the patient. Examples are national person identifier and local identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "NK1-33"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "RelatedPerson.active",
          "path" : "RelatedPerson.active",
          "short" : "Whether this related person's record is in active use",
          "definition" : "Whether this related person record is in active use.",
          "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "requirements" : "Need to be able to mark a related person record as not to be used, such as if it was created in error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "RelatedPerson.patient",
          "path" : "RelatedPerson.patient",
          "short" : "The patient this person is related to",
          "definition" : "The patient this person is related to.",
          "requirements" : "We need to know which patient this RelatedPerson is related to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PID-3"
          },
          {
            "identity" : "rim",
            "map" : "scoper[classCode=PSN|ANM and determinerCode='INSTANCE']/playedRole[classCode='PAT']/id"
          }]
        },
        {
          "id" : "RelatedPerson.relationship",
          "path" : "RelatedPerson.relationship",
          "short" : "The nature of the relationship",
          "definition" : "The nature of the relationship between a patient and the related person.",
          "requirements" : "We need to know the relationship with the patient since it influences the interpretation of the information attributed to this person.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PatientRelationshipType"
            }],
            "strength" : "preferred",
            "description" : "The nature of the relationship between a patient and the related person.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/relatedperson-relationshiptype"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "NK1-3"
          },
          {
            "identity" : "rim",
            "map" : "code"
          }]
        },
        {
          "id" : "RelatedPerson.name",
          "path" : "RelatedPerson.name",
          "short" : "A name associated with the person",
          "definition" : "A name associated with the person.",
          "requirements" : "Related persons need to be identified by name, but it is uncommon to need details about multiple other names for that person.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "HumanName"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-2"
          },
          {
            "identity" : "rim",
            "map" : "name"
          }]
        },
        {
          "id" : "RelatedPerson.telecom",
          "path" : "RelatedPerson.telecom",
          "short" : "A contact detail for the person",
          "definition" : "A contact detail for the person, e.g. a telephone number or an email address.",
          "comment" : "Person may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.",
          "requirements" : "People have (primary) ways to contact them in some way such as phone, email.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-5 / NK1-6 / NK1-40"
          },
          {
            "identity" : "rim",
            "map" : "telecom"
          }]
        },
        {
          "id" : "RelatedPerson.gender",
          "path" : "RelatedPerson.gender",
          "short" : "male | female | other | unknown",
          "definition" : "Administrative Gender - the gender that the person is considered to have for administration and record keeping purposes.",
          "requirements" : "Needed for identification of the person, in combination with (at least) name and birth date.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AdministrativeGender"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The gender of a person used for administrative purposes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-15"
          },
          {
            "identity" : "rim",
            "map" : "administrativeGender"
          }]
        },
        {
          "id" : "RelatedPerson.birthDate",
          "path" : "RelatedPerson.birthDate",
          "short" : "The date on which the related person was born",
          "definition" : "The date on which the related person was born.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "player.birthTime"
          }]
        },
        {
          "id" : "RelatedPerson.address",
          "path" : "RelatedPerson.address",
          "short" : "Address where the related person can be contacted or visited",
          "definition" : "Address where the related person can be contacted or visited.",
          "requirements" : "Need to keep track where the related person can be contacted per postal mail or visited.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Address"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NK1-4"
          },
          {
            "identity" : "rim",
            "map" : "addr"
          }]
        },
        {
          "id" : "RelatedPerson.photo",
          "path" : "RelatedPerson.photo",
          "short" : "Image of the person",
          "definition" : "Image of the person.",
          "requirements" : "Many EHR systems have the capability to capture an image of persons. Fits with newer social media usage too.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Attachment"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX-5 - needs a profile"
          },
          {
            "identity" : "rim",
            "map" : "player[classCode='PSN' and determinerCode='INSTANCE']/desc"
          }]
        },
        {
          "id" : "RelatedPerson.period",
          "path" : "RelatedPerson.period",
          "short" : "Period of time that this relationship is considered valid",
          "definition" : "The period of time during which this relationship is or was active. If there are no dates defined, then the interval is unknown.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "RelatedPerson.communication",
          "path" : "RelatedPerson.communication",
          "short" : "A language which may be used to communicate with about the patient's health",
          "definition" : "A language which may be used to communicate with about the patient's health.",
          "comment" : "If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple RelatedPerson.Communication associations.   If the RelatedPerson does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
          "requirements" : "If a related person does not speak the local language, interpreters may be required, so languages spoken and proficiency is an important things to keep track of both for patient and other persons of interest.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "LanguageCommunication"
          }]
        },
        {
          "id" : "RelatedPerson.communication.language",
          "path" : "RelatedPerson.communication.language",
          "short" : "The language which can be used to communicate with the patient about his or her health",
          "definition" : "The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. \"en\" for English, or \"en-US\" for American English versus \"en-EN\" for England English.",
          "comment" : "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
          "requirements" : "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code"
          }]
        },
        {
          "id" : "RelatedPerson.communication.preferred",
          "path" : "RelatedPerson.communication.preferred",
          "short" : "Language preference indicator",
          "definition" : "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
          "comment" : "This language is specifically identified for communicating healthcare information.",
          "requirements" : "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "preferenceInd"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/RequestGroup",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "RequestGroup",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 RequestGroup 
TU
DomainResource
A group of related requests
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business identifier
 instantiatesCanonical 
Σ
0..*
canonical()
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 basedOn 
0..*
Reference(Any)
Fulfills plan, proposal, or order
 replaces 
0..*
Reference(Any)
Request(s) replaced by this request
 groupIdentifier 
Σ
0..1
Identifier
Composite request this is part of
 status 
?!Σ
1..1
code
draft | active | suspended | cancelled | completed | entered-in-error | unknown
RequestStatus (Required)
 intent 
?!Σ
1..1
code
proposal | plan | order
RequestIntent (Required)
 priority 
Σ
0..1
code
routine | urgent | asap | stat
Request priority (Required)
 code 
Σ
0..1
CodeableConcept
What's being requested/ordered
 subject 
0..1
Reference(Patient | Group)
Who the request group is about
 encounter 
0..1
Reference(Encounter)
Created as part of
 authoredOn 
0..1
dateTime
When the request group was authored
 author 
0..1
Reference(Device | Practitioner | PractitionerRole)
Device or practitioner that authored the request group
 reasonCode 
0..*
CodeableConcept
Why the request group is needed
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
Why the request group is needed
 note 
0..*
Annotation
Additional notes about the response
 action 
I
0..*
BackboneElement
Proposed actions, if any
+ Rule: Must have resource or action but not both
 prefix 
0..1
string
User-visible prefix for the action (e.g. 1. or A.)
 title 
0..1
string
User-visible title
 description 
Σ
0..1
string
Short description of the action
 textEquivalent 
Σ
0..1
string
Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
 priority 
0..1
code
routine | urgent | asap | stat
Request priority (Required)
 code 
0..*
CodeableConcept
Code representing the meaning of the action or sub-actions
 documentation 
0..*
RelatedArtifact
Supporting documentation for the intended performer of the action
 condition 
0..*
BackboneElement
Whether or not the action is applicable
 kind 
1..1
code
applicability | start | stop
ActionConditionKind (Required)
 expression 
0..1
Expression
Boolean-valued expression
 relatedAction 
0..*
BackboneElement
Relationship to another action
 actionId 
1..1
id
What action this is related to
 relationship 
1..1
code
before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end
ActionRelationshipType (Required)
 offset[x] 
0..1
Time offset for the relationship
 offsetDuration
Duration
 offsetRange
Range
 timing[x] 
0..1
When the action should take place
 timingDateTime
dateTime
 timingAge
Age
 timingPeriod
Period
 timingDuration
Duration
 timingRange
Range
 timingTiming
Timing
 participant 
0..*
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device)
Who should perform the action
 type 
0..1
CodeableConcept
create | update | remove | fire-event
ActionType (Extensible)
 groupingBehavior 
0..1
code
visual-group | logical-group | sentence-group
ActionGroupingBehavior (Required)
 selectionBehavior 
0..1
code
any | all | all-or-none | exactly-one | at-most-one | one-or-more
ActionSelectionBehavior (Required)
 requiredBehavior 
0..1
code
must | could | must-unless-documented
ActionRequiredBehavior (Required)
 precheckBehavior 
0..1
code
yes | no
ActionPrecheckBehavior (Required)
 cardinalityBehavior 
0..1
code
single | multiple
ActionCardinalityBehavior (Required)
 resource 
I
0..1
Reference(Any)
The target of the action
 action 
I
0..*
see action
Sub action

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Care Provision"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/RequestGroup",
      "version" : "4.0.0",
      "name" : "RequestGroup",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "A group of related requests that can be used to capture intended activities that have inter-dependencies such as \"give this medication after that one\".",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "RequestGroup",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "RequestGroup",
          "path" : "RequestGroup",
          "short" : "A group of related requests",
          "definition" : "A group of related requests that can be used to capture intended activities that have inter-dependencies such as \"give this medication after that one\".",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "RequestGroup.id",
          "path" : "RequestGroup.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RequestGroup.meta",
          "path" : "RequestGroup.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RequestGroup.implicitRules",
          "path" : "RequestGroup.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "RequestGroup.language",
          "path" : "RequestGroup.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "RequestGroup.text",
          "path" : "RequestGroup.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "RequestGroup.contained",
          "path" : "RequestGroup.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RequestGroup.extension",
          "path" : "RequestGroup.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RequestGroup.modifierExtension",
          "path" : "RequestGroup.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RequestGroup.identifier",
          "path" : "RequestGroup.identifier",
          "short" : "Business identifier",
          "definition" : "Allows a service to provide a unique, business identifier for the request.",
          "requirements" : "Allows identification of the request as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "RequestGroup.instantiatesCanonical",
          "path" : "RequestGroup.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "A canonical URL referencing a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          }]
        },
        {
          "id" : "RequestGroup.instantiatesUri",
          "path" : "RequestGroup.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "A URL referencing an externally defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          }]
        },
        {
          "id" : "RequestGroup.basedOn",
          "path" : "RequestGroup.basedOn",
          "short" : "Fulfills plan, proposal, or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this request.",
          "requirements" : "Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          }]
        },
        {
          "id" : "RequestGroup.replaces",
          "path" : "RequestGroup.replaces",
          "short" : "Request(s) replaced by this request",
          "definition" : "Completed or terminated request(s) whose function is taken by this new request.",
          "comment" : "The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.",
          "requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.",
          "alias" : ["supersedes",
          "prior",
          "renewed order"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.replaces",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          }]
        },
        {
          "id" : "RequestGroup.groupIdentifier",
          "path" : "RequestGroup.groupIdentifier",
          "short" : "Composite request this is part of",
          "definition" : "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition, prescription or similar form.",
          "comment" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition.  Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
          "requirements" : "Some business processes need to know if multiple items were ordered as part of the same \"prescription\" or \"requisition\" for billing or other purposes.",
          "alias" : ["grouperid",
          "requisition"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.groupIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          }]
        },
        {
          "id" : "RequestGroup.status",
          "path" : "RequestGroup.status",
          "short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
          "definition" : "The current state of the request. For request groups, the status reflects the status of all the requests in the group.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of a request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "RequestGroup.intent",
          "path" : "RequestGroup.intent",
          "short" : "proposal | plan | order",
          "definition" : "Indicates the level of authority/intentionality associated with the request and where the request fits into the workflow chain.",
          "requirements" : "Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.",
          "alias" : ["category"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.intent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestIntent"
            }],
            "strength" : "required",
            "description" : "Codes indicating the degree of authority/intentionality associated with a request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "RequestGroup.priority",
          "path" : "RequestGroup.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the request should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this request should be performed with normal priority",
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          }]
        },
        {
          "id" : "RequestGroup.code",
          "path" : "RequestGroup.code",
          "short" : "What's being requested/ordered",
          "definition" : "A code that identifies what the overall request group is.",
          "comment" : "This element can be used to provide a code that captures the meaning of the request group as a whole, as opposed to the code of the action element, which captures the meaning of the individual actions within the request group.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "RequestGroup.subject",
          "path" : "RequestGroup.subject",
          "short" : "Who the request group is about",
          "definition" : "The subject for which the request group was created.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "RequestGroup.encounter",
          "path" : "RequestGroup.encounter",
          "short" : "Created as part of",
          "definition" : "Describes the context of the request group, if any.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "RequestGroup.authoredOn",
          "path" : "RequestGroup.authoredOn",
          "short" : "When the request group was authored",
          "definition" : "Indicates when the request group was created.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.authoredOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "RequestGroup.author",
          "path" : "RequestGroup.author",
          "short" : "Device or practitioner that authored the request group",
          "definition" : "Provides a reference to the author of the request group.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.author",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "RequestGroup.reasonCode",
          "path" : "RequestGroup.reasonCode",
          "short" : "Why the request group is needed",
          "definition" : "Describes the reason for the request group in coded or textual form.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "RequestGroup.reasonReference",
          "path" : "RequestGroup.reasonReference",
          "short" : "Why the request group is needed",
          "definition" : "Indicates another resource whose existence justifies this request group.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "RequestGroup.note",
          "path" : "RequestGroup.note",
          "short" : "Additional notes about the response",
          "definition" : "Provides a mechanism to communicate additional information about the response.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          }]
        },
        {
          "id" : "RequestGroup.action",
          "path" : "RequestGroup.action",
          "short" : "Proposed actions, if any",
          "definition" : "The actions, if any, produced by the evaluation of the artifact.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.action",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "rqg-1",
            "severity" : "error",
            "human" : "Must have resource or action but not both",
            "expression" : "resource.exists() != action.exists()",
            "xpath" : "exists(f:resource) != exists(f:action)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.id",
          "path" : "RequestGroup.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RequestGroup.action.extension",
          "path" : "RequestGroup.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RequestGroup.action.modifierExtension",
          "path" : "RequestGroup.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RequestGroup.action.prefix",
          "path" : "RequestGroup.action.prefix",
          "short" : "User-visible prefix for the action (e.g. 1. or A.)",
          "definition" : "A user-visible prefix for the action.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.prefix",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.title",
          "path" : "RequestGroup.action.title",
          "short" : "User-visible title",
          "definition" : "The title of the action displayed to a user.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.description",
          "path" : "RequestGroup.action.description",
          "short" : "Short description of the action",
          "definition" : "A short description of the action used to provide a summary to display to the user.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RequestGroup.action.textEquivalent",
          "path" : "RequestGroup.action.textEquivalent",
          "short" : "Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system",
          "definition" : "A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that might not be capable of interpreting it dynamically.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.textEquivalent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RequestGroup.action.priority",
          "path" : "RequestGroup.action.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the action should be addressed with respect to other actions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          }]
        },
        {
          "id" : "RequestGroup.action.code",
          "path" : "RequestGroup.action.code",
          "short" : "Code representing the meaning of the action or sub-actions",
          "definition" : "A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a section of a documentation template.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.action.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          }]
        },
        {
          "id" : "RequestGroup.action.documentation",
          "path" : "RequestGroup.action.documentation",
          "short" : "Supporting documentation for the intended performer of the action",
          "definition" : "Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.action.documentation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          }]
        },
        {
          "id" : "RequestGroup.action.condition",
          "path" : "RequestGroup.action.condition",
          "short" : "Whether or not the action is applicable",
          "definition" : "An expression that describes applicability criteria, or start/stop conditions for the action.",
          "comment" : "When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all of the conditions are true.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.action.condition",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.condition.id",
          "path" : "RequestGroup.action.condition.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RequestGroup.action.condition.extension",
          "path" : "RequestGroup.action.condition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RequestGroup.action.condition.modifierExtension",
          "path" : "RequestGroup.action.condition.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RequestGroup.action.condition.kind",
          "path" : "RequestGroup.action.condition.kind",
          "short" : "applicability | start | stop",
          "definition" : "The kind of condition.",
          "comment" : "Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.condition.kind",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionConditionKind"
            }],
            "strength" : "required",
            "description" : "The kind of condition for the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.condition.expression",
          "path" : "RequestGroup.action.condition.expression",
          "short" : "Boolean-valued expression",
          "definition" : "An expression that returns true or false, indicating whether or not the condition is satisfied.",
          "comment" : "The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.condition.expression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Expression"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.relatedAction",
          "path" : "RequestGroup.action.relatedAction",
          "short" : "Relationship to another action",
          "definition" : "A relationship to another action such as \"before\" or \"30-60 minutes after start of\".",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.action.relatedAction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.relatedAction.id",
          "path" : "RequestGroup.action.relatedAction.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RequestGroup.action.relatedAction.extension",
          "path" : "RequestGroup.action.relatedAction.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RequestGroup.action.relatedAction.modifierExtension",
          "path" : "RequestGroup.action.relatedAction.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RequestGroup.action.relatedAction.actionId",
          "path" : "RequestGroup.action.relatedAction.actionId",
          "short" : "What action this is related to",
          "definition" : "The element id of the action this is related to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.relatedAction.actionId",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.relatedAction.relationship",
          "path" : "RequestGroup.action.relatedAction.relationship",
          "short" : "before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end",
          "definition" : "The relationship of this action to the related action.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.relatedAction.relationship",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionRelationshipType"
            }],
            "strength" : "required",
            "description" : "Defines the types of relationships between actions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.relatedAction.offset[x]",
          "path" : "RequestGroup.action.relatedAction.offset[x]",
          "short" : "Time offset for the relationship",
          "definition" : "A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.relatedAction.offset[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          },
          {
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.timing[x]",
          "path" : "RequestGroup.action.timing[x]",
          "short" : "When the action should take place",
          "definition" : "An optional value describing when the action should be performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.timing[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          }]
        },
        {
          "id" : "RequestGroup.action.participant",
          "path" : "RequestGroup.action.participant",
          "short" : "Who should perform the action",
          "definition" : "The participant that should perform or be responsible for this action.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.action.participant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "RequestGroup.action.type",
          "path" : "RequestGroup.action.type",
          "short" : "create | update | remove | fire-event",
          "definition" : "The type of action to perform (create, update, remove).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionType"
            }],
            "strength" : "extensible",
            "description" : "The type of action to be performed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-type"
          }
        },
        {
          "id" : "RequestGroup.action.groupingBehavior",
          "path" : "RequestGroup.action.groupingBehavior",
          "short" : "visual-group | logical-group | sentence-group",
          "definition" : "Defines the grouping behavior for the action and its children.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.groupingBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionGroupingBehavior"
            }],
            "strength" : "required",
            "description" : "Defines organization behavior of a group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.selectionBehavior",
          "path" : "RequestGroup.action.selectionBehavior",
          "short" : "any | all | all-or-none | exactly-one | at-most-one | one-or-more",
          "definition" : "Defines the selection behavior for the action and its children.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.selectionBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionSelectionBehavior"
            }],
            "strength" : "required",
            "description" : "Defines selection behavior of a group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.requiredBehavior",
          "path" : "RequestGroup.action.requiredBehavior",
          "short" : "must | could | must-unless-documented",
          "definition" : "Defines expectations around whether an action is required.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.requiredBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionRequiredBehavior"
            }],
            "strength" : "required",
            "description" : "Defines expectations around whether an action or action group is required.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.precheckBehavior",
          "path" : "RequestGroup.action.precheckBehavior",
          "short" : "yes | no",
          "definition" : "Defines whether the action should usually be preselected.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.precheckBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionPrecheckBehavior"
            }],
            "strength" : "required",
            "description" : "Defines selection frequency behavior for an action or group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.cardinalityBehavior",
          "path" : "RequestGroup.action.cardinalityBehavior",
          "short" : "single | multiple",
          "definition" : "Defines whether the action can be selected multiple times.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.cardinalityBehavior",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionCardinalityBehavior"
            }],
            "strength" : "required",
            "description" : "Defines behavior for an action or a group for how many times that item may be repeated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.resource",
          "path" : "RequestGroup.action.resource",
          "short" : "The target of the action",
          "definition" : "The resource that is the target of the action (e.g. CommunicationRequest).",
          "comment" : "The target resource SHALL be a [Request](request.html) resource with a Request.intent set to \"option\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RequestGroup.action.resource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "condition" : ["rqg-1"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RequestGroup.action.action",
          "path" : "RequestGroup.action.action",
          "short" : "Sub action",
          "definition" : "Sub actions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RequestGroup.action.action",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#RequestGroup.action",
          "condition" : ["rqg-1"],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "RequestGroup",
          "path" : "RequestGroup",
          "short" : "A group of related requests",
          "definition" : "A group of related requests that can be used to capture intended activities that have inter-dependencies such as \"give this medication after that one\".",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          }]
        },
        {
          "id" : "RequestGroup.identifier",
          "path" : "RequestGroup.identifier",
          "short" : "Business identifier",
          "definition" : "Allows a service to provide a unique, business identifier for the request.",
          "requirements" : "Allows identification of the request as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "RequestGroup.instantiatesCanonical",
          "path" : "RequestGroup.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "A canonical URL referencing a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          }]
        },
        {
          "id" : "RequestGroup.instantiatesUri",
          "path" : "RequestGroup.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "A URL referencing an externally defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this request.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          }]
        },
        {
          "id" : "RequestGroup.basedOn",
          "path" : "RequestGroup.basedOn",
          "short" : "Fulfills plan, proposal, or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this request.",
          "requirements" : "Allows tracing of authorization for the request and tracking whether proposals/recommendations were acted upon.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          }]
        },
        {
          "id" : "RequestGroup.replaces",
          "path" : "RequestGroup.replaces",
          "short" : "Request(s) replaced by this request",
          "definition" : "Completed or terminated request(s) whose function is taken by this new request.",
          "comment" : "The replacement could be because the initial request was immediately rejected (due to an issue) or because the previous request was completed, but the need for the action described by the request remains ongoing.",
          "requirements" : "Allows tracing the continuation of a therapy or administrative process instantiated through multiple requests.",
          "alias" : ["supersedes",
          "prior",
          "renewed order"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          }]
        },
        {
          "id" : "RequestGroup.groupIdentifier",
          "path" : "RequestGroup.groupIdentifier",
          "short" : "Composite request this is part of",
          "definition" : "A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition, prescription or similar form.",
          "comment" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition.  Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
          "requirements" : "Some business processes need to know if multiple items were ordered as part of the same \"prescription\" or \"requisition\" for billing or other purposes.",
          "alias" : ["grouperid",
          "requisition"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          }]
        },
        {
          "id" : "RequestGroup.status",
          "path" : "RequestGroup.status",
          "short" : "draft | active | suspended | cancelled | completed | entered-in-error | unknown",
          "definition" : "The current state of the request. For request groups, the status reflects the status of all the requests in the group.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestStatus"
            }],
            "strength" : "required",
            "description" : "Codes identifying the lifecycle stage of a request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "RequestGroup.intent",
          "path" : "RequestGroup.intent",
          "short" : "proposal | plan | order",
          "definition" : "Indicates the level of authority/intentionality associated with the request and where the request fits into the workflow chain.",
          "requirements" : "Proposals/recommendations, plans and orders all use the same structure and can exist in the same fulfillment chain.",
          "alias" : ["category"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestIntent"
            }],
            "strength" : "required",
            "description" : "Codes indicating the degree of authority/intentionality associated with a request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "RequestGroup.priority",
          "path" : "RequestGroup.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the request should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this request should be performed with normal priority",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          }]
        },
        {
          "id" : "RequestGroup.code",
          "path" : "RequestGroup.code",
          "short" : "What's being requested/ordered",
          "definition" : "A code that identifies what the overall request group is.",
          "comment" : "This element can be used to provide a code that captures the meaning of the request group as a whole, as opposed to the code of the action element, which captures the meaning of the individual actions within the request group.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "RequestGroup.subject",
          "path" : "RequestGroup.subject",
          "short" : "Who the request group is about",
          "definition" : "The subject for which the request group was created.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "RequestGroup.encounter",
          "path" : "RequestGroup.encounter",
          "short" : "Created as part of",
          "definition" : "Describes the context of the request group, if any.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          }]
        },
        {
          "id" : "RequestGroup.authoredOn",
          "path" : "RequestGroup.authoredOn",
          "short" : "When the request group was authored",
          "definition" : "Indicates when the request group was created.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "RequestGroup.author",
          "path" : "RequestGroup.author",
          "short" : "Device or practitioner that authored the request group",
          "definition" : "Provides a reference to the author of the request group.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          }]
        },
        {
          "id" : "RequestGroup.reasonCode",
          "path" : "RequestGroup.reasonCode",
          "short" : "Why the request group is needed",
          "definition" : "Describes the reason for the request group in coded or textual form.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "RequestGroup.reasonReference",
          "path" : "RequestGroup.reasonReference",
          "short" : "Why the request group is needed",
          "definition" : "Indicates another resource whose existence justifies this request group.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "RequestGroup.note",
          "path" : "RequestGroup.note",
          "short" : "Additional notes about the response",
          "definition" : "Provides a mechanism to communicate additional information about the response.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          }]
        },
        {
          "id" : "RequestGroup.action",
          "path" : "RequestGroup.action",
          "short" : "Proposed actions, if any",
          "definition" : "The actions, if any, produced by the evaluation of the artifact.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "rqg-1",
            "severity" : "error",
            "human" : "Must have resource or action but not both",
            "expression" : "resource.exists() != action.exists()",
            "xpath" : "exists(f:resource) != exists(f:action)"
          }]
        },
        {
          "id" : "RequestGroup.action.prefix",
          "path" : "RequestGroup.action.prefix",
          "short" : "User-visible prefix for the action (e.g. 1. or A.)",
          "definition" : "A user-visible prefix for the action.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "RequestGroup.action.title",
          "path" : "RequestGroup.action.title",
          "short" : "User-visible title",
          "definition" : "The title of the action displayed to a user.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "RequestGroup.action.description",
          "path" : "RequestGroup.action.description",
          "short" : "Short description of the action",
          "definition" : "A short description of the action used to provide a summary to display to the user.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "RequestGroup.action.textEquivalent",
          "path" : "RequestGroup.action.textEquivalent",
          "short" : "Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system",
          "definition" : "A text equivalent of the action to be performed. This provides a human-interpretable description of the action when the definition is consumed by a system that might not be capable of interpreting it dynamically.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "RequestGroup.action.priority",
          "path" : "RequestGroup.action.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the action should be addressed with respect to other actions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          }]
        },
        {
          "id" : "RequestGroup.action.code",
          "path" : "RequestGroup.action.code",
          "short" : "Code representing the meaning of the action or sub-actions",
          "definition" : "A code that provides meaning for the action or action group. For example, a section may have a LOINC code for a section of a documentation template.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          }]
        },
        {
          "id" : "RequestGroup.action.documentation",
          "path" : "RequestGroup.action.documentation",
          "short" : "Supporting documentation for the intended performer of the action",
          "definition" : "Didactic or other informational resources associated with the action that can be provided to the CDS recipient. Information resources can include inline text commentary and links to web resources.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          }]
        },
        {
          "id" : "RequestGroup.action.condition",
          "path" : "RequestGroup.action.condition",
          "short" : "Whether or not the action is applicable",
          "definition" : "An expression that describes applicability criteria, or start/stop conditions for the action.",
          "comment" : "When multiple conditions of the same kind are present, the effects are combined using AND semantics, so the overall condition is true only if all of the conditions are true.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "RequestGroup.action.condition.kind",
          "path" : "RequestGroup.action.condition.kind",
          "short" : "applicability | start | stop",
          "definition" : "The kind of condition.",
          "comment" : "Applicability criteria are used to determine immediate applicability when a plan definition is applied to a given context. Start and stop criteria are carried through application and used to describe enter/exit criteria for an action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionConditionKind"
            }],
            "strength" : "required",
            "description" : "The kind of condition for the action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-condition-kind|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.condition.expression",
          "path" : "RequestGroup.action.condition.expression",
          "short" : "Boolean-valued expression",
          "definition" : "An expression that returns true or false, indicating whether or not the condition is satisfied.",
          "comment" : "The expression may be inlined, or may be a reference to a named expression within a logic library referenced by the library element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Expression"
          }]
        },
        {
          "id" : "RequestGroup.action.relatedAction",
          "path" : "RequestGroup.action.relatedAction",
          "short" : "Relationship to another action",
          "definition" : "A relationship to another action such as \"before\" or \"30-60 minutes after start of\".",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "RequestGroup.action.relatedAction.actionId",
          "path" : "RequestGroup.action.relatedAction.actionId",
          "short" : "What action this is related to",
          "definition" : "The element id of the action this is related to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "RequestGroup.action.relatedAction.relationship",
          "path" : "RequestGroup.action.relatedAction.relationship",
          "short" : "before-start | before | before-end | concurrent-with-start | concurrent | concurrent-with-end | after-start | after | after-end",
          "definition" : "The relationship of this action to the related action.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionRelationshipType"
            }],
            "strength" : "required",
            "description" : "Defines the types of relationships between actions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-relationship-type|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.relatedAction.offset[x]",
          "path" : "RequestGroup.action.relatedAction.offset[x]",
          "short" : "Time offset for the relationship",
          "definition" : "A duration or range of durations to apply to the relationship. For example, 30-60 minutes before.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          },
          {
            "code" : "Range"
          }]
        },
        {
          "id" : "RequestGroup.action.timing[x]",
          "path" : "RequestGroup.action.timing[x]",
          "short" : "When the action should take place",
          "definition" : "An optional value describing when the action should be performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Timing"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          }]
        },
        {
          "id" : "RequestGroup.action.participant",
          "path" : "RequestGroup.action.participant",
          "short" : "Who should perform the action",
          "definition" : "The participant that should perform or be responsible for this action.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          }]
        },
        {
          "id" : "RequestGroup.action.type",
          "path" : "RequestGroup.action.type",
          "short" : "create | update | remove | fire-event",
          "definition" : "The type of action to perform (create, update, remove).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionType"
            }],
            "strength" : "extensible",
            "description" : "The type of action to be performed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-type"
          }
        },
        {
          "id" : "RequestGroup.action.groupingBehavior",
          "path" : "RequestGroup.action.groupingBehavior",
          "short" : "visual-group | logical-group | sentence-group",
          "definition" : "Defines the grouping behavior for the action and its children.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionGroupingBehavior"
            }],
            "strength" : "required",
            "description" : "Defines organization behavior of a group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-grouping-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.selectionBehavior",
          "path" : "RequestGroup.action.selectionBehavior",
          "short" : "any | all | all-or-none | exactly-one | at-most-one | one-or-more",
          "definition" : "Defines the selection behavior for the action and its children.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionSelectionBehavior"
            }],
            "strength" : "required",
            "description" : "Defines selection behavior of a group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-selection-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.requiredBehavior",
          "path" : "RequestGroup.action.requiredBehavior",
          "short" : "must | could | must-unless-documented",
          "definition" : "Defines expectations around whether an action is required.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionRequiredBehavior"
            }],
            "strength" : "required",
            "description" : "Defines expectations around whether an action or action group is required.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-required-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.precheckBehavior",
          "path" : "RequestGroup.action.precheckBehavior",
          "short" : "yes | no",
          "definition" : "Defines whether the action should usually be preselected.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionPrecheckBehavior"
            }],
            "strength" : "required",
            "description" : "Defines selection frequency behavior for an action or group.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-precheck-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.cardinalityBehavior",
          "path" : "RequestGroup.action.cardinalityBehavior",
          "short" : "single | multiple",
          "definition" : "Defines whether the action can be selected multiple times.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ActionCardinalityBehavior"
            }],
            "strength" : "required",
            "description" : "Defines behavior for an action or a group for how many times that item may be repeated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/action-cardinality-behavior|4.0.0"
          }
        },
        {
          "id" : "RequestGroup.action.resource",
          "path" : "RequestGroup.action.resource",
          "short" : "The target of the action",
          "definition" : "The resource that is the target of the action (e.g. CommunicationRequest).",
          "comment" : "The target resource SHALL be a [Request](request.html) resource with a Request.intent set to \"option\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "condition" : ["rqg-1"]
        },
        {
          "id" : "RequestGroup.action.action",
          "path" : "RequestGroup.action.action",
          "short" : "Sub action",
          "definition" : "Sub actions.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#RequestGroup.action",
          "condition" : ["rqg-1"]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ResearchDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ResearchDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ResearchDefinition 
ITU
DomainResource
A research context or question
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this research definition, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the research definition
 version 
Σ
0..1
string
Business version of the research definition
 name 
ΣI
0..1
string
Name for this research definition (computer friendly)
 title 
Σ
0..1
string
Name for this research definition (human friendly)
 shortTitle 
0..1
string
Title for use in informal contexts
 subtitle 
0..1
string
Subordinate title of the ResearchDefinition
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 subject[x] 
0..1
E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Subject type (Extensible)
 subjectCodeableConcept
CodeableConcept
 subjectReference
Reference(Group)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the research definition
 comment 
0..*
string
Used for footnotes or explanatory notes
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for research definition (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this research definition is defined
 usage 
0..1
string
Describes the clinical usage of the ResearchDefinition
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the research definition was approved by publisher
 lastReviewDate 
0..1
date
When the research definition was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the research definition is expected to be used
 topic 
0..*
CodeableConcept
The category of the ResearchDefinition, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 library 
0..*
canonical(Library)
Logic used by the ResearchDefinition
 population 
Σ
1..1
Reference(ResearchElementDefinition)
What population?
 exposure 
Σ
0..1
Reference(ResearchElementDefinition)
What exposure?
 exposureAlternative 
Σ
0..1
Reference(ResearchElementDefinition)
What alternative exposure state?
 outcome 
Σ
0..1
Reference(ResearchElementDefinition)
What outcome?

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Evidence-Based Medicine"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ResearchDefinition",
      "version" : "4.0.0",
      "name" : "ResearchDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "The ResearchDefinition resource describes the conditional state (population and any exposures being compared within the population) and outcome (if specified) that the knowledge (evidence, assertion, recommendation) is about.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ResearchDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ResearchDefinition",
          "path" : "ResearchDefinition",
          "short" : "A research context or question",
          "definition" : "The ResearchDefinition resource describes the conditional state (population and any exposures being compared within the population) and outcome (if specified) that the knowledge (evidence, assertion, recommendation) is about.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "rsd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "ResearchDefinition.id",
          "path" : "ResearchDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.meta",
          "path" : "ResearchDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.implicitRules",
          "path" : "ResearchDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.language",
          "path" : "ResearchDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ResearchDefinition.text",
          "path" : "ResearchDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ResearchDefinition.contained",
          "path" : "ResearchDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchDefinition.extension",
          "path" : "ResearchDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchDefinition.modifierExtension",
          "path" : "ResearchDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchDefinition.url",
          "path" : "ResearchDefinition.url",
          "short" : "Canonical identifier for this research definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this research definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this research definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the research definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the research definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ResearchDefinition.identifier",
          "path" : "ResearchDefinition.identifier",
          "short" : "Additional identifier for the research definition",
          "definition" : "A formal identifier that is used to identify this research definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this research definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.version",
          "path" : "ResearchDefinition.version",
          "short" : "Business version of the research definition",
          "definition" : "The identifier that is used to identify this version of the research definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the research definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different research definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the research definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ResearchDefinition.name",
          "path" : "ResearchDefinition.name",
          "short" : "Name for this research definition (computer friendly)",
          "definition" : "A natural language name identifying the research definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.title",
          "path" : "ResearchDefinition.title",
          "short" : "Name for this research definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the research definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ResearchDefinition.shortTitle",
          "path" : "ResearchDefinition.shortTitle",
          "short" : "Title for use in informal contexts",
          "definition" : "The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.",
          "requirements" : "Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.shortTitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchDefinition.subtitle",
          "path" : "ResearchDefinition.subtitle",
          "short" : "Subordinate title of the ResearchDefinition",
          "definition" : "An explanatory or alternate title for the ResearchDefinition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchDefinition.status",
          "path" : "ResearchDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this research definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of research definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ResearchDefinition.experimental",
          "path" : "ResearchDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this research definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of research definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level research definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ResearchDefinition.subject[x]",
          "path" : "ResearchDefinition.subject[x]",
          "short" : "E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device",
          "definition" : "The intended subjects for the ResearchDefinition. If this element is not provided, a Patient subject is assumed, but the subject of the ResearchDefinition can be anything.",
          "comment" : "The subject of the ResearchDefinition is critical in interpreting the criteria definitions, as the logic in the ResearchDefinitions is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.subject[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for the research (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "ResearchDefinition.date",
          "path" : "ResearchDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the research definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the research definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the research definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ResearchDefinition.publisher",
          "path" : "ResearchDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the research definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the research definition is the organization or individual primarily responsible for the maintenance and upkeep of the research definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the research definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the research definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ResearchDefinition.contact",
          "path" : "ResearchDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ResearchDefinition.description",
          "path" : "ResearchDefinition.description",
          "short" : "Natural language description of the research definition",
          "definition" : "A free text natural language description of the research definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the research definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the research definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the research definition is presumed to be the predominant language in the place the research definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "ResearchDefinition.comment",
          "path" : "ResearchDefinition.comment",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.comment",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchDefinition.useContext",
          "path" : "ResearchDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate research definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ResearchDefinition.jurisdiction",
          "path" : "ResearchDefinition.jurisdiction",
          "short" : "Intended jurisdiction for research definition (if applicable)",
          "definition" : "A legal or geographic region in which the research definition is intended to be used.",
          "comment" : "It may be possible for the research definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ResearchDefinition.purpose",
          "path" : "ResearchDefinition.purpose",
          "short" : "Why this research definition is defined",
          "definition" : "Explanation of why this research definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the research definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this research definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.usage",
          "path" : "ResearchDefinition.usage",
          "short" : "Describes the clinical usage of the ResearchDefinition",
          "definition" : "A detailed description, from a clinical perspective, of how the ResearchDefinition is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.usage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchDefinition.copyright",
          "path" : "ResearchDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the research definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the research definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the research definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.approvalDate",
          "path" : "ResearchDefinition.approvalDate",
          "short" : "When the research definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.lastReviewDate",
          "path" : "ResearchDefinition.lastReviewDate",
          "short" : "When the research definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.effectivePeriod",
          "path" : "ResearchDefinition.effectivePeriod",
          "short" : "When the research definition is expected to be used",
          "definition" : "The period during which the research definition content was or is planned to be in active use.",
          "comment" : "The effective period for a research definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the research definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.topic",
          "path" : "ResearchDefinition.topic",
          "short" : "The category of the ResearchDefinition, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the ResearchDefinition. Topics provide a high-level categorization grouping types of ResearchDefinitions that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the ResearchDefinition so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "ResearchDefinition.author",
          "path" : "ResearchDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "ResearchDefinition.editor",
          "path" : "ResearchDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchDefinition.reviewer",
          "path" : "ResearchDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ResearchDefinition.endorser",
          "path" : "ResearchDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ResearchDefinition.relatedArtifact",
          "path" : "ResearchDefinition.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "ResearchDefinitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchDefinition.library",
          "path" : "ResearchDefinition.library",
          "short" : "Logic used by the ResearchDefinition",
          "definition" : "A reference to a Library resource containing the formal logic used by the ResearchDefinition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchDefinition.library",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchDefinition.population",
          "path" : "ResearchDefinition.population",
          "short" : "What population?",
          "definition" : "A reference to a ResearchElementDefinition resource that defines the population for the research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.population",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.exposure",
          "path" : "ResearchDefinition.exposure",
          "short" : "What exposure?",
          "definition" : "A reference to a ResearchElementDefinition resource that defines the exposure for the research.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.exposure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.exposureAlternative",
          "path" : "ResearchDefinition.exposureAlternative",
          "short" : "What alternative exposure state?",
          "definition" : "A reference to a ResearchElementDefinition resource that defines the exposureAlternative for the research.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.exposureAlternative",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.outcome",
          "path" : "ResearchDefinition.outcome",
          "short" : "What outcome?",
          "definition" : "A reference to a ResearchElementDefinition resomece that defines the outcome for the research.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchDefinition.outcome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ResearchDefinition",
          "path" : "ResearchDefinition",
          "short" : "A research context or question",
          "definition" : "The ResearchDefinition resource describes the conditional state (population and any exposures being compared within the population) and outcome (if specified) that the knowledge (evidence, assertion, recommendation) is about.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "rsd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "ResearchDefinition.url",
          "path" : "ResearchDefinition.url",
          "short" : "Canonical identifier for this research definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this research definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this research definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the research definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the research definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ResearchDefinition.identifier",
          "path" : "ResearchDefinition.identifier",
          "short" : "Additional identifier for the research definition",
          "definition" : "A formal identifier that is used to identify this research definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this research definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.version",
          "path" : "ResearchDefinition.version",
          "short" : "Business version of the research definition",
          "definition" : "The identifier that is used to identify this version of the research definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the research definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different research definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the research definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ResearchDefinition.name",
          "path" : "ResearchDefinition.name",
          "short" : "Name for this research definition (computer friendly)",
          "definition" : "A natural language name identifying the research definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.title",
          "path" : "ResearchDefinition.title",
          "short" : "Name for this research definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the research definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ResearchDefinition.shortTitle",
          "path" : "ResearchDefinition.shortTitle",
          "short" : "Title for use in informal contexts",
          "definition" : "The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.",
          "requirements" : "Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchDefinition.subtitle",
          "path" : "ResearchDefinition.subtitle",
          "short" : "Subordinate title of the ResearchDefinition",
          "definition" : "An explanatory or alternate title for the ResearchDefinition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchDefinition.status",
          "path" : "ResearchDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this research definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of research definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ResearchDefinition.experimental",
          "path" : "ResearchDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this research definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of research definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level research definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ResearchDefinition.subject[x]",
          "path" : "ResearchDefinition.subject[x]",
          "short" : "E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device",
          "definition" : "The intended subjects for the ResearchDefinition. If this element is not provided, a Patient subject is assumed, but the subject of the ResearchDefinition can be anything.",
          "comment" : "The subject of the ResearchDefinition is critical in interpreting the criteria definitions, as the logic in the ResearchDefinitions is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for the research (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "ResearchDefinition.date",
          "path" : "ResearchDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the research definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the research definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the research definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ResearchDefinition.publisher",
          "path" : "ResearchDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the research definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the research definition is the organization or individual primarily responsible for the maintenance and upkeep of the research definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the research definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the research definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ResearchDefinition.contact",
          "path" : "ResearchDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ResearchDefinition.description",
          "path" : "ResearchDefinition.description",
          "short" : "Natural language description of the research definition",
          "definition" : "A free text natural language description of the research definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the research definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the research definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the research definition is presumed to be the predominant language in the place the research definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "ResearchDefinition.comment",
          "path" : "ResearchDefinition.comment",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchDefinition.useContext",
          "path" : "ResearchDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate research definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ResearchDefinition.jurisdiction",
          "path" : "ResearchDefinition.jurisdiction",
          "short" : "Intended jurisdiction for research definition (if applicable)",
          "definition" : "A legal or geographic region in which the research definition is intended to be used.",
          "comment" : "It may be possible for the research definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ResearchDefinition.purpose",
          "path" : "ResearchDefinition.purpose",
          "short" : "Why this research definition is defined",
          "definition" : "Explanation of why this research definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the research definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this research definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.usage",
          "path" : "ResearchDefinition.usage",
          "short" : "Describes the clinical usage of the ResearchDefinition",
          "definition" : "A detailed description, from a clinical perspective, of how the ResearchDefinition is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchDefinition.copyright",
          "path" : "ResearchDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the research definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the research definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the research definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.approvalDate",
          "path" : "ResearchDefinition.approvalDate",
          "short" : "When the research definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.lastReviewDate",
          "path" : "ResearchDefinition.lastReviewDate",
          "short" : "When the research definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.effectivePeriod",
          "path" : "ResearchDefinition.effectivePeriod",
          "short" : "When the research definition is expected to be used",
          "definition" : "The period during which the research definition content was or is planned to be in active use.",
          "comment" : "The effective period for a research definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the research definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchDefinition.topic",
          "path" : "ResearchDefinition.topic",
          "short" : "The category of the ResearchDefinition, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the ResearchDefinition. Topics provide a high-level categorization grouping types of ResearchDefinitions that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the ResearchDefinition so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "ResearchDefinition.author",
          "path" : "ResearchDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "ResearchDefinition.editor",
          "path" : "ResearchDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "ResearchDefinition.reviewer",
          "path" : "ResearchDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ResearchDefinition.endorser",
          "path" : "ResearchDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ResearchDefinition.relatedArtifact",
          "path" : "ResearchDefinition.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "ResearchDefinitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "ResearchDefinition.library",
          "path" : "ResearchDefinition.library",
          "short" : "Logic used by the ResearchDefinition",
          "definition" : "A reference to a Library resource containing the formal logic used by the ResearchDefinition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }]
        },
        {
          "id" : "ResearchDefinition.population",
          "path" : "ResearchDefinition.population",
          "short" : "What population?",
          "definition" : "A reference to a ResearchElementDefinition resource that defines the population for the research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.exposure",
          "path" : "ResearchDefinition.exposure",
          "short" : "What exposure?",
          "definition" : "A reference to a ResearchElementDefinition resource that defines the exposure for the research.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.exposureAlternative",
          "path" : "ResearchDefinition.exposureAlternative",
          "short" : "What alternative exposure state?",
          "definition" : "A reference to a ResearchElementDefinition resource that defines the exposureAlternative for the research.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "ResearchDefinition.outcome",
          "path" : "ResearchDefinition.outcome",
          "short" : "What outcome?",
          "definition" : "A reference to a ResearchElementDefinition resomece that defines the outcome for the research.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition"]
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ResearchElementDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ResearchElementDefinition 
ITU
DomainResource
A population, intervention, or exposure definition
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this research element definition, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the research element definition
 version 
Σ
0..1
string
Business version of the research element definition
 name 
ΣI
0..1
string
Name for this research element definition (computer friendly)
 title 
Σ
0..1
string
Name for this research element definition (human friendly)
 shortTitle 
Σ
0..1
string
Title for use in informal contexts
 subtitle 
0..1
string
Subordinate title of the ResearchElementDefinition
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 subject[x] 
0..1
E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Subject type (Extensible)
 subjectCodeableConcept
CodeableConcept
 subjectReference
Reference(Group)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the research element definition
 comment 
0..*
string
Used for footnotes or explanatory notes
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for research element definition (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this research element definition is defined
 usage 
0..1
string
Describes the clinical usage of the ResearchElementDefinition
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the research element definition was approved by publisher
 lastReviewDate 
0..1
date
When the research element definition was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the research element definition is expected to be used
 topic 
0..*
CodeableConcept
The category of the ResearchElementDefinition, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 library 
0..*
canonical(Library)
Logic used by the ResearchElementDefinition
 type 
Σ
1..1
code
population | exposure | outcome
ResearchElementType (Required)
 variableType 
0..1
code
dichotomous | continuous | descriptive
VariableType (Required)
 characteristic 
Σ
1..*
BackboneElement
What defines the members of the research element
 definition[x] 
Σ
1..1
What code or expression defines members?
 definitionCodeableConcept
CodeableConcept
 definitionCanonical
canonical(ValueSet)
 definitionExpression
Expression
 definitionDataRequirement
DataRequirement
 usageContext 
0..*
UsageContext
What code/value pairs define members?
 exclude 
0..1
boolean
Whether the characteristic includes or excludes members
 unitOfMeasure 
0..1
CodeableConcept
What unit is the outcome described in?
UCUM Codes (Required)
 studyEffectiveDescription 
0..1
string
What time period does the study cover
 studyEffective[x] 
0..1
What time period does the study cover
 studyEffectiveDateTime
dateTime
 studyEffectivePeriod
Period
 studyEffectiveDuration
Duration
 studyEffectiveTiming
Timing
 studyEffectiveTimeFromStart 
0..1
Duration
Observation time from study start
 studyEffectiveGroupMeasure 
0..1
code
mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median
GroupMeasure (Required)
 participantEffectiveDescription 
0..1
string
What time period do participants cover
 participantEffective[x] 
0..1
What time period do participants cover
 participantEffectiveDateTime
dateTime
 participantEffectivePeriod
Period
 participantEffectiveDuration
Duration
 participantEffectiveTiming
Timing
 participantEffectiveTimeFromStart 
0..1
Duration
Observation time from study start
 participantEffectiveGroupMeasure 
0..1
code
mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median
GroupMeasure (Required)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Evidence-Based Medicine"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ResearchElementDefinition",
      "version" : "4.0.0",
      "name" : "ResearchElementDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "The ResearchElementDefinition resource describes a \"PICO\" element that knowledge (evidence, assertion, recommendation) is about.",
      "purpose" : "Need to be able to define and reuse the definition of individual elements of a research question.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ResearchElementDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ResearchElementDefinition",
          "path" : "ResearchElementDefinition",
          "short" : "A population, intervention, or exposure definition",
          "definition" : "The ResearchElementDefinition resource describes a \"PICO\" element that knowledge (evidence, assertion, recommendation) is about.",
          "comment" : "PICO stands for Population (the population within which exposures are being compared), Intervention (the conditional state or exposure state being described for its effect on outcomes), Comparison (the alternative conditional state or alternative exposure state being compared against), and Outcome (the result or effect of the intervention in the population).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "red-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "ResearchElementDefinition.id",
          "path" : "ResearchElementDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.meta",
          "path" : "ResearchElementDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.implicitRules",
          "path" : "ResearchElementDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.language",
          "path" : "ResearchElementDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ResearchElementDefinition.text",
          "path" : "ResearchElementDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ResearchElementDefinition.contained",
          "path" : "ResearchElementDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchElementDefinition.extension",
          "path" : "ResearchElementDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchElementDefinition.modifierExtension",
          "path" : "ResearchElementDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchElementDefinition.url",
          "path" : "ResearchElementDefinition.url",
          "short" : "Canonical identifier for this research element definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this research element definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this research element definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the research element definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the research element definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ResearchElementDefinition.identifier",
          "path" : "ResearchElementDefinition.identifier",
          "short" : "Additional identifier for the research element definition",
          "definition" : "A formal identifier that is used to identify this research element definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this research element definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.version",
          "path" : "ResearchElementDefinition.version",
          "short" : "Business version of the research element definition",
          "definition" : "The identifier that is used to identify this version of the research element definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the research element definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different research element definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the research element definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ResearchElementDefinition.name",
          "path" : "ResearchElementDefinition.name",
          "short" : "Name for this research element definition (computer friendly)",
          "definition" : "A natural language name identifying the research element definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.title",
          "path" : "ResearchElementDefinition.title",
          "short" : "Name for this research element definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the research element definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ResearchElementDefinition.shortTitle",
          "path" : "ResearchElementDefinition.shortTitle",
          "short" : "Title for use in informal contexts",
          "definition" : "The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.",
          "requirements" : "Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.shortTitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.subtitle",
          "path" : "ResearchElementDefinition.subtitle",
          "short" : "Subordinate title of the ResearchElementDefinition",
          "definition" : "An explanatory or alternate title for the ResearchElementDefinition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.subtitle",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.status",
          "path" : "ResearchElementDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this research element definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of research element definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ResearchElementDefinition.experimental",
          "path" : "ResearchElementDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this research element definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of research element definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level research element definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ResearchElementDefinition.subject[x]",
          "path" : "ResearchElementDefinition.subject[x]",
          "short" : "E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device",
          "definition" : "The intended subjects for the ResearchElementDefinition. If this element is not provided, a Patient subject is assumed, but the subject of the ResearchElementDefinition can be anything.",
          "comment" : "The subject of the ResearchElementDefinition is critical in interpreting the criteria definitions, as the logic in the ResearchElementDefinitions is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.subject[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "ResearchElementDefinition.date",
          "path" : "ResearchElementDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the research element definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the research element definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the research element definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ResearchElementDefinition.publisher",
          "path" : "ResearchElementDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the research element definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the research element definition is the organization or individual primarily responsible for the maintenance and upkeep of the research element definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the research element definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the research element definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ResearchElementDefinition.contact",
          "path" : "ResearchElementDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ResearchElementDefinition.description",
          "path" : "ResearchElementDefinition.description",
          "short" : "Natural language description of the research element definition",
          "definition" : "A free text natural language description of the research element definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the research element definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the research element definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the research element definition is presumed to be the predominant language in the place the research element definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "ResearchElementDefinition.comment",
          "path" : "ResearchElementDefinition.comment",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.comment",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.useContext",
          "path" : "ResearchElementDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate research element definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ResearchElementDefinition.jurisdiction",
          "path" : "ResearchElementDefinition.jurisdiction",
          "short" : "Intended jurisdiction for research element definition (if applicable)",
          "definition" : "A legal or geographic region in which the research element definition is intended to be used.",
          "comment" : "It may be possible for the research element definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ResearchElementDefinition.purpose",
          "path" : "ResearchElementDefinition.purpose",
          "short" : "Why this research element definition is defined",
          "definition" : "Explanation of why this research element definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the research element definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this research element definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.usage",
          "path" : "ResearchElementDefinition.usage",
          "short" : "Describes the clinical usage of the ResearchElementDefinition",
          "definition" : "A detailed description, from a clinical perspective, of how the ResearchElementDefinition is used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.usage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.copyright",
          "path" : "ResearchElementDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the research element definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the research element definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the research element definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.approvalDate",
          "path" : "ResearchElementDefinition.approvalDate",
          "short" : "When the research element definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.lastReviewDate",
          "path" : "ResearchElementDefinition.lastReviewDate",
          "short" : "When the research element definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.effectivePeriod",
          "path" : "ResearchElementDefinition.effectivePeriod",
          "short" : "When the research element definition is expected to be used",
          "definition" : "The period during which the research element definition content was or is planned to be in active use.",
          "comment" : "The effective period for a research element definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the research element definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.topic",
          "path" : "ResearchElementDefinition.topic",
          "short" : "The category of the ResearchElementDefinition, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the ResearchElementDefinition. Topics provide a high-level categorization grouping types of ResearchElementDefinitions that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the ResearchElementDefinition so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "ResearchElementDefinition.author",
          "path" : "ResearchElementDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "ResearchElementDefinition.editor",
          "path" : "ResearchElementDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.reviewer",
          "path" : "ResearchElementDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ResearchElementDefinition.endorser",
          "path" : "ResearchElementDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ResearchElementDefinition.relatedArtifact",
          "path" : "ResearchElementDefinition.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "ResearchElementDefinitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.library",
          "path" : "ResearchElementDefinition.library",
          "short" : "Logic used by the ResearchElementDefinition",
          "definition" : "A reference to a Library resource containing the formal logic used by the ResearchElementDefinition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.library",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.type",
          "path" : "ResearchElementDefinition.type",
          "short" : "population | exposure | outcome",
          "definition" : "The type of research element, a population, an exposure, or an outcome.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchElementType"
            }],
            "strength" : "required",
            "description" : "The possible types of research elements (E.g. Population, Exposure, Outcome).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-element-type|4.0.0"
          }
        },
        {
          "id" : "ResearchElementDefinition.variableType",
          "path" : "ResearchElementDefinition.variableType",
          "short" : "dichotomous | continuous | descriptive",
          "definition" : "The type of the outcome (e.g. Dichotomous, Continuous, or Descriptive).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.variableType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VariableType"
            }],
            "strength" : "required",
            "description" : "The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/variable-type|4.0.0"
          }
        },
        {
          "id" : "ResearchElementDefinition.characteristic",
          "path" : "ResearchElementDefinition.characteristic",
          "short" : "What defines the members of the research element",
          "definition" : "A characteristic that defines the members of the research element. Multiple characteristics are applied with \"and\" semantics.",
          "comment" : "Characteristics can be defined flexibly to accommodate different use cases for membership criteria, ranging from simple codes, all the way to using an expression language to express the criteria.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.characteristic.id",
          "path" : "ResearchElementDefinition.characteristic.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.extension",
          "path" : "ResearchElementDefinition.characteristic.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.modifierExtension",
          "path" : "ResearchElementDefinition.characteristic.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.definition[x]",
          "path" : "ResearchElementDefinition.characteristic.definition[x]",
          "short" : "What code or expression defines members?",
          "definition" : "Define members of the research element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year).",
          "requirements" : "Need to be able to define members in simple codes when the membership aligns well with terminology, with common criteria such as observations in a value set or lab tests within a year, or with expression language to support criteria that do not fit in the above.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.definition[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "DataRequirement"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.characteristic.usageContext",
          "path" : "ResearchElementDefinition.characteristic.usageContext",
          "short" : "What code/value pairs define members?",
          "definition" : "Use UsageContext to define the members of the population, such as Age Ranges, Genders, Settings.",
          "requirements" : "Need to be able to define members more structurally when more information can be communicated such as age range.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.usageContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.characteristic.exclude",
          "path" : "ResearchElementDefinition.characteristic.exclude",
          "short" : "Whether the characteristic includes or excludes members",
          "definition" : "When true, members with this characteristic are excluded from the element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.exclude",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "False",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.characteristic.unitOfMeasure",
          "path" : "ResearchElementDefinition.characteristic.unitOfMeasure",
          "short" : "What unit is the outcome described in?",
          "definition" : "Specifies the UCUM unit for the outcome.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.unitOfMeasure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "UCUMUnits"
            }],
            "strength" : "required",
            "description" : "Unified Code for Units of Measure (UCUM).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units|4.0.0"
          }
        },
        {
          "id" : "ResearchElementDefinition.characteristic.studyEffectiveDescription",
          "path" : "ResearchElementDefinition.characteristic.studyEffectiveDescription",
          "short" : "What time period does the study cover",
          "definition" : "A narrative description of the time period the study covers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.studyEffectiveDescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.characteristic.studyEffective[x]",
          "path" : "ResearchElementDefinition.characteristic.studyEffective[x]",
          "short" : "What time period does the study cover",
          "definition" : "Indicates what effective period the study covers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.studyEffective[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.characteristic.studyEffectiveTimeFromStart",
          "path" : "ResearchElementDefinition.characteristic.studyEffectiveTimeFromStart",
          "short" : "Observation time from study start",
          "definition" : "Indicates duration from the study initiation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.studyEffectiveTimeFromStart",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.characteristic.studyEffectiveGroupMeasure",
          "path" : "ResearchElementDefinition.characteristic.studyEffectiveGroupMeasure",
          "short" : "mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median",
          "definition" : "Indicates how elements are aggregated within the study effective period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.studyEffectiveGroupMeasure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupMeasure"
            }],
            "strength" : "required",
            "description" : "Possible group measure aggregates (E.g. Mean, Median).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/group-measure|4.0.0"
          }
        },
        {
          "id" : "ResearchElementDefinition.characteristic.participantEffectiveDescription",
          "path" : "ResearchElementDefinition.characteristic.participantEffectiveDescription",
          "short" : "What time period do participants cover",
          "definition" : "A narrative description of the time period the study covers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.participantEffectiveDescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.characteristic.participantEffective[x]",
          "path" : "ResearchElementDefinition.characteristic.participantEffective[x]",
          "short" : "What time period do participants cover",
          "definition" : "Indicates what effective period the study covers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.participantEffective[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.characteristic.participantEffectiveTimeFromStart",
          "path" : "ResearchElementDefinition.characteristic.participantEffectiveTimeFromStart",
          "short" : "Observation time from study start",
          "definition" : "Indicates duration from the participant's study entry.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.participantEffectiveTimeFromStart",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ResearchElementDefinition.characteristic.participantEffectiveGroupMeasure",
          "path" : "ResearchElementDefinition.characteristic.participantEffectiveGroupMeasure",
          "short" : "mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median",
          "definition" : "Indicates how elements are aggregated within the study effective period.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchElementDefinition.characteristic.participantEffectiveGroupMeasure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupMeasure"
            }],
            "strength" : "required",
            "description" : "Possible group measure aggregates (E.g. Mean, Median).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/group-measure|4.0.0"
          }
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ResearchElementDefinition",
          "path" : "ResearchElementDefinition",
          "short" : "A population, intervention, or exposure definition",
          "definition" : "The ResearchElementDefinition resource describes a \"PICO\" element that knowledge (evidence, assertion, recommendation) is about.",
          "comment" : "PICO stands for Population (the population within which exposures are being compared), Intervention (the conditional state or exposure state being described for its effect on outcomes), Comparison (the alternative conditional state or alternative exposure state being compared against), and Outcome (the result or effect of the intervention in the population).",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "red-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "ResearchElementDefinition.url",
          "path" : "ResearchElementDefinition.url",
          "short" : "Canonical identifier for this research element definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this research element definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this research element definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the research element definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the research element definition to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "ResearchElementDefinition.identifier",
          "path" : "ResearchElementDefinition.identifier",
          "short" : "Additional identifier for the research element definition",
          "definition" : "A formal identifier that is used to identify this research element definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this research element definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.version",
          "path" : "ResearchElementDefinition.version",
          "short" : "Business version of the research element definition",
          "definition" : "The identifier that is used to identify this version of the research element definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the research element definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence. To provide a version consistent with the Decision Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision Support Service specification. Note that a version is required for non-experimental active artifacts.",
          "comment" : "There may be different research element definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the research element definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ResearchElementDefinition.name",
          "path" : "ResearchElementDefinition.name",
          "short" : "Name for this research element definition (computer friendly)",
          "definition" : "A natural language name identifying the research element definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.title",
          "path" : "ResearchElementDefinition.title",
          "short" : "Name for this research element definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the research element definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ResearchElementDefinition.shortTitle",
          "path" : "ResearchElementDefinition.shortTitle",
          "short" : "Title for use in informal contexts",
          "definition" : "The short title provides an alternate title for use in informal descriptive contexts where the full, formal title is not necessary.",
          "requirements" : "Need to be able to reference the content by a short description, but still provide a longer, more formal title for the content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.subtitle",
          "path" : "ResearchElementDefinition.subtitle",
          "short" : "Subordinate title of the ResearchElementDefinition",
          "definition" : "An explanatory or alternate title for the ResearchElementDefinition giving additional information about its content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchElementDefinition.status",
          "path" : "ResearchElementDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this research element definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of research element definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ResearchElementDefinition.experimental",
          "path" : "ResearchElementDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this research element definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of research element definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level research element definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ResearchElementDefinition.subject[x]",
          "path" : "ResearchElementDefinition.subject[x]",
          "short" : "E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device",
          "definition" : "The intended subjects for the ResearchElementDefinition. If this element is not provided, a Patient subject is assumed, but the subject of the ResearchElementDefinition can be anything.",
          "comment" : "The subject of the ResearchElementDefinition is critical in interpreting the criteria definitions, as the logic in the ResearchElementDefinitions is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "meaningWhenMissing" : "Patient",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubjectType"
            }],
            "strength" : "extensible",
            "description" : "The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subject-type"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.subject"
          }]
        },
        {
          "id" : "ResearchElementDefinition.date",
          "path" : "ResearchElementDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the research element definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the research element definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the research element definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "ResearchElementDefinition.publisher",
          "path" : "ResearchElementDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the research element definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the research element definition is the organization or individual primarily responsible for the maintenance and upkeep of the research element definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the research element definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the research element definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ResearchElementDefinition.contact",
          "path" : "ResearchElementDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ResearchElementDefinition.description",
          "path" : "ResearchElementDefinition.description",
          "short" : "Natural language description of the research element definition",
          "definition" : "A free text natural language description of the research element definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the research element definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the research element definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the research element definition is presumed to be the predominant language in the place the research element definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "ResearchElementDefinition.comment",
          "path" : "ResearchElementDefinition.comment",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchElementDefinition.useContext",
          "path" : "ResearchElementDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate research element definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ResearchElementDefinition.jurisdiction",
          "path" : "ResearchElementDefinition.jurisdiction",
          "short" : "Intended jurisdiction for research element definition (if applicable)",
          "definition" : "A legal or geographic region in which the research element definition is intended to be used.",
          "comment" : "It may be possible for the research element definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ResearchElementDefinition.purpose",
          "path" : "ResearchElementDefinition.purpose",
          "short" : "Why this research element definition is defined",
          "definition" : "Explanation of why this research element definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the research element definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this research element definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.usage",
          "path" : "ResearchElementDefinition.usage",
          "short" : "Describes the clinical usage of the ResearchElementDefinition",
          "definition" : "A detailed description, from a clinical perspective, of how the ResearchElementDefinition is used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchElementDefinition.copyright",
          "path" : "ResearchElementDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the research element definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the research element definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the research element definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.approvalDate",
          "path" : "ResearchElementDefinition.approvalDate",
          "short" : "When the research element definition was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.lastReviewDate",
          "path" : "ResearchElementDefinition.lastReviewDate",
          "short" : "When the research element definition was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.effectivePeriod",
          "path" : "ResearchElementDefinition.effectivePeriod",
          "short" : "When the research element definition is expected to be used",
          "definition" : "The period during which the research element definition content was or is planned to be in active use.",
          "comment" : "The effective period for a research element definition  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the research element definition are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ResearchElementDefinition.topic",
          "path" : "ResearchElementDefinition.topic",
          "short" : "The category of the ResearchElementDefinition, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the ResearchElementDefinition. Topics provide a high-level categorization grouping types of ResearchElementDefinitions that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the ResearchElementDefinition so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "ResearchElementDefinition.author",
          "path" : "ResearchElementDefinition.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "ResearchElementDefinition.editor",
          "path" : "ResearchElementDefinition.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "ResearchElementDefinition.reviewer",
          "path" : "ResearchElementDefinition.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ResearchElementDefinition.endorser",
          "path" : "ResearchElementDefinition.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "ResearchElementDefinition.relatedArtifact",
          "path" : "ResearchElementDefinition.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "ResearchElementDefinitions must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "ResearchElementDefinition.library",
          "path" : "ResearchElementDefinition.library",
          "short" : "Logic used by the ResearchElementDefinition",
          "definition" : "A reference to a Library resource containing the formal logic used by the ResearchElementDefinition.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Library"]
          }]
        },
        {
          "id" : "ResearchElementDefinition.type",
          "path" : "ResearchElementDefinition.type",
          "short" : "population | exposure | outcome",
          "definition" : "The type of research element, a population, an exposure, or an outcome.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchElementType"
            }],
            "strength" : "required",
            "description" : "The possible types of research elements (E.g. Population, Exposure, Outcome).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-element-type|4.0.0"
          }
        },
        {
          "id" : "ResearchElementDefinition.variableType",
          "path" : "ResearchElementDefinition.variableType",
          "short" : "dichotomous | continuous | descriptive",
          "definition" : "The type of the outcome (e.g. Dichotomous, Continuous, or Descriptive).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VariableType"
            }],
            "strength" : "required",
            "description" : "The possible types of variables for exposures or outcomes (E.g. Dichotomous, Continuous, Descriptive).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/variable-type|4.0.0"
          }
        },
        {
          "id" : "ResearchElementDefinition.characteristic",
          "path" : "ResearchElementDefinition.characteristic",
          "short" : "What defines the members of the research element",
          "definition" : "A characteristic that defines the members of the research element. Multiple characteristics are applied with \"and\" semantics.",
          "comment" : "Characteristics can be defined flexibly to accommodate different use cases for membership criteria, ranging from simple codes, all the way to using an expression language to express the criteria.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.characteristic.definition[x]",
          "path" : "ResearchElementDefinition.characteristic.definition[x]",
          "short" : "What code or expression defines members?",
          "definition" : "Define members of the research element using Codes (such as condition, medication, or observation), Expressions ( using an expression language such as FHIRPath or CQL) or DataRequirements (such as Diabetes diagnosis onset in the last year).",
          "requirements" : "Need to be able to define members in simple codes when the membership aligns well with terminology, with common criteria such as observations in a value set or lab tests within a year, or with expression language to support criteria that do not fit in the above.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "DataRequirement"
          }],
          "isSummary" : true
        },
        {
          "id" : "ResearchElementDefinition.characteristic.usageContext",
          "path" : "ResearchElementDefinition.characteristic.usageContext",
          "short" : "What code/value pairs define members?",
          "definition" : "Use UsageContext to define the members of the population, such as Age Ranges, Genders, Settings.",
          "requirements" : "Need to be able to define members more structurally when more information can be communicated such as age range.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.exclude",
          "path" : "ResearchElementDefinition.characteristic.exclude",
          "short" : "Whether the characteristic includes or excludes members",
          "definition" : "When true, members with this characteristic are excluded from the element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "False"
        },
        {
          "id" : "ResearchElementDefinition.characteristic.unitOfMeasure",
          "path" : "ResearchElementDefinition.characteristic.unitOfMeasure",
          "short" : "What unit is the outcome described in?",
          "definition" : "Specifies the UCUM unit for the outcome.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "UCUMUnits"
            }],
            "strength" : "required",
            "description" : "Unified Code for Units of Measure (UCUM).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units|4.0.0"
          }
        },
        {
          "id" : "ResearchElementDefinition.characteristic.studyEffectiveDescription",
          "path" : "ResearchElementDefinition.characteristic.studyEffectiveDescription",
          "short" : "What time period does the study cover",
          "definition" : "A narrative description of the time period the study covers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.studyEffective[x]",
          "path" : "ResearchElementDefinition.characteristic.studyEffective[x]",
          "short" : "What time period does the study cover",
          "definition" : "Indicates what effective period the study covers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Timing"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.studyEffectiveTimeFromStart",
          "path" : "ResearchElementDefinition.characteristic.studyEffectiveTimeFromStart",
          "short" : "Observation time from study start",
          "definition" : "Indicates duration from the study initiation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.studyEffectiveGroupMeasure",
          "path" : "ResearchElementDefinition.characteristic.studyEffectiveGroupMeasure",
          "short" : "mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median",
          "definition" : "Indicates how elements are aggregated within the study effective period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupMeasure"
            }],
            "strength" : "required",
            "description" : "Possible group measure aggregates (E.g. Mean, Median).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/group-measure|4.0.0"
          }
        },
        {
          "id" : "ResearchElementDefinition.characteristic.participantEffectiveDescription",
          "path" : "ResearchElementDefinition.characteristic.participantEffectiveDescription",
          "short" : "What time period do participants cover",
          "definition" : "A narrative description of the time period the study covers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.participantEffective[x]",
          "path" : "ResearchElementDefinition.characteristic.participantEffective[x]",
          "short" : "What time period do participants cover",
          "definition" : "Indicates what effective period the study covers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "Timing"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.participantEffectiveTimeFromStart",
          "path" : "ResearchElementDefinition.characteristic.participantEffectiveTimeFromStart",
          "short" : "Observation time from study start",
          "definition" : "Indicates duration from the participant's study entry.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }]
        },
        {
          "id" : "ResearchElementDefinition.characteristic.participantEffectiveGroupMeasure",
          "path" : "ResearchElementDefinition.characteristic.participantEffectiveGroupMeasure",
          "short" : "mean | median | mean-of-mean | mean-of-median | median-of-mean | median-of-median",
          "definition" : "Indicates how elements are aggregated within the study effective period.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "GroupMeasure"
            }],
            "strength" : "required",
            "description" : "Possible group measure aggregates (E.g. Mean, Median).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/group-measure|4.0.0"
          }
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ResearchStudy",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ResearchStudy 
TU
DomainResource
Investigation to increase healthcare-related patient-independent knowledge
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business Identifier for study
 title 
Σ
0..1
string
Name for this study
 protocol 
Σ
0..*
Reference(PlanDefinition)
Steps followed in executing study
 partOf 
Σ
0..*
Reference(ResearchStudy)
Part of larger study
 status 
?!Σ
1..1
code
active | administratively-completed | approved | closed-to-accrual | closed-to-accrual-and-intervention | completed | disapproved | in-review | temporarily-closed-to-accrual | temporarily-closed-to-accrual-and-intervention | withdrawn
ResearchStudyStatus (Required)
 primaryPurposeType 
Σ
0..1
CodeableConcept
treatment | prevention | diagnostic | supportive-care | screening | health-services-research | basic-science | device-feasibility
ResearchStudyPrimaryPurposeType (Extensible)
 phase 
Σ
0..1
CodeableConcept
n-a | early-phase-1 | phase-1 | phase-1-phase-2 | phase-2 | phase-2-phase-3 | phase-3 | phase-4
ResearchStudyPhase (Example)
 category 
Σ
0..*
CodeableConcept
Classifications for the study
 focus 
Σ
0..*
CodeableConcept
Drugs, devices, etc. under study
 condition 
Σ
0..*
CodeableConcept
Condition being studied
Condition/Problem/Diagnosis Codes (Example)
 contact 
Σ
0..*
ContactDetail
Contact details for the study
 relatedArtifact 
0..*
RelatedArtifact
References and dependencies
 keyword 
Σ
0..*
CodeableConcept
Used to search for the study
 location 
Σ
0..*
CodeableConcept
Geographic region(s) for study
Jurisdiction (Extensible)
 description 
0..1
markdown
What this is study doing
 enrollment 
Σ
0..*
Reference(Group)
Inclusion & exclusion criteria
 period 
Σ
0..1
Period
When the study began and ended
 sponsor 
Σ
0..1
Reference(Organization)
Organization that initiates and is legally responsible for the study
 principalInvestigator 
Σ
0..1
Reference(Practitioner | PractitionerRole)
Researcher who oversees multiple aspects of the study
 site 
Σ
0..*
Reference(Location)
Facility where study activities are conducted
 reasonStopped 
Σ
0..1
CodeableConcept
accrual-goal-met | closed-due-to-toxicity | closed-due-to-lack-of-study-progress | temporarily-closed-per-study-design
ResearchStudyReasonStopped (Example)
 note 
0..*
Annotation
Comments made about the study
 arm 
0..*
BackboneElement
Defined path through the study for a subject
 name 
1..1
string
Label for study arm
 type 
0..1
CodeableConcept
Categorization of study arm
 description 
0..1
string
Short explanation of study path
 objective 
0..*
BackboneElement
A goal for the study
 name 
0..1
string
Label for the objective
 type 
0..1
CodeableConcept
primary | secondary | exploratory
ResearchStudyObjectiveType (Preferred)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Public Health & Research"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ResearchStudy",
      "version" : "4.0.0",
      "name" : "ResearchStudy",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "A process where a researcher or organization plans and then executes a series of steps intended to increase the field of healthcare-related knowledge.  This includes studies of safety, efficacy, comparative effectiveness and other information about medications, devices, therapies and other interventional and investigative techniques.  A ResearchStudy involves the gathering of information about human or animal subjects.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "BRIDG5.1",
        "uri" : "https://bridgmodel.nci.nih.gov",
        "name" : "BRIDG 5.1 Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "clinicaltrials-gov",
        "uri" : "http://clinicaltrials.gov",
        "name" : "ClinicalTrials.gov Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ResearchStudy",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ResearchStudy",
          "path" : "ResearchStudy",
          "short" : "Investigation to increase healthcare-related patient-independent knowledge",
          "definition" : "A process where a researcher or organization plans and then executes a series of steps intended to increase the field of healthcare-related knowledge.  This includes studies of safety, efficacy, comparative effectiveness and other information about medications, devices, therapies and other interventional and investigative techniques.  A ResearchStudy involves the gathering of information about human or animal subjects.",
          "comment" : "Need to make sure we encompass public health studies.",
          "alias" : ["Clinical Trial",
          "Study"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "ObservationalStudyProtocolVersion; Study;\nStudyProtocolVersion"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=CLNTRL, moodCode=EVN]"
          }]
        },
        {
          "id" : "ResearchStudy.id",
          "path" : "ResearchStudy.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchStudy.meta",
          "path" : "ResearchStudy.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchStudy.implicitRules",
          "path" : "ResearchStudy.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ResearchStudy.language",
          "path" : "ResearchStudy.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ResearchStudy.text",
          "path" : "ResearchStudy.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ResearchStudy.contained",
          "path" : "ResearchStudy.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchStudy.extension",
          "path" : "ResearchStudy.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchStudy.modifierExtension",
          "path" : "ResearchStudy.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchStudy.identifier",
          "path" : "ResearchStudy.identifier",
          "short" : "Business Identifier for study",
          "definition" : "Identifiers assigned to this research study by the sponsor or other systems.",
          "requirements" : "Allows identification of the research study as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Organization's Unique Protocol ID; Secondary IDs"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "No BRIDG mapping (although there is  DocumentVersion.identifier > StudyProtocolDocumentVersion, this is arguably a different semantic)"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "ResearchStudy.title",
          "path" : "ResearchStudy.title",
          "short" : "Name for this study",
          "definition" : "A short, descriptive user-friendly label for the study.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Brief Title"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "No BRIDG mapping (although there is  StudyProtocolDocumentVersionPublicTitle this is arguably a different semantic: title of a document vs title of a research study)"
          }]
        },
        {
          "id" : "ResearchStudy.protocol",
          "path" : "ResearchStudy.protocol",
          "short" : "Steps followed in executing study",
          "definition" : "The set of steps expected to be performed as part of the execution of the study.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.protocol",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Interventions; Arm/Intervention Cross-Reference"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolDocumentVersionPublicTitle.name"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ResearchStudy.partOf",
          "path" : "ResearchStudy.partOf",
          "short" : "Part of larger study",
          "definition" : "A larger research study of which this particular study is a component or step.",
          "requirements" : "Allows breaking a study into components (e.g. by study site) each with their own PI, status, enrollment, etc.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchStudy"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "CompanionStudyRelationship"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "ResearchStudy.status",
          "path" : "ResearchStudy.status",
          "short" : "active | administratively-completed | approved | closed-to-accrual | closed-to-accrual-and-intervention | completed | disapproved | in-review | temporarily-closed-to-accrual | temporarily-closed-to-accrual-and-intervention | withdrawn",
          "definition" : "The current state of the study.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyStatus"
            }],
            "strength" : "required",
            "description" : "Codes that convey the current status of the research study.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyOverallStatus.code"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ResearchStudy.primaryPurposeType",
          "path" : "ResearchStudy.primaryPurposeType",
          "short" : "treatment | prevention | diagnostic | supportive-care | screening | health-services-research | basic-science | device-feasibility",
          "definition" : "The type of study based upon the intent of the study's activities. A classification of the intent of the study.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.primaryPurposeType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyPrimaryPurposeType"
            }],
            "strength" : "extensible",
            "description" : "Codes for the main intent of the study.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-prim-purp-type"
          },
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolVersion.primaryPurposeTypeCode"
          }]
        },
        {
          "id" : "ResearchStudy.phase",
          "path" : "ResearchStudy.phase",
          "short" : "n-a | early-phase-1 | phase-1 | phase-1-phase-2 | phase-2 | phase-2-phase-3 | phase-3 | phase-4",
          "definition" : "The stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.phase",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyPhase"
            }],
            "strength" : "example",
            "description" : "Codes for the stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-phase"
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Study Phase"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolVersion.phaseCode"
          }]
        },
        {
          "id" : "ResearchStudy.category",
          "path" : "ResearchStudy.category",
          "short" : "Classifications for the study",
          "definition" : "Codes categorizing the type of study such as investigational vs. observational, type of blinding, type of randomization, safety vs. efficacy, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyCategory"
            }],
            "strength" : "example",
            "description" : "Codes that describe the type of research study.  E.g. Study phase, Interventional/Observational, blinding type, etc."
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Study Type; Primary Purpose; Interventional Model; Masking; Allocation; study Classification; Observational Study Model; Time Perspective; Biospecimen Retention"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "InterventionalStudyProtocolVersion; InterventionalStudyProtocol.allocationCode; InterventionalStudyProtocol.blindedRoleCode; InterventionalStudyProtocol.blindingSchemaCode; InterventionalStudyProtocol.controlTypeCode"
          }]
        },
        {
          "id" : "ResearchStudy.focus",
          "path" : "ResearchStudy.focus",
          "short" : "Drugs, devices, etc. under study",
          "definition" : "The medication(s), food(s), therapy(ies), device(s) or other concerns or interventions that the study is seeking to gain more information about.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.focus",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyFocus"
            }],
            "strength" : "example",
            "description" : "Codes for medications, devices and other interventions."
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Focus of Study"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "InterventionalStudyProtocol.interventionTypeCode"
          }]
        },
        {
          "id" : "ResearchStudy.condition",
          "path" : "ResearchStudy.condition",
          "short" : "Condition being studied",
          "definition" : "The condition that is the focus of the study.  For example, In a study to examine risk factors for Lupus, might have as an inclusion criterion \"healthy volunteer\", but the target condition code would be a Lupus SNOMED code.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.condition",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionCode"
            }],
            "strength" : "example",
            "description" : "Identification of the condition or diagnosis.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Conditions"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyCondition.code"
          }]
        },
        {
          "id" : "ResearchStudy.contact",
          "path" : "ResearchStudy.contact",
          "short" : "Contact details for the study",
          "definition" : "Contact details to assist a user in learning more about or engaging with the study.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Central Contact; Central Contact Backup; Overall Study Officials; Facility Contact & Backup (if Study tied to only one location); Investigators"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "PointOfContact > Project > Research Project > Study > StudyProtocol > StudyProtocolVersion"
          }]
        },
        {
          "id" : "ResearchStudy.relatedArtifact",
          "path" : "ResearchStudy.relatedArtifact",
          "short" : "References and dependencies",
          "definition" : "Citations, references and other related documents.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Citations, Links, Available Study Data/Documents"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolDocument, StudyProtocolDocumentVersion"
          }]
        },
        {
          "id" : "ResearchStudy.keyword",
          "path" : "ResearchStudy.keyword",
          "short" : "Used to search for the study",
          "definition" : "Key terms to aid in searching for or filtering the study.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.keyword",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyKeyword"
            }],
            "strength" : "example",
            "description" : "Words associated with the study that may be useful in discovery."
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Keywords"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "DocumentVersion.keywordCode; DocumentVersion.keywordText"
          }]
        },
        {
          "id" : "ResearchStudy.location",
          "path" : "ResearchStudy.location",
          "short" : "Geographic region(s) for study",
          "definition" : "Indicates a country, state or other region where the study is taking place.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.location",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolVersion.participatingLocationCode"
          }]
        },
        {
          "id" : "ResearchStudy.description",
          "path" : "ResearchStudy.description",
          "short" : "What this is study doing",
          "definition" : "A full description of how the study is being conducted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Detailed Description"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolDocumentVersion.publicDescription"
          }]
        },
        {
          "id" : "ResearchStudy.enrollment",
          "path" : "ResearchStudy.enrollment",
          "short" : "Inclusion & exclusion criteria",
          "definition" : "Reference to a Group that defines the criteria for and quantity of subjects participating in the study.  E.g. \" 200 female Europeans between the ages of 20 and 45 with early onset diabetes\".",
          "comment" : "The Group referenced should not generally enumerate specific subjects.  Subjects will be linked to the study using the ResearchSubject resource.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.enrollment",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Enrollment; Number of Groups/Cohorts (= number of \"enrollment\" instances); Groups (Group/Cohort Label = Group.name; Group/Cohort Description = Group.description); Eligibility (Group criteria)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "InterventionalStudyProtocol.interventionGroupQuantity"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ResearchStudy.period",
          "path" : "ResearchStudy.period",
          "short" : "When the study began and ended",
          "definition" : "Identifies the start date and the expected (or actual, depending on status) end date for the study.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Study Start Date (start); Study Completion Date (end)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "ProjectConduct.dateRange; StudyProtocolVersion.plannedDuration"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "ResearchStudy.sponsor",
          "path" : "ResearchStudy.sponsor",
          "short" : "Organization that initiates and is legally responsible for the study",
          "definition" : "An organization that initiates the investigation and is legally responsible for the study.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.sponsor",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Sponsor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "RegulatoryApplicationSponsor; StudyLegalSponsor; StudyProtocolVersion.responsiblePartyCode"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ResearchStudy.principalInvestigator",
          "path" : "ResearchStudy.principalInvestigator",
          "short" : "Researcher who oversees multiple aspects of the study",
          "definition" : "A researcher in a study who oversees multiple aspects of the study, such as concept development, protocol writing, protocol submission for IRB approval, participant recruitment, informed consent, data collection, analysis, interpretation and presentation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.principalInvestigator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Principal Investigator"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyInvestigator"
          }]
        },
        {
          "id" : "ResearchStudy.site",
          "path" : "ResearchStudy.site",
          "short" : "Facility where study activities are conducted",
          "definition" : "A facility in which study activities are conducted.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.site",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Facility"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "PlannedStudySite; StudySite"
          }]
        },
        {
          "id" : "ResearchStudy.reasonStopped",
          "path" : "ResearchStudy.reasonStopped",
          "short" : "accrual-goal-met | closed-due-to-toxicity | closed-due-to-lack-of-study-progress | temporarily-closed-per-study-design",
          "definition" : "A description and/or code explaining the premature termination of the study.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.reasonStopped",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyReasonStopped"
            }],
            "strength" : "example",
            "description" : "Codes for why the study ended prematurely.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-reason-stopped"
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Why Study Stopped"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyOverallStatus.studyStoppedReasonCode"
          }]
        },
        {
          "id" : "ResearchStudy.note",
          "path" : "ResearchStudy.note",
          "short" : "Comments made about the study",
          "definition" : "Comments made about the study by the performer, subject or other participants.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "No BRIDG mapping"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        },
        {
          "id" : "ResearchStudy.arm",
          "path" : "ResearchStudy.arm",
          "short" : "Defined path through the study for a subject",
          "definition" : "Describes an expected sequence of events for one of the participants of a study.  E.g. Exposure to drug A, wash-out, exposure to drug B, wash-out, follow-up.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.arm",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Arms"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "Arm"
          }]
        },
        {
          "id" : "ResearchStudy.arm.id",
          "path" : "ResearchStudy.arm.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ResearchStudy.arm.extension",
          "path" : "ResearchStudy.arm.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ResearchStudy.arm.modifierExtension",
          "path" : "ResearchStudy.arm.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchStudy.arm.name",
          "path" : "ResearchStudy.arm.name",
          "short" : "Label for study arm",
          "definition" : "Unique, human-readable label for this arm of the study.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.arm.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Arm Label"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "Arm.name"
          }]
        },
        {
          "id" : "ResearchStudy.arm.type",
          "path" : "ResearchStudy.arm.type",
          "short" : "Categorization of study arm",
          "definition" : "Categorization of study arm, e.g. experimental, active comparator, placebo comparater.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.arm.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Arm Type"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "Arm.typeCode"
          }]
        },
        {
          "id" : "ResearchStudy.arm.description",
          "path" : "ResearchStudy.arm.description",
          "short" : "Short explanation of study path",
          "definition" : "A succinct description of the path through the study that would be followed by a subject adhering to this arm.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.arm.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Arm Description"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "Arm.description"
          }]
        },
        {
          "id" : "ResearchStudy.objective",
          "path" : "ResearchStudy.objective",
          "short" : "A goal for the study",
          "definition" : "A goal that the study is aiming to achieve in terms of a scientific question to be answered by the analysis of data collected during the study.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchStudy.objective",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudyObjective"
          }]
        },
        {
          "id" : "ResearchStudy.objective.id",
          "path" : "ResearchStudy.objective.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ResearchStudy.objective.extension",
          "path" : "ResearchStudy.objective.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ResearchStudy.objective.modifierExtension",
          "path" : "ResearchStudy.objective.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchStudy.objective.name",
          "path" : "ResearchStudy.objective.name",
          "short" : "Label for the objective",
          "definition" : "Unique, human-readable label for this objective of the study.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.objective.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "No BRIDG mapping (BRIDG has a description, but not a name)"
          }]
        },
        {
          "id" : "ResearchStudy.objective.type",
          "path" : "ResearchStudy.objective.type",
          "short" : "primary | secondary | exploratory",
          "definition" : "The kind of study objective.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchStudy.objective.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyObjectiveType"
            }],
            "strength" : "preferred",
            "description" : "Codes for the kind of study objective.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-objective-type"
          },
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudyObjective.typeCode"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ResearchStudy",
          "path" : "ResearchStudy",
          "short" : "Investigation to increase healthcare-related patient-independent knowledge",
          "definition" : "A process where a researcher or organization plans and then executes a series of steps intended to increase the field of healthcare-related knowledge.  This includes studies of safety, efficacy, comparative effectiveness and other information about medications, devices, therapies and other interventional and investigative techniques.  A ResearchStudy involves the gathering of information about human or animal subjects.",
          "comment" : "Need to make sure we encompass public health studies.",
          "alias" : ["Clinical Trial",
          "Study"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "ObservationalStudyProtocolVersion; Study;\nStudyProtocolVersion"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=CLNTRL, moodCode=EVN]"
          }]
        },
        {
          "id" : "ResearchStudy.identifier",
          "path" : "ResearchStudy.identifier",
          "short" : "Business Identifier for study",
          "definition" : "Identifiers assigned to this research study by the sponsor or other systems.",
          "requirements" : "Allows identification of the research study as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Organization's Unique Protocol ID; Secondary IDs"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "No BRIDG mapping (although there is  DocumentVersion.identifier > StudyProtocolDocumentVersion, this is arguably a different semantic)"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "ResearchStudy.title",
          "path" : "ResearchStudy.title",
          "short" : "Name for this study",
          "definition" : "A short, descriptive user-friendly label for the study.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Brief Title"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "No BRIDG mapping (although there is  StudyProtocolDocumentVersionPublicTitle this is arguably a different semantic: title of a document vs title of a research study)"
          }]
        },
        {
          "id" : "ResearchStudy.protocol",
          "path" : "ResearchStudy.protocol",
          "short" : "Steps followed in executing study",
          "definition" : "The set of steps expected to be performed as part of the execution of the study.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Interventions; Arm/Intervention Cross-Reference"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolDocumentVersionPublicTitle.name"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ResearchStudy.partOf",
          "path" : "ResearchStudy.partOf",
          "short" : "Part of larger study",
          "definition" : "A larger research study of which this particular study is a component or step.",
          "requirements" : "Allows breaking a study into components (e.g. by study site) each with their own PI, status, enrollment, etc.",
          "alias" : ["container"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchStudy"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "CompanionStudyRelationship"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "ResearchStudy.status",
          "path" : "ResearchStudy.status",
          "short" : "active | administratively-completed | approved | closed-to-accrual | closed-to-accrual-and-intervention | completed | disapproved | in-review | temporarily-closed-to-accrual | temporarily-closed-to-accrual-and-intervention | withdrawn",
          "definition" : "The current state of the study.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyStatus"
            }],
            "strength" : "required",
            "description" : "Codes that convey the current status of the research study.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyOverallStatus.code"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ResearchStudy.primaryPurposeType",
          "path" : "ResearchStudy.primaryPurposeType",
          "short" : "treatment | prevention | diagnostic | supportive-care | screening | health-services-research | basic-science | device-feasibility",
          "definition" : "The type of study based upon the intent of the study's activities. A classification of the intent of the study.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyPrimaryPurposeType"
            }],
            "strength" : "extensible",
            "description" : "Codes for the main intent of the study.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-prim-purp-type"
          },
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolVersion.primaryPurposeTypeCode"
          }]
        },
        {
          "id" : "ResearchStudy.phase",
          "path" : "ResearchStudy.phase",
          "short" : "n-a | early-phase-1 | phase-1 | phase-1-phase-2 | phase-2 | phase-2-phase-3 | phase-3 | phase-4",
          "definition" : "The stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyPhase"
            }],
            "strength" : "example",
            "description" : "Codes for the stage in the progression of a therapy from initial experimental use in humans in clinical trials to post-market evaluation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-phase"
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Study Phase"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolVersion.phaseCode"
          }]
        },
        {
          "id" : "ResearchStudy.category",
          "path" : "ResearchStudy.category",
          "short" : "Classifications for the study",
          "definition" : "Codes categorizing the type of study such as investigational vs. observational, type of blinding, type of randomization, safety vs. efficacy, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyCategory"
            }],
            "strength" : "example",
            "description" : "Codes that describe the type of research study.  E.g. Study phase, Interventional/Observational, blinding type, etc."
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Study Type; Primary Purpose; Interventional Model; Masking; Allocation; study Classification; Observational Study Model; Time Perspective; Biospecimen Retention"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "InterventionalStudyProtocolVersion; InterventionalStudyProtocol.allocationCode; InterventionalStudyProtocol.blindedRoleCode; InterventionalStudyProtocol.blindingSchemaCode; InterventionalStudyProtocol.controlTypeCode"
          }]
        },
        {
          "id" : "ResearchStudy.focus",
          "path" : "ResearchStudy.focus",
          "short" : "Drugs, devices, etc. under study",
          "definition" : "The medication(s), food(s), therapy(ies), device(s) or other concerns or interventions that the study is seeking to gain more information about.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyFocus"
            }],
            "strength" : "example",
            "description" : "Codes for medications, devices and other interventions."
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Focus of Study"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "InterventionalStudyProtocol.interventionTypeCode"
          }]
        },
        {
          "id" : "ResearchStudy.condition",
          "path" : "ResearchStudy.condition",
          "short" : "Condition being studied",
          "definition" : "The condition that is the focus of the study.  For example, In a study to examine risk factors for Lupus, might have as an inclusion criterion \"healthy volunteer\", but the target condition code would be a Lupus SNOMED code.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConditionCode"
            }],
            "strength" : "example",
            "description" : "Identification of the condition or diagnosis.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/condition-code"
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Conditions"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyCondition.code"
          }]
        },
        {
          "id" : "ResearchStudy.contact",
          "path" : "ResearchStudy.contact",
          "short" : "Contact details for the study",
          "definition" : "Contact details to assist a user in learning more about or engaging with the study.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Central Contact; Central Contact Backup; Overall Study Officials; Facility Contact & Backup (if Study tied to only one location); Investigators"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "PointOfContact > Project > Research Project > Study > StudyProtocol > StudyProtocolVersion"
          }]
        },
        {
          "id" : "ResearchStudy.relatedArtifact",
          "path" : "ResearchStudy.relatedArtifact",
          "short" : "References and dependencies",
          "definition" : "Citations, references and other related documents.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Citations, Links, Available Study Data/Documents"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolDocument, StudyProtocolDocumentVersion"
          }]
        },
        {
          "id" : "ResearchStudy.keyword",
          "path" : "ResearchStudy.keyword",
          "short" : "Used to search for the study",
          "definition" : "Key terms to aid in searching for or filtering the study.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyKeyword"
            }],
            "strength" : "example",
            "description" : "Words associated with the study that may be useful in discovery."
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Keywords"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "DocumentVersion.keywordCode; DocumentVersion.keywordText"
          }]
        },
        {
          "id" : "ResearchStudy.location",
          "path" : "ResearchStudy.location",
          "short" : "Geographic region(s) for study",
          "definition" : "Indicates a country, state or other region where the study is taking place.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolVersion.participatingLocationCode"
          }]
        },
        {
          "id" : "ResearchStudy.description",
          "path" : "ResearchStudy.description",
          "short" : "What this is study doing",
          "definition" : "A full description of how the study is being conducted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Detailed Description"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyProtocolDocumentVersion.publicDescription"
          }]
        },
        {
          "id" : "ResearchStudy.enrollment",
          "path" : "ResearchStudy.enrollment",
          "short" : "Inclusion & exclusion criteria",
          "definition" : "Reference to a Group that defines the criteria for and quantity of subjects participating in the study.  E.g. \" 200 female Europeans between the ages of 20 and 45 with early onset diabetes\".",
          "comment" : "The Group referenced should not generally enumerate specific subjects.  Subjects will be linked to the study using the ResearchSubject resource.",
          "alias" : ["patient"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Enrollment; Number of Groups/Cohorts (= number of \"enrollment\" instances); Groups (Group/Cohort Label = Group.name; Group/Cohort Description = Group.description); Eligibility (Group criteria)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "InterventionalStudyProtocol.interventionGroupQuantity"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ResearchStudy.period",
          "path" : "ResearchStudy.period",
          "short" : "When the study began and ended",
          "definition" : "Identifies the start date and the expected (or actual, depending on status) end date for the study.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Study Start Date (start); Study Completion Date (end)"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "ProjectConduct.dateRange; StudyProtocolVersion.plannedDuration"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "ResearchStudy.sponsor",
          "path" : "ResearchStudy.sponsor",
          "short" : "Organization that initiates and is legally responsible for the study",
          "definition" : "An organization that initiates the investigation and is legally responsible for the study.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Sponsor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "RegulatoryApplicationSponsor; StudyLegalSponsor; StudyProtocolVersion.responsiblePartyCode"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ResearchStudy.principalInvestigator",
          "path" : "ResearchStudy.principalInvestigator",
          "short" : "Researcher who oversees multiple aspects of the study",
          "definition" : "A researcher in a study who oversees multiple aspects of the study, such as concept development, protocol writing, protocol submission for IRB approval, participant recruitment, informed consent, data collection, analysis, interpretation and presentation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Principal Investigator"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyInvestigator"
          }]
        },
        {
          "id" : "ResearchStudy.site",
          "path" : "ResearchStudy.site",
          "short" : "Facility where study activities are conducted",
          "definition" : "A facility in which study activities are conducted.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Facility"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "PlannedStudySite; StudySite"
          }]
        },
        {
          "id" : "ResearchStudy.reasonStopped",
          "path" : "ResearchStudy.reasonStopped",
          "short" : "accrual-goal-met | closed-due-to-toxicity | closed-due-to-lack-of-study-progress | temporarily-closed-per-study-design",
          "definition" : "A description and/or code explaining the premature termination of the study.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyReasonStopped"
            }],
            "strength" : "example",
            "description" : "Codes for why the study ended prematurely.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-reason-stopped"
          },
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Why Study Stopped"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudyOverallStatus.studyStoppedReasonCode"
          }]
        },
        {
          "id" : "ResearchStudy.note",
          "path" : "ResearchStudy.note",
          "short" : "Comments made about the study",
          "definition" : "Comments made about the study by the performer, subject or other participants.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "No BRIDG mapping"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          }]
        },
        {
          "id" : "ResearchStudy.arm",
          "path" : "ResearchStudy.arm",
          "short" : "Defined path through the study for a subject",
          "definition" : "Describes an expected sequence of events for one of the participants of a study.  E.g. Exposure to drug A, wash-out, exposure to drug B, wash-out, follow-up.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Arms"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "Arm"
          }]
        },
        {
          "id" : "ResearchStudy.arm.name",
          "path" : "ResearchStudy.arm.name",
          "short" : "Label for study arm",
          "definition" : "Unique, human-readable label for this arm of the study.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Arm Label"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "Arm.name"
          }]
        },
        {
          "id" : "ResearchStudy.arm.type",
          "path" : "ResearchStudy.arm.type",
          "short" : "Categorization of study arm",
          "definition" : "Categorization of study arm, e.g. experimental, active comparator, placebo comparater.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Arm Type"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "Arm.typeCode"
          }]
        },
        {
          "id" : "ResearchStudy.arm.description",
          "path" : "ResearchStudy.arm.description",
          "short" : "Short explanation of study path",
          "definition" : "A succinct description of the path through the study that would be followed by a subject adhering to this arm.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "clinicaltrials-gov",
            "map" : "Arm Description"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "Arm.description"
          }]
        },
        {
          "id" : "ResearchStudy.objective",
          "path" : "ResearchStudy.objective",
          "short" : "A goal for the study",
          "definition" : "A goal that the study is aiming to achieve in terms of a scientific question to be answered by the analysis of data collected during the study.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudyObjective"
          }]
        },
        {
          "id" : "ResearchStudy.objective.name",
          "path" : "ResearchStudy.objective.name",
          "short" : "Label for the objective",
          "definition" : "Unique, human-readable label for this objective of the study.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "No BRIDG mapping (BRIDG has a description, but not a name)"
          }]
        },
        {
          "id" : "ResearchStudy.objective.type",
          "path" : "ResearchStudy.objective.type",
          "short" : "primary | secondary | exploratory",
          "definition" : "The kind of study objective.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchStudyObjectiveType"
            }],
            "strength" : "preferred",
            "description" : "Codes for the kind of study objective.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-study-objective-type"
          },
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudyObjective.typeCode"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ResearchSubject",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ResearchSubject",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ResearchSubject 
TU
DomainResource
Physical entity which is the primary unit of interest in the study
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business Identifier for research subject in a study
 status 
?!Σ
1..1
code
candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn
ResearchSubjectStatus (Required)
 period 
Σ
0..1
Period
Start and end of participation
 study 
Σ
1..1
Reference(ResearchStudy)
Study subject is part of
 individual 
Σ
1..1
Reference(Patient)
Who is part of study
 assignedArm 
0..1
string
What path should be followed
 actualArm 
0..1
string
What path was followed
 consent 
0..1
Reference(Consent)
Agreement to participate in study

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Public Health & Research"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ResearchSubject",
      "version" : "4.0.0",
      "name" : "ResearchSubject",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "A physical entity which is the primary unit of operational and/or administrative interest in a study.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "BRIDG5.1",
        "uri" : "https://bridgmodel.nci.nih.gov",
        "name" : "BRIDG 5.1 Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ResearchSubject",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ResearchSubject",
          "path" : "ResearchSubject",
          "short" : "Physical entity which is the primary unit of interest in the study",
          "definition" : "A physical entity which is the primary unit of operational and/or administrative interest in a study.",
          "comment" : "Need to make sure we encompass public health studies.",
          "alias" : ["Study Subject"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchSubject",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudySubject"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=CLNTRL, moodCode=EVN]"
          }]
        },
        {
          "id" : "ResearchSubject.id",
          "path" : "ResearchSubject.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchSubject.meta",
          "path" : "ResearchSubject.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ResearchSubject.implicitRules",
          "path" : "ResearchSubject.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ResearchSubject.language",
          "path" : "ResearchSubject.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ResearchSubject.text",
          "path" : "ResearchSubject.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ResearchSubject.contained",
          "path" : "ResearchSubject.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchSubject.extension",
          "path" : "ResearchSubject.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchSubject.modifierExtension",
          "path" : "ResearchSubject.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ResearchSubject.identifier",
          "path" : "ResearchSubject.identifier",
          "short" : "Business Identifier for research subject in a study",
          "definition" : "Identifiers assigned to this research subject for a study.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ResearchSubject.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudySubject > Subject.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "ResearchSubject.status",
          "path" : "ResearchSubject.status",
          "short" : "candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn",
          "definition" : "The current state of the subject.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchSubject.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchSubjectStatus"
            }],
            "strength" : "required",
            "description" : "Indicates the progression of a study subject through a study.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudySubject.statusCode"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ResearchSubject.period",
          "path" : "ResearchSubject.period",
          "short" : "Start and end of participation",
          "definition" : "The dates the subject began and ended their participation in the study.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchSubject.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "PerformedStudySubjectMilestone.studyReferenceDateRange"
          }]
        },
        {
          "id" : "ResearchSubject.study",
          "path" : "ResearchSubject.study",
          "short" : "Study subject is part of",
          "definition" : "Reference to the study the subject is participating in.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchSubject.study",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchStudy"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudySubjectProtocolVersionRelationship"
          }]
        },
        {
          "id" : "ResearchSubject.individual",
          "path" : "ResearchSubject.individual",
          "short" : "Who is part of study",
          "definition" : "The record of the person or animal who is involved in the study.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ResearchSubject.individual",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudySubject"
          }]
        },
        {
          "id" : "ResearchSubject.assignedArm",
          "path" : "ResearchSubject.assignedArm",
          "short" : "What path should be followed",
          "definition" : "The name of the arm in the study the subject is expected to follow as part of this study.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchSubject.assignedArm",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "Arm > ExperimentalUnit > BiologicEntity > Subject > StudySubject"
          }]
        },
        {
          "id" : "ResearchSubject.actualArm",
          "path" : "ResearchSubject.actualArm",
          "short" : "What path was followed",
          "definition" : "The name of the arm in the study the subject actually followed as part of this study.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchSubject.actualArm",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "Arm > ExperimentalUnit > BiologicEntity > Subject > StudySubject"
          }]
        },
        {
          "id" : "ResearchSubject.consent",
          "path" : "ResearchSubject.consent",
          "short" : "Agreement to participate in study",
          "definition" : "A record of the patient's informed agreement to participate in the study.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ResearchSubject.consent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Consent"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "ResearchStudy.consent is related to PerformedStudySubjectMilestone.informedConsentIndicator in that the informedConsentIndicator can be derived from the data in the Consent resource."
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ResearchSubject",
          "path" : "ResearchSubject",
          "short" : "Physical entity which is the primary unit of interest in the study",
          "definition" : "A physical entity which is the primary unit of operational and/or administrative interest in a study.",
          "comment" : "Need to make sure we encompass public health studies.",
          "alias" : ["Study Subject"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudySubject"
          },
          {
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=CLNTRL, moodCode=EVN]"
          }]
        },
        {
          "id" : "ResearchSubject.identifier",
          "path" : "ResearchSubject.identifier",
          "short" : "Business Identifier for research subject in a study",
          "definition" : "Identifiers assigned to this research subject for a study.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudySubject > Subject.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "ResearchSubject.status",
          "path" : "ResearchSubject.status",
          "short" : "candidate | eligible | follow-up | ineligible | not-registered | off-study | on-study | on-study-intervention | on-study-observation | pending-on-study | potential-candidate | screening | withdrawn",
          "definition" : "The current state of the subject.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResearchSubjectStatus"
            }],
            "strength" : "required",
            "description" : "Indicates the progression of a study subject through a study.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/research-subject-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "StudySubject.statusCode"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "ResearchSubject.period",
          "path" : "ResearchSubject.period",
          "short" : "Start and end of participation",
          "definition" : "The dates the subject began and ended their participation in the study.",
          "alias" : ["timing"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "BRIDG5.1",
            "map" : "PerformedStudySubjectMilestone.studyReferenceDateRange"
          }]
        },
        {
          "id" : "ResearchSubject.study",
          "path" : "ResearchSubject.study",
          "short" : "Study subject is part of",
          "definition" : "Reference to the study the subject is participating in.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ResearchStudy"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudySubjectProtocolVersionRelationship"
          }]
        },
        {
          "id" : "ResearchSubject.individual",
          "path" : "ResearchSubject.individual",
          "short" : "Who is part of study",
          "definition" : "The record of the person or animal who is involved in the study.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "StudySubject"
          }]
        },
        {
          "id" : "ResearchSubject.assignedArm",
          "path" : "ResearchSubject.assignedArm",
          "short" : "What path should be followed",
          "definition" : "The name of the arm in the study the subject is expected to follow as part of this study.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "Arm > ExperimentalUnit > BiologicEntity > Subject > StudySubject"
          }]
        },
        {
          "id" : "ResearchSubject.actualArm",
          "path" : "ResearchSubject.actualArm",
          "short" : "What path was followed",
          "definition" : "The name of the arm in the study the subject actually followed as part of this study.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "Arm > ExperimentalUnit > BiologicEntity > Subject > StudySubject"
          }]
        },
        {
          "id" : "ResearchSubject.consent",
          "path" : "ResearchSubject.consent",
          "short" : "Agreement to participate in study",
          "definition" : "A record of the patient's informed agreement to participate in the study.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Consent"]
          }],
          "mapping" : [{
            "identity" : "BRIDG5.1",
            "map" : "ResearchStudy.consent is related to PerformedStudySubjectMilestone.informedConsentIndicator in that the informedConsentIndicator can be derived from the data in the Consent resource."
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "RiskAssessment",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 RiskAssessment 
TU
DomainResource
Potential outcomes for a subject with likelihood
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique identifier for the assessment
 basedOn 
0..1
Reference(Any)
Request fulfilled by this assessment
 parent 
0..1
Reference(Any)
Part of this occurrence
 status 
Σ
1..1
code
registered | preliminary | final | amended +
ObservationStatus (Required)
 method 
Σ
0..1
CodeableConcept
Evaluation mechanism
 code 
Σ
0..1
CodeableConcept
Type of assessment
 subject 
Σ
1..1
Reference(Patient | Group)
Who/what does assessment apply to?
 encounter 
Σ
0..1
Reference(Encounter)
Where was assessment performed?
 occurrence[x] 
Σ
0..1
When was assessment made?
 occurrenceDateTime
dateTime
 occurrencePeriod
Period
 condition 
Σ
0..1
Reference(Condition)
Condition assessed
 performer 
Σ
0..1
Reference(Practitioner | PractitionerRole | Device)
Who did assessment?
 reasonCode 
0..*
CodeableConcept
Why the assessment was necessary?
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
Why the assessment was necessary?
 basis 
0..*
Reference(Any)
Information used in assessment
 prediction 
I
0..*
BackboneElement
Outcome predicted
+ Rule: Must be <= 100
 outcome 
0..1
CodeableConcept
Possible outcome for the subject
 probability[x] 
I
0..1
Likelihood of specified outcome
+ Rule: low and high must be percentages, if present
 probabilityDecimal
decimal
 probabilityRange
Range
 qualitativeRisk 
0..1
CodeableConcept
Likelihood of specified outcome as a qualitative value
Risk Probability (Example)
 relativeRisk 
0..1
decimal
Relative likelihood
 when[x] 
0..1
Timeframe or age range
 whenPeriod
Period
 whenRange
Range
 rationale 
0..1
string
Explanation of prediction
 mitigation 
0..1
string
How to reduce risk
 note 
0..*
Annotation
Comments on the risk assessment

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Care Provision"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/RiskAssessment",
      "version" : "4.0.0",
      "name" : "RiskAssessment",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "openehr",
        "uri" : "http://openehr.org",
        "name" : "Open EHR Archetype Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "RiskAssessment",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "RiskAssessment",
          "path" : "RiskAssessment",
          "short" : "Potential outcomes for a subject with likelihood",
          "definition" : "An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.",
          "alias" : ["Prognosis"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskAssessment",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN, code=\"Risk Assessment\"]"
          },
          {
            "identity" : "openehr",
            "map" : "OpenEHR-EHR-EVALUATION.risk.v1"
          }]
        },
        {
          "id" : "RiskAssessment.id",
          "path" : "RiskAssessment.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskAssessment.meta",
          "path" : "RiskAssessment.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskAssessment.implicitRules",
          "path" : "RiskAssessment.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "RiskAssessment.language",
          "path" : "RiskAssessment.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "RiskAssessment.text",
          "path" : "RiskAssessment.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "RiskAssessment.contained",
          "path" : "RiskAssessment.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskAssessment.extension",
          "path" : "RiskAssessment.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskAssessment.modifierExtension",
          "path" : "RiskAssessment.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskAssessment.identifier",
          "path" : "RiskAssessment.identifier",
          "short" : "Unique identifier for the assessment",
          "definition" : "Business identifier assigned to the risk assessment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskAssessment.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "openehr",
            "map" : "Workflow Identifier"
          }]
        },
        {
          "id" : "RiskAssessment.basedOn",
          "path" : "RiskAssessment.basedOn",
          "short" : "Request fulfilled by this assessment",
          "definition" : "A reference to the request that is fulfilled by this risk assessment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.basedOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          }]
        },
        {
          "id" : "RiskAssessment.parent",
          "path" : "RiskAssessment.parent",
          "short" : "Part of this occurrence",
          "definition" : "A reference to a resource that this risk assessment is part of, such as a Procedure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.parent",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          }]
        },
        {
          "id" : "RiskAssessment.status",
          "path" : "RiskAssessment.status",
          "short" : "registered | preliminary | final | amended +",
          "definition" : "The status of the RiskAssessment, using the same statuses as an Observation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskAssessmentStatus"
            }],
            "strength" : "required",
            "description" : "The status of the risk assessment; e.g. preliminary, final, amended, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "RiskAssessment.method",
          "path" : "RiskAssessment.method",
          "short" : "Evaluation mechanism",
          "definition" : "The algorithm, process or mechanism used to evaluate the risk.",
          "requirements" : "The method can influence the results of the assessment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskAssessmentMethod"
            }],
            "strength" : "example",
            "description" : "The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc."
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".methodCode"
          }]
        },
        {
          "id" : "RiskAssessment.code",
          "path" : "RiskAssessment.code",
          "short" : "Type of assessment",
          "definition" : "The type of the risk assessment performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "RiskAssessment.subject",
          "path" : "RiskAssessment.subject",
          "short" : "Who/what does assessment apply to?",
          "definition" : "The patient or group the risk assessment applies to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "openehr",
            "map" : "Subject of Care"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "RiskAssessment.encounter",
          "path" : "RiskAssessment.encounter",
          "short" : "Where was assessment performed?",
          "definition" : "The encounter where the assessment was performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "RiskAssessment.occurrence[x]",
          "path" : "RiskAssessment.occurrence[x]",
          "short" : "When was assessment made?",
          "definition" : "The date (and possibly time) the risk assessment was performed.",
          "requirements" : "The assessment results lose validity the more time elapses from when they are first made.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.occurrence[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "RiskAssessment.condition",
          "path" : "RiskAssessment.condition",
          "short" : "Condition assessed",
          "definition" : "For assessments or prognosis specific to a particular condition, indicates the condition being assessed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.condition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "RiskAssessment.performer",
          "path" : "RiskAssessment.performer",
          "short" : "Who did assessment?",
          "definition" : "The provider or software application that performed the assessment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.performer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].role[classCode=ASSIGNED]"
          },
          {
            "identity" : "openehr",
            "map" : "Information Provider"
          }]
        },
        {
          "id" : "RiskAssessment.reasonCode",
          "path" : "RiskAssessment.reasonCode",
          "short" : "Why the assessment was necessary?",
          "definition" : "The reason the risk assessment was performed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskAssessment.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "RiskAssessment.reasonReference",
          "path" : "RiskAssessment.reasonReference",
          "short" : "Why the assessment was necessary?",
          "definition" : "Resources supporting the reason the risk assessment was performed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskAssessment.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "RiskAssessment.basis",
          "path" : "RiskAssessment.basis",
          "short" : "Information used in assessment",
          "definition" : "Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskAssessment.basis",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DRIV].target"
          },
          {
            "identity" : "openehr",
            "map" : "Risk Factor; Link to Evidence"
          }]
        },
        {
          "id" : "RiskAssessment.prediction",
          "path" : "RiskAssessment.prediction",
          "short" : "Outcome predicted",
          "definition" : "Describes the expected outcome for the subject.",
          "comment" : "Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskAssessment.prediction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "ras-2",
            "severity" : "error",
            "human" : "Must be <= 100",
            "expression" : "probability is decimal implies (probability as decimal) <= 100",
            "xpath" : "not(f:probabilityDecimal) or f:probabilityDecimal/@value <= 100"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.id",
          "path" : "RiskAssessment.prediction.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.extension",
          "path" : "RiskAssessment.prediction.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.modifierExtension",
          "path" : "RiskAssessment.prediction.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.outcome",
          "path" : "RiskAssessment.prediction.outcome",
          "short" : "Possible outcome for the subject",
          "definition" : "One of the potential outcomes for the patient (e.g. remission, death,  a particular condition).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.prediction.outcome",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskAssessmentOutcome"
            }],
            "strength" : "example",
            "description" : "The condition or other outcome; e.g. death, remission, amputation, infection, etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".value"
          },
          {
            "identity" : "openehr",
            "map" : "Risk"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.probability[x]",
          "path" : "RiskAssessment.prediction.probability[x]",
          "short" : "Likelihood of specified outcome",
          "definition" : "Indicates how likely the outcome is (in the specified timeframe).",
          "comment" : "If range is used, it represents the lower and upper bounds of certainty; e.g. 40-60%  Decimal values are expressed as percentages as well (max = 100).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.prediction.probability[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          },
          {
            "code" : "Range"
          }],
          "constraint" : [{
            "key" : "ras-1",
            "severity" : "error",
            "human" : "low and high must be percentages, if present",
            "expression" : "(low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum)))",
            "xpath" : "(not(f:low) or f:low[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org']) and (not(f:high) or f:high[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org'])"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"probability\"].value"
          },
          {
            "identity" : "openehr",
            "map" : "Category"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.qualitativeRisk",
          "path" : "RiskAssessment.prediction.qualitativeRisk",
          "short" : "Likelihood of specified outcome as a qualitative value",
          "definition" : "Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.prediction.qualitativeRisk",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskAssessmentProbability"
            }],
            "strength" : "example",
            "description" : "The likelihood of the occurrence of a specified outcome.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/risk-probability"
          }
        },
        {
          "id" : "RiskAssessment.prediction.relativeRisk",
          "path" : "RiskAssessment.prediction.relativeRisk",
          "short" : "Relative likelihood",
          "definition" : "Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general.  (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk.).",
          "requirements" : "Absolute risk is less meaningful than relative risk.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.prediction.relativeRisk",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"relative risk\"].value"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.when[x]",
          "path" : "RiskAssessment.prediction.when[x]",
          "short" : "Timeframe or age range",
          "definition" : "Indicates the period of time or age range of the subject to which the specified probability applies.",
          "comment" : "If not specified, the risk applies \"over the subject's lifespan\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.prediction.when[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          },
          {
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age\"].value"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.rationale",
          "path" : "RiskAssessment.prediction.rationale",
          "short" : "Explanation of prediction",
          "definition" : "Additional information explaining the basis for the prediction.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.prediction.rationale",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".reasonCode.text"
          },
          {
            "identity" : "openehr",
            "map" : "Rationale"
          }]
        },
        {
          "id" : "RiskAssessment.mitigation",
          "path" : "RiskAssessment.mitigation",
          "short" : "How to reduce risk",
          "definition" : "A description of the steps that might be taken to reduce the identified risk(s).",
          "requirements" : "One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskAssessment.mitigation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text"
          }]
        },
        {
          "id" : "RiskAssessment.note",
          "path" : "RiskAssessment.note",
          "short" : "Comments on the risk assessment",
          "definition" : "Additional comments about the risk assessment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskAssessment.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "RiskAssessment",
          "path" : "RiskAssessment",
          "short" : "Potential outcomes for a subject with likelihood",
          "definition" : "An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood of each outcome.",
          "alias" : ["Prognosis"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : "Observation[classCode=OBS, moodCode=EVN, code=\"Risk Assessment\"]"
          },
          {
            "identity" : "openehr",
            "map" : "OpenEHR-EHR-EVALUATION.risk.v1"
          }]
        },
        {
          "id" : "RiskAssessment.identifier",
          "path" : "RiskAssessment.identifier",
          "short" : "Unique identifier for the assessment",
          "definition" : "Business identifier assigned to the risk assessment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          },
          {
            "identity" : "openehr",
            "map" : "Workflow Identifier"
          }]
        },
        {
          "id" : "RiskAssessment.basedOn",
          "path" : "RiskAssessment.basedOn",
          "short" : "Request fulfilled by this assessment",
          "definition" : "A reference to the request that is fulfilled by this risk assessment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          }]
        },
        {
          "id" : "RiskAssessment.parent",
          "path" : "RiskAssessment.parent",
          "short" : "Part of this occurrence",
          "definition" : "A reference to a resource that this risk assessment is part of, such as a Procedure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          }]
        },
        {
          "id" : "RiskAssessment.status",
          "path" : "RiskAssessment.status",
          "short" : "registered | preliminary | final | amended +",
          "definition" : "The status of the RiskAssessment, using the same statuses as an Observation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskAssessmentStatus"
            }],
            "strength" : "required",
            "description" : "The status of the risk assessment; e.g. preliminary, final, amended, etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/observation-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "RiskAssessment.method",
          "path" : "RiskAssessment.method",
          "short" : "Evaluation mechanism",
          "definition" : "The algorithm, process or mechanism used to evaluate the risk.",
          "requirements" : "The method can influence the results of the assessment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskAssessmentMethod"
            }],
            "strength" : "example",
            "description" : "The mechanism or algorithm used to make the assessment; e.g. TIMI, PRISM, Cardiff Type 2 diabetes, etc."
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".methodCode"
          }]
        },
        {
          "id" : "RiskAssessment.code",
          "path" : "RiskAssessment.code",
          "short" : "Type of assessment",
          "definition" : "The type of the risk assessment performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          }]
        },
        {
          "id" : "RiskAssessment.subject",
          "path" : "RiskAssessment.subject",
          "short" : "Who/what does assessment apply to?",
          "definition" : "The patient or group the risk assessment applies to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "openehr",
            "map" : "Subject of Care"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "RiskAssessment.encounter",
          "path" : "RiskAssessment.encounter",
          "short" : "Where was assessment performed?",
          "definition" : "The encounter where the assessment was performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
          }]
        },
        {
          "id" : "RiskAssessment.occurrence[x]",
          "path" : "RiskAssessment.occurrence[x]",
          "short" : "When was assessment made?",
          "definition" : "The date (and possibly time) the risk assessment was performed.",
          "requirements" : "The assessment results lose validity the more time elapses from when they are first made.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "RiskAssessment.condition",
          "path" : "RiskAssessment.condition",
          "short" : "Condition assessed",
          "definition" : "For assessments or prognosis specific to a particular condition, indicates the condition being assessed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN]"
          }]
        },
        {
          "id" : "RiskAssessment.performer",
          "path" : "RiskAssessment.performer",
          "short" : "Who did assessment?",
          "definition" : "The provider or software application that performed the assessment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].role[classCode=ASSIGNED]"
          },
          {
            "identity" : "openehr",
            "map" : "Information Provider"
          }]
        },
        {
          "id" : "RiskAssessment.reasonCode",
          "path" : "RiskAssessment.reasonCode",
          "short" : "Why the assessment was necessary?",
          "definition" : "The reason the risk assessment was performed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "RiskAssessment.reasonReference",
          "path" : "RiskAssessment.reasonReference",
          "short" : "Why the assessment was necessary?",
          "definition" : "Resources supporting the reason the risk assessment was performed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "RiskAssessment.basis",
          "path" : "RiskAssessment.basis",
          "short" : "Information used in assessment",
          "definition" : "Indicates the source data considered as part of the assessment (for example, FamilyHistory, Observations, Procedures, Conditions, etc.).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DRIV].target"
          },
          {
            "identity" : "openehr",
            "map" : "Risk Factor; Link to Evidence"
          }]
        },
        {
          "id" : "RiskAssessment.prediction",
          "path" : "RiskAssessment.prediction",
          "short" : "Outcome predicted",
          "definition" : "Describes the expected outcome for the subject.",
          "comment" : "Multiple repetitions can be used to identify the same type of outcome in different timeframes as well as different types of outcomes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ras-2",
            "severity" : "error",
            "human" : "Must be <= 100",
            "expression" : "probability is decimal implies (probability as decimal) <= 100",
            "xpath" : "not(f:probabilityDecimal) or f:probabilityDecimal/@value <= 100"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=VALUE].target[classCod=OBS, moodCode=RISK]"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.outcome",
          "path" : "RiskAssessment.prediction.outcome",
          "short" : "Possible outcome for the subject",
          "definition" : "One of the potential outcomes for the patient (e.g. remission, death,  a particular condition).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskAssessmentOutcome"
            }],
            "strength" : "example",
            "description" : "The condition or other outcome; e.g. death, remission, amputation, infection, etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".value"
          },
          {
            "identity" : "openehr",
            "map" : "Risk"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.probability[x]",
          "path" : "RiskAssessment.prediction.probability[x]",
          "short" : "Likelihood of specified outcome",
          "definition" : "Indicates how likely the outcome is (in the specified timeframe).",
          "comment" : "If range is used, it represents the lower and upper bounds of certainty; e.g. 40-60%  Decimal values are expressed as percentages as well (max = 100).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          },
          {
            "code" : "Range"
          }],
          "constraint" : [{
            "key" : "ras-1",
            "severity" : "error",
            "human" : "low and high must be percentages, if present",
            "expression" : "(low.empty() or ((low.code = '%') and (low.system = %ucum))) and (high.empty() or ((high.code = '%') and (high.system = %ucum)))",
            "xpath" : "(not(f:low) or f:low[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org']) and (not(f:high) or f:high[f:code/@value='%' and f:system/@value='http://unitsofmeasure.org'])"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"probability\"].value"
          },
          {
            "identity" : "openehr",
            "map" : "Category"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.qualitativeRisk",
          "path" : "RiskAssessment.prediction.qualitativeRisk",
          "short" : "Likelihood of specified outcome as a qualitative value",
          "definition" : "Indicates how likely the outcome is (in the specified timeframe), expressed as a qualitative value (e.g. low, medium, or high).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskAssessmentProbability"
            }],
            "strength" : "example",
            "description" : "The likelihood of the occurrence of a specified outcome.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/risk-probability"
          }
        },
        {
          "id" : "RiskAssessment.prediction.relativeRisk",
          "path" : "RiskAssessment.prediction.relativeRisk",
          "short" : "Relative likelihood",
          "definition" : "Indicates the risk for this particular subject (with their specific characteristics) divided by the risk of the population in general.  (Numbers greater than 1 = higher risk than the population, numbers less than 1 = lower risk.).",
          "requirements" : "Absolute risk is less meaningful than relative risk.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"relative risk\"].value"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.when[x]",
          "path" : "RiskAssessment.prediction.when[x]",
          "short" : "Timeframe or age range",
          "definition" : "Indicates the period of time or age range of the subject to which the specified probability applies.",
          "comment" : "If not specified, the risk applies \"over the subject's lifespan\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          },
          {
            "code" : "Range"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"age\"].value"
          }]
        },
        {
          "id" : "RiskAssessment.prediction.rationale",
          "path" : "RiskAssessment.prediction.rationale",
          "short" : "Explanation of prediction",
          "definition" : "Additional information explaining the basis for the prediction.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".reasonCode.text"
          },
          {
            "identity" : "openehr",
            "map" : "Rationale"
          }]
        },
        {
          "id" : "RiskAssessment.mitigation",
          "path" : "RiskAssessment.mitigation",
          "short" : "How to reduce risk",
          "definition" : "A description of the steps that might be taken to reduce the identified risk(s).",
          "requirements" : "One of the main reasons for assessing risks is to identify whether interventional steps are needed to reduce risk.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=MTGT].target[classCode=ACT, moodCode=EVN].text"
          }]
        },
        {
          "id" : "RiskAssessment.note",
          "path" : "RiskAssessment.note",
          "short" : "Comments on the risk assessment",
          "definition" : "Additional comments about the risk assessment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.note"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/RiskEvidenceSynthesis",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "RiskEvidenceSynthesis",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 RiskEvidenceSynthesis 
ITU
DomainResource
A quantified estimate of risk based on a body of evidence
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this risk evidence synthesis, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the risk evidence synthesis
 version 
Σ
0..1
string
Business version of the risk evidence synthesis
 name 
ΣI
0..1
string
Name for this risk evidence synthesis (computer friendly)
 title 
Σ
0..1
string
Name for this risk evidence synthesis (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
0..1
markdown
Natural language description of the risk evidence synthesis
 note 
0..*
Annotation
Used for footnotes or explanatory notes
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for risk evidence synthesis (if applicable)
Jurisdiction (Extensible)
 copyright 
0..1
markdown
Use and/or publishing restrictions
 approvalDate 
0..1
date
When the risk evidence synthesis was approved by publisher
 lastReviewDate 
0..1
date
When the risk evidence synthesis was last reviewed
 effectivePeriod 
Σ
0..1
Period
When the risk evidence synthesis is expected to be used
 topic 
0..*
CodeableConcept
The category of the EffectEvidenceSynthesis, such as Education, Treatment, Assessment, etc.
DefinitionTopic (Example)
 author 
0..*
ContactDetail
Who authored the content
 editor 
0..*
ContactDetail
Who edited the content
 reviewer 
0..*
ContactDetail
Who reviewed the content
 endorser 
0..*
ContactDetail
Who endorsed the content
 relatedArtifact 
0..*
RelatedArtifact
Additional documentation, citations, etc.
 synthesisType 
0..1
CodeableConcept
Type of synthesis
SynthesisType (Extensible)
 studyType 
0..1
CodeableConcept
Type of study
StudyType (Extensible)
 population 
Σ
1..1
Reference(EvidenceVariable)
What population?
 exposure 
Σ
0..1
Reference(EvidenceVariable)
What exposure?
 outcome 
Σ
1..1
Reference(EvidenceVariable)
What outcome?
 sampleSize 
0..1
BackboneElement
What sample size was involved?
 description 
0..1
string
Description of sample size
 numberOfStudies 
0..1
integer
How many studies?
 numberOfParticipants 
0..1
integer
How many participants?
 riskEstimate 
Σ
0..1
BackboneElement
What was the estimated risk
 description 
0..1
string
Description of risk estimate
 type 
0..1
CodeableConcept
Type of risk estimate
RiskEstimateType (Extensible)
 value 
0..1
decimal
Point estimate
 unitOfMeasure 
0..1
CodeableConcept
What unit is the outcome described in?
UCUM Codes (Required)
 denominatorCount 
0..1
integer
Sample size for group measured
 numeratorCount 
0..1
integer
Number with the outcome
 precisionEstimate 
0..*
BackboneElement
How precise the estimate is
 type 
0..1
CodeableConcept
Type of precision estimate
PrecisionEstimateType (Extensible)
 level 
0..1
decimal
Level of confidence interval
 from 
0..1
decimal
Lower bound
 to 
0..1
decimal
Upper bound
 certainty 
0..*
BackboneElement
How certain is the risk
 rating 
0..*
CodeableConcept
Certainty rating
QualityOfEvidenceRating (Extensible)
 note 
0..*
Annotation
Used for footnotes or explanatory notes
 certaintySubcomponent 
0..*
BackboneElement
A component that contributes to the overall certainty
 type 
0..1
CodeableConcept
Type of subcomponent of certainty rating
CertaintySubcomponentType (Extensible)
 rating 
0..*
CodeableConcept
Subcomponent certainty rating
CertaintySubcomponentRating (Extensible)
 note 
0..*
Annotation
Used for footnotes or explanatory notes

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Evidence-Based Medicine"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "cds"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/RiskEvidenceSynthesis",
      "version" : "4.0.0",
      "name" : "RiskEvidenceSynthesis",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Clinical Decision Support)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/dss/index.cfm"
        }]
      }],
      "description" : "The RiskEvidenceSynthesis resource describes the likelihood of an outcome in a population plus exposure state where the risk estimate is derived from a combination of research studies.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "RiskEvidenceSynthesis",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "RiskEvidenceSynthesis",
          "path" : "RiskEvidenceSynthesis",
          "short" : "A quantified estimate of risk based on a body of evidence",
          "definition" : "The RiskEvidenceSynthesis resource describes the likelihood of an outcome in a population plus exposure state where the risk estimate is derived from a combination of research studies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "rvs-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.id",
          "path" : "RiskEvidenceSynthesis.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.meta",
          "path" : "RiskEvidenceSynthesis.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.implicitRules",
          "path" : "RiskEvidenceSynthesis.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.language",
          "path" : "RiskEvidenceSynthesis.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.text",
          "path" : "RiskEvidenceSynthesis.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.contained",
          "path" : "RiskEvidenceSynthesis.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.extension",
          "path" : "RiskEvidenceSynthesis.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.modifierExtension",
          "path" : "RiskEvidenceSynthesis.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.url",
          "path" : "RiskEvidenceSynthesis.url",
          "short" : "Canonical identifier for this risk evidence synthesis, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this risk evidence synthesis when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this risk evidence synthesis is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the risk evidence synthesis is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the risk evidence synthesis to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.identifier",
          "path" : "RiskEvidenceSynthesis.identifier",
          "short" : "Additional identifier for the risk evidence synthesis",
          "definition" : "A formal identifier that is used to identify this risk evidence synthesis when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this risk evidence synthesis outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.version",
          "path" : "RiskEvidenceSynthesis.version",
          "short" : "Business version of the risk evidence synthesis",
          "definition" : "The identifier that is used to identify this version of the risk evidence synthesis when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the risk evidence synthesis author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different risk evidence synthesis instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the risk evidence synthesis with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.name",
          "path" : "RiskEvidenceSynthesis.name",
          "short" : "Name for this risk evidence synthesis (computer friendly)",
          "definition" : "A natural language name identifying the risk evidence synthesis. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.title",
          "path" : "RiskEvidenceSynthesis.title",
          "short" : "Name for this risk evidence synthesis (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the risk evidence synthesis.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.status",
          "path" : "RiskEvidenceSynthesis.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this risk evidence synthesis. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of risk evidence synthesiss that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.date",
          "path" : "RiskEvidenceSynthesis.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the risk evidence synthesis was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the risk evidence synthesis changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the risk evidence synthesis. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.publisher",
          "path" : "RiskEvidenceSynthesis.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the risk evidence synthesis.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the risk evidence synthesis is the organization or individual primarily responsible for the maintenance and upkeep of the risk evidence synthesis. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the risk evidence synthesis. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the risk evidence synthesis.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.contact",
          "path" : "RiskEvidenceSynthesis.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.description",
          "path" : "RiskEvidenceSynthesis.description",
          "short" : "Natural language description of the risk evidence synthesis",
          "definition" : "A free text natural language description of the risk evidence synthesis from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the risk evidence synthesis was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the risk evidence synthesis as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the risk evidence synthesis is presumed to be the predominant language in the place the risk evidence synthesis was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.note",
          "path" : "RiskEvidenceSynthesis.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.useContext",
          "path" : "RiskEvidenceSynthesis.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate risk evidence synthesis instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.jurisdiction",
          "path" : "RiskEvidenceSynthesis.jurisdiction",
          "short" : "Intended jurisdiction for risk evidence synthesis (if applicable)",
          "definition" : "A legal or geographic region in which the risk evidence synthesis is intended to be used.",
          "comment" : "It may be possible for the risk evidence synthesis to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.copyright",
          "path" : "RiskEvidenceSynthesis.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the risk evidence synthesis and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the risk evidence synthesis.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the risk evidence synthesis and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.approvalDate",
          "path" : "RiskEvidenceSynthesis.approvalDate",
          "short" : "When the risk evidence synthesis was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.approvalDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.lastReviewDate",
          "path" : "RiskEvidenceSynthesis.lastReviewDate",
          "short" : "When the risk evidence synthesis was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.lastReviewDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.effectivePeriod",
          "path" : "RiskEvidenceSynthesis.effectivePeriod",
          "short" : "When the risk evidence synthesis is expected to be used",
          "definition" : "The period during which the risk evidence synthesis content was or is planned to be in active use.",
          "comment" : "The effective period for a risk evidence synthesis  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the risk evidence synthesis are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.effectivePeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.topic",
          "path" : "RiskEvidenceSynthesis.topic",
          "short" : "The category of the EffectEvidenceSynthesis, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the RiskEvidenceSynthesis. Topics provide a high-level categorization grouping types of EffectEvidenceSynthesiss that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the RiskEvidenceSynthesis so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.topic",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.author",
          "path" : "RiskEvidenceSynthesis.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.editor",
          "path" : "RiskEvidenceSynthesis.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.editor",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.reviewer",
          "path" : "RiskEvidenceSynthesis.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.reviewer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.endorser",
          "path" : "RiskEvidenceSynthesis.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.endorser",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.relatedArtifact",
          "path" : "RiskEvidenceSynthesis.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "RiskEvidenceSynthesiss must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.relatedArtifact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "RelatedArtifact"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.synthesisType",
          "path" : "RiskEvidenceSynthesis.synthesisType",
          "short" : "Type of synthesis",
          "definition" : "Type of synthesis eg meta-analysis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.synthesisType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SynthesisType"
            }],
            "strength" : "extensible",
            "description" : "Types of combining results from a body of evidence (eg. summary data meta-analysis).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/synthesis-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.studyType",
          "path" : "RiskEvidenceSynthesis.studyType",
          "short" : "Type of study",
          "definition" : "Type of study eg randomized trial.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.studyType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StudyType"
            }],
            "strength" : "extensible",
            "description" : "Types of research studies (types of research methods).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/study-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.population",
          "path" : "RiskEvidenceSynthesis.population",
          "short" : "What population?",
          "definition" : "A reference to a EvidenceVariable resource that defines the population for the research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.population",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.exposure",
          "path" : "RiskEvidenceSynthesis.exposure",
          "short" : "What exposure?",
          "definition" : "A reference to a EvidenceVariable resource that defines the exposure for the research.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.exposure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.outcome",
          "path" : "RiskEvidenceSynthesis.outcome",
          "short" : "What outcome?",
          "definition" : "A reference to a EvidenceVariable resomece that defines the outcome for the research.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.outcome",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize",
          "path" : "RiskEvidenceSynthesis.sampleSize",
          "short" : "What sample size was involved?",
          "definition" : "A description of the size of the sample involved in the synthesis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.sampleSize",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.id",
          "path" : "RiskEvidenceSynthesis.sampleSize.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.extension",
          "path" : "RiskEvidenceSynthesis.sampleSize.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.modifierExtension",
          "path" : "RiskEvidenceSynthesis.sampleSize.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.description",
          "path" : "RiskEvidenceSynthesis.sampleSize.description",
          "short" : "Description of sample size",
          "definition" : "Human-readable summary of sample size.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.sampleSize.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.numberOfStudies",
          "path" : "RiskEvidenceSynthesis.sampleSize.numberOfStudies",
          "short" : "How many studies?",
          "definition" : "Number of studies included in this evidence synthesis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.sampleSize.numberOfStudies",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.numberOfParticipants",
          "path" : "RiskEvidenceSynthesis.sampleSize.numberOfParticipants",
          "short" : "How many participants?",
          "definition" : "Number of participants included in this evidence synthesis.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.sampleSize.numberOfParticipants",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate",
          "path" : "RiskEvidenceSynthesis.riskEstimate",
          "short" : "What was the estimated risk",
          "definition" : "The estimated risk of the outcome.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.id",
          "path" : "RiskEvidenceSynthesis.riskEstimate.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.extension",
          "path" : "RiskEvidenceSynthesis.riskEstimate.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.modifierExtension",
          "path" : "RiskEvidenceSynthesis.riskEstimate.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.description",
          "path" : "RiskEvidenceSynthesis.riskEstimate.description",
          "short" : "Description of risk estimate",
          "definition" : "Human-readable summary of risk estimate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.type",
          "path" : "RiskEvidenceSynthesis.riskEstimate.type",
          "short" : "Type of risk estimate",
          "definition" : "Examples include proportion and mean.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskEstimateType"
            }],
            "strength" : "extensible",
            "description" : "Whether the risk estimate is dichotomous, continuous or qualitative and the specific type of risk estimate (eg proportion or median).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/risk-estimate-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.value",
          "path" : "RiskEvidenceSynthesis.riskEstimate.value",
          "short" : "Point estimate",
          "definition" : "The point estimate of the risk estimate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.value",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.unitOfMeasure",
          "path" : "RiskEvidenceSynthesis.riskEstimate.unitOfMeasure",
          "short" : "What unit is the outcome described in?",
          "definition" : "Specifies the UCUM unit for the outcome.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.unitOfMeasure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "UCUMUnits"
            }],
            "strength" : "required",
            "description" : "Unified Code for Units of Measure (UCUM).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units|4.0.0"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.denominatorCount",
          "path" : "RiskEvidenceSynthesis.riskEstimate.denominatorCount",
          "short" : "Sample size for group measured",
          "definition" : "The sample size for the group that was measured for this risk estimate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.denominatorCount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.numeratorCount",
          "path" : "RiskEvidenceSynthesis.riskEstimate.numeratorCount",
          "short" : "Number with the outcome",
          "definition" : "The number of group members with the outcome of interest.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.numeratorCount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate",
          "short" : "How precise the estimate is",
          "definition" : "A description of the precision of the estimate for the effect.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.id",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.extension",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.modifierExtension",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.type",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.type",
          "short" : "Type of precision estimate",
          "definition" : "Examples include confidence interval and interquartile range.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PrecisionEstimateType"
            }],
            "strength" : "extensible",
            "description" : "Method of reporting variability of estimates, such as confidence intervals, interquartile range or standard deviation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/precision-estimate-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.level",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.level",
          "short" : "Level of confidence interval",
          "definition" : "Use 95 for a 95% confidence interval.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.level",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.from",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.from",
          "short" : "Lower bound",
          "definition" : "Lower bound of confidence interval.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.from",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.to",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.to",
          "short" : "Upper bound",
          "definition" : "Upper bound of confidence interval.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.to",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty",
          "path" : "RiskEvidenceSynthesis.certainty",
          "short" : "How certain is the risk",
          "definition" : "A description of the certainty of the risk estimate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.certainty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.id",
          "path" : "RiskEvidenceSynthesis.certainty.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.extension",
          "path" : "RiskEvidenceSynthesis.certainty.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.modifierExtension",
          "path" : "RiskEvidenceSynthesis.certainty.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.rating",
          "path" : "RiskEvidenceSynthesis.certainty.rating",
          "short" : "Certainty rating",
          "definition" : "A rating of the certainty of the effect estimate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.certainty.rating",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QualityOfEvidenceRating"
            }],
            "strength" : "extensible",
            "description" : "The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/evidence-quality"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.note",
          "path" : "RiskEvidenceSynthesis.certainty.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.certainty.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent",
          "short" : "A component that contributes to the overall certainty",
          "definition" : "A description of a component of the overall certainty.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.id",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.extension",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.modifierExtension",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.type",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.type",
          "short" : "Type of subcomponent of certainty rating",
          "definition" : "Type of subcomponent of certainty rating.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CertaintySubcomponentType"
            }],
            "strength" : "extensible",
            "description" : "The subcomponent classification of quality of evidence rating systems.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-subcomponent-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.rating",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.rating",
          "short" : "Subcomponent certainty rating",
          "definition" : "A rating of a subcomponent of rating certainty.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.rating",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CertaintySubcomponentRating"
            }],
            "strength" : "extensible",
            "description" : "The quality rating of the subcomponent of a quality of evidence rating.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.note",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "RiskEvidenceSynthesis",
          "path" : "RiskEvidenceSynthesis",
          "short" : "A quantified estimate of risk based on a body of evidence",
          "definition" : "The RiskEvidenceSynthesis resource describes the likelihood of an outcome in a population plus exposure state where the risk estimate is derived from a combination of research studies.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "rvs-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.url",
          "path" : "RiskEvidenceSynthesis.url",
          "short" : "Canonical identifier for this risk evidence synthesis, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this risk evidence synthesis when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this risk evidence synthesis is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the risk evidence synthesis is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the risk evidence synthesis to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.identifier",
          "path" : "RiskEvidenceSynthesis.identifier",
          "short" : "Additional identifier for the risk evidence synthesis",
          "definition" : "A formal identifier that is used to identify this risk evidence synthesis when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this risk evidence synthesis outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.version",
          "path" : "RiskEvidenceSynthesis.version",
          "short" : "Business version of the risk evidence synthesis",
          "definition" : "The identifier that is used to identify this version of the risk evidence synthesis when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the risk evidence synthesis author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different risk evidence synthesis instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the risk evidence synthesis with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.name",
          "path" : "RiskEvidenceSynthesis.name",
          "short" : "Name for this risk evidence synthesis (computer friendly)",
          "definition" : "A natural language name identifying the risk evidence synthesis. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.title",
          "path" : "RiskEvidenceSynthesis.title",
          "short" : "Name for this risk evidence synthesis (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the risk evidence synthesis.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.status",
          "path" : "RiskEvidenceSynthesis.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this risk evidence synthesis. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of risk evidence synthesiss that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.date",
          "path" : "RiskEvidenceSynthesis.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the risk evidence synthesis was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the risk evidence synthesis changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the risk evidence synthesis. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.publisher",
          "path" : "RiskEvidenceSynthesis.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the risk evidence synthesis.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the risk evidence synthesis is the organization or individual primarily responsible for the maintenance and upkeep of the risk evidence synthesis. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the risk evidence synthesis. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the risk evidence synthesis.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.contact",
          "path" : "RiskEvidenceSynthesis.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.description",
          "path" : "RiskEvidenceSynthesis.description",
          "short" : "Natural language description of the risk evidence synthesis",
          "definition" : "A free text natural language description of the risk evidence synthesis from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the risk evidence synthesis was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the risk evidence synthesis as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the risk evidence synthesis is presumed to be the predominant language in the place the risk evidence synthesis was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.note",
          "path" : "RiskEvidenceSynthesis.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.useContext",
          "path" : "RiskEvidenceSynthesis.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate risk evidence synthesis instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.jurisdiction",
          "path" : "RiskEvidenceSynthesis.jurisdiction",
          "short" : "Intended jurisdiction for risk evidence synthesis (if applicable)",
          "definition" : "A legal or geographic region in which the risk evidence synthesis is intended to be used.",
          "comment" : "It may be possible for the risk evidence synthesis to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.copyright",
          "path" : "RiskEvidenceSynthesis.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the risk evidence synthesis and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the risk evidence synthesis.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the risk evidence synthesis and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.approvalDate",
          "path" : "RiskEvidenceSynthesis.approvalDate",
          "short" : "When the risk evidence synthesis was approved by publisher",
          "definition" : "The date on which the resource content was approved by the publisher. Approval happens once when the content is officially approved for usage.",
          "comment" : "The 'date' element may be more recent than the approval date because of minor changes or editorial corrections.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.approvalDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.lastReviewDate",
          "path" : "RiskEvidenceSynthesis.lastReviewDate",
          "short" : "When the risk evidence synthesis was last reviewed",
          "definition" : "The date on which the resource content was last reviewed. Review happens periodically after approval but does not change the original approval date.",
          "comment" : "If specified, this date follows the original approval date.",
          "requirements" : "Gives a sense of how \"current\" the content is.  Resources that have not been reviewed in a long time may have a risk of being less appropriate/relevant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.lastReviewDate"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.effectivePeriod",
          "path" : "RiskEvidenceSynthesis.effectivePeriod",
          "short" : "When the risk evidence synthesis is expected to be used",
          "definition" : "The period during which the risk evidence synthesis content was or is planned to be in active use.",
          "comment" : "The effective period for a risk evidence synthesis  determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015.",
          "requirements" : "Allows establishing a transition before a resource comes into effect and also allows for a sunsetting  process when new versions of the risk evidence synthesis are or are expected to be used instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.effectivePeriod"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.topic",
          "path" : "RiskEvidenceSynthesis.topic",
          "short" : "The category of the EffectEvidenceSynthesis, such as Education, Treatment, Assessment, etc.",
          "definition" : "Descriptive topics related to the content of the RiskEvidenceSynthesis. Topics provide a high-level categorization grouping types of EffectEvidenceSynthesiss that can be useful for filtering and searching.",
          "requirements" : "Repositories must be able to determine how to categorize the RiskEvidenceSynthesis so that it can be found by topical searches.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "DefinitionTopic"
            }],
            "strength" : "example",
            "description" : "High-level categorization of the definition, used for searching, sorting, and filtering.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-topic"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.author",
          "path" : "RiskEvidenceSynthesis.author",
          "short" : "Who authored the content",
          "definition" : "An individiual or organization primarily involved in the creation and maintenance of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT]"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.editor",
          "path" : "RiskEvidenceSynthesis.editor",
          "short" : "Who edited the content",
          "definition" : "An individual or organization primarily responsible for internal coherence of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.reviewer",
          "path" : "RiskEvidenceSynthesis.reviewer",
          "short" : "Who reviewed the content",
          "definition" : "An individual or organization primarily responsible for review of some aspect of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.endorser",
          "path" : "RiskEvidenceSynthesis.endorser",
          "short" : "Who endorsed the content",
          "definition" : "An individual or organization responsible for officially endorsing the content for use in some setting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer or endorser}"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.relatedArtifact",
          "path" : "RiskEvidenceSynthesis.relatedArtifact",
          "short" : "Additional documentation, citations, etc.",
          "definition" : "Related artifacts such as additional documentation, justification, or bibliographic references.",
          "comment" : "Each related artifact is either an attachment, or a reference to another resource, but not both.",
          "requirements" : "RiskEvidenceSynthesiss must be able to provide enough information for consumers of the content (and/or interventions or results produced by the content) to be able to determine and understand the justification for and evidence in support of the content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "RelatedArtifact"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.synthesisType",
          "path" : "RiskEvidenceSynthesis.synthesisType",
          "short" : "Type of synthesis",
          "definition" : "Type of synthesis eg meta-analysis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SynthesisType"
            }],
            "strength" : "extensible",
            "description" : "Types of combining results from a body of evidence (eg. summary data meta-analysis).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/synthesis-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.studyType",
          "path" : "RiskEvidenceSynthesis.studyType",
          "short" : "Type of study",
          "definition" : "Type of study eg randomized trial.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StudyType"
            }],
            "strength" : "extensible",
            "description" : "Types of research studies (types of research methods).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/study-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.population",
          "path" : "RiskEvidenceSynthesis.population",
          "short" : "What population?",
          "definition" : "A reference to a EvidenceVariable resource that defines the population for the research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.exposure",
          "path" : "RiskEvidenceSynthesis.exposure",
          "short" : "What exposure?",
          "definition" : "A reference to a EvidenceVariable resource that defines the exposure for the research.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.outcome",
          "path" : "RiskEvidenceSynthesis.outcome",
          "short" : "What outcome?",
          "definition" : "A reference to a EvidenceVariable resomece that defines the outcome for the research.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/EvidenceVariable"]
          }],
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize",
          "path" : "RiskEvidenceSynthesis.sampleSize",
          "short" : "What sample size was involved?",
          "definition" : "A description of the size of the sample involved in the synthesis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.description",
          "path" : "RiskEvidenceSynthesis.sampleSize.description",
          "short" : "Description of sample size",
          "definition" : "Human-readable summary of sample size.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.numberOfStudies",
          "path" : "RiskEvidenceSynthesis.sampleSize.numberOfStudies",
          "short" : "How many studies?",
          "definition" : "Number of studies included in this evidence synthesis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.sampleSize.numberOfParticipants",
          "path" : "RiskEvidenceSynthesis.sampleSize.numberOfParticipants",
          "short" : "How many participants?",
          "definition" : "Number of participants included in this evidence synthesis.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate",
          "path" : "RiskEvidenceSynthesis.riskEstimate",
          "short" : "What was the estimated risk",
          "definition" : "The estimated risk of the outcome.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.description",
          "path" : "RiskEvidenceSynthesis.riskEstimate.description",
          "short" : "Description of risk estimate",
          "definition" : "Human-readable summary of risk estimate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.type",
          "path" : "RiskEvidenceSynthesis.riskEstimate.type",
          "short" : "Type of risk estimate",
          "definition" : "Examples include proportion and mean.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RiskEstimateType"
            }],
            "strength" : "extensible",
            "description" : "Whether the risk estimate is dichotomous, continuous or qualitative and the specific type of risk estimate (eg proportion or median).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/risk-estimate-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.value",
          "path" : "RiskEvidenceSynthesis.riskEstimate.value",
          "short" : "Point estimate",
          "definition" : "The point estimate of the risk estimate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.unitOfMeasure",
          "path" : "RiskEvidenceSynthesis.riskEstimate.unitOfMeasure",
          "short" : "What unit is the outcome described in?",
          "definition" : "Specifies the UCUM unit for the outcome.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "UCUMUnits"
            }],
            "strength" : "required",
            "description" : "Unified Code for Units of Measure (UCUM).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/ucum-units|4.0.0"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.denominatorCount",
          "path" : "RiskEvidenceSynthesis.riskEstimate.denominatorCount",
          "short" : "Sample size for group measured",
          "definition" : "The sample size for the group that was measured for this risk estimate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.numeratorCount",
          "path" : "RiskEvidenceSynthesis.riskEstimate.numeratorCount",
          "short" : "Number with the outcome",
          "definition" : "The number of group members with the outcome of interest.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate",
          "short" : "How precise the estimate is",
          "definition" : "A description of the precision of the estimate for the effect.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.type",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.type",
          "short" : "Type of precision estimate",
          "definition" : "Examples include confidence interval and interquartile range.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PrecisionEstimateType"
            }],
            "strength" : "extensible",
            "description" : "Method of reporting variability of estimates, such as confidence intervals, interquartile range or standard deviation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/precision-estimate-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.level",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.level",
          "short" : "Level of confidence interval",
          "definition" : "Use 95 for a 95% confidence interval.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.from",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.from",
          "short" : "Lower bound",
          "definition" : "Lower bound of confidence interval.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.to",
          "path" : "RiskEvidenceSynthesis.riskEstimate.precisionEstimate.to",
          "short" : "Upper bound",
          "definition" : "Upper bound of confidence interval.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty",
          "path" : "RiskEvidenceSynthesis.certainty",
          "short" : "How certain is the risk",
          "definition" : "A description of the certainty of the risk estimate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.rating",
          "path" : "RiskEvidenceSynthesis.certainty.rating",
          "short" : "Certainty rating",
          "definition" : "A rating of the certainty of the effect estimate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "QualityOfEvidenceRating"
            }],
            "strength" : "extensible",
            "description" : "The quality of the evidence described. The code system used specifies the quality scale used to grade this evidence source while the code specifies the actual quality score (represented as a coded value) associated with the evidence.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/evidence-quality"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.note",
          "path" : "RiskEvidenceSynthesis.certainty.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent",
          "short" : "A component that contributes to the overall certainty",
          "definition" : "A description of a component of the overall certainty.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.type",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.type",
          "short" : "Type of subcomponent of certainty rating",
          "definition" : "Type of subcomponent of certainty rating.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CertaintySubcomponentType"
            }],
            "strength" : "extensible",
            "description" : "The subcomponent classification of quality of evidence rating systems.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-subcomponent-type"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.rating",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.rating",
          "short" : "Subcomponent certainty rating",
          "definition" : "A rating of a subcomponent of rating certainty.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CertaintySubcomponentRating"
            }],
            "strength" : "extensible",
            "description" : "The quality rating of the subcomponent of a quality of evidence rating.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/certainty-subcomponent-rating"
          }
        },
        {
          "id" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.note",
          "path" : "RiskEvidenceSynthesis.certainty.certaintySubcomponent.note",
          "short" : "Used for footnotes or explanatory notes",
          "definition" : "A human-readable string to clarify or explain concepts about the resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Schedule",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Schedule",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Schedule 
TU
DomainResource
A container for slots of time that may be available for booking appointments
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Ids for this item
 active 
?!Σ
0..1
boolean
Whether this schedule is in active use
 serviceCategory 
Σ
0..*
CodeableConcept
High-level category
Service category (Example)
 serviceType 
Σ
0..*
CodeableConcept
Specific service
Service type (Example)
 specialty 
Σ
0..*
CodeableConcept
Type of specialty needed
Practice Setting Code Value Set (Preferred)
 actor 
Σ
1..*
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Device | HealthcareService | Location)
Resource(s) that availability information is being provided for
 planningHorizon 
Σ
0..1
Period
Period of time covered by schedule
 comment 
0..1
string
Comments on availability

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Workflow"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Schedule",
      "version" : "4.0.0",
      "name" : "Schedule",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "A container for slots of time that may be available for booking appointments.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "ical",
        "uri" : "http://ietf.org/rfc/2445",
        "name" : "iCalendar"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Schedule",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Schedule",
          "path" : "Schedule",
          "short" : "A container for slots of time that may be available for booking appointments",
          "definition" : "A container for slots of time that may be available for booking appointments.",
          "alias" : ["Availability"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Schedule",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "ical",
            "map" : "BEGIN:VFREEBUSY  ???  END:VFREEBUSY (If your fhir server provides this information via calDAV, then you may want to include addressing information in a URL section, and with the search, a DTSTART and DTEND component can be included to indicate the range of time that has been covered in the collection of slots, where these overlap the resources period values. For all slots that reference this resource, include a FREEBUSY row for each slot)"
          }]
        },
        {
          "id" : "Schedule.id",
          "path" : "Schedule.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Schedule.meta",
          "path" : "Schedule.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Schedule.implicitRules",
          "path" : "Schedule.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Schedule.language",
          "path" : "Schedule.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Schedule.text",
          "path" : "Schedule.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Schedule.contained",
          "path" : "Schedule.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Schedule.extension",
          "path" : "Schedule.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Schedule.modifierExtension",
          "path" : "Schedule.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Schedule.identifier",
          "path" : "Schedule.identifier",
          "short" : "External Ids for this item",
          "definition" : "External Ids for this item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Schedule.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "ical",
            "map" : "UID"
          }]
        },
        {
          "id" : "Schedule.active",
          "path" : "Schedule.active",
          "short" : "Whether this schedule is in active use",
          "definition" : "Whether this schedule record is in active use or should not be used (such as was entered in error).",
          "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Schedule.active",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Schedule.serviceCategory",
          "path" : "Schedule.serviceCategory",
          "short" : "High-level category",
          "definition" : "A broad categorization of the service that is to be performed during this appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Schedule.serviceCategory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-category"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Schedule.serviceType",
          "path" : "Schedule.serviceType",
          "short" : "Specific service",
          "definition" : "The specific service that is to be performed during this appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Schedule.serviceType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-type"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "ical",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Schedule.specialty",
          "path" : "Schedule.specialty",
          "short" : "Type of specialty needed",
          "definition" : "The specialty of a practitioner that would be required to perform the service requested in this appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Schedule.specialty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "specialty"
            }],
            "strength" : "preferred",
            "description" : "Additional details about where the content was created (e.g. clinical specialty).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Schedule.actor",
          "path" : "Schedule.actor",
          "short" : "Resource(s) that availability information is being provided for",
          "definition" : "Slots that reference this schedule resource provide the availability details to these referenced resource(s).",
          "comment" : "The capacity to support multiple referenced resource types should be used in cases where the specific resources themselves cannot be scheduled without the other, and thus only make sense to the system exposing them as a group. Common examples of this are where the combination of a practitioner and a room (Location) are always required by a system.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "Schedule.actor",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE:MAILTO:[email protected] This can be populated with a value from the referenced resource"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Schedule.planningHorizon",
          "path" : "Schedule.planningHorizon",
          "short" : "Period of time covered by schedule",
          "definition" : "The period of time that the slots that reference this Schedule resource cover (even if none exist). These  cover the amount of time that an organization's planning horizon; the interval for which they are currently accepting appointments. This does not define a \"template\" for planning outside these dates.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Schedule.planningHorizon",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "ical",
            "map" : "DTSTART:20131201T003000Z DTEND:2014030101T003000Z"
          }]
        },
        {
          "id" : "Schedule.comment",
          "path" : "Schedule.comment",
          "short" : "Comments on availability",
          "definition" : "Comments on the availability to describe any extended information. Such as custom constraints on the slots that may be associated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Schedule.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "ical",
            "map" : "COMMENT:(comment) If there is no comment, then the line can be excluded from the iCalendar entry"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Schedule",
          "path" : "Schedule",
          "short" : "A container for slots of time that may be available for booking appointments",
          "definition" : "A container for slots of time that may be available for booking appointments.",
          "alias" : ["Availability"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "ical",
            "map" : "BEGIN:VFREEBUSY  ???  END:VFREEBUSY (If your fhir server provides this information via calDAV, then you may want to include addressing information in a URL section, and with the search, a DTSTART and DTEND component can be included to indicate the range of time that has been covered in the collection of slots, where these overlap the resources period values. For all slots that reference this resource, include a FREEBUSY row for each slot)"
          }]
        },
        {
          "id" : "Schedule.identifier",
          "path" : "Schedule.identifier",
          "short" : "External Ids for this item",
          "definition" : "External Ids for this item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "ical",
            "map" : "UID"
          }]
        },
        {
          "id" : "Schedule.active",
          "path" : "Schedule.active",
          "short" : "Whether this schedule is in active use",
          "definition" : "Whether this schedule record is in active use or should not be used (such as was entered in error).",
          "comment" : "This element is labeled as a modifier because it may be used to mark that the resource was created in error.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "This resource is generally assumed to be active if no value is provided for the active element",
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Schedule.serviceCategory",
          "path" : "Schedule.serviceCategory",
          "short" : "High-level category",
          "definition" : "A broad categorization of the service that is to be performed during this appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-category"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Schedule.serviceType",
          "path" : "Schedule.serviceType",
          "short" : "Specific service",
          "definition" : "The specific service that is to be performed during this appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-type"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "ical",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Schedule.specialty",
          "path" : "Schedule.specialty",
          "short" : "Type of specialty needed",
          "definition" : "The specialty of a practitioner that would be required to perform the service requested in this appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "specialty"
            }],
            "strength" : "preferred",
            "description" : "Additional details about where the content was created (e.g. clinical specialty).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Schedule.actor",
          "path" : "Schedule.actor",
          "short" : "Resource(s) that availability information is being provided for",
          "definition" : "Slots that reference this schedule resource provide the availability details to these referenced resource(s).",
          "comment" : "The capacity to support multiple referenced resource types should be used in cases where the specific resources themselves cannot be scheduled without the other, and thus only make sense to the system exposing them as a group. Common examples of this are where the combination of a practitioner and a room (Location) are always required by a system.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "ical",
            "map" : "ATTENDEE:MAILTO:[email protected] This can be populated with a value from the referenced resource"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Schedule.planningHorizon",
          "path" : "Schedule.planningHorizon",
          "short" : "Period of time covered by schedule",
          "definition" : "The period of time that the slots that reference this Schedule resource cover (even if none exist). These  cover the amount of time that an organization's planning horizon; the interval for which they are currently accepting appointments. This does not define a \"template\" for planning outside these dates.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "ical",
            "map" : "DTSTART:20131201T003000Z DTEND:2014030101T003000Z"
          }]
        },
        {
          "id" : "Schedule.comment",
          "path" : "Schedule.comment",
          "short" : "Comments on availability",
          "definition" : "Comments on the availability to describe any extended information. Such as custom constraints on the slots that may be associated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "ical",
            "map" : "COMMENT:(comment) If there is no comment, then the line can be excluded from the iCalendar entry"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SearchParameter",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SearchParameter",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SearchParameter 
ITU
DomainResource
Search parameter for a resource
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: If an xpath is present, there SHALL be an xpathUsage
+ Rule: Search parameters can only have chain names when the search parameter type is 'reference'
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
1..1
uri
Canonical identifier for this search parameter, represented as a URI (globally unique)
 version 
Σ
0..1
string
Business version of the search parameter
 name 
ΣI
1..1
string
Name for this search parameter (computer friendly)
 derivedFrom 
0..1
canonical(SearchParameter)
Original definition for the search parameter
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
Σ
1..1
markdown
Natural language description of the search parameter
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for search parameter (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this search parameter is defined
 code 
Σ
1..1
code
Code used in URL
 base 
Σ
1..*
code
The resource type(s) this search parameter applies to
ResourceType (Required)
 type 
Σ
1..1
code
number | date | string | token | reference | composite | quantity | uri | special
SearchParamType (Required)
 expression 
I
0..1
string
FHIRPath expression that extracts the values
 xpath 
I
0..1
string
XPath that extracts the values
 xpathUsage 
I
0..1
code
normal | phonetic | nearby | distance | other
XPathUsageType (Required)
 target 
0..*
code
Types of resource (if a resource reference)
ResourceType (Required)
 multipleOr 
0..1
boolean
Allow multiple values per parameter (or)
 multipleAnd 
0..1
boolean
Allow multiple parameters (and)
 comparator 
0..*
code
eq | ne | gt | lt | ge | le | sa | eb | ap
SearchComparator (Required)
 modifier 
0..*
code
missing | exact | contains | not | text | in | not-in | below | above | type | identifier | ofType
SearchModifierCode (Required)
 chain 
0..*
string
Chained names supported
 component 
0..*
BackboneElement
For Composite resources to define the parts
 definition 
1..1
canonical(SearchParameter)
Defines how the part works
 expression 
1..1
string
Subexpression relative to main expression

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SearchParameter",
      "version" : "4.0.0",
      "name" : "SearchParameter",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A search parameter that defines a named search item that can be used to search/filter on a resource.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SearchParameter",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SearchParameter",
          "path" : "SearchParameter",
          "short" : "Search parameter for a resource",
          "definition" : "A search parameter that defines a named search item that can be used to search/filter on a resource.",
          "comment" : "In FHIR, search is not performed directly on a resource (by XML or JSON path), but on a named parameter that maps into the resource content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "spd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "spd-1",
            "severity" : "error",
            "human" : "If an xpath is present, there SHALL be an xpathUsage",
            "expression" : "xpath.empty() or xpathUsage.exists()",
            "xpath" : "not(exists(f:xpath)) or exists(f:xpathUsage)"
          },
          {
            "key" : "spd-2",
            "severity" : "error",
            "human" : "Search parameters can only have chain names when the search parameter type is 'reference'",
            "expression" : "chain.empty() or type = 'reference'",
            "xpath" : "not(exists(f:chain)) or (f:type/@value = 'reference')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SearchParameter.id",
          "path" : "SearchParameter.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SearchParameter.meta",
          "path" : "SearchParameter.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SearchParameter.implicitRules",
          "path" : "SearchParameter.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SearchParameter.language",
          "path" : "SearchParameter.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SearchParameter.text",
          "path" : "SearchParameter.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SearchParameter.contained",
          "path" : "SearchParameter.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SearchParameter.extension",
          "path" : "SearchParameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SearchParameter.modifierExtension",
          "path" : "SearchParameter.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SearchParameter.url",
          "path" : "SearchParameter.url",
          "short" : "Canonical identifier for this search parameter, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this search parameter when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this search parameter is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the search parameter is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the search parameter to be referenced by a single globally unique identifier. To allow referencing and reusing search parameter definitions under other names on operational systems (in case of name clash).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "SearchParameter.version",
          "path" : "SearchParameter.version",
          "short" : "Business version of the search parameter",
          "definition" : "The identifier that is used to identify this version of the search parameter when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the search parameter author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different search parameter instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the search parameter with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "SearchParameter.name",
          "path" : "SearchParameter.name",
          "short" : "Name for this search parameter (computer friendly)",
          "definition" : "A natural language name identifying the search parameter. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SearchParameter.derivedFrom",
          "path" : "SearchParameter.derivedFrom",
          "short" : "Original definition for the search parameter",
          "definition" : "Where this search parameter is originally defined. If a derivedFrom is provided, then the details in the search parameter must be consistent with the definition from which it is defined. i.e. the parameter should have the same meaning, and (usually) the functionality should be a proper subset of the underlying search parameter.",
          "comment" : "The intent of this is that a server can designate that it provides support for a search parameter defined in the specification itself (e.g.  [`value-quantity`](http://hl7.org/fhir/SearchParameter/Observation-value-quantity), but detail how it is supported by the server.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.derivedFrom",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SearchParameter"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SearchParameter.status",
          "path" : "SearchParameter.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this search parameter. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of search parameters that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "SearchParameter.experimental",
          "path" : "SearchParameter.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this search parameter is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of search parameters that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level search parameter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "SearchParameter.date",
          "path" : "SearchParameter.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the search parameter was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the search parameter changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the search parameter. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "SearchParameter.publisher",
          "path" : "SearchParameter.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the search parameter.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the search parameter is the organization or individual primarily responsible for the maintenance and upkeep of the search parameter. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the search parameter. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the search parameter.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "SearchParameter.contact",
          "path" : "SearchParameter.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "SearchParameter.description",
          "path" : "SearchParameter.description",
          "short" : "Natural language description of the search parameter",
          "definition" : "And how it used.",
          "comment" : "This description can be used to capture details such as why the search parameter was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the search parameter as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the search parameter is presumed to be the predominant language in the place the search parameter was created).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.description",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "SearchParameter.useContext",
          "path" : "SearchParameter.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate search parameter instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "SearchParameter.jurisdiction",
          "path" : "SearchParameter.jurisdiction",
          "short" : "Intended jurisdiction for search parameter (if applicable)",
          "definition" : "A legal or geographic region in which the search parameter is intended to be used.",
          "comment" : "It may be possible for the search parameter to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "SearchParameter.purpose",
          "path" : "SearchParameter.purpose",
          "short" : "Why this search parameter is defined",
          "definition" : "Explanation of why this search parameter is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the search parameter. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this search parameter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "SearchParameter.code",
          "path" : "SearchParameter.code",
          "short" : "Code used in URL",
          "definition" : "The code used in the URL or the parameter name in a parameters resource for this search parameter.",
          "comment" : "For maximum compatibility, use only lowercase ASCII characters.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SearchParameter.base",
          "path" : "SearchParameter.base",
          "short" : "The resource type(s) this search parameter applies to",
          "definition" : "The base resource type(s) that this search parameter can be used against.",
          "comment" : "A search parameter must always apply to at least one resource type. When search parameters apply to more than one resource type, they can be used against any of the listed resource types, or in a cross-type search (see [Cross Resource Search](http.html#xres-search)).",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.base",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.type",
          "path" : "SearchParameter.type",
          "short" : "number | date | string | token | reference | composite | quantity | uri | special",
          "definition" : "The type of value that a search parameter may contain, and how the content is interpreted.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchParamType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "Data types allowed to be used for search parameters.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-param-type|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.expression",
          "path" : "SearchParameter.expression",
          "short" : "FHIRPath expression that extracts the values",
          "definition" : "A FHIRPath expression that returns a set of elements for the search parameter.",
          "comment" : "Note that the elements returned by the expression are sometimes complex elements where logic is required to determine quite how to handle them; e.g. CodeableConcepts may contain text and/or multiple codings, where the codings themselves contain a code and a system. For composite search parameters, the outcome of the expression must a collection of base elements from which the composites are derived.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.expression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["spd-1"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SearchParameter.xpath",
          "path" : "SearchParameter.xpath",
          "short" : "XPath that extracts the values",
          "definition" : "An XPath expression that returns a set of elements for the search parameter.",
          "comment" : "Note that the elements returned by the XPath are sometimes complex elements where logic is required to determine quite how to handle them; e.g. CodeableConcepts may contain text and/or multiple codings, where the codings themselves contain a code and a system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.xpath",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["spd-1"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SearchParameter.xpathUsage",
          "path" : "SearchParameter.xpathUsage",
          "short" : "normal | phonetic | nearby | distance | other",
          "definition" : "How the search parameter relates to the set of elements returned by evaluating the xpath query.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.xpathUsage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["spd-1"],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "XPathUsageType"
            }],
            "strength" : "required",
            "description" : "How a search parameter relates to the set of elements returned by evaluating its xpath query.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.target",
          "path" : "SearchParameter.target",
          "short" : "Types of resource (if a resource reference)",
          "definition" : "Types of resource (if a resource is referenced).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.target",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.multipleOr",
          "path" : "SearchParameter.multipleOr",
          "short" : "Allow multiple values per parameter (or)",
          "definition" : "Whether multiple values are allowed for each time the parameter exists. Values are separated by commas, and the parameter matches if any of the values match.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.multipleOr",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SearchParameter.multipleAnd",
          "path" : "SearchParameter.multipleAnd",
          "short" : "Allow multiple parameters (and)",
          "definition" : "Whether multiple parameters are allowed - e.g. more than one parameter with the same name. The search matches if all the parameters match.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.multipleAnd",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SearchParameter.comparator",
          "path" : "SearchParameter.comparator",
          "short" : "eq | ne | gt | lt | ge | le | sa | eb | ap",
          "definition" : "Comparators supported for the search parameter.",
          "comment" : "If no comparators are listed, clients should not expect servers to support any comparators.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.comparator",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchComparator"
            }],
            "strength" : "required",
            "description" : "What Search Comparator Codes are supported in search.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-comparator|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.modifier",
          "path" : "SearchParameter.modifier",
          "short" : "missing | exact | contains | not | text | in | not-in | below | above | type | identifier | ofType",
          "definition" : "A modifier supported for the search parameter.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.modifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchModifierCode"
            }],
            "strength" : "required",
            "description" : "A supported modifier for a search parameter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.chain",
          "path" : "SearchParameter.chain",
          "short" : "Chained names supported",
          "definition" : "Contains the names of any search parameters which may be chained to the containing search parameter. Chained parameters may be added to search parameters of type reference and specify that resources will only be returned if they contain a reference to a resource which matches the chained parameter value. Values for this field should be drawn from SearchParameter.code for a parameter on the target resource type.",
          "comment" : "Systems are not required to list all the chain names they support, but if they don't list them, clients might not know to use them.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.chain",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SearchParameter.component",
          "path" : "SearchParameter.component",
          "short" : "For Composite resources to define the parts",
          "definition" : "Used to define the parts of a composite search parameter.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SearchParameter.component",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SearchParameter.component.id",
          "path" : "SearchParameter.component.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SearchParameter.component.extension",
          "path" : "SearchParameter.component.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SearchParameter.component.modifierExtension",
          "path" : "SearchParameter.component.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SearchParameter.component.definition",
          "path" : "SearchParameter.component.definition",
          "short" : "Defines how the part works",
          "definition" : "The definition of the search parameter that describes this part.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.component.definition",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SearchParameter"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SearchParameter.component.expression",
          "path" : "SearchParameter.component.expression",
          "short" : "Subexpression relative to main expression",
          "definition" : "A sub-expression that defines how to extract values for this component from the output of the main SearchParameter.expression.",
          "comment" : "This expression overrides the expression in the definition and extracts the index values from the outcome of the composite expression.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SearchParameter.component.expression",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SearchParameter",
          "path" : "SearchParameter",
          "short" : "Search parameter for a resource",
          "definition" : "A search parameter that defines a named search item that can be used to search/filter on a resource.",
          "comment" : "In FHIR, search is not performed directly on a resource (by XML or JSON path), but on a named parameter that maps into the resource content.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "spd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "spd-1",
            "severity" : "error",
            "human" : "If an xpath is present, there SHALL be an xpathUsage",
            "expression" : "xpath.empty() or xpathUsage.exists()",
            "xpath" : "not(exists(f:xpath)) or exists(f:xpathUsage)"
          },
          {
            "key" : "spd-2",
            "severity" : "error",
            "human" : "Search parameters can only have chain names when the search parameter type is 'reference'",
            "expression" : "chain.empty() or type = 'reference'",
            "xpath" : "not(exists(f:chain)) or (f:type/@value = 'reference')"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SearchParameter.url",
          "path" : "SearchParameter.url",
          "short" : "Canonical identifier for this search parameter, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this search parameter when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this search parameter is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the search parameter is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the search parameter to be referenced by a single globally unique identifier. To allow referencing and reusing search parameter definitions under other names on operational systems (in case of name clash).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "SearchParameter.version",
          "path" : "SearchParameter.version",
          "short" : "Business version of the search parameter",
          "definition" : "The identifier that is used to identify this version of the search parameter when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the search parameter author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different search parameter instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the search parameter with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "SearchParameter.name",
          "path" : "SearchParameter.name",
          "short" : "Name for this search parameter (computer friendly)",
          "definition" : "A natural language name identifying the search parameter. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "SearchParameter.derivedFrom",
          "path" : "SearchParameter.derivedFrom",
          "short" : "Original definition for the search parameter",
          "definition" : "Where this search parameter is originally defined. If a derivedFrom is provided, then the details in the search parameter must be consistent with the definition from which it is defined. i.e. the parameter should have the same meaning, and (usually) the functionality should be a proper subset of the underlying search parameter.",
          "comment" : "The intent of this is that a server can designate that it provides support for a search parameter defined in the specification itself (e.g.  [`value-quantity`](http://hl7.org/fhir/SearchParameter/Observation-value-quantity), but detail how it is supported by the server.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SearchParameter"]
          }]
        },
        {
          "id" : "SearchParameter.status",
          "path" : "SearchParameter.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this search parameter. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of search parameters that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "SearchParameter.experimental",
          "path" : "SearchParameter.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this search parameter is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of search parameters that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level search parameter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "SearchParameter.date",
          "path" : "SearchParameter.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the search parameter was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the search parameter changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the search parameter. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "SearchParameter.publisher",
          "path" : "SearchParameter.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the search parameter.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the search parameter is the organization or individual primarily responsible for the maintenance and upkeep of the search parameter. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the search parameter. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the search parameter.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "SearchParameter.contact",
          "path" : "SearchParameter.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "SearchParameter.description",
          "path" : "SearchParameter.description",
          "short" : "Natural language description of the search parameter",
          "definition" : "And how it used.",
          "comment" : "This description can be used to capture details such as why the search parameter was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the search parameter as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the search parameter is presumed to be the predominant language in the place the search parameter was created).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "SearchParameter.useContext",
          "path" : "SearchParameter.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate search parameter instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "SearchParameter.jurisdiction",
          "path" : "SearchParameter.jurisdiction",
          "short" : "Intended jurisdiction for search parameter (if applicable)",
          "definition" : "A legal or geographic region in which the search parameter is intended to be used.",
          "comment" : "It may be possible for the search parameter to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "SearchParameter.purpose",
          "path" : "SearchParameter.purpose",
          "short" : "Why this search parameter is defined",
          "definition" : "Explanation of why this search parameter is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the search parameter. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this search parameter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "SearchParameter.code",
          "path" : "SearchParameter.code",
          "short" : "Code used in URL",
          "definition" : "The code used in the URL or the parameter name in a parameters resource for this search parameter.",
          "comment" : "For maximum compatibility, use only lowercase ASCII characters.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true
        },
        {
          "id" : "SearchParameter.base",
          "path" : "SearchParameter.base",
          "short" : "The resource type(s) this search parameter applies to",
          "definition" : "The base resource type(s) that this search parameter can be used against.",
          "comment" : "A search parameter must always apply to at least one resource type. When search parameters apply to more than one resource type, they can be used against any of the listed resource types, or in a cross-type search (see [Cross Resource Search](http.html#xres-search)).",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.type",
          "path" : "SearchParameter.type",
          "short" : "number | date | string | token | reference | composite | quantity | uri | special",
          "definition" : "The type of value that a search parameter may contain, and how the content is interpreted.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchParamType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "Data types allowed to be used for search parameters.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-param-type|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.expression",
          "path" : "SearchParameter.expression",
          "short" : "FHIRPath expression that extracts the values",
          "definition" : "A FHIRPath expression that returns a set of elements for the search parameter.",
          "comment" : "Note that the elements returned by the expression are sometimes complex elements where logic is required to determine quite how to handle them; e.g. CodeableConcepts may contain text and/or multiple codings, where the codings themselves contain a code and a system. For composite search parameters, the outcome of the expression must a collection of base elements from which the composites are derived.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["spd-1"]
        },
        {
          "id" : "SearchParameter.xpath",
          "path" : "SearchParameter.xpath",
          "short" : "XPath that extracts the values",
          "definition" : "An XPath expression that returns a set of elements for the search parameter.",
          "comment" : "Note that the elements returned by the XPath are sometimes complex elements where logic is required to determine quite how to handle them; e.g. CodeableConcepts may contain text and/or multiple codings, where the codings themselves contain a code and a system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["spd-1"]
        },
        {
          "id" : "SearchParameter.xpathUsage",
          "path" : "SearchParameter.xpathUsage",
          "short" : "normal | phonetic | nearby | distance | other",
          "definition" : "How the search parameter relates to the set of elements returned by evaluating the xpath query.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["spd-1"],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "XPathUsageType"
            }],
            "strength" : "required",
            "description" : "How a search parameter relates to the set of elements returned by evaluating its xpath query.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-xpath-usage|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.target",
          "path" : "SearchParameter.target",
          "short" : "Types of resource (if a resource reference)",
          "definition" : "Types of resource (if a resource is referenced).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ResourceType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "One of the resource types defined as part of this version of FHIR.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/resource-types|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.multipleOr",
          "path" : "SearchParameter.multipleOr",
          "short" : "Allow multiple values per parameter (or)",
          "definition" : "Whether multiple values are allowed for each time the parameter exists. Values are separated by commas, and the parameter matches if any of the values match.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "SearchParameter.multipleAnd",
          "path" : "SearchParameter.multipleAnd",
          "short" : "Allow multiple parameters (and)",
          "definition" : "Whether multiple parameters are allowed - e.g. more than one parameter with the same name. The search matches if all the parameters match.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "SearchParameter.comparator",
          "path" : "SearchParameter.comparator",
          "short" : "eq | ne | gt | lt | ge | le | sa | eb | ap",
          "definition" : "Comparators supported for the search parameter.",
          "comment" : "If no comparators are listed, clients should not expect servers to support any comparators.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchComparator"
            }],
            "strength" : "required",
            "description" : "What Search Comparator Codes are supported in search.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-comparator|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.modifier",
          "path" : "SearchParameter.modifier",
          "short" : "missing | exact | contains | not | text | in | not-in | below | above | type | identifier | ofType",
          "definition" : "A modifier supported for the search parameter.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SearchModifierCode"
            }],
            "strength" : "required",
            "description" : "A supported modifier for a search parameter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/search-modifier-code|4.0.0"
          }
        },
        {
          "id" : "SearchParameter.chain",
          "path" : "SearchParameter.chain",
          "short" : "Chained names supported",
          "definition" : "Contains the names of any search parameters which may be chained to the containing search parameter. Chained parameters may be added to search parameters of type reference and specify that resources will only be returned if they contain a reference to a resource which matches the chained parameter value. Values for this field should be drawn from SearchParameter.code for a parameter on the target resource type.",
          "comment" : "Systems are not required to list all the chain names they support, but if they don't list them, clients might not know to use them.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "SearchParameter.component",
          "path" : "SearchParameter.component",
          "short" : "For Composite resources to define the parts",
          "definition" : "Used to define the parts of a composite search parameter.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "SearchParameter.component.definition",
          "path" : "SearchParameter.component.definition",
          "short" : "Defines how the part works",
          "definition" : "The definition of the search parameter that describes this part.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SearchParameter"]
          }]
        },
        {
          "id" : "SearchParameter.component.expression",
          "path" : "SearchParameter.component.expression",
          "short" : "Subexpression relative to main expression",
          "definition" : "A sub-expression that defines how to extract values for this component from the output of the main SearchParameter.expression.",
          "comment" : "This expression overrides the expression in the definition and extracts the index values from the outcome of the composite expression.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ServiceRequest",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ServiceRequest 
ITU
DomainResource
A request for a service to be performed
+ Rule: orderDetail SHALL only be present if code is present
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Identifiers assigned to this order
 instantiatesCanonical 
Σ
0..*
canonical(ActivityDefinition | PlanDefinition)
Instantiates FHIR protocol or definition
 instantiatesUri 
Σ
0..*
uri
Instantiates external protocol or definition
 basedOn 
Σ
0..*
Reference(CarePlan | ServiceRequest | MedicationRequest)
What request fulfills
 replaces 
Σ
0..*
Reference(ServiceRequest)
What request replaces
 requisition 
Σ
0..1
Identifier
Composite Request ID
 status 
?!Σ
1..1
code
draft | active | suspended | completed | entered-in-error | cancelled
RequestStatus (Required)
 intent 
?!Σ
1..1
code
proposal | plan | order +
RequestIntent (Required)
 category 
Σ
0..*
CodeableConcept
Classification of service
Service Request Category Codes (Example)
 priority 
Σ
0..1
code
routine | urgent | asap | stat
Request priority (Required)
 doNotPerform 
?!Σ
0..1
boolean
True if service/procedure should not be performed
 code 
Σ
0..1
CodeableConcept
What is being requested/ordered
Procedure Codes (SNOMED CT) (Example)
 orderDetail 
ΣI
0..*
CodeableConcept
Additional order information
Service Request Order Details Codes (Example)
 quantity[x] 
Σ
0..1
Service amount
 quantityQuantity
Quantity
 quantityRatio
Ratio
 quantityRange
Range
 subject 
Σ
1..1
Reference(Patient | Group | Location | Device)
Individual or Entity the service is ordered for
 encounter 
Σ
0..1
Reference(Encounter)
Encounter in which the request was created
 occurrence[x] 
Σ
0..1
When service should occur
 occurrenceDateTime
dateTime
 occurrencePeriod
Period
 occurrenceTiming
Timing
 asNeeded[x] 
Σ
0..1
Preconditions for service
SNOMED CT Medication As Needed Reason Codes (Example)
 asNeededBoolean
boolean
 asNeededCodeableConcept
CodeableConcept
 authoredOn 
Σ
0..1
dateTime
Date request signed
 requester 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)
Who/what is requesting service
 performerType 
Σ
0..1
CodeableConcept
Performer role
Participant Roles (Example)
 performer 
Σ
0..*
Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)
Requested performer
 locationCode 
Σ
0..*
CodeableConcept
Requested location
V3 Value SetServiceDeliveryLocationRoleType (Example)
 locationReference 
Σ
0..*
Reference(Location)
Requested location
 reasonCode 
Σ
0..*
CodeableConcept
Explanation/Justification for procedure or service
Procedure Reason Codes (Example)
 reasonReference 
Σ
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
Explanation/Justification for service or service
 insurance 
0..*
Reference(Coverage | ClaimResponse)
Associated insurance coverage
 supportingInfo 
0..*
Reference(Any)
Additional clinical information
 specimen 
Σ
0..*
Reference(Specimen)
Procedure Samples
 bodySite 
Σ
0..*
CodeableConcept
Location on Body
SNOMED CT Body Structures (Example)
 note 
0..*
Annotation
Comments
 patientInstruction 
Σ
0..1
string
Patient or consumer-oriented instructions
 relevantHistory 
0..*
Reference(Provenance)
Request provenance

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Care Provision"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
      "version" : "4.0.0",
      "name" : "ServiceRequest",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "quick",
        "uri" : "http://siframework.org/cqf",
        "name" : "Quality Improvement and Clinical Knowledge (QUICK)"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ServiceRequest",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ServiceRequest",
          "path" : "ServiceRequest",
          "short" : "A request for a service to be performed",
          "definition" : "A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.",
          "alias" : ["diagnostic request",
          "referral",
          "referral request",
          "transfer of care request"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "prr-1",
            "severity" : "error",
            "human" : "orderDetail SHALL only be present if code is present",
            "expression" : "orderDetail.empty() or code.exists()",
            "xpath" : "exists(f:code) or not(exists(f:orderDetail))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode<=INT]"
          }]
        },
        {
          "id" : "ServiceRequest.id",
          "path" : "ServiceRequest.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ServiceRequest.meta",
          "path" : "ServiceRequest.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ServiceRequest.implicitRules",
          "path" : "ServiceRequest.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ServiceRequest.language",
          "path" : "ServiceRequest.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ServiceRequest.text",
          "path" : "ServiceRequest.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ServiceRequest.contained",
          "path" : "ServiceRequest.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ServiceRequest.extension",
          "path" : "ServiceRequest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ServiceRequest.modifierExtension",
          "path" : "ServiceRequest.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ServiceRequest.identifier",
          "path" : "ServiceRequest.identifier",
          "short" : "Identifiers assigned to this order",
          "definition" : "Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.",
          "comment" : "The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2).  For further discussion and examples see the resource notes section below.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.2, ORC.3, RF1-6 / RF1-11,"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.identifier"
          }]
        },
        {
          "id" : "ServiceRequest.instantiatesCanonical",
          "path" : "ServiceRequest.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.",
          "comment" : "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.instantiatesCanonical",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ServiceRequest.instantiatesUri",
          "path" : "ServiceRequest.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.instantiatesUri",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ServiceRequest.basedOn",
          "path" : "ServiceRequest.basedOn",
          "short" : "What request fulfills",
          "definition" : "Plan/proposal/order fulfilled by this request.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC.8 (plus others)"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "ServiceRequest.replaces",
          "path" : "ServiceRequest.replaces",
          "short" : "What request replaces",
          "definition" : "The request takes the place of the referenced completed or terminated request(s).",
          "alias" : ["supersedes",
          "prior",
          "renewed order"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.replaces",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          },
          {
            "identity" : "v2",
            "map" : "Handled by message location of ORC (ORC.1=RO or RU)"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RPLC].target"
          }]
        },
        {
          "id" : "ServiceRequest.requisition",
          "path" : "ServiceRequest.requisition",
          "short" : "Composite Request ID",
          "definition" : "A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.",
          "comment" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
          "requirements" : "Some business processes need to know if multiple items were ordered as part of the same \"requisition\" for billing or other purposes.",
          "alias" : ["grouperId",
          "groupIdentifier"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.requisition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.4"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
          }]
        },
        {
          "id" : "ServiceRequest.status",
          "path" : "ServiceRequest.status",
          "short" : "draft | active | suspended | completed | entered-in-error | cancelled",
          "definition" : "The status of the order.",
          "comment" : "The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestStatus"
            }],
            "strength" : "required",
            "description" : "The status of a service order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC.5,RF1-1"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          },
          {
            "identity" : "quick",
            "map" : "Action.currentStatus"
          }]
        },
        {
          "id" : "ServiceRequest.intent",
          "path" : "ServiceRequest.intent",
          "short" : "proposal | plan | order +",
          "definition" : "Whether the request is a proposal, plan, an original order or a reflex order.",
          "comment" : "This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.intent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestIntent"
            }],
            "strength" : "required",
            "description" : "The kind of service request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }]
        },
        {
          "id" : "ServiceRequest.category",
          "path" : "ServiceRequest.category",
          "short" : "Classification of service",
          "definition" : "A code that classifies the service for searching, sorting and display purposes (e.g. \"Surgical Procedure\").",
          "comment" : "There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource.  The level of granularity is defined by the category concepts in the value set.",
          "requirements" : "Used for filtering what service request are retrieved and displayed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestCategory"
            }],
            "strength" : "example",
            "description" : "Classification of the requested service.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/servicerequest-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "RF1-5"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"INT\"].code"
          }]
        },
        {
          "id" : "ServiceRequest.priority",
          "path" : "ServiceRequest.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the ServiceRequest should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "TQ1.9, RF1-2"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "ServiceRequest.doNotPerform",
          "path" : "ServiceRequest.doNotPerform",
          "short" : "True if service/procedure should not be performed",
          "definition" : "Set this to true if the record is saying that the service/procedure should NOT be performed.",
          "comment" : "In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition.  If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.",
          "requirements" : "Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.doNotPerform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If missing, the request is a positive request e.g. \"do perform\"",
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For Example,  instead of a request for a procedure, it is a request for the procedure to not occur.",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.doNotPerform"
          },
          {
            "identity" : "rim",
            "map" : ".actionNegationInd"
          }]
        },
        {
          "id" : "ServiceRequest.code",
          "path" : "ServiceRequest.code",
          "short" : "What is being requested/ordered",
          "definition" : "A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.",
          "comment" : "Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example,  serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.",
          "alias" : ["service requested"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestCode"
            }],
            "strength" : "example",
            "description" : "Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.  For laboratory, LOINC is  (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "PR1-3 / OBR-4  (varies by domain)"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "Procedure.procedureCode"
          }]
        },
        {
          "id" : "ServiceRequest.orderDetail",
          "path" : "ServiceRequest.orderDetail",
          "short" : "Additional order information",
          "definition" : "Additional details and instructions about the how the services are to be delivered.   For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied.",
          "comment" : "For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element.",
          "alias" : ["detailed instructions"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.orderDetail",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["prr-1"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OrderDetail"
            }],
            "strength" : "example",
            "description" : "Codified order entry details which are based on order context.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/servicerequest-orderdetail"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "Procedure.procedureCode"
          }]
        },
        {
          "id" : "ServiceRequest.quantity[x]",
          "path" : "ServiceRequest.quantity[x]",
          "short" : "Service amount",
          "definition" : "An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction).",
          "requirements" : "When ordering a service the number of service items may need to be specified separately from the the service item.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.quantity[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "ServiceRequest.subject",
          "path" : "ServiceRequest.subject",
          "short" : "Individual or Entity the service is ordered for",
          "definition" : "On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.subject",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ServiceRequest.encounter",
          "path" : "ServiceRequest.encounter",
          "short" : "Encounter in which the request was created",
          "definition" : "An encounter that provides additional information about the healthcare context in which this request is made.",
          "alias" : ["context"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.encounter"
          }]
        },
        {
          "id" : "ServiceRequest.occurrence[x]",
          "path" : "ServiceRequest.occurrence[x]",
          "short" : "When service should occur",
          "definition" : "The date/time at which the requested service should occur.",
          "alias" : ["schedule"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.occurrence[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "v2",
            "map" : "TQ1/TQ2, OBR-7/OBR-8"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "quick",
            "map" : "Procedure.procedureSchedule"
          }]
        },
        {
          "id" : "ServiceRequest.asNeeded[x]",
          "path" : "ServiceRequest.asNeeded[x]",
          "short" : "Preconditions for service",
          "definition" : "If a CodeableConcept is present, it indicates the pre-condition for performing the service.  For example \"pain\", \"on flare-up\", etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.asNeeded[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureAsNeededReason"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying the pre-condition that should hold prior to performing a procedure.  For example \"pain\", \"on flare-up\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code=\"Assertion\"].value"
          },
          {
            "identity" : "quick",
            "map" : "Proposal.prnReason.reason"
          }]
        },
        {
          "id" : "ServiceRequest.authoredOn",
          "path" : "ServiceRequest.authoredOn",
          "short" : "Date request signed",
          "definition" : "When the request transitioned to being actionable.",
          "alias" : ["orderedOn"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.authoredOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ORC.9,  RF1-7 / RF1-9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          },
          {
            "identity" : "quick",
            "map" : "Proposal.proposedAtTime"
          }]
        },
        {
          "id" : "ServiceRequest.requester",
          "path" : "ServiceRequest.requester",
          "short" : "Who/what is requesting service",
          "definition" : "The individual who initiated the request and has responsibility for its activation.",
          "comment" : "This not the dispatcher, but rather who is the authorizer.  This element is not intended to handle delegation which would generally be managed through the Provenance resource.",
          "alias" : ["author",
          "orderer"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.requester",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC.12, PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.statementAuthor"
          }]
        },
        {
          "id" : "ServiceRequest.performerType",
          "path" : "ServiceRequest.performerType",
          "short" : "Performer role",
          "definition" : "Desired type of performer for doing the requested service.",
          "comment" : "This is a  role, not  a participation type.  In other words, does not describe the task but describes the capacity.  For example, “compounding pharmacy”, “psychiatrist” or “internal referral”.",
          "alias" : ["specialty"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.performerType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestParticipantRole"
            }],
            "strength" : "example",
            "description" : "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participant-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performerType"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT, RF!-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
          }]
        },
        {
          "id" : "ServiceRequest.performer",
          "path" : "ServiceRequest.performer",
          "short" : "Requested performer",
          "definition" : "The desired performer for doing the requested service.  For example, the surgeon, dermatopathologist, endoscopist, etc.",
          "comment" : "If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order.  If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html).  Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).",
          "alias" : ["request recipient"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.performer",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ServiceRequest.locationCode",
          "path" : "ServiceRequest.locationCode",
          "short" : "Requested location",
          "definition" : "The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.locationCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestLocation"
            }],
            "strength" : "example",
            "description" : "A location type where services are delivered.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"
          }]
        },
        {
          "id" : "ServiceRequest.locationReference",
          "path" : "ServiceRequest.locationReference",
          "short" : "Requested location",
          "definition" : "A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.locationReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ServiceRequest.reasonCode",
          "path" : "ServiceRequest.reasonCode",
          "short" : "Explanation/Justification for procedure or service",
          "definition" : "An explanation or justification for why this service is being requested in coded or textual form.   This is often for billing purposes.  May relate to the resources referred to in `supportingInfo`.",
          "comment" : "This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.   Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestReason"
            }],
            "strength" : "example",
            "description" : "Diagnosis or problem codes justifying the reason for requesting the service investigation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16, RF1-10"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "ServiceRequest.reasonReference",
          "path" : "ServiceRequest.reasonReference",
          "short" : "Explanation/Justification for service or service",
          "definition" : "Indicates another resource that provides a justification for why this service is being requested.   May relate to the resources referred to in `supportingInfo`.",
          "comment" : "This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.    To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise when referencing  *DiagnosticReport*  it should contain a finding  in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`.   When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request.  Use  the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "ServiceRequest.insurance",
          "path" : "ServiceRequest.insurance",
          "short" : "Associated insurance coverage",
          "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.insurance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
            "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          },
          {
            "identity" : "v2",
            "map" : "IN1/IN2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COVBY].target"
          }]
        },
        {
          "id" : "ServiceRequest.supportingInfo",
          "path" : "ServiceRequest.supportingInfo",
          "short" : "Additional clinical information",
          "definition" : "Additional clinical information about the patient or specimen that may influence the services or their interpretations.     This information includes diagnosis, clinical findings and other observations.  In laboratory ordering these are typically referred to as \"ask at order entry questions (AOEs)\".  This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example,  reporting the amount of inspired oxygen for blood gas measurements.",
          "comment" : "To represent information about how the services are to be delivered use the `instructions` element.",
          "alias" : ["Ask at order entry question",
          "AOE"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.supportingInfo",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying segments"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target"
          }]
        },
        {
          "id" : "ServiceRequest.specimen",
          "path" : "ServiceRequest.specimen",
          "short" : "Procedure Samples",
          "definition" : "One or more specimens that the laboratory procedure will use.",
          "comment" : "Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to.    Conversely, if the request is entered first with an unknown specimen, then the [Specimen](specimen.html) resource points to the ServiceRequest.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.specimen",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SPC].role"
          }]
        },
        {
          "id" : "ServiceRequest.bodySite",
          "path" : "ServiceRequest.bodySite",
          "short" : "Location on Body",
          "definition" : "Anatomic location where the procedure should be performed. This is the target site.",
          "comment" : "Only used if not implicit in the code found in ServiceRequest.code.  If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [procedure-targetBodyStructure](extension-procedure-targetbodystructure.html).",
          "requirements" : "Knowing where the procedure is performed is important for tracking if multiple sites are possible.",
          "alias" : ["location"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.bodySite",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          },
          {
            "identity" : "quick",
            "map" : "Procedure.targetBodySite"
          }]
        },
        {
          "id" : "ServiceRequest.note",
          "path" : "ServiceRequest.note",
          "short" : "Comments",
          "definition" : "Any other notes and comments made about the service request. For example, internal billing notes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.additionalText"
          }]
        },
        {
          "id" : "ServiceRequest.patientInstruction",
          "path" : "ServiceRequest.patientInstruction",
          "short" : "Patient or consumer-oriented instructions",
          "definition" : "Instructions in terms that are understood by the patient or consumer.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ServiceRequest.patientInstruction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "ServiceRequest.relevantHistory",
          "path" : "ServiceRequest.relevantHistory",
          "short" : "Request provenance",
          "definition" : "Key events in the history of the request.",
          "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important.\rThis SHALL NOT include the Provenance associated with this current version of the resource.  (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update.  Until then, it can be queried directly as the Provenance that points to this version using _revinclude\rAll Provenances should have some historical version of this Request as their subject.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ServiceRequest.relevantHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.relevantHistory"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ServiceRequest",
          "path" : "ServiceRequest",
          "short" : "A request for a service to be performed",
          "definition" : "A record of a request for service such as diagnostic investigations, treatments, or operations to be performed.",
          "alias" : ["diagnostic request",
          "referral",
          "referral request",
          "transfer of care request"],
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "prr-1",
            "severity" : "error",
            "human" : "orderDetail SHALL only be present if code is present",
            "expression" : "orderDetail.empty() or code.exists()",
            "xpath" : "exists(f:code) or not(exists(f:orderDetail))"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode<=INT]"
          }]
        },
        {
          "id" : "ServiceRequest.identifier",
          "path" : "ServiceRequest.identifier",
          "short" : "Identifiers assigned to this order",
          "definition" : "Identifiers assigned to this order instance by the orderer and/or the receiver and/or order fulfiller.",
          "comment" : "The identifier.type element is used to distinguish between the identifiers assigned by the orderer (known as the 'Placer' in HL7 v2) and the producer of the observations in response to the order (known as the 'Filler' in HL7 v2).  For further discussion and examples see the resource notes section below.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.2, ORC.3, RF1-6 / RF1-11,"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.identifier"
          }]
        },
        {
          "id" : "ServiceRequest.instantiatesCanonical",
          "path" : "ServiceRequest.instantiatesCanonical",
          "short" : "Instantiates FHIR protocol or definition",
          "definition" : "The URL pointing to a FHIR-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.",
          "comment" : "Note: This is a business identifier, not a resource identifier (see [discussion](resource.html#identifiers)).  It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types.  For example, multiple Patient and a Person resource instance might share the same social insurance number.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition",
            "http://hl7.org/fhir/StructureDefinition/PlanDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ServiceRequest.instantiatesUri",
          "path" : "ServiceRequest.instantiatesUri",
          "short" : "Instantiates external protocol or definition",
          "definition" : "The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this ServiceRequest.",
          "comment" : "This might be an HTML page, PDF, etc. or could just be a non-resolvable URI identifier.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesUri"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "ServiceRequest.basedOn",
          "path" : "ServiceRequest.basedOn",
          "short" : "What request fulfills",
          "definition" : "Plan/proposal/order fulfilled by this request.",
          "alias" : ["fulfills"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CarePlan",
            "http://hl7.org/fhir/StructureDefinition/ServiceRequest",
            "http://hl7.org/fhir/StructureDefinition/MedicationRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC.8 (plus others)"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "ServiceRequest.replaces",
          "path" : "ServiceRequest.replaces",
          "short" : "What request replaces",
          "definition" : "The request takes the place of the referenced completed or terminated request(s).",
          "alias" : ["supersedes",
          "prior",
          "renewed order"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.replaces"
          },
          {
            "identity" : "v2",
            "map" : "Handled by message location of ORC (ORC.1=RO or RU)"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RPLC].target"
          }]
        },
        {
          "id" : "ServiceRequest.requisition",
          "path" : "ServiceRequest.requisition",
          "short" : "Composite Request ID",
          "definition" : "A shared identifier common to all service requests that were authorized more or less simultaneously by a single author, representing the composite or group identifier.",
          "comment" : "Requests are linked either by a \"basedOn\" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.",
          "requirements" : "Some business processes need to know if multiple items were ordered as part of the same \"requisition\" for billing or other purposes.",
          "alias" : ["grouperId",
          "groupIdentifier"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.4"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier"
          }]
        },
        {
          "id" : "ServiceRequest.status",
          "path" : "ServiceRequest.status",
          "short" : "draft | active | suspended | completed | entered-in-error | cancelled",
          "definition" : "The status of the order.",
          "comment" : "The status is generally fully in the control of the requester - they determine whether the order is draft or active and, after it has been activated, competed, cancelled or suspended. States relating to the activities of the performer are reflected on either the corresponding event (see [Event Pattern](event.html) for general discussion) or using the [Task](task.html) resource.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestStatus"
            }],
            "strength" : "required",
            "description" : "The status of a service order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC.5,RF1-1"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          },
          {
            "identity" : "quick",
            "map" : "Action.currentStatus"
          }]
        },
        {
          "id" : "ServiceRequest.intent",
          "path" : "ServiceRequest.intent",
          "short" : "proposal | plan | order +",
          "definition" : "Whether the request is a proposal, plan, an original order or a reflex order.",
          "comment" : "This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element changes the interpretation of all descriptive attributes. For example \"the time the request is recommended to occur\" vs. \"the time the request is authorized to occur\" or \"who is recommended to perform the request\" vs. \"who is authorized to perform the request",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestIntent"
            }],
            "strength" : "required",
            "description" : "The kind of service request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)"
          }]
        },
        {
          "id" : "ServiceRequest.category",
          "path" : "ServiceRequest.category",
          "short" : "Classification of service",
          "definition" : "A code that classifies the service for searching, sorting and display purposes (e.g. \"Surgical Procedure\").",
          "comment" : "There may be multiple axis of categorization depending on the context or use case for retrieving or displaying the resource.  The level of granularity is defined by the category concepts in the value set.",
          "requirements" : "Used for filtering what service request are retrieved and displayed.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestCategory"
            }],
            "strength" : "example",
            "description" : "Classification of the requested service.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/servicerequest-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "RF1-5"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"INT\"].code"
          }]
        },
        {
          "id" : "ServiceRequest.priority",
          "path" : "ServiceRequest.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the ServiceRequest should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "TQ1.9, RF1-2"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "ServiceRequest.doNotPerform",
          "path" : "ServiceRequest.doNotPerform",
          "short" : "True if service/procedure should not be performed",
          "definition" : "Set this to true if the record is saying that the service/procedure should NOT be performed.",
          "comment" : "In general, only the code and timeframe will be present, though occasional additional qualifiers such as body site or even performer could be included to narrow the scope of the prohibition.  If the ServiceRequest.code and ServiceRequest.doNotPerform both contain negation, that will reinforce prohibition and should not have a double negative interpretation.",
          "requirements" : "Used for do not ambulate, do not elevate head of bed, do not flush NG tube, do not take blood pressure on a certain arm, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If missing, the request is a positive request e.g. \"do perform\"",
          "isModifier" : true,
          "isModifierReason" : "If true this element negates the specified action. For Example,  instead of a request for a procedure, it is a request for the procedure to not occur.",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.doNotPerform"
          },
          {
            "identity" : "rim",
            "map" : ".actionNegationInd"
          }]
        },
        {
          "id" : "ServiceRequest.code",
          "path" : "ServiceRequest.code",
          "short" : "What is being requested/ordered",
          "definition" : "A code that identifies a particular service (i.e., procedure, diagnostic investigation, or panel of investigations) that have been requested.",
          "comment" : "Many laboratory and radiology procedure codes embed the specimen/organ system in the test order name, for example,  serum or serum/plasma glucose, or a chest x-ray. The specimen might not be recorded separately from the test code.",
          "alias" : ["service requested"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestCode"
            }],
            "strength" : "example",
            "description" : "Codes for tests or services that can be carried out by a designated individual, organization or healthcare service.  For laboratory, LOINC is  (preferred)[http://build.fhir.org/terminologies.html#preferred] and a valueset using LOINC Order codes is available [here](valueset-diagnostic-requests.html).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "PR1-3 / OBR-4  (varies by domain)"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "Procedure.procedureCode"
          }]
        },
        {
          "id" : "ServiceRequest.orderDetail",
          "path" : "ServiceRequest.orderDetail",
          "short" : "Additional order information",
          "definition" : "Additional details and instructions about the how the services are to be delivered.   For example, and order for a urinary catheter may have an order detail for an external or indwelling catheter, or an order for a bandage may require additional instructions specifying how the bandage should be applied.",
          "comment" : "For information from the medical record intended to support the delivery of the requested services, use the `supportingInformation` element.",
          "alias" : ["detailed instructions"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "condition" : ["prr-1"],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "OrderDetail"
            }],
            "strength" : "example",
            "description" : "Codified order entry details which are based on order context.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/servicerequest-orderdetail"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "quick",
            "map" : "Procedure.procedureCode"
          }]
        },
        {
          "id" : "ServiceRequest.quantity[x]",
          "path" : "ServiceRequest.quantity[x]",
          "short" : "Service amount",
          "definition" : "An amount of service being requested which can be a quantity ( for example $1,500 home modification), a ratio ( for example, 20 half day visits per month), or a range (2.0 to 1.8 Gy per fraction).",
          "requirements" : "When ordering a service the number of service items may need to be specified separately from the the service item.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Range"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "ServiceRequest.subject",
          "path" : "ServiceRequest.subject",
          "short" : "Individual or Entity the service is ordered for",
          "definition" : "On whom or what the service is to be performed. This is usually a human patient, but can also be requested on animals, groups of humans or animals, devices such as dialysis machines, or even locations (typically for environmental scans).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "ServiceRequest.encounter",
          "path" : "ServiceRequest.encounter",
          "short" : "Encounter in which the request was created",
          "definition" : "An encounter that provides additional information about the healthcare context in which this request is made.",
          "alias" : ["context"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.encounter"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.encounter"
          }]
        },
        {
          "id" : "ServiceRequest.occurrence[x]",
          "path" : "ServiceRequest.occurrence[x]",
          "short" : "When service should occur",
          "definition" : "The date/time at which the requested service should occur.",
          "alias" : ["schedule"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "v2",
            "map" : "TQ1/TQ2, OBR-7/OBR-8"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          },
          {
            "identity" : "quick",
            "map" : "Procedure.procedureSchedule"
          }]
        },
        {
          "id" : "ServiceRequest.asNeeded[x]",
          "path" : "ServiceRequest.asNeeded[x]",
          "short" : "Preconditions for service",
          "definition" : "If a CodeableConcept is present, it indicates the pre-condition for performing the service.  For example \"pain\", \"on flare-up\", etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ProcedureAsNeededReason"
            }],
            "strength" : "example",
            "description" : "A coded concept identifying the pre-condition that should hold prior to performing a procedure.  For example \"pain\", \"on flare-up\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/medication-as-needed-reason"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code=\"Assertion\"].value"
          },
          {
            "identity" : "quick",
            "map" : "Proposal.prnReason.reason"
          }]
        },
        {
          "id" : "ServiceRequest.authoredOn",
          "path" : "ServiceRequest.authoredOn",
          "short" : "Date request signed",
          "definition" : "When the request transitioned to being actionable.",
          "alias" : ["orderedOn"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ORC.9,  RF1-7 / RF1-9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          },
          {
            "identity" : "quick",
            "map" : "Proposal.proposedAtTime"
          }]
        },
        {
          "id" : "ServiceRequest.requester",
          "path" : "ServiceRequest.requester",
          "short" : "Who/what is requesting service",
          "definition" : "The individual who initiated the request and has responsibility for its activation.",
          "comment" : "This not the dispatcher, but rather who is the authorizer.  This element is not intended to handle delegation which would generally be managed through the Provenance resource.",
          "alias" : ["author",
          "orderer"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC.12, PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.statementAuthor"
          }]
        },
        {
          "id" : "ServiceRequest.performerType",
          "path" : "ServiceRequest.performerType",
          "short" : "Performer role",
          "definition" : "Desired type of performer for doing the requested service.",
          "comment" : "This is a  role, not  a participation type.  In other words, does not describe the task but describes the capacity.  For example, “compounding pharmacy”, “psychiatrist” or “internal referral”.",
          "alias" : ["specialty"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestParticipantRole"
            }],
            "strength" : "example",
            "description" : "Indicates specific responsibility of an individual within the care team, such as \"Primary physician\", \"Team coordinator\", \"Caregiver\", etc.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/participant-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performerType"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT, RF!-3"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=KIND].code"
          }]
        },
        {
          "id" : "ServiceRequest.performer",
          "path" : "ServiceRequest.performer",
          "short" : "Requested performer",
          "definition" : "The desired performer for doing the requested service.  For example, the surgeon, dermatopathologist, endoscopist, etc.",
          "comment" : "If multiple performers are present, it is interpreted as a list of *alternative* performers without any preference regardless of order.  If order of preference is needed use the [request-performerOrder extension](extension-request-performerorder.html).  Use CareTeam to represent a group of performers (for example, Practitioner A *and* Practitioner B).",
          "alias" : ["request recipient"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ServiceRequest.locationCode",
          "path" : "ServiceRequest.locationCode",
          "short" : "Requested location",
          "definition" : "The preferred location(s) where the procedure should actually happen in coded or free text form. E.g. at home or nursing day care center.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestLocation"
            }],
            "strength" : "example",
            "description" : "A location type where services are delivered.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role[scoper.determinerCode=KIND].code"
          }]
        },
        {
          "id" : "ServiceRequest.locationReference",
          "path" : "ServiceRequest.locationReference",
          "short" : "Requested location",
          "definition" : "A reference to the the preferred location(s) where the procedure should actually happen. E.g. at home or nursing day care center.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "ServiceRequest.reasonCode",
          "path" : "ServiceRequest.reasonCode",
          "short" : "Explanation/Justification for procedure or service",
          "definition" : "An explanation or justification for why this service is being requested in coded or textual form.   This is often for billing purposes.  May relate to the resources referred to in `supportingInfo`.",
          "comment" : "This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.   Use `CodeableConcept.text` element if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ServiceRequestReason"
            }],
            "strength" : "example",
            "description" : "Diagnosis or problem codes justifying the reason for requesting the service investigation.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/procedure-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16, RF1-10"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "ServiceRequest.reasonReference",
          "path" : "ServiceRequest.reasonReference",
          "short" : "Explanation/Justification for service or service",
          "definition" : "Indicates another resource that provides a justification for why this service is being requested.   May relate to the resources referred to in `supportingInfo`.",
          "comment" : "This element represents why the referral is being made and may be used to decide how the service will be performed, or even if it will be performed at all.    To be as specific as possible,  a reference to  *Observation* or *Condition* should be used if available.  Otherwise when referencing  *DiagnosticReport*  it should contain a finding  in `DiagnosticReport.conclusion` and/or `DiagnosticReport.conclusionCode`.   When using a reference to *DocumentReference*, the target document should contain clear findings language providing the relevant reason for this service request.  Use  the CodeableConcept text element in `ServiceRequest.reasonCode` if the data is free (uncoded) text as shown in the [CT Scan example](servicerequest-example-di.html).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "ServiceRequest.insurance",
          "path" : "ServiceRequest.insurance",
          "short" : "Associated insurance coverage",
          "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be needed for delivering the requested service.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
            "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          },
          {
            "identity" : "v2",
            "map" : "IN1/IN2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COVBY].target"
          }]
        },
        {
          "id" : "ServiceRequest.supportingInfo",
          "path" : "ServiceRequest.supportingInfo",
          "short" : "Additional clinical information",
          "definition" : "Additional clinical information about the patient or specimen that may influence the services or their interpretations.     This information includes diagnosis, clinical findings and other observations.  In laboratory ordering these are typically referred to as \"ask at order entry questions (AOEs)\".  This includes observations explicitly requested by the producer (filler) to provide context or supporting information needed to complete the order. For example,  reporting the amount of inspired oxygen for blood gas measurements.",
          "comment" : "To represent information about how the services are to be delivered use the `instructions` element.",
          "alias" : ["Ask at order entry question",
          "AOE"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.supportingInfo"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying segments"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=PERT].target"
          }]
        },
        {
          "id" : "ServiceRequest.specimen",
          "path" : "ServiceRequest.specimen",
          "short" : "Procedure Samples",
          "definition" : "One or more specimens that the laboratory procedure will use.",
          "comment" : "Many diagnostic procedures need a specimen, but the request itself is not actually about the specimen. This element is for when the diagnostic is requested on already existing specimens and the request points to the specimen it applies to.    Conversely, if the request is entered first with an unknown specimen, then the [Specimen](specimen.html) resource points to the ServiceRequest.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SPC].role"
          }]
        },
        {
          "id" : "ServiceRequest.bodySite",
          "path" : "ServiceRequest.bodySite",
          "short" : "Location on Body",
          "definition" : "Anatomic location where the procedure should be performed. This is the target site.",
          "comment" : "Only used if not implicit in the code found in ServiceRequest.code.  If the use case requires BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [procedure-targetBodyStructure](extension-procedure-targetbodystructure.html).",
          "requirements" : "Knowing where the procedure is performed is important for tracking if multiple sites are possible.",
          "alias" : ["location"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM"
          },
          {
            "identity" : "rim",
            "map" : "targetSiteCode"
          },
          {
            "identity" : "quick",
            "map" : "Procedure.targetBodySite"
          }]
        },
        {
          "id" : "ServiceRequest.note",
          "path" : "ServiceRequest.note",
          "short" : "Comments",
          "definition" : "Any other notes and comments made about the service request. For example, internal billing notes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note"
          },
          {
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"
          },
          {
            "identity" : "quick",
            "map" : "ClinicalStatement.additionalText"
          }]
        },
        {
          "id" : "ServiceRequest.patientInstruction",
          "path" : "ServiceRequest.patientInstruction",
          "short" : "Patient or consumer-oriented instructions",
          "definition" : "Instructions in terms that are understood by the patient or consumer.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "NTE"
          },
          {
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "ServiceRequest.relevantHistory",
          "path" : "ServiceRequest.relevantHistory",
          "short" : "Request provenance",
          "definition" : "Key events in the history of the request.",
          "comment" : "This might not include provenances for all versions of the request – only those deemed “relevant” or important.\rThis SHALL NOT include the Provenance associated with this current version of the resource.  (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update.  Until then, it can be queried directly as the Provenance that points to this version using _revinclude\rAll Provenances should have some historical version of this Request as their subject.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.relevantHistory"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Slot",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Slot",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Slot 
TU
DomainResource
A slot of time on a schedule that may be available for booking appointments
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Ids for this item
 serviceCategory 
Σ
0..*
CodeableConcept
A broad categorization of the service that is to be performed during this appointment
Service category (Example)
 serviceType 
Σ
0..*
CodeableConcept
The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the availability resource
Service type (Example)
 specialty 
Σ
0..*
CodeableConcept
The specialty of a practitioner that would be required to perform the service requested in this appointment
Practice Setting Code Value Set (Preferred)
 appointmentType 
Σ
0..1
CodeableConcept
The style of appointment or patient that may be booked in the slot (not service type)
v2 Appointment Reason Codes (Preferred)
 schedule 
Σ
1..1
Reference(Schedule)
The schedule resource that this slot defines an interval of status information
 status 
Σ
1..1
code
busy | free | busy-unavailable | busy-tentative | entered-in-error
SlotStatus (Required)
 start 
Σ
1..1
instant
Date/Time that the slot is to begin
 end 
Σ
1..1
instant
Date/Time that the slot is to conclude
 overbooked 
0..1
boolean
This slot has already been overbooked, appointments are unlikely to be accepted for this time
 comment 
0..1
string
Comments on the slot to describe any extended information. Such as custom constraints on the slot

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Workflow"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Slot",
      "version" : "4.0.0",
      "name" : "Slot",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "A slot of time on a schedule that may be available for booking appointments.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "ical",
        "uri" : "http://ietf.org/rfc/2445",
        "name" : "iCalendar"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Slot",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Slot",
          "path" : "Slot",
          "short" : "A slot of time on a schedule that may be available for booking appointments",
          "definition" : "A slot of time on a schedule that may be available for booking appointments.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Slot",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "ical",
            "map" : "(refer to the Availability resource for the header mapping details)"
          }]
        },
        {
          "id" : "Slot.id",
          "path" : "Slot.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Slot.meta",
          "path" : "Slot.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Slot.implicitRules",
          "path" : "Slot.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Slot.language",
          "path" : "Slot.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Slot.text",
          "path" : "Slot.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Slot.contained",
          "path" : "Slot.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Slot.extension",
          "path" : "Slot.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Slot.modifierExtension",
          "path" : "Slot.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Slot.identifier",
          "path" : "Slot.identifier",
          "short" : "External Ids for this item",
          "definition" : "External Ids for this item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Slot.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Slot.serviceCategory",
          "path" : "Slot.serviceCategory",
          "short" : "A broad categorization of the service that is to be performed during this appointment",
          "definition" : "A broad categorization of the service that is to be performed during this appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Slot.serviceCategory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-category"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Slot.serviceType",
          "path" : "Slot.serviceType",
          "short" : "The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the availability resource",
          "definition" : "The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the availability resource.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Slot.serviceType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-type"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Slot.specialty",
          "path" : "Slot.specialty",
          "short" : "The specialty of a practitioner that would be required to perform the service requested in this appointment",
          "definition" : "The specialty of a practitioner that would be required to perform the service requested in this appointment.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Slot.specialty",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "specialty"
            }],
            "strength" : "preferred",
            "description" : "Additional details about where the content was created (e.g. clinical specialty).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Slot.appointmentType",
          "path" : "Slot.appointmentType",
          "short" : "The style of appointment or patient that may be booked in the slot (not service type)",
          "definition" : "The style of appointment or patient that may be booked in the slot (not service type).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Slot.appointmentType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "appointment-type"
            }],
            "strength" : "preferred",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0276"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Slot.schedule",
          "path" : "Slot.schedule",
          "short" : "The schedule resource that this slot defines an interval of status information",
          "definition" : "The schedule resource that this slot defines an interval of status information.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Slot.schedule",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Schedule"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Slot.status",
          "path" : "Slot.status",
          "short" : "busy | free | busy-unavailable | busy-tentative | entered-in-error",
          "definition" : "busy | free | busy-unavailable | busy-tentative | entered-in-error.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Slot.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SlotStatus"
            }],
            "strength" : "required",
            "description" : "The free/busy status of the slot.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/slotstatus|4.0.0"
          },
          "mapping" : [{
            "identity" : "ical",
            "map" : "FREEBUSY;FBTYPE=(freeBusyType):19980314T233000Z/19980315T003000Z If the freeBusyType is BUSY, then this value can be excluded"
          }]
        },
        {
          "id" : "Slot.start",
          "path" : "Slot.start",
          "short" : "Date/Time that the slot is to begin",
          "definition" : "Date/Time that the slot is to begin.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Slot.start",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "ical",
            "map" : "FREEBUSY;FBTYPE=FREE:(start)/19980315T003000Z If the freeBusyType is BUSY, then this value can be excluded"
          }]
        },
        {
          "id" : "Slot.end",
          "path" : "Slot.end",
          "short" : "Date/Time that the slot is to conclude",
          "definition" : "Date/Time that the slot is to conclude.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Slot.end",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "ical",
            "map" : "FREEBUSY:19980314T233000Z/(end) If the freeBusyType is BUSY, then this value can be excluded (as shown)"
          }]
        },
        {
          "id" : "Slot.overbooked",
          "path" : "Slot.overbooked",
          "short" : "This slot has already been overbooked, appointments are unlikely to be accepted for this time",
          "definition" : "This slot has already been overbooked, appointments are unlikely to be accepted for this time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Slot.overbooked",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If overbooked is missing, systems may assume that there are still appointments available",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "Slot.comment",
          "path" : "Slot.comment",
          "short" : "Comments on the slot to describe any extended information. Such as custom constraints on the slot",
          "definition" : "Comments on the slot to describe any extended information. Such as custom constraints on the slot.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Slot.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Slot",
          "path" : "Slot",
          "short" : "A slot of time on a schedule that may be available for booking appointments",
          "definition" : "A slot of time on a schedule that may be available for booking appointments.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "ical",
            "map" : "(refer to the Availability resource for the header mapping details)"
          }]
        },
        {
          "id" : "Slot.identifier",
          "path" : "Slot.identifier",
          "short" : "External Ids for this item",
          "definition" : "External Ids for this item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "Slot.serviceCategory",
          "path" : "Slot.serviceCategory",
          "short" : "A broad categorization of the service that is to be performed during this appointment",
          "definition" : "A broad categorization of the service that is to be performed during this appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-category"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Slot.serviceType",
          "path" : "Slot.serviceType",
          "short" : "The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the availability resource",
          "definition" : "The type of appointments that can be booked into this slot (ideally this would be an identifiable service - which is at a location, rather than the location itself). If provided then this overrides the value provided on the availability resource.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "service-type"
            }],
            "strength" : "example",
            "valueSet" : "http://hl7.org/fhir/ValueSet/service-type"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Slot.specialty",
          "path" : "Slot.specialty",
          "short" : "The specialty of a practitioner that would be required to perform the service requested in this appointment",
          "definition" : "The specialty of a practitioner that would be required to perform the service requested in this appointment.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "specialty"
            }],
            "strength" : "preferred",
            "description" : "Additional details about where the content was created (e.g. clinical specialty).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/c80-practice-codes"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Slot.appointmentType",
          "path" : "Slot.appointmentType",
          "short" : "The style of appointment or patient that may be booked in the slot (not service type)",
          "definition" : "The style of appointment or patient that may be booked in the slot (not service type).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "appointment-type"
            }],
            "strength" : "preferred",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0276"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "Slot.schedule",
          "path" : "Slot.schedule",
          "short" : "The schedule resource that this slot defines an interval of status information",
          "definition" : "The schedule resource that this slot defines an interval of status information.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Schedule"]
          }],
          "isSummary" : true
        },
        {
          "id" : "Slot.status",
          "path" : "Slot.status",
          "short" : "busy | free | busy-unavailable | busy-tentative | entered-in-error",
          "definition" : "busy | free | busy-unavailable | busy-tentative | entered-in-error.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SlotStatus"
            }],
            "strength" : "required",
            "description" : "The free/busy status of the slot.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/slotstatus|4.0.0"
          },
          "mapping" : [{
            "identity" : "ical",
            "map" : "FREEBUSY;FBTYPE=(freeBusyType):19980314T233000Z/19980315T003000Z If the freeBusyType is BUSY, then this value can be excluded"
          }]
        },
        {
          "id" : "Slot.start",
          "path" : "Slot.start",
          "short" : "Date/Time that the slot is to begin",
          "definition" : "Date/Time that the slot is to begin.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "ical",
            "map" : "FREEBUSY;FBTYPE=FREE:(start)/19980315T003000Z If the freeBusyType is BUSY, then this value can be excluded"
          }]
        },
        {
          "id" : "Slot.end",
          "path" : "Slot.end",
          "short" : "Date/Time that the slot is to conclude",
          "definition" : "Date/Time that the slot is to conclude.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "ical",
            "map" : "FREEBUSY:19980314T233000Z/(end) If the freeBusyType is BUSY, then this value can be excluded (as shown)"
          }]
        },
        {
          "id" : "Slot.overbooked",
          "path" : "Slot.overbooked",
          "short" : "This slot has already been overbooked, appointments are unlikely to be accepted for this time",
          "definition" : "This slot has already been overbooked, appointments are unlikely to be accepted for this time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If overbooked is missing, systems may assume that there are still appointments available"
        },
        {
          "id" : "Slot.comment",
          "path" : "Slot.comment",
          "short" : "Comments on the slot to describe any extended information. Such as custom constraints on the slot",
          "definition" : "Comments on the slot to describe any extended information. Such as custom constraints on the slot.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Specimen",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Specimen",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Specimen 
TU
DomainResource
Sample for analysis
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
External Identifier
 accessionIdentifier 
Σ
0..1
Identifier
Identifier assigned by the lab
 status 
?!Σ
0..1
code
available | unavailable | unsatisfactory | entered-in-error
SpecimenStatus (Required)
 type 
Σ
0..1
CodeableConcept
Kind of material that forms the specimen
v2 Specimen Type (Example)
 subject 
Σ
0..1
Reference(Patient | Group | Device | Substance | Location)
Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device
 receivedTime 
Σ
0..1
dateTime
The time when specimen was received for processing
 parent 
0..*
Reference(Specimen)
Specimen from which this specimen originated
 request 
0..*
Reference(ServiceRequest)
Why the specimen was collected
 collection 
0..1
BackboneElement
Collection details
 collector 
Σ
0..1
Reference(Practitioner | PractitionerRole)
Who collected the specimen
 collected[x] 
Σ
0..1
Collection time
 collectedDateTime
dateTime
 collectedPeriod
Period
 duration 
Σ
0..1
Duration
How long it took to collect specimen
 quantity 
0..1
SimpleQuantity
The quantity of specimen collected
 method 
0..1
CodeableConcept
Technique used to perform collection
FHIR Specimen Collection Method (Example)
 bodySite 
0..1
CodeableConcept
Anatomical collection site
SNOMED CT Body Structures (Example)
 fastingStatus[x] 
Σ
0..1
Whether or how long patient abstained from food and/or drink
v2 Relevant Clincial Information (Extensible)
 fastingStatusCodeableConcept
CodeableConcept
 fastingStatusDuration
Duration
 processing 
0..*
BackboneElement
Processing and processing step details
 description 
0..1
string
Textual description of procedure
 procedure 
0..1
CodeableConcept
Indicates the treatment step  applied to the specimen
Specimen processing procedure (Example)
 additive 
0..*
Reference(Substance)
Material used in the processing step
 time[x] 
0..1
Date and time of specimen processing
 timeDateTime
dateTime
 timePeriod
Period
 container 
0..*
BackboneElement
Direct container of specimen (tube/slide, etc.)
 identifier 
Σ
0..*
Identifier
Id for the container
 description 
0..1
string
Textual description of the container
 type 
0..1
CodeableConcept
Kind of container directly associated with specimen
Specimen container (Example)
 capacity 
0..1
SimpleQuantity
Container volume or size
 specimenQuantity 
0..1
SimpleQuantity
Quantity of specimen within container
 additive[x] 
0..1
Additive associated with container
v2 Additive (Example)
 additiveCodeableConcept
CodeableConcept
 additiveReference
Reference(Substance)
 condition 
Σ
0..*
CodeableConcept
State of the specimen
v2 Specimen Condition (Extensible)
 note 
0..*
Annotation
Comments

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Diagnostics"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Specimen",
      "version" : "4.0.0",
      "name" : "Specimen",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A sample to be used for analysis.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Specimen",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Specimen",
          "path" : "Specimen",
          "short" : "Sample for analysis",
          "definition" : "A sample to be used for analysis.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Role[classCode=SPEC]"
          }]
        },
        {
          "id" : "Specimen.id",
          "path" : "Specimen.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Specimen.meta",
          "path" : "Specimen.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Specimen.implicitRules",
          "path" : "Specimen.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Specimen.language",
          "path" : "Specimen.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Specimen.text",
          "path" : "Specimen.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Specimen.contained",
          "path" : "Specimen.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Specimen.extension",
          "path" : "Specimen.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Specimen.modifierExtension",
          "path" : "Specimen.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Specimen.identifier",
          "path" : "Specimen.identifier",
          "short" : "External Identifier",
          "definition" : "Id for specimen.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "SPM-2"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Specimen.accessionIdentifier",
          "path" : "Specimen.accessionIdentifier",
          "short" : "Identifier assigned by the lab",
          "definition" : "The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.accessionIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "SPM-30 (v2.7+)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id"
          }]
        },
        {
          "id" : "Specimen.status",
          "path" : "Specimen.status",
          "short" : "available | unavailable | unsatisfactory | entered-in-error",
          "definition" : "The availability of the specimen.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenStatus"
            }],
            "strength" : "required",
            "description" : "Codes providing the status/availability of a specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "SPM-20"
          },
          {
            "identity" : "rim",
            "map" : "status"
          }]
        },
        {
          "id" : "Specimen.type",
          "path" : "Specimen.type",
          "short" : "Kind of material that forms the specimen",
          "definition" : "The kind of material that forms the specimen.",
          "comment" : "The type can change the way that a specimen is handled and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenType"
            }],
            "strength" : "example",
            "description" : "The type of the specimen.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0487"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "SPM-4 and possibly SPM-5"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Specimen.subject",
          "path" : "Specimen.subject",
          "short" : "Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device",
          "definition" : "Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device.",
          "requirements" : "Must know the subject context.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.subject",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".scoper  or  .scoper.playsRole"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Specimen.receivedTime",
          "path" : "Specimen.receivedTime",
          "short" : "The time when specimen was received for processing",
          "definition" : "Time when specimen was received for processing or testing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.receivedTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "SPM-18"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime"
          }]
        },
        {
          "id" : "Specimen.parent",
          "path" : "Specimen.parent",
          "short" : "Specimen from which this specimen originated",
          "definition" : "Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.",
          "comment" : "The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.parent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)"
          }]
        },
        {
          "id" : "Specimen.request",
          "path" : "Specimen.request",
          "short" : "Why the specimen was collected",
          "definition" : "Details concerning a service request that required a specimen to be collected.",
          "comment" : "The request may be explicit or implied such with a ServiceRequest that requires a blood draw.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.request",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC? OBR-2/3?"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "Specimen.collection",
          "path" : "Specimen.collection",
          "short" : "Collection details",
          "definition" : "Details concerning the specimen collection.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.collection",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-14"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]"
          }]
        },
        {
          "id" : "Specimen.collection.id",
          "path" : "Specimen.collection.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Specimen.collection.extension",
          "path" : "Specimen.collection.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Specimen.collection.modifierExtension",
          "path" : "Specimen.collection.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Specimen.collection.collector",
          "path" : "Specimen.collection.collector",
          "short" : "Who collected the specimen",
          "definition" : "Person who collected the specimen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.collection.collector",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].role"
          }]
        },
        {
          "id" : "Specimen.collection.collected[x]",
          "path" : "Specimen.collection.collected[x]",
          "short" : "Collection time",
          "definition" : "Time when specimen was collected from subject - the physiologically relevant time.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.collection.collected[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "v2",
            "map" : "SPM-17"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Specimen.collection.duration",
          "path" : "Specimen.collection.duration",
          "short" : "How long it took to collect specimen",
          "definition" : "The span of time over which the collection of a specimen occurred.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.collection.duration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "Specimen.collection.quantity",
          "path" : "Specimen.collection.quantity",
          "short" : "The quantity of specimen collected",
          "definition" : "The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.collection.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-12"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=SPEC].player.quantity"
          }]
        },
        {
          "id" : "Specimen.collection.method",
          "path" : "Specimen.collection.method",
          "short" : "Technique used to perform collection",
          "definition" : "A coded value specifying the technique that is used to perform the procedure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.collection.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenCollectionMethod"
            }],
            "strength" : "example",
            "description" : "The  technique that is used to perform the procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-collection-method"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-7"
          },
          {
            "identity" : "rim",
            "map" : ".methodCode"
          }]
        },
        {
          "id" : "Specimen.collection.bodySite",
          "path" : "Specimen.collection.bodySite",
          "short" : "Anatomical collection site",
          "definition" : "Anatomical location from which the specimen was collected (if subject is a patient). This is the target site.  This element is not used for environmental specimens.",
          "comment" : "If the use case requires  BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [bodySite](extension-bodysite.html).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.collection.bodySite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-8 and SPM-9"
          },
          {
            "identity" : "rim",
            "map" : ".targetSiteCode"
          }]
        },
        {
          "id" : "Specimen.collection.fastingStatus[x]",
          "path" : "Specimen.collection.fastingStatus[x]",
          "short" : "Whether or how long patient abstained from food and/or drink",
          "definition" : "Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection.",
          "comment" : "Representing fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code'  such as  LOINC 2005-7 (Calcium [Moles/​time] in 2 hour Urine --12 hours fasting), or  using  a component observation ` such as `Observation.component code`  = LOINC 49541-6 (Fasting status - Reported).",
          "requirements" : "Many diagnostic tests require fasting  to facilitate accurate interpretation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.collection.fastingStatus[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FastingStatus"
            }],
            "strength" : "extensible",
            "description" : "Codes describing the fasting status of the patient.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0916"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBR-"
          }]
        },
        {
          "id" : "Specimen.processing",
          "path" : "Specimen.processing",
          "short" : "Processing and processing step details",
          "definition" : "Details concerning processing and processing steps for the specimen.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.processing",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]"
          }]
        },
        {
          "id" : "Specimen.processing.id",
          "path" : "Specimen.processing.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Specimen.processing.extension",
          "path" : "Specimen.processing.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Specimen.processing.modifierExtension",
          "path" : "Specimen.processing.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Specimen.processing.description",
          "path" : "Specimen.processing.description",
          "short" : "Textual description of procedure",
          "definition" : "Textual description of procedure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.processing.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Specimen.processing.procedure",
          "path" : "Specimen.processing.procedure",
          "short" : "Indicates the treatment step  applied to the specimen",
          "definition" : "A coded value specifying the procedure used to process the specimen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.processing.procedure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenProcessingProcedure"
            }],
            "strength" : "example",
            "description" : "Type indicating the technique used to process the specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-processing-procedure"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Specimen.processing.additive",
          "path" : "Specimen.processing.additive",
          "short" : "Material used in the processing step",
          "definition" : "Material used in the processing step.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.processing.additive",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-6"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=ADTV].code"
          }]
        },
        {
          "id" : "Specimen.processing.time[x]",
          "path" : "Specimen.processing.time[x]",
          "short" : "Date and time of specimen processing",
          "definition" : "A record of the time or period when the specimen processing occurred.  For example the time of sample fixation or the period of time the sample was in formalin.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.processing.time[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Specimen.container",
          "path" : "Specimen.container",
          "short" : "Direct container of specimen (tube/slide, etc.)",
          "definition" : "The container holding the specimen.  The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.container",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.scopingRole[classCode=CONT].scoper"
          }]
        },
        {
          "id" : "Specimen.container.id",
          "path" : "Specimen.container.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Specimen.container.extension",
          "path" : "Specimen.container.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Specimen.container.modifierExtension",
          "path" : "Specimen.container.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Specimen.container.identifier",
          "path" : "Specimen.container.identifier",
          "short" : "Id for the container",
          "definition" : "Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.container.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SAC-3"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Specimen.container.description",
          "path" : "Specimen.container.description",
          "short" : "Textual description of the container",
          "definition" : "Textual description of the container.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.container.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".desc"
          }]
        },
        {
          "id" : "Specimen.container.type",
          "path" : "Specimen.container.type",
          "short" : "Kind of container directly associated with specimen",
          "definition" : "The type of container associated with the specimen (e.g. slide, aliquot, etc.).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.container.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenContainerType"
            }],
            "strength" : "example",
            "description" : "Type of specimen container.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-container-type"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-27"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Specimen.container.capacity",
          "path" : "Specimen.container.capacity",
          "short" : "Container volume or size",
          "definition" : "The capacity (volume or other measure) the container may contain.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.container.capacity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "Specimen.container.specimenQuantity",
          "path" : "Specimen.container.specimenQuantity",
          "short" : "Quantity of specimen within container",
          "definition" : "The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.container.specimenQuantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SAC-23 (value) SAC-24 (units"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[classCode=CONT].quantity"
          }]
        },
        {
          "id" : "Specimen.container.additive[x]",
          "path" : "Specimen.container.additive[x]",
          "short" : "Additive associated with container",
          "definition" : "Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Specimen.container.additive[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenContainerAdditive"
            }],
            "strength" : "example",
            "description" : "Substance added to specimen container.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0371"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SAC-27"
          },
          {
            "identity" : "rim",
            "map" : ".scopesRole[classCode=ADTV].player"
          }]
        },
        {
          "id" : "Specimen.condition",
          "path" : "Specimen.condition",
          "short" : "State of the specimen",
          "definition" : "A mode or state of being that describes the nature of the specimen.",
          "comment" : "Specimen condition is an observation made about the specimen.  It's a point-in-time assessment.  It can be used to assess its quality or appropriateness for a specific test.",
          "requirements" : "The specimen condition can be used to assess its quality or appropriateness for a specific test.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.condition",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenCondition"
            }],
            "strength" : "extensible",
            "description" : "Codes describing the state of the specimen.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0493"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-24"
          }]
        },
        {
          "id" : "Specimen.note",
          "path" : "Specimen.note",
          "short" : "Comments",
          "definition" : "To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Specimen.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Specimen",
          "path" : "Specimen",
          "short" : "Sample for analysis",
          "definition" : "A sample to be used for analysis.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Role[classCode=SPEC]"
          }]
        },
        {
          "id" : "Specimen.identifier",
          "path" : "Specimen.identifier",
          "short" : "External Identifier",
          "definition" : "Id for specimen.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "SPM-2"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Specimen.accessionIdentifier",
          "path" : "Specimen.accessionIdentifier",
          "short" : "Identifier assigned by the lab",
          "definition" : "The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "SPM-30 (v2.7+)"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id"
          }]
        },
        {
          "id" : "Specimen.status",
          "path" : "Specimen.status",
          "short" : "available | unavailable | unsatisfactory | entered-in-error",
          "definition" : "The availability of the specimen.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenStatus"
            }],
            "strength" : "required",
            "description" : "Codes providing the status/availability of a specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "SPM-20"
          },
          {
            "identity" : "rim",
            "map" : "status"
          }]
        },
        {
          "id" : "Specimen.type",
          "path" : "Specimen.type",
          "short" : "Kind of material that forms the specimen",
          "definition" : "The kind of material that forms the specimen.",
          "comment" : "The type can change the way that a specimen is handled and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenType"
            }],
            "strength" : "example",
            "description" : "The type of the specimen.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0487"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "SPM-4 and possibly SPM-5"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Specimen.subject",
          "path" : "Specimen.subject",
          "short" : "Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device",
          "definition" : "Where the specimen came from. This may be from patient(s), from a location (e.g., the source of an environmental sample), or a sampling of a substance or a device.",
          "requirements" : "Must know the subject context.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".scoper  or  .scoper.playsRole"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Specimen.receivedTime",
          "path" : "Specimen.receivedTime",
          "short" : "The time when specimen was received for processing",
          "definition" : "Time when specimen was received for processing or testing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "SPM-18"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime"
          }]
        },
        {
          "id" : "Specimen.parent",
          "path" : "Specimen.parent",
          "short" : "Specimen from which this specimen originated",
          "definition" : "Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen.",
          "comment" : "The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Specimen"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)"
          }]
        },
        {
          "id" : "Specimen.request",
          "path" : "Specimen.request",
          "short" : "Why the specimen was collected",
          "definition" : "Details concerning a service request that required a specimen to be collected.",
          "comment" : "The request may be explicit or implied such with a ServiceRequest that requires a blood draw.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC? OBR-2/3?"
          },
          {
            "identity" : "rim",
            "map" : "outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "Specimen.collection",
          "path" : "Specimen.collection",
          "short" : "Collection details",
          "definition" : "Details concerning the specimen collection.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-14"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]"
          }]
        },
        {
          "id" : "Specimen.collection.collector",
          "path" : "Specimen.collection.collector",
          "short" : "Who collected the specimen",
          "definition" : "Person who collected the specimen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].role"
          }]
        },
        {
          "id" : "Specimen.collection.collected[x]",
          "path" : "Specimen.collection.collected[x]",
          "short" : "Collection time",
          "definition" : "Time when specimen was collected from subject - the physiologically relevant time.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          },
          {
            "identity" : "v2",
            "map" : "SPM-17"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Specimen.collection.duration",
          "path" : "Specimen.collection.duration",
          "short" : "How long it took to collect specimen",
          "definition" : "The span of time over which the collection of a specimen occurred.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "Specimen.collection.quantity",
          "path" : "Specimen.collection.quantity",
          "short" : "The quantity of specimen collected",
          "definition" : "The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-12"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role[classCode=SPEC].player.quantity"
          }]
        },
        {
          "id" : "Specimen.collection.method",
          "path" : "Specimen.collection.method",
          "short" : "Technique used to perform collection",
          "definition" : "A coded value specifying the technique that is used to perform the procedure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenCollectionMethod"
            }],
            "strength" : "example",
            "description" : "The  technique that is used to perform the procedure.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-collection-method"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-7"
          },
          {
            "identity" : "rim",
            "map" : ".methodCode"
          }]
        },
        {
          "id" : "Specimen.collection.bodySite",
          "path" : "Specimen.collection.bodySite",
          "short" : "Anatomical collection site",
          "definition" : "Anatomical location from which the specimen was collected (if subject is a patient). This is the target site.  This element is not used for environmental specimens.",
          "comment" : "If the use case requires  BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [bodySite](extension-bodysite.html).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "BodySite"
            }],
            "strength" : "example",
            "description" : "Codes describing anatomical locations. May include laterality.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-8 and SPM-9"
          },
          {
            "identity" : "rim",
            "map" : ".targetSiteCode"
          }]
        },
        {
          "id" : "Specimen.collection.fastingStatus[x]",
          "path" : "Specimen.collection.fastingStatus[x]",
          "short" : "Whether or how long patient abstained from food and/or drink",
          "definition" : "Abstinence or reduction from some or all food, drink, or both, for a period of time prior to sample collection.",
          "comment" : "Representing fasting status using this element is preferred to representing it with an observation using a 'pre-coordinated code'  such as  LOINC 2005-7 (Calcium [Moles/​time] in 2 hour Urine --12 hours fasting), or  using  a component observation ` such as `Observation.component code`  = LOINC 49541-6 (Fasting status - Reported).",
          "requirements" : "Many diagnostic tests require fasting  to facilitate accurate interpretation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Duration"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FastingStatus"
            }],
            "strength" : "extensible",
            "description" : "Codes describing the fasting status of the patient.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0916"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBR-"
          }]
        },
        {
          "id" : "Specimen.processing",
          "path" : "Specimen.processing",
          "short" : "Processing and processing step details",
          "definition" : "Details concerning processing and processing steps for the specimen.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]"
          }]
        },
        {
          "id" : "Specimen.processing.description",
          "path" : "Specimen.processing.description",
          "short" : "Textual description of procedure",
          "definition" : "Textual description of procedure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Specimen.processing.procedure",
          "path" : "Specimen.processing.procedure",
          "short" : "Indicates the treatment step  applied to the specimen",
          "definition" : "A coded value specifying the procedure used to process the specimen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenProcessingProcedure"
            }],
            "strength" : "example",
            "description" : "Type indicating the technique used to process the specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-processing-procedure"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Specimen.processing.additive",
          "path" : "Specimen.processing.additive",
          "short" : "Material used in the processing step",
          "definition" : "Material used in the processing step.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-6"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=CSM].role[classCode=ADTV].code"
          }]
        },
        {
          "id" : "Specimen.processing.time[x]",
          "path" : "Specimen.processing.time[x]",
          "short" : "Date and time of specimen processing",
          "definition" : "A record of the time or period when the specimen processing occurred.  For example the time of sample fixation or the period of time the sample was in formalin.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Specimen.container",
          "path" : "Specimen.container",
          "short" : "Direct container of specimen (tube/slide, etc.)",
          "definition" : "The container holding the specimen.  The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.scopingRole[classCode=CONT].scoper"
          }]
        },
        {
          "id" : "Specimen.container.identifier",
          "path" : "Specimen.container.identifier",
          "short" : "Id for the container",
          "definition" : "Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "SAC-3"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Specimen.container.description",
          "path" : "Specimen.container.description",
          "short" : "Textual description of the container",
          "definition" : "Textual description of the container.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".desc"
          }]
        },
        {
          "id" : "Specimen.container.type",
          "path" : "Specimen.container.type",
          "short" : "Kind of container directly associated with specimen",
          "definition" : "The type of container associated with the specimen (e.g. slide, aliquot, etc.).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenContainerType"
            }],
            "strength" : "example",
            "description" : "Type of specimen container.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-container-type"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-27"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Specimen.container.capacity",
          "path" : "Specimen.container.capacity",
          "short" : "Container volume or size",
          "definition" : "The capacity (volume or other measure) the container may contain.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20"
          },
          {
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "Specimen.container.specimenQuantity",
          "path" : "Specimen.container.specimenQuantity",
          "short" : "Quantity of specimen within container",
          "definition" : "The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "SAC-23 (value) SAC-24 (units"
          },
          {
            "identity" : "rim",
            "map" : ".playedRole[classCode=CONT].quantity"
          }]
        },
        {
          "id" : "Specimen.container.additive[x]",
          "path" : "Specimen.container.additive[x]",
          "short" : "Additive associated with container",
          "definition" : "Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenContainerAdditive"
            }],
            "strength" : "example",
            "description" : "Substance added to specimen container.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0371"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SAC-27"
          },
          {
            "identity" : "rim",
            "map" : ".scopesRole[classCode=ADTV].player"
          }]
        },
        {
          "id" : "Specimen.condition",
          "path" : "Specimen.condition",
          "short" : "State of the specimen",
          "definition" : "A mode or state of being that describes the nature of the specimen.",
          "comment" : "Specimen condition is an observation made about the specimen.  It's a point-in-time assessment.  It can be used to assess its quality or appropriateness for a specific test.",
          "requirements" : "The specimen condition can be used to assess its quality or appropriateness for a specific test.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenCondition"
            }],
            "strength" : "extensible",
            "description" : "Codes describing the state of the specimen.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0493"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "SPM-24"
          }]
        },
        {
          "id" : "Specimen.note",
          "path" : "Specimen.note",
          "short" : "Comments",
          "definition" : "To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OBX"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SpecimenDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SpecimenDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SpecimenDefinition 
TU
DomainResource
Kind of specimen
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..1
Identifier
Business identifier of a kind of specimen
 typeCollected 
Σ
0..1
CodeableConcept
Kind of material to collect
v2 Specimen Type (Example)
 patientPreparation 
Σ
0..*
CodeableConcept
Patient preparation for collection
Patient preparation prior specimen collection (Example)
 timeAspect 
Σ
0..1
string
Time aspect for collection
 collection 
Σ
0..*
CodeableConcept
Specimen collection procedure
Specimen collection methods (Example)
 typeTested 
0..*
BackboneElement
Specimen in container intended for testing by lab
 isDerived 
0..1
boolean
Primary or secondary specimen
 type 
0..1
CodeableConcept
Type of intended specimen
v2 Specimen Type (Example)
 preference 
1..1
code
preferred | alternate
SpecimenContainedPreference (Required)
 container 
0..1
BackboneElement
The specimen's container
 material 
0..1
CodeableConcept
Container material
Types of material for specimen containers (Example)
 type 
0..1
CodeableConcept
Kind of container associated with the kind of specimen
Specimen Container Type (Example)
 cap 
0..1
CodeableConcept
Color of container cap
ContainerCap (Example)
 description 
0..1
string
Container description
 capacity 
0..1
SimpleQuantity
Container capacity
 minimumVolume[x] 
0..1
Minimum volume
 minimumVolumeQuantity
SimpleQuantity
 minimumVolumeString
string
 additive 
0..*
BackboneElement
Additive associated with container
 additive[x] 
1..1
Additive associated with container
v2 Additive (Example)
 additiveCodeableConcept
CodeableConcept
 additiveReference
Reference(Substance)
 preparation 
0..1
string
Specimen container preparation
 requirement 
0..1
string
Specimen requirements
 retentionTime 
0..1
Duration
Specimen retention time
 rejectionCriterion 
0..*
CodeableConcept
Rejection criterion
RejectionCriterion (Example)
 handling 
0..*
BackboneElement
Specimen handling before testing
 temperatureQualifier 
0..1
CodeableConcept
Temperature qualifier
HandlingConditionSet (Example)
 temperatureRange 
0..1
Range
Temperature range
 maxDuration 
0..1
Duration
Maximum preservation time
 instruction 
0..1
string
Preservation instruction

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Definitional Artifacts"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SpecimenDefinition",
      "version" : "4.0.0",
      "name" : "SpecimenDefinition",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A kind of specimen with associated set of requirements.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SpecimenDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SpecimenDefinition",
          "path" : "SpecimenDefinition",
          "short" : "Kind of specimen",
          "definition" : "A kind of specimen with associated set of requirements.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SpecimenDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "v2",
            "map" : "OM4"
          },
          {
            "identity" : "rim",
            "map" : "Role[classCode=SPEC]"
          }]
        },
        {
          "id" : "SpecimenDefinition.id",
          "path" : "SpecimenDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SpecimenDefinition.meta",
          "path" : "SpecimenDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SpecimenDefinition.implicitRules",
          "path" : "SpecimenDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SpecimenDefinition.language",
          "path" : "SpecimenDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SpecimenDefinition.text",
          "path" : "SpecimenDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SpecimenDefinition.contained",
          "path" : "SpecimenDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SpecimenDefinition.extension",
          "path" : "SpecimenDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SpecimenDefinition.modifierExtension",
          "path" : "SpecimenDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SpecimenDefinition.identifier",
          "path" : "SpecimenDefinition.identifier",
          "short" : "Business identifier of a kind of specimen",
          "definition" : "A business identifier associated with the kind of specimen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SpecimenDefinition.typeCollected",
          "path" : "SpecimenDefinition.typeCollected",
          "short" : "Kind of material to collect",
          "definition" : "The kind of material to be collected.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeCollected",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CollectedSpecimenType"
            }],
            "strength" : "example",
            "description" : "The type of the specimen to be collected.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0487"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-6"
          }]
        },
        {
          "id" : "SpecimenDefinition.patientPreparation",
          "path" : "SpecimenDefinition.patientPreparation",
          "short" : "Patient preparation for collection",
          "definition" : "Preparation of the patient for specimen collection.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SpecimenDefinition.patientPreparation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PreparePatient"
            }],
            "strength" : "example",
            "description" : "Checks on the patient prior specimen collection.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/prepare-patient-prior-specimen-collection"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-37"
          }]
        },
        {
          "id" : "SpecimenDefinition.timeAspect",
          "path" : "SpecimenDefinition.timeAspect",
          "short" : "Time aspect for collection",
          "definition" : "Time aspect of specimen collection (duration or offset).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.timeAspect",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "example" : [{
            "label" : "General",
            "valueString" : "24 hour, 20' post charge"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-43, OM1-44"
          }]
        },
        {
          "id" : "SpecimenDefinition.collection",
          "path" : "SpecimenDefinition.collection",
          "short" : "Specimen collection procedure",
          "definition" : "The action to be performed for collecting the specimen.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SpecimenDefinition.collection",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenCollection"
            }],
            "strength" : "example",
            "description" : "The action to collect a type of specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-collection"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested",
          "path" : "SpecimenDefinition.typeTested",
          "short" : "Specimen in container intended for testing by lab",
          "definition" : "Specimen conditioned in a container as expected by the testing laboratory.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SpecimenDefinition.typeTested",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SpecimenDefinition.typeTested.id",
          "path" : "SpecimenDefinition.typeTested.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.extension",
          "path" : "SpecimenDefinition.typeTested.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.modifierExtension",
          "path" : "SpecimenDefinition.typeTested.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.isDerived",
          "path" : "SpecimenDefinition.typeTested.isDerived",
          "short" : "Primary or secondary specimen",
          "definition" : "Primary of secondary specimen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.isDerived",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "example" : [{
            "label" : "General",
            "valueBoolean" : false
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-2"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.type",
          "path" : "SpecimenDefinition.typeTested.type",
          "short" : "Type of intended specimen",
          "definition" : "The kind of specimen conditioned for testing expected by lab.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IntendedSpecimenType"
            }],
            "strength" : "example",
            "description" : "The type of specimen conditioned in a container for lab testing.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0487"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested.preference",
          "path" : "SpecimenDefinition.typeTested.preference",
          "short" : "preferred | alternate",
          "definition" : "The preference for this type of conditioned specimen.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.preference",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "preferred, alternate"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenContainedPreference"
            }],
            "strength" : "required",
            "description" : "Degree of preference of a type of conditioned specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-16"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container",
          "path" : "SpecimenDefinition.typeTested.container",
          "short" : "The specimen's container",
          "definition" : "The specimen's container.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.id",
          "path" : "SpecimenDefinition.typeTested.container.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.extension",
          "path" : "SpecimenDefinition.typeTested.container.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.modifierExtension",
          "path" : "SpecimenDefinition.typeTested.container.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.material",
          "path" : "SpecimenDefinition.typeTested.container.material",
          "short" : "Container material",
          "definition" : "The type of material of the container.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.material",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContainerMaterial"
            }],
            "strength" : "example",
            "description" : "Types of material for specimen containers.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/container-material"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.type",
          "path" : "SpecimenDefinition.typeTested.container.type",
          "short" : "Kind of container associated with the kind of specimen",
          "definition" : "The type of container used to contain this kind of specimen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContainerType"
            }],
            "strength" : "example",
            "description" : "Type of specimen container.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-container-type"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.cap",
          "path" : "SpecimenDefinition.typeTested.container.cap",
          "short" : "Color of container cap",
          "definition" : "Color of container cap.",
          "requirements" : "From ISO 6710-2017 Table F.1 Recommended colour codes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.cap",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContainerCap"
            }],
            "strength" : "example",
            "description" : "Color of the container cap.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/container-cap"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.description",
          "path" : "SpecimenDefinition.typeTested.container.description",
          "short" : "Container description",
          "definition" : "The textual description of the kind of container.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "example" : [{
            "label" : "General",
            "valueString" : "Blue top tube with citrate"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-3"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.capacity",
          "path" : "SpecimenDefinition.typeTested.container.capacity",
          "short" : "Container capacity",
          "definition" : "The capacity (volume or other measure) of this kind of container.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.capacity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-4, OM4-5"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.minimumVolume[x]",
          "path" : "SpecimenDefinition.typeTested.container.minimumVolume[x]",
          "short" : "Minimum volume",
          "definition" : "The minimum volume to be conditioned in the container.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.minimumVolume[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-11"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.additive",
          "path" : "SpecimenDefinition.typeTested.container.additive",
          "short" : "Additive associated with container",
          "definition" : "Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.additive",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-7"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.additive.id",
          "path" : "SpecimenDefinition.typeTested.container.additive.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.additive.extension",
          "path" : "SpecimenDefinition.typeTested.container.additive.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.additive.modifierExtension",
          "path" : "SpecimenDefinition.typeTested.container.additive.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.additive.additive[x]",
          "path" : "SpecimenDefinition.typeTested.container.additive.additive[x]",
          "short" : "Additive associated with container",
          "definition" : "Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.additive.additive[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContainerAdditive"
            }],
            "strength" : "example",
            "description" : "Substance added to specimen container.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0371"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-7"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.preparation",
          "path" : "SpecimenDefinition.typeTested.container.preparation",
          "short" : "Specimen container preparation",
          "definition" : "Special processing that should be applied to the container for this kind of specimen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.container.preparation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-8"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.requirement",
          "path" : "SpecimenDefinition.typeTested.requirement",
          "short" : "Specimen requirements",
          "definition" : "Requirements for delivery and special handling of this kind of conditioned specimen.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.requirement",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-12"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.retentionTime",
          "path" : "SpecimenDefinition.typeTested.retentionTime",
          "short" : "Specimen retention time",
          "definition" : "The usual time that a specimen of this kind is retained after the ordered tests are completed, for the purpose of additional testing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.retentionTime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-14"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.rejectionCriterion",
          "path" : "SpecimenDefinition.typeTested.rejectionCriterion",
          "short" : "Rejection criterion",
          "definition" : "Criterion for rejection of the specimen in its container by the laboratory.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.rejectionCriterion",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RejectionCriterion"
            }],
            "strength" : "example",
            "description" : "Criterion for rejection of the specimen by laboratory.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/rejection-criteria"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-39"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling",
          "path" : "SpecimenDefinition.typeTested.handling",
          "short" : "Specimen handling before testing",
          "definition" : "Set of instructions for preservation/transport of the specimen at a defined temperature interval, prior the testing process.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.handling",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.id",
          "path" : "SpecimenDefinition.typeTested.handling.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.extension",
          "path" : "SpecimenDefinition.typeTested.handling.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.modifierExtension",
          "path" : "SpecimenDefinition.typeTested.handling.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.temperatureQualifier",
          "path" : "SpecimenDefinition.typeTested.handling.temperatureQualifier",
          "short" : "Temperature qualifier",
          "definition" : "It qualifies the interval of temperature, which characterizes an occurrence of handling. Conditions that are not related to temperature may be handled in the instruction element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.handling.temperatureQualifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "HandlingConditionSet"
            }],
            "strength" : "example",
            "description" : "Set of handling instructions prior testing of the specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/handling-condition"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-15"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.temperatureRange",
          "path" : "SpecimenDefinition.typeTested.handling.temperatureRange",
          "short" : "Temperature range",
          "definition" : "The temperature interval for this set of handling instructions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.handling.temperatureRange",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Range"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.maxDuration",
          "path" : "SpecimenDefinition.typeTested.handling.maxDuration",
          "short" : "Maximum preservation time",
          "definition" : "The maximum time interval of preservation of the specimen with these conditions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.handling.maxDuration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Duration"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.instruction",
          "path" : "SpecimenDefinition.typeTested.handling.instruction",
          "short" : "Preservation instruction",
          "definition" : "Additional textual instructions for the preservation or transport of the specimen. For instance, 'Protect from light exposure'.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SpecimenDefinition.typeTested.handling.instruction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "example" : [{
            "label" : "General",
            "valueString" : "freeze within 4 hours"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SpecimenDefinition",
          "path" : "SpecimenDefinition",
          "short" : "Kind of specimen",
          "definition" : "A kind of specimen with associated set of requirements.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4"
          },
          {
            "identity" : "rim",
            "map" : "Role[classCode=SPEC]"
          }]
        },
        {
          "id" : "SpecimenDefinition.identifier",
          "path" : "SpecimenDefinition.identifier",
          "short" : "Business identifier of a kind of specimen",
          "definition" : "A business identifier associated with the kind of specimen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SpecimenDefinition.typeCollected",
          "path" : "SpecimenDefinition.typeCollected",
          "short" : "Kind of material to collect",
          "definition" : "The kind of material to be collected.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CollectedSpecimenType"
            }],
            "strength" : "example",
            "description" : "The type of the specimen to be collected.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0487"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-6"
          }]
        },
        {
          "id" : "SpecimenDefinition.patientPreparation",
          "path" : "SpecimenDefinition.patientPreparation",
          "short" : "Patient preparation for collection",
          "definition" : "Preparation of the patient for specimen collection.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PreparePatient"
            }],
            "strength" : "example",
            "description" : "Checks on the patient prior specimen collection.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/prepare-patient-prior-specimen-collection"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-37"
          }]
        },
        {
          "id" : "SpecimenDefinition.timeAspect",
          "path" : "SpecimenDefinition.timeAspect",
          "short" : "Time aspect for collection",
          "definition" : "Time aspect of specimen collection (duration or offset).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "example" : [{
            "label" : "General",
            "valueString" : "24 hour, 20' post charge"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-43, OM1-44"
          }]
        },
        {
          "id" : "SpecimenDefinition.collection",
          "path" : "SpecimenDefinition.collection",
          "short" : "Specimen collection procedure",
          "definition" : "The action to be performed for collecting the specimen.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenCollection"
            }],
            "strength" : "example",
            "description" : "The action to collect a type of specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-collection"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested",
          "path" : "SpecimenDefinition.typeTested",
          "short" : "Specimen in container intended for testing by lab",
          "definition" : "Specimen conditioned in a container as expected by the testing laboratory.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.isDerived",
          "path" : "SpecimenDefinition.typeTested.isDerived",
          "short" : "Primary or secondary specimen",
          "definition" : "Primary of secondary specimen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "example" : [{
            "label" : "General",
            "valueBoolean" : false
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-2"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.type",
          "path" : "SpecimenDefinition.typeTested.type",
          "short" : "Type of intended specimen",
          "definition" : "The kind of specimen conditioned for testing expected by lab.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "IntendedSpecimenType"
            }],
            "strength" : "example",
            "description" : "The type of specimen conditioned in a container for lab testing.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0487"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested.preference",
          "path" : "SpecimenDefinition.typeTested.preference",
          "short" : "preferred | alternate",
          "definition" : "The preference for this type of conditioned specimen.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "preferred, alternate"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SpecimenContainedPreference"
            }],
            "strength" : "required",
            "description" : "Degree of preference of a type of conditioned specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-contained-preference|4.0.0"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-16"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container",
          "path" : "SpecimenDefinition.typeTested.container",
          "short" : "The specimen's container",
          "definition" : "The specimen's container.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.material",
          "path" : "SpecimenDefinition.typeTested.container.material",
          "short" : "Container material",
          "definition" : "The type of material of the container.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContainerMaterial"
            }],
            "strength" : "example",
            "description" : "Types of material for specimen containers.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/container-material"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.type",
          "path" : "SpecimenDefinition.typeTested.container.type",
          "short" : "Kind of container associated with the kind of specimen",
          "definition" : "The type of container used to contain this kind of specimen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContainerType"
            }],
            "strength" : "example",
            "description" : "Type of specimen container.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/specimen-container-type"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.cap",
          "path" : "SpecimenDefinition.typeTested.container.cap",
          "short" : "Color of container cap",
          "definition" : "Color of container cap.",
          "requirements" : "From ISO 6710-2017 Table F.1 Recommended colour codes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContainerCap"
            }],
            "strength" : "example",
            "description" : "Color of the container cap.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/container-cap"
          }
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.description",
          "path" : "SpecimenDefinition.typeTested.container.description",
          "short" : "Container description",
          "definition" : "The textual description of the kind of container.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "example" : [{
            "label" : "General",
            "valueString" : "Blue top tube with citrate"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-3"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.capacity",
          "path" : "SpecimenDefinition.typeTested.container.capacity",
          "short" : "Container capacity",
          "definition" : "The capacity (volume or other measure) of this kind of container.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-4, OM4-5"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.minimumVolume[x]",
          "path" : "SpecimenDefinition.typeTested.container.minimumVolume[x]",
          "short" : "Minimum volume",
          "definition" : "The minimum volume to be conditioned in the container.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          },
          {
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-11"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.additive",
          "path" : "SpecimenDefinition.typeTested.container.additive",
          "short" : "Additive associated with container",
          "definition" : "Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-7"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.additive.additive[x]",
          "path" : "SpecimenDefinition.typeTested.container.additive.additive[x]",
          "short" : "Additive associated with container",
          "definition" : "Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ContainerAdditive"
            }],
            "strength" : "example",
            "description" : "Substance added to specimen container.",
            "valueSet" : "http://terminology.hl7.org/ValueSet/v2-0371"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-7"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.container.preparation",
          "path" : "SpecimenDefinition.typeTested.container.preparation",
          "short" : "Specimen container preparation",
          "definition" : "Special processing that should be applied to the container for this kind of specimen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-8"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.requirement",
          "path" : "SpecimenDefinition.typeTested.requirement",
          "short" : "Specimen requirements",
          "definition" : "Requirements for delivery and special handling of this kind of conditioned specimen.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-12"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.retentionTime",
          "path" : "SpecimenDefinition.typeTested.retentionTime",
          "short" : "Specimen retention time",
          "definition" : "The usual time that a specimen of this kind is retained after the ordered tests are completed, for the purpose of additional testing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-14"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.rejectionCriterion",
          "path" : "SpecimenDefinition.typeTested.rejectionCriterion",
          "short" : "Rejection criterion",
          "definition" : "Criterion for rejection of the specimen in its container by the laboratory.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RejectionCriterion"
            }],
            "strength" : "example",
            "description" : "Criterion for rejection of the specimen by laboratory.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/rejection-criteria"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM1-39"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling",
          "path" : "SpecimenDefinition.typeTested.handling",
          "short" : "Specimen handling before testing",
          "definition" : "Set of instructions for preservation/transport of the specimen at a defined temperature interval, prior the testing process.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.temperatureQualifier",
          "path" : "SpecimenDefinition.typeTested.handling.temperatureQualifier",
          "short" : "Temperature qualifier",
          "definition" : "It qualifies the interval of temperature, which characterizes an occurrence of handling. Conditions that are not related to temperature may be handled in the instruction element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "HandlingConditionSet"
            }],
            "strength" : "example",
            "description" : "Set of handling instructions prior testing of the specimen.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/handling-condition"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "OM4-15"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.temperatureRange",
          "path" : "SpecimenDefinition.typeTested.handling.temperatureRange",
          "short" : "Temperature range",
          "definition" : "The temperature interval for this set of handling instructions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Range"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.maxDuration",
          "path" : "SpecimenDefinition.typeTested.handling.maxDuration",
          "short" : "Maximum preservation time",
          "definition" : "The maximum time interval of preservation of the specimen with these conditions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Duration"
          }]
        },
        {
          "id" : "SpecimenDefinition.typeTested.handling.instruction",
          "path" : "SpecimenDefinition.typeTested.handling.instruction",
          "short" : "Preservation instruction",
          "definition" : "Additional textual instructions for the preservation or transport of the specimen. For instance, 'Protect from light exposure'.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "example" : [{
            "label" : "General",
            "valueString" : "freeze within 4 hours"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/StructureDefinition",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "StructureDefinition",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 StructureDefinition 
IN
DomainResource
Structural Definition
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: Element paths must be unique unless the structure is a constraint
+ Rule: If the first element in a differential has no "." in the path and it's not a logical model, it has no type
+ Rule: If the structure is not abstract, then there SHALL be a baseDefinition
+ Rule: If the structure defines an extension then the structure must have context information
+ Rule: A structure must have either a differential, or a snapshot (or both)
+ Rule: In any snapshot or differential, no label, code or requirements on an element without a "." in the path (e.g. the first element)
+ Rule: If there's a type, its content must match the path name in the first element of a snapshot
+ Rule: All element definitions must have an id
+ Rule: The first element in a snapshot has no type unless model is a logical model.
+ Rule: All element definitions must have unique ids (snapshot)
+ Rule: All element definitions must have unique ids (diff)
+ Rule: Context Invariants can only be used for extensions
+ Rule: FHIR Specification models only use FHIR defined types
+ Rule: Default values can only be specified on specializations
+ Rule: FHIR Specification models never have default values
+ Rule: No slice name on root
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
1..1
uri
Canonical identifier for this structure definition, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the structure definition
 version 
Σ
0..1
string
Business version of the structure definition
 name 
ΣI
1..1
string
Name for this structure definition (computer friendly)
 title 
Σ
0..1
string
Name for this structure definition (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the structure definition
 useContext 
ΣTU
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for structure definition (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this structure definition is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 keyword 
Σ
0..*
Coding
Assist with indexing and finding
Structure Definition Use Codes / Keywords (Extensible)
 fhirVersion 
Σ
0..1
code
FHIR Version this StructureDefinition targets
FHIRVersion (Required)
 mapping 
I
0..*
BackboneElement
External specification that the content is mapped to
+ Rule: Must have at least a name or a uri (or both)
 identity 
1..1
id
Internal id when this mapping is used
 uri 
I
0..1
uri
Identifies what this mapping refers to
 name 
I
0..1
string
Names what this mapping refers to
 comment 
0..1
string
Versions, Issues, Scope limitations etc.
 kind 
Σ
1..1
code
primitive-type | complex-type | resource | logical
StructureDefinitionKind (Required)
 abstract 
Σ
1..1
boolean
Whether the structure is abstract
 context 
ΣI
0..*
BackboneElement
If an extension, where it can be used in instances
 type 
Σ
1..1
code
fhirpath | element | extension
ExtensionContextType (Required)
 expression 
Σ
1..1
string
Where the extension can be used in instances
 contextInvariant 
ΣI
0..*
string
FHIRPath invariants - when the extension can be used
 type 
ΣI
1..1
uri
Type defined or constrained by this structure
FHIRDefinedType (Extensible)
 baseDefinition 
ΣI
0..1
canonical(StructureDefinition)
Definition that this type is constrained/specialized from
 derivation 
Σ
0..1
code
specialization | constraint - How relates to base definition
TypeDerivationRule (Required)
 snapshot 
I
0..1
BackboneElement
Snapshot view of the structure
+ Rule: Each element definition in a snapshot must have a formal definition and cardinalities
+ Rule: All snapshot elements must start with the StructureDefinition's specified type for non-logical models, or with the same type name for logical models
+ Rule: All snapshot elements must have a base definition
 element 
I
1..*
ElementDefinition
Definition of elements in the resource (if no StructureDefinition)
+ Rule: provide either a binding reference or a description (or both)
 differential 
I
0..1
BackboneElement
Differential view of the structure
+ Rule: No slicing on the root element
+ Rule: In any differential, all the elements must start with the StructureDefinition's specified type for non-logical models, or with the same type name for logical models
 element 
1..*
ElementDefinition
Definition of elements in the resource (if no StructureDefinition)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/StructureDefinition",
      "version" : "4.0.0",
      "name" : "StructureDefinition",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "iso11179",
        "uri" : "http://metadata-standards.org/11179/",
        "name" : "ISO 11179"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "StructureDefinition",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "StructureDefinition",
          "path" : "StructureDefinition",
          "short" : "Structural Definition",
          "definition" : "A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types.",
          "alias" : ["Template",
          "Profile"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "sdf-9",
            "requirements" : "Because these 3 fields seem to be have overlapping meaning with the ones in the root of StructureDefinition",
            "severity" : "error",
            "human" : "In any snapshot or differential, no label, code or requirements on an element without a \".\" in the path (e.g. the first element)",
            "expression" : "children().element.where(path.contains('.').not()).label.empty() and children().element.where(path.contains('.').not()).code.empty() and children().element.where(path.contains('.').not()).requirements.empty()",
            "xpath" : "not(exists(f:snapshot/f:element[not(contains(f:path/@value, '.')) and (f:label or f:code or f:requirements)])) and not(exists(f:differential/f:element[not(contains(f:path/@value, '.')) and (f:label or f:code or f:requirements)]))"
          },
          {
            "key" : "sdf-15a",
            "requirements" : "No Type on the root element (differential)",
            "severity" : "error",
            "human" : "If the first element in a differential has no \".\" in the path and it's not a logical model, it has no type",
            "expression" : "(kind!='logical'  and differential.element.first().path.contains('.').not()) implies differential.element.first().type.empty()",
            "xpath" : "f:kind/@value='logical' or not(f:differential/f:element[1][not(contains(f:path/@value, '.'))]/f:type)"
          },
          {
            "key" : "sdf-19",
            "requirements" : "custom types only in logical models",
            "severity" : "error",
            "human" : "FHIR Specification models only use FHIR defined types",
            "expression" : "url.startsWith('http://hl7.org/fhir/StructureDefinition') implies (differential.element.type.code.all(hasValue() implies matches('^[a-zA-Z0-9]+$')) and snapshot.element.type.code.all(hasValue() implies matches('^[a-zA-Z0-9]+$')))",
            "xpath" : "not(starts-with(f:url/@value, 'http://hl7.org/fhir/StructureDefinition')) or count(f:differential/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))]|f:snapshot/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))]) =0"
          },
          {
            "key" : "sdf-16",
            "requirements" : "element ids need to be unique",
            "severity" : "error",
            "human" : "All element definitions must have unique ids (snapshot)",
            "expression" : "snapshot.element.all(id) and snapshot.element.id.trace('ids').isDistinct()",
            "xpath" : "count(f:snapshot/f:element)=count(f:snapshot/f:element/@id) and (count(f:snapshot/f:element)=count(distinct-values(f:snapshot/f:element/@id)))"
          },
          {
            "key" : "sdf-15",
            "requirements" : "No Type on the root element (snapshot)",
            "severity" : "error",
            "human" : "The first element in a snapshot has no type unless model is a logical model.",
            "expression" : "kind!='logical'  implies snapshot.element.first().type.empty()",
            "xpath" : "f:kind/@value='logical' or not(f:snapshot/f:element[1]/f:type)"
          },
          {
            "key" : "sdf-18",
            "requirements" : "contextInvariant",
            "severity" : "error",
            "human" : "Context Invariants can only be used for extensions",
            "expression" : "contextInvariant.exists() implies type = 'Extension'",
            "xpath" : "not(exists(f:contextInvariant)) or (f:type/@value = 'Extension')"
          },
          {
            "key" : "sdf-17",
            "requirements" : "element ids need to be unique",
            "severity" : "error",
            "human" : "All element definitions must have unique ids (diff)",
            "expression" : "differential.element.all(id) and differential.element.id.trace('ids').isDistinct()",
            "xpath" : "count(f:differential/f:element)=count(f:differential/f:element/@id) and (count(f:differential/f:element)=count(distinct-values(f:differential/f:element/@id)))"
          },
          {
            "key" : "sdf-23",
            "requirements" : "no sliceName on root",
            "severity" : "error",
            "human" : "No slice name on root",
            "expression" : "(snapshot | differential).element.all(path.contains('.').not() implies sliceName.empty())",
            "xpath" : "count(*[self::snapshot or self::differential]/f:element[not(contains(f:path/@value, '.')) and f:sliceName])=0"
          },
          {
            "key" : "sdf-11",
            "requirements" : "Ensure that the type is not inconsistent with the other information in the structure",
            "severity" : "error",
            "human" : "If there's a type, its content must match the path name in the first element of a snapshot",
            "expression" : "kind != 'logical' implies snapshot.empty() or snapshot.element.first().path = type",
            "xpath" : "(f:kind/@value = 'logical') or not(exists(f:snapshot)) or (f:type/@value = f:snapshot/f:element[1]/f:path/@value)"
          },
          {
            "key" : "sdf-22",
            "requirements" : "no default values on data types or resources",
            "severity" : "error",
            "human" : "FHIR Specification models never have default values",
            "expression" : "url.startsWith('http://hl7.org/fhir/StructureDefinition') implies (snapshot.element.defaultValue.empty() and differential.element.defaultValue.empty())",
            "xpath" : "not(starts-with(f:url/@value, 'http://hl7.org/fhir/StructureDefinition')) or (not(exists(f:snapshot/f:element/*[starts-with(local-name(), 'defaultValue')])) and not(exists(f:differential/f:element/*[starts-with(local-name(), 'defaultValue')])))"
          },
          {
            "key" : "sdf-14",
            "requirements" : "elements have id",
            "severity" : "error",
            "human" : "All element definitions must have an id",
            "expression" : "snapshot.element.all(id.exists()) and differential.element.all(id.exists())",
            "xpath" : "count(*/f:element)=count(*/f:element/@id)"
          },
          {
            "key" : "sdf-1",
            "severity" : "error",
            "human" : "Element paths must be unique unless the structure is a constraint",
            "expression" : "derivation = 'constraint' or snapshot.element.select(path).isDistinct()",
            "xpath" : "(f:derivation/@value = 'constraint') or (count(f:snapshot/f:element) = count(distinct-values(f:snapshot/f:element/f:path/@value)))"
          },
          {
            "key" : "sdf-21",
            "requirements" : "no default values on data types or resources",
            "severity" : "error",
            "human" : "Default values can only be specified on specializations",
            "expression" : "differential.element.defaultValue.exists() implies (derivation = 'specialization')",
            "xpath" : "not(exists(f:differential/f:element/*[starts-with(local-name(), 'defaultValue')])) or (f:derivation/@value = 'specialization')"
          },
          {
            "key" : "sdf-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "sdf-6",
            "severity" : "error",
            "human" : "A structure must have either a differential, or a snapshot (or both)",
            "expression" : "snapshot.exists() or differential.exists()",
            "xpath" : "exists(f:snapshot) or exists(f:differential)"
          },
          {
            "key" : "sdf-5",
            "severity" : "error",
            "human" : "If the structure defines an extension then the structure must have context information",
            "expression" : "type != 'Extension' or derivation = 'specialization' or (context.exists())",
            "xpath" : "not(f:type/@value = 'extension') or (f:derivation/@value = 'specialization') or (exists(f:context))"
          },
          {
            "key" : "sdf-4",
            "requirements" : "Ensure that the base types are abstract",
            "severity" : "error",
            "human" : "If the structure is not abstract, then there SHALL be a baseDefinition",
            "expression" : "abstract = true or baseDefinition.exists()",
            "xpath" : "(f:abstract/@value=true()) or exists(f:baseDefinition)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.id",
          "path" : "StructureDefinition.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.meta",
          "path" : "StructureDefinition.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.implicitRules",
          "path" : "StructureDefinition.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.language",
          "path" : "StructureDefinition.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "StructureDefinition.text",
          "path" : "StructureDefinition.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "StructureDefinition.contained",
          "path" : "StructureDefinition.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureDefinition.extension",
          "path" : "StructureDefinition.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureDefinition.modifierExtension",
          "path" : "StructureDefinition.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureDefinition.url",
          "path" : "StructureDefinition.url",
          "short" : "Canonical identifier for this structure definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this structure definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this structure definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the structure definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the structure definition to be referenced by a single globally unique identifier.",
          "alias" : ["url",
          "authoritative-url",
          "destination",
          "identity"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "StructureDefinition.identifier",
          "path" : "StructureDefinition.identifier",
          "short" : "Additional identifier for the structure definition",
          "definition" : "A formal identifier that is used to identify this structure definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this structure definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "iso11179",
            "map" : "Identifier part"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureDefinition.version",
          "path" : "StructureDefinition.version",
          "short" : "Business version of the structure definition",
          "definition" : "The identifier that is used to identify this version of the structure definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different structure definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the structure definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "iso11179",
            "map" : "Version"
          }]
        },
        {
          "id" : "StructureDefinition.name",
          "path" : "StructureDefinition.name",
          "short" : "Name for this structure definition (computer friendly)",
          "definition" : "A natural language name identifying the structure definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.Some Examples: \n\n* O2SatObservation\n* PresentationReport\n* Immunization2\n* AcmeAdmissionRecordOld.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.title",
          "path" : "StructureDefinition.title",
          "short" : "Name for this structure definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the structure definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.Applications don't have to use this name but can always fall back to it. The title also corresponds to the label for the root element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "StructureDefinition.status",
          "path" : "StructureDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this structure definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of structure definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "iso11179",
            "map" : "Registration status"
          }]
        },
        {
          "id" : "StructureDefinition.experimental",
          "path" : "StructureDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this structure definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of structure definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level structure definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "iso11179",
            "map" : "Registration status"
          }]
        },
        {
          "id" : "StructureDefinition.date",
          "path" : "StructureDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the structure definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the structure definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the structure definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "StructureDefinition.publisher",
          "path" : "StructureDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the structure definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the structure definition is the organization or individual primarily responsible for the maintenance and upkeep of the structure definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the structure definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the structure definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "iso11179",
            "map" : "Registration Authority"
          }]
        },
        {
          "id" : "StructureDefinition.contact",
          "path" : "StructureDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "StructureDefinition.description",
          "path" : "StructureDefinition.description",
          "short" : "Natural language description of the structure definition",
          "definition" : "A free text natural language description of the structure definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the structure definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the structure definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the structure definition is presumed to be the predominant language in the place the structure definition was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "StructureDefinition.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "StructureDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate structure definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "StructureDefinition.jurisdiction",
          "path" : "StructureDefinition.jurisdiction",
          "short" : "Intended jurisdiction for structure definition (if applicable)",
          "definition" : "A legal or geographic region in which the structure definition is intended to be used.",
          "comment" : "It may be possible for the structure definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "StructureDefinition.purpose",
          "path" : "StructureDefinition.purpose",
          "short" : "Why this structure definition is defined",
          "definition" : "Explanation of why this structure definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the structure definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this structure definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureDefinition.copyright",
          "path" : "StructureDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the structure definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the structure definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the structure definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureDefinition.keyword",
          "path" : "StructureDefinition.keyword",
          "short" : "Assist with indexing and finding",
          "definition" : "A set of key words or terms from external terminologies that may be used to assist with indexing and searching of templates nby describing the use of this structure definition, or the content it describes.",
          "requirements" : "Assist in searching for appropriate StructureDefinitions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.keyword",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureDefinitionKeyword"
            }],
            "strength" : "extensible",
            "description" : "Codes for the meaning of the defined structure (SNOMED CT and LOINC codes, as an example).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-use"
          },
          "mapping" : [{
            "identity" : "iso11179",
            "map" : "keywords"
          }]
        },
        {
          "id" : "StructureDefinition.fhirVersion",
          "path" : "StructureDefinition.fhirVersion",
          "short" : "FHIR Version this StructureDefinition targets",
          "definition" : "The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.0.0. for this version.",
          "comment" : "A StructureDefinition does not need to specify the target it applies to as StructureDefinitions will often be valid across multiple versions of FHIR. FHIR tooling can determine whether a StructureDefinition is consistent with a particular StructureDefinition if desired.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.fhirVersion",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRVersion"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "All published FHIR Versions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0"
          }
        },
        {
          "id" : "StructureDefinition.mapping",
          "path" : "StructureDefinition.mapping",
          "short" : "External specification that the content is mapped to",
          "definition" : "An external specification that the content is mapped to.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.mapping",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "sdf-2",
            "severity" : "error",
            "human" : "Must have at least a name or a uri (or both)",
            "expression" : "name.exists() or uri.exists()",
            "xpath" : "exists(f:uri) or exists(f:name)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureDefinition.mapping.id",
          "path" : "StructureDefinition.mapping.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.mapping.extension",
          "path" : "StructureDefinition.mapping.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.mapping.modifierExtension",
          "path" : "StructureDefinition.mapping.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureDefinition.mapping.identity",
          "path" : "StructureDefinition.mapping.identity",
          "short" : "Internal id when this mapping is used",
          "definition" : "An Internal id that is used to identify this mapping set when specific mappings are made.",
          "comment" : "The specification is described once, with general comments, and then specific mappings are made that reference this declaration.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.mapping.identity",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureDefinition.mapping.uri",
          "path" : "StructureDefinition.mapping.uri",
          "short" : "Identifies what this mapping refers to",
          "definition" : "An absolute URI that identifies the specification that this mapping is expressed to.",
          "comment" : "A formal identity for the specification being mapped to helps with identifying maps consistently.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.mapping.uri",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["sdf-2"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureDefinition.mapping.name",
          "path" : "StructureDefinition.mapping.name",
          "short" : "Names what this mapping refers to",
          "definition" : "A name for the specification that is being mapped to.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.mapping.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["sdf-2"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureDefinition.mapping.comment",
          "path" : "StructureDefinition.mapping.comment",
          "short" : "Versions, Issues, Scope limitations etc.",
          "definition" : "Comments about this mapping, including version notes, issues, scope limitations, and other important notes for usage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.mapping.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureDefinition.kind",
          "path" : "StructureDefinition.kind",
          "short" : "primitive-type | complex-type | resource | logical",
          "definition" : "Defines the kind of structure that this definition is describing.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.kind",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureDefinitionKind"
            }],
            "strength" : "required",
            "description" : "Defines the type of structure that a definition is describing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.0"
          }
        },
        {
          "id" : "StructureDefinition.abstract",
          "path" : "StructureDefinition.abstract",
          "short" : "Whether the structure is abstract",
          "definition" : "Whether structure this definition describes is abstract or not  - that is, whether the structure is not intended to be instantiated. For Resources and Data types, abstract types will never be exchanged  between systems.",
          "comment" : "Abstract Resources cannot be instantiated - a concrete sub-type must be used. Abstract datatypes and extensions cannot be used in an instance. For logical models, the exact implication of \"abstract\" will rest with the author, depending how the logical model is used. Flagging a constraint structure as abstract conveys design intent but makes no difference to how the structure definition is handled. Note that inline declared elements that are given the type \"Element\" in the StructureDefinition, but have children described, are anonymous concrete types that specialize Element.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.abstract",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.context",
          "path" : "StructureDefinition.context",
          "short" : "If an extension, where it can be used in instances",
          "definition" : "Identifies the types of resource or data type elements to which the extension can be applied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.context",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["sdf-5"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.context.id",
          "path" : "StructureDefinition.context.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.context.extension",
          "path" : "StructureDefinition.context.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.context.modifierExtension",
          "path" : "StructureDefinition.context.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureDefinition.context.type",
          "path" : "StructureDefinition.context.type",
          "short" : "fhirpath | element | extension",
          "definition" : "Defines how to interpret the expression that defines what the context of the extension is.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.context.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ExtensionContextType"
            }],
            "strength" : "required",
            "description" : "How an extension context is interpreted.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/extension-context-type|4.0.0"
          }
        },
        {
          "id" : "StructureDefinition.context.expression",
          "path" : "StructureDefinition.context.expression",
          "short" : "Where the extension can be used in instances",
          "definition" : "An expression that defines where an extension can be used in resources.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.context.expression",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.contextInvariant",
          "path" : "StructureDefinition.contextInvariant",
          "short" : "FHIRPath invariants - when the extension can be used",
          "definition" : "A set of rules as FHIRPath Invariants about when the extension can be used (e.g. co-occurrence variants for the extension). All the rules must be true.",
          "comment" : "The rules are only evaluated when the extension is present. When evaluating the invariant, the FHIRPath focus is the element that holds the extension, and %extension refers to the extension itself.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.contextInvariant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["sdf-18"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.type",
          "path" : "StructureDefinition.type",
          "short" : "Type defined or constrained by this structure",
          "definition" : "The type this structure describes. If the derivation kind is 'specialization' then this is the master definition for a type, and there is always one of these (a data type, an extension, a resource, including abstract ones). Otherwise the structure definition is a constraint on the stated type (and in this case, the type cannot be an abstract type).  References are URLs that are relative to http://hl7.org/fhir/StructureDefinition e.g. \"string\" is a reference to http://hl7.org/fhir/StructureDefinition/string. Absolute URLs are only allowed in logical models.",
          "comment" : "Note that in the case of constraints, the type could be determined by chasing through the baseDefinition references until a concrete structure (derivation = specialization) is reached, or by looking at the path of the first element in the snapshot - if present - but providing the type directly makes for simpler tooling and indexing. \n\nThe type must match the elements defined in the differential and the snapshot. For all FHIR defined types, the path name of the element will start with the type name. For logical models, where the type is a URL, the type name SHOULD start with the tail of the type URL where required.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["sdf-11"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDefinedTypeExt"
            }],
            "strength" : "extensible",
            "description" : "Either a resource or a data type, including logical model types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/defined-types"
          }
        },
        {
          "id" : "StructureDefinition.baseDefinition",
          "path" : "StructureDefinition.baseDefinition",
          "short" : "Definition that this type is constrained/specialized from",
          "definition" : "An absolute URI that is the base structure from which this type is derived, either by specialization or constraint.",
          "comment" : "If differential constraints are specified in this structure, they are applied to the base in a \"differential\" fashion. If there is no base, then the differential constraints cannot be provided (snapshot only). Differential structures are useful for the editing perspective, and snapshot structures are suitable for operational use. The FHIR Project provides a number of tools/services to populate snapshots from differential constraints. Logical Models have a base of \"Element\" or another logical model.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.baseDefinition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "condition" : ["sdf-4"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.derivation",
          "path" : "StructureDefinition.derivation",
          "short" : "specialization | constraint - How relates to base definition",
          "definition" : "How the type relates to the baseDefinition.",
          "comment" : "If the definition is a specialization, then it adds new elements in the differential, and the snapshot includes the inherited elements.  If the definition is a constraint, then it cannot define new elements, it can only make new rules about existing content (see [Profiling Resources](profiling.html#resources)).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.derivation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TypeDerivationRule"
            }],
            "strength" : "required",
            "description" : "How a type relates to its baseDefinition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/type-derivation-rule|4.0.0"
          }
        },
        {
          "id" : "StructureDefinition.snapshot",
          "path" : "StructureDefinition.snapshot",
          "short" : "Snapshot view of the structure",
          "definition" : "A snapshot view is expressed in a standalone form that can be used and interpreted without considering the base StructureDefinition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.snapshot",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["sdf-6"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "sdf-8",
            "severity" : "error",
            "human" : "All snapshot elements must start with the StructureDefinition's specified type for non-logical models, or with the same type name for logical models",
            "expression" : "(%resource.kind = 'logical' or element.first().path = %resource.type) and element.tail().all(path.startsWith(%resource.snapshot.element.first().path&'.'))",
            "xpath" : "f:element[1]/f:path/@value=parent::f:StructureDefinition/f:type/@value and count(f:element[position()!=1])=count(f:element[position()!=1][starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value, '.'))])"
          },
          {
            "key" : "sdf-3",
            "severity" : "error",
            "human" : "Each element definition in a snapshot must have a formal definition and cardinalities",
            "expression" : "element.all(definition.exists() and min.exists() and max.exists())",
            "xpath" : "count(f:element) = count(f:element[exists(f:definition) and exists(f:min) and exists(f:max)])"
          },
          {
            "key" : "sdf-8b",
            "severity" : "error",
            "human" : "All snapshot elements must have a base definition",
            "expression" : "element.all(base.exists())",
            "xpath" : "count(f:element) = count(f:element/f:base)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureDefinition.snapshot.id",
          "path" : "StructureDefinition.snapshot.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.snapshot.extension",
          "path" : "StructureDefinition.snapshot.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.snapshot.modifierExtension",
          "path" : "StructureDefinition.snapshot.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureDefinition.snapshot.element",
          "path" : "StructureDefinition.snapshot.element",
          "short" : "Definition of elements in the resource (if no StructureDefinition)",
          "definition" : "Captures constraints on each element within the resource.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.snapshot.element",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "ElementDefinition"
          }],
          "condition" : ["sdf-3"],
          "constraint" : [{
            "key" : "sdf-10",
            "requirements" : "binding is required",
            "severity" : "error",
            "human" : "provide either a binding reference or a description (or both)",
            "expression" : "binding.empty() or binding.valueSet.exists() or binding.description.exists()",
            "xpath" : "not(exists(f:binding)) or exists(f:binding/f:valueSet) or exists(f:binding/f:description)"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "iso11179",
            "map" : "--"
          }]
        },
        {
          "id" : "StructureDefinition.differential",
          "path" : "StructureDefinition.differential",
          "short" : "Differential view of the structure",
          "definition" : "A differential view is expressed relative to the base StructureDefinition - a statement of differences that it applies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureDefinition.differential",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["sdf-6"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "sdf-20",
            "requirements" : "no slicing on root",
            "severity" : "error",
            "human" : "No slicing on the root element",
            "expression" : "element.where(path.contains('.').not()).slicing.empty()",
            "xpath" : "not(f:element[1]/f:slicing)"
          },
          {
            "key" : "sdf-8a",
            "severity" : "error",
            "human" : "In any differential, all the elements must start with the StructureDefinition's specified type for non-logical models, or with the same type name for logical models",
            "expression" : "(%resource.kind = 'logical' or element.first().path.startsWith(%resource.type)) and (element.tail().not() or  element.tail().all(path.startsWith(%resource.differential.element.first().path.replaceMatches('\\\\..*','')&'.')))",
            "xpath" : "count(f:element)=count(f:element[f:path/@value=ancestor::f:StructureDefinition/f:type/@value or starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value, '.'))])"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureDefinition.differential.id",
          "path" : "StructureDefinition.differential.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.differential.extension",
          "path" : "StructureDefinition.differential.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.differential.modifierExtension",
          "path" : "StructureDefinition.differential.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureDefinition.differential.element",
          "path" : "StructureDefinition.differential.element",
          "short" : "Definition of elements in the resource (if no StructureDefinition)",
          "definition" : "Captures constraints on each element within the resource.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "StructureDefinition.differential.element",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "ElementDefinition"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "iso11179",
            "map" : "--"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "StructureDefinition",
          "path" : "StructureDefinition",
          "short" : "Structural Definition",
          "definition" : "A definition of a FHIR structure. This resource is used to describe the underlying resources, data types defined in FHIR, and also for describing extensions and constraints on resources and data types.",
          "alias" : ["Template",
          "Profile"],
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "sdf-9",
            "requirements" : "Because these 3 fields seem to be have overlapping meaning with the ones in the root of StructureDefinition",
            "severity" : "error",
            "human" : "In any snapshot or differential, no label, code or requirements on an element without a \".\" in the path (e.g. the first element)",
            "expression" : "children().element.where(path.contains('.').not()).label.empty() and children().element.where(path.contains('.').not()).code.empty() and children().element.where(path.contains('.').not()).requirements.empty()",
            "xpath" : "not(exists(f:snapshot/f:element[not(contains(f:path/@value, '.')) and (f:label or f:code or f:requirements)])) and not(exists(f:differential/f:element[not(contains(f:path/@value, '.')) and (f:label or f:code or f:requirements)]))"
          },
          {
            "key" : "sdf-15a",
            "requirements" : "No Type on the root element (differential)",
            "severity" : "error",
            "human" : "If the first element in a differential has no \".\" in the path and it's not a logical model, it has no type",
            "expression" : "(kind!='logical'  and differential.element.first().path.contains('.').not()) implies differential.element.first().type.empty()",
            "xpath" : "f:kind/@value='logical' or not(f:differential/f:element[1][not(contains(f:path/@value, '.'))]/f:type)"
          },
          {
            "key" : "sdf-19",
            "requirements" : "custom types only in logical models",
            "severity" : "error",
            "human" : "FHIR Specification models only use FHIR defined types",
            "expression" : "url.startsWith('http://hl7.org/fhir/StructureDefinition') implies (differential.element.type.code.all(hasValue() implies matches('^[a-zA-Z0-9]+$')) and snapshot.element.type.code.all(hasValue() implies matches('^[a-zA-Z0-9]+$')))",
            "xpath" : "not(starts-with(f:url/@value, 'http://hl7.org/fhir/StructureDefinition')) or count(f:differential/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))]|f:snapshot/f:element/f:type/f:code[@value and not(matches(string(@value), '^[a-zA-Z0-9]+$'))]) =0"
          },
          {
            "key" : "sdf-16",
            "requirements" : "element ids need to be unique",
            "severity" : "error",
            "human" : "All element definitions must have unique ids (snapshot)",
            "expression" : "snapshot.element.all(id) and snapshot.element.id.trace('ids').isDistinct()",
            "xpath" : "count(f:snapshot/f:element)=count(f:snapshot/f:element/@id) and (count(f:snapshot/f:element)=count(distinct-values(f:snapshot/f:element/@id)))"
          },
          {
            "key" : "sdf-15",
            "requirements" : "No Type on the root element (snapshot)",
            "severity" : "error",
            "human" : "The first element in a snapshot has no type unless model is a logical model.",
            "expression" : "kind!='logical'  implies snapshot.element.first().type.empty()",
            "xpath" : "f:kind/@value='logical' or not(f:snapshot/f:element[1]/f:type)"
          },
          {
            "key" : "sdf-18",
            "requirements" : "contextInvariant",
            "severity" : "error",
            "human" : "Context Invariants can only be used for extensions",
            "expression" : "contextInvariant.exists() implies type = 'Extension'",
            "xpath" : "not(exists(f:contextInvariant)) or (f:type/@value = 'Extension')"
          },
          {
            "key" : "sdf-17",
            "requirements" : "element ids need to be unique",
            "severity" : "error",
            "human" : "All element definitions must have unique ids (diff)",
            "expression" : "differential.element.all(id) and differential.element.id.trace('ids').isDistinct()",
            "xpath" : "count(f:differential/f:element)=count(f:differential/f:element/@id) and (count(f:differential/f:element)=count(distinct-values(f:differential/f:element/@id)))"
          },
          {
            "key" : "sdf-23",
            "requirements" : "no sliceName on root",
            "severity" : "error",
            "human" : "No slice name on root",
            "expression" : "(snapshot | differential).element.all(path.contains('.').not() implies sliceName.empty())",
            "xpath" : "count(*[self::snapshot or self::differential]/f:element[not(contains(f:path/@value, '.')) and f:sliceName])=0"
          },
          {
            "key" : "sdf-11",
            "requirements" : "Ensure that the type is not inconsistent with the other information in the structure",
            "severity" : "error",
            "human" : "If there's a type, its content must match the path name in the first element of a snapshot",
            "expression" : "kind != 'logical' implies snapshot.empty() or snapshot.element.first().path = type",
            "xpath" : "(f:kind/@value = 'logical') or not(exists(f:snapshot)) or (f:type/@value = f:snapshot/f:element[1]/f:path/@value)"
          },
          {
            "key" : "sdf-22",
            "requirements" : "no default values on data types or resources",
            "severity" : "error",
            "human" : "FHIR Specification models never have default values",
            "expression" : "url.startsWith('http://hl7.org/fhir/StructureDefinition') implies (snapshot.element.defaultValue.empty() and differential.element.defaultValue.empty())",
            "xpath" : "not(starts-with(f:url/@value, 'http://hl7.org/fhir/StructureDefinition')) or (not(exists(f:snapshot/f:element/*[starts-with(local-name(), 'defaultValue')])) and not(exists(f:differential/f:element/*[starts-with(local-name(), 'defaultValue')])))"
          },
          {
            "key" : "sdf-14",
            "requirements" : "elements have id",
            "severity" : "error",
            "human" : "All element definitions must have an id",
            "expression" : "snapshot.element.all(id.exists()) and differential.element.all(id.exists())",
            "xpath" : "count(*/f:element)=count(*/f:element/@id)"
          },
          {
            "key" : "sdf-1",
            "severity" : "error",
            "human" : "Element paths must be unique unless the structure is a constraint",
            "expression" : "derivation = 'constraint' or snapshot.element.select(path).isDistinct()",
            "xpath" : "(f:derivation/@value = 'constraint') or (count(f:snapshot/f:element) = count(distinct-values(f:snapshot/f:element/f:path/@value)))"
          },
          {
            "key" : "sdf-21",
            "requirements" : "no default values on data types or resources",
            "severity" : "error",
            "human" : "Default values can only be specified on specializations",
            "expression" : "differential.element.defaultValue.exists() implies (derivation = 'specialization')",
            "xpath" : "not(exists(f:differential/f:element/*[starts-with(local-name(), 'defaultValue')])) or (f:derivation/@value = 'specialization')"
          },
          {
            "key" : "sdf-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "sdf-6",
            "severity" : "error",
            "human" : "A structure must have either a differential, or a snapshot (or both)",
            "expression" : "snapshot.exists() or differential.exists()",
            "xpath" : "exists(f:snapshot) or exists(f:differential)"
          },
          {
            "key" : "sdf-5",
            "severity" : "error",
            "human" : "If the structure defines an extension then the structure must have context information",
            "expression" : "type != 'Extension' or derivation = 'specialization' or (context.exists())",
            "xpath" : "not(f:type/@value = 'extension') or (f:derivation/@value = 'specialization') or (exists(f:context))"
          },
          {
            "key" : "sdf-4",
            "requirements" : "Ensure that the base types are abstract",
            "severity" : "error",
            "human" : "If the structure is not abstract, then there SHALL be a baseDefinition",
            "expression" : "abstract = true or baseDefinition.exists()",
            "xpath" : "(f:abstract/@value=true()) or exists(f:baseDefinition)"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureDefinition.url",
          "path" : "StructureDefinition.url",
          "short" : "Canonical identifier for this structure definition, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this structure definition when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this structure definition is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the structure definition is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the structure definition to be referenced by a single globally unique identifier.",
          "alias" : ["url",
          "authoritative-url",
          "destination",
          "identity"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "StructureDefinition.identifier",
          "path" : "StructureDefinition.identifier",
          "short" : "Additional identifier for the structure definition",
          "definition" : "A formal identifier that is used to identify this structure definition when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this structure definition outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "iso11179",
            "map" : "Identifier part"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureDefinition.version",
          "path" : "StructureDefinition.version",
          "short" : "Business version of the structure definition",
          "definition" : "The identifier that is used to identify this version of the structure definition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure definition author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different structure definition instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the structure definition with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          },
          {
            "identity" : "iso11179",
            "map" : "Version"
          }]
        },
        {
          "id" : "StructureDefinition.name",
          "path" : "StructureDefinition.name",
          "short" : "Name for this structure definition (computer friendly)",
          "definition" : "A natural language name identifying the structure definition. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.Some Examples: \n\n* O2SatObservation\n* PresentationReport\n* Immunization2\n* AcmeAdmissionRecordOld.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.title",
          "path" : "StructureDefinition.title",
          "short" : "Name for this structure definition (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the structure definition.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.Applications don't have to use this name but can always fall back to it. The title also corresponds to the label for the root element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "StructureDefinition.status",
          "path" : "StructureDefinition.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this structure definition. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of structure definitions that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "iso11179",
            "map" : "Registration status"
          }]
        },
        {
          "id" : "StructureDefinition.experimental",
          "path" : "StructureDefinition.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this structure definition is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of structure definitions that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level structure definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "iso11179",
            "map" : "Registration status"
          }]
        },
        {
          "id" : "StructureDefinition.date",
          "path" : "StructureDefinition.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the structure definition was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the structure definition changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the structure definition. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "StructureDefinition.publisher",
          "path" : "StructureDefinition.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the structure definition.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the structure definition is the organization or individual primarily responsible for the maintenance and upkeep of the structure definition. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the structure definition. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the structure definition.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          },
          {
            "identity" : "iso11179",
            "map" : "Registration Authority"
          }]
        },
        {
          "id" : "StructureDefinition.contact",
          "path" : "StructureDefinition.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "StructureDefinition.description",
          "path" : "StructureDefinition.description",
          "short" : "Natural language description of the structure definition",
          "definition" : "A free text natural language description of the structure definition from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the structure definition was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the structure definition as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the structure definition is presumed to be the predominant language in the place the structure definition was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "StructureDefinition.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "StructureDefinition.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate structure definition instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "StructureDefinition.jurisdiction",
          "path" : "StructureDefinition.jurisdiction",
          "short" : "Intended jurisdiction for structure definition (if applicable)",
          "definition" : "A legal or geographic region in which the structure definition is intended to be used.",
          "comment" : "It may be possible for the structure definition to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "StructureDefinition.purpose",
          "path" : "StructureDefinition.purpose",
          "short" : "Why this structure definition is defined",
          "definition" : "Explanation of why this structure definition is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the structure definition. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this structure definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureDefinition.copyright",
          "path" : "StructureDefinition.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the structure definition and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the structure definition.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the structure definition and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureDefinition.keyword",
          "path" : "StructureDefinition.keyword",
          "short" : "Assist with indexing and finding",
          "definition" : "A set of key words or terms from external terminologies that may be used to assist with indexing and searching of templates nby describing the use of this structure definition, or the content it describes.",
          "requirements" : "Assist in searching for appropriate StructureDefinitions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Coding"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureDefinitionKeyword"
            }],
            "strength" : "extensible",
            "description" : "Codes for the meaning of the defined structure (SNOMED CT and LOINC codes, as an example).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/definition-use"
          },
          "mapping" : [{
            "identity" : "iso11179",
            "map" : "keywords"
          }]
        },
        {
          "id" : "StructureDefinition.fhirVersion",
          "path" : "StructureDefinition.fhirVersion",
          "short" : "FHIR Version this StructureDefinition targets",
          "definition" : "The version of the FHIR specification on which this StructureDefinition is based - this is the formal version of the specification, without the revision number, e.g. [publication].[major].[minor], which is 4.0.0. for this version.",
          "comment" : "A StructureDefinition does not need to specify the target it applies to as StructureDefinitions will often be valid across multiple versions of FHIR. FHIR tooling can determine whether a StructureDefinition is consistent with a particular StructureDefinition if desired.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRVersion"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "All published FHIR Versions.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/FHIR-version|4.0.0"
          }
        },
        {
          "id" : "StructureDefinition.mapping",
          "path" : "StructureDefinition.mapping",
          "short" : "External specification that the content is mapped to",
          "definition" : "An external specification that the content is mapped to.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "sdf-2",
            "severity" : "error",
            "human" : "Must have at least a name or a uri (or both)",
            "expression" : "name.exists() or uri.exists()",
            "xpath" : "exists(f:uri) or exists(f:name)"
          }]
        },
        {
          "id" : "StructureDefinition.mapping.identity",
          "path" : "StructureDefinition.mapping.identity",
          "short" : "Internal id when this mapping is used",
          "definition" : "An Internal id that is used to identify this mapping set when specific mappings are made.",
          "comment" : "The specification is described once, with general comments, and then specific mappings are made that reference this declaration.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "StructureDefinition.mapping.uri",
          "path" : "StructureDefinition.mapping.uri",
          "short" : "Identifies what this mapping refers to",
          "definition" : "An absolute URI that identifies the specification that this mapping is expressed to.",
          "comment" : "A formal identity for the specification being mapped to helps with identifying maps consistently.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["sdf-2"]
        },
        {
          "id" : "StructureDefinition.mapping.name",
          "path" : "StructureDefinition.mapping.name",
          "short" : "Names what this mapping refers to",
          "definition" : "A name for the specification that is being mapped to.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["sdf-2"]
        },
        {
          "id" : "StructureDefinition.mapping.comment",
          "path" : "StructureDefinition.mapping.comment",
          "short" : "Versions, Issues, Scope limitations etc.",
          "definition" : "Comments about this mapping, including version notes, issues, scope limitations, and other important notes for usage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "StructureDefinition.kind",
          "path" : "StructureDefinition.kind",
          "short" : "primitive-type | complex-type | resource | logical",
          "definition" : "Defines the kind of structure that this definition is describing.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureDefinitionKind"
            }],
            "strength" : "required",
            "description" : "Defines the type of structure that a definition is describing.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/structure-definition-kind|4.0.0"
          }
        },
        {
          "id" : "StructureDefinition.abstract",
          "path" : "StructureDefinition.abstract",
          "short" : "Whether the structure is abstract",
          "definition" : "Whether structure this definition describes is abstract or not  - that is, whether the structure is not intended to be instantiated. For Resources and Data types, abstract types will never be exchanged  between systems.",
          "comment" : "Abstract Resources cannot be instantiated - a concrete sub-type must be used. Abstract datatypes and extensions cannot be used in an instance. For logical models, the exact implication of \"abstract\" will rest with the author, depending how the logical model is used. Flagging a constraint structure as abstract conveys design intent but makes no difference to how the structure definition is handled. Note that inline declared elements that are given the type \"Element\" in the StructureDefinition, but have children described, are anonymous concrete types that specialize Element.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.context",
          "path" : "StructureDefinition.context",
          "short" : "If an extension, where it can be used in instances",
          "definition" : "Identifies the types of resource or data type elements to which the extension can be applied.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["sdf-5"],
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.context.type",
          "path" : "StructureDefinition.context.type",
          "short" : "fhirpath | element | extension",
          "definition" : "Defines how to interpret the expression that defines what the context of the extension is.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ExtensionContextType"
            }],
            "strength" : "required",
            "description" : "How an extension context is interpreted.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/extension-context-type|4.0.0"
          }
        },
        {
          "id" : "StructureDefinition.context.expression",
          "path" : "StructureDefinition.context.expression",
          "short" : "Where the extension can be used in instances",
          "definition" : "An expression that defines where an extension can be used in resources.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.contextInvariant",
          "path" : "StructureDefinition.contextInvariant",
          "short" : "FHIRPath invariants - when the extension can be used",
          "definition" : "A set of rules as FHIRPath Invariants about when the extension can be used (e.g. co-occurrence variants for the extension). All the rules must be true.",
          "comment" : "The rules are only evaluated when the extension is present. When evaluating the invariant, the FHIRPath focus is the element that holds the extension, and %extension refers to the extension itself.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["sdf-18"],
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.type",
          "path" : "StructureDefinition.type",
          "short" : "Type defined or constrained by this structure",
          "definition" : "The type this structure describes. If the derivation kind is 'specialization' then this is the master definition for a type, and there is always one of these (a data type, an extension, a resource, including abstract ones). Otherwise the structure definition is a constraint on the stated type (and in this case, the type cannot be an abstract type).  References are URLs that are relative to http://hl7.org/fhir/StructureDefinition e.g. \"string\" is a reference to http://hl7.org/fhir/StructureDefinition/string. Absolute URLs are only allowed in logical models.",
          "comment" : "Note that in the case of constraints, the type could be determined by chasing through the baseDefinition references until a concrete structure (derivation = specialization) is reached, or by looking at the path of the first element in the snapshot - if present - but providing the type directly makes for simpler tooling and indexing. \n\nThe type must match the elements defined in the differential and the snapshot. For all FHIR defined types, the path name of the element will start with the type name. For logical models, where the type is a URL, the type name SHOULD start with the tail of the type URL where required.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["sdf-11"],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDefinedTypeExt"
            }],
            "strength" : "extensible",
            "description" : "Either a resource or a data type, including logical model types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/defined-types"
          }
        },
        {
          "id" : "StructureDefinition.baseDefinition",
          "path" : "StructureDefinition.baseDefinition",
          "short" : "Definition that this type is constrained/specialized from",
          "definition" : "An absolute URI that is the base structure from which this type is derived, either by specialization or constraint.",
          "comment" : "If differential constraints are specified in this structure, they are applied to the base in a \"differential\" fashion. If there is no base, then the differential constraints cannot be provided (snapshot only). Differential structures are useful for the editing perspective, and snapshot structures are suitable for operational use. The FHIR Project provides a number of tools/services to populate snapshots from differential constraints. Logical Models have a base of \"Element\" or another logical model.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
              "valueBoolean" : true
            }],
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "condition" : ["sdf-4"],
          "isSummary" : true
        },
        {
          "id" : "StructureDefinition.derivation",
          "path" : "StructureDefinition.derivation",
          "short" : "specialization | constraint - How relates to base definition",
          "definition" : "How the type relates to the baseDefinition.",
          "comment" : "If the definition is a specialization, then it adds new elements in the differential, and the snapshot includes the inherited elements.  If the definition is a constraint, then it cannot define new elements, it can only make new rules about existing content (see [Profiling Resources](profiling.html#resources)).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TypeDerivationRule"
            }],
            "strength" : "required",
            "description" : "How a type relates to its baseDefinition.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/type-derivation-rule|4.0.0"
          }
        },
        {
          "id" : "StructureDefinition.snapshot",
          "path" : "StructureDefinition.snapshot",
          "short" : "Snapshot view of the structure",
          "definition" : "A snapshot view is expressed in a standalone form that can be used and interpreted without considering the base StructureDefinition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["sdf-6"],
          "constraint" : [{
            "key" : "sdf-8",
            "severity" : "error",
            "human" : "All snapshot elements must start with the StructureDefinition's specified type for non-logical models, or with the same type name for logical models",
            "expression" : "(%resource.kind = 'logical' or element.first().path = %resource.type) and element.tail().all(path.startsWith(%resource.snapshot.element.first().path&'.'))",
            "xpath" : "f:element[1]/f:path/@value=parent::f:StructureDefinition/f:type/@value and count(f:element[position()!=1])=count(f:element[position()!=1][starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value, '.'))])"
          },
          {
            "key" : "sdf-3",
            "severity" : "error",
            "human" : "Each element definition in a snapshot must have a formal definition and cardinalities",
            "expression" : "element.all(definition.exists() and min.exists() and max.exists())",
            "xpath" : "count(f:element) = count(f:element[exists(f:definition) and exists(f:min) and exists(f:max)])"
          },
          {
            "key" : "sdf-8b",
            "severity" : "error",
            "human" : "All snapshot elements must have a base definition",
            "expression" : "element.all(base.exists())",
            "xpath" : "count(f:element) = count(f:element/f:base)"
          }]
        },
        {
          "id" : "StructureDefinition.snapshot.element",
          "path" : "StructureDefinition.snapshot.element",
          "short" : "Definition of elements in the resource (if no StructureDefinition)",
          "definition" : "Captures constraints on each element within the resource.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "ElementDefinition"
          }],
          "condition" : ["sdf-3"],
          "constraint" : [{
            "key" : "sdf-10",
            "requirements" : "binding is required",
            "severity" : "error",
            "human" : "provide either a binding reference or a description (or both)",
            "expression" : "binding.empty() or binding.valueSet.exists() or binding.description.exists()",
            "xpath" : "not(exists(f:binding)) or exists(f:binding/f:valueSet) or exists(f:binding/f:description)"
          }],
          "mapping" : [{
            "identity" : "iso11179",
            "map" : "--"
          }]
        },
        {
          "id" : "StructureDefinition.differential",
          "path" : "StructureDefinition.differential",
          "short" : "Differential view of the structure",
          "definition" : "A differential view is expressed relative to the base StructureDefinition - a statement of differences that it applies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["sdf-6"],
          "constraint" : [{
            "key" : "sdf-20",
            "requirements" : "no slicing on root",
            "severity" : "error",
            "human" : "No slicing on the root element",
            "expression" : "element.where(path.contains('.').not()).slicing.empty()",
            "xpath" : "not(f:element[1]/f:slicing)"
          },
          {
            "key" : "sdf-8a",
            "severity" : "error",
            "human" : "In any differential, all the elements must start with the StructureDefinition's specified type for non-logical models, or with the same type name for logical models",
            "expression" : "(%resource.kind = 'logical' or element.first().path.startsWith(%resource.type)) and (element.tail().not() or  element.tail().all(path.startsWith(%resource.differential.element.first().path.replaceMatches('\\\\..*','')&'.')))",
            "xpath" : "count(f:element)=count(f:element[f:path/@value=ancestor::f:StructureDefinition/f:type/@value or starts-with(f:path/@value, concat(ancestor::f:StructureDefinition/f:type/@value, '.'))])"
          }]
        },
        {
          "id" : "StructureDefinition.differential.element",
          "path" : "StructureDefinition.differential.element",
          "short" : "Definition of elements in the resource (if no StructureDefinition)",
          "definition" : "Captures constraints on each element within the resource.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "ElementDefinition"
          }],
          "mapping" : [{
            "identity" : "iso11179",
            "map" : "--"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/StructureMap",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "StructureMap",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 StructureMap 
ITU
DomainResource
A Map of relationships between 2 structures that can be used to transform data
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
1..1
uri
Canonical identifier for this structure map, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the structure map
 version 
Σ
0..1
string
Business version of the structure map
 name 
ΣI
1..1
string
Name for this structure map (computer friendly)
 title 
Σ
0..1
string
Name for this structure map (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the structure map
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for structure map (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this structure map is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 structure 
Σ
0..*
BackboneElement
Structure Definition used by this map
 url 
Σ
1..1
canonical(StructureDefinition)
Canonical reference to structure definition
 mode 
Σ
1..1
code
source | queried | target | produced
StructureMapModelMode (Required)
 alias 
Σ
0..1
string
Name for type in this map
 documentation 
0..1
string
Documentation on use of structure
 import 
Σ
0..*
canonical(StructureMap)
Other maps used by this map (canonical URLs)
 group 
Σ
1..*
BackboneElement
Named sections for reader convenience
 name 
Σ
1..1
id
Human-readable label
 extends 
Σ
0..1
id
Another group that this group adds rules to
 typeMode 
Σ
1..1
code
none | types | type-and-types
StructureMapGroupTypeMode (Required)
 documentation 
Σ
0..1
string
Additional description/explanation for group
 input 
Σ
1..*
BackboneElement
Named instance provided when invoking the map
 name 
Σ
1..1
id
Name for this instance of data
 type 
Σ
0..1
string
Type for this instance of data
 mode 
Σ
1..1
code
source | target
StructureMapInputMode (Required)
 documentation 
0..1
string
Documentation for this instance of data
 rule 
Σ
1..*
BackboneElement
Transform Rule from source to target
 name 
Σ
1..1
id
Name of the rule for internal references
 source 
Σ
1..*
BackboneElement
Source inputs to the mapping
 context 
Σ
1..1
id
Type or variable this rule applies to
 min 
Σ
0..1
integer
Specified minimum cardinality
 max 
Σ
0..1
string
Specified maximum cardinality (number or *)
 type 
Σ
0..1
string
Rule only applies if source has this type
 defaultValue[x] 
Σ
0..1
*
Default value if no value exists
 element 
Σ
0..1
string
Optional field for this source
 listMode 
Σ
0..1
code
first | not_first | last | not_last | only_one
StructureMapSourceListMode (Required)
 variable 
Σ
0..1
id
Named context for field, if a field is specified
 condition 
Σ
0..1
string
FHIRPath expression  - must be true or the rule does not apply
 check 
Σ
0..1
string
FHIRPath expression  - must be true or the mapping engine throws an error instead of completing
 logMessage 
Σ
0..1
string
Message to put in log if source exists (FHIRPath)
 target 
ΣI
0..*
BackboneElement
Content to create because of this mapping rule
+ Rule: Can only have an element if you have a context
+ Rule: Must have a contextType if you have a context
 context 
Σ
0..1
id
Type or variable this rule applies to
 contextType 
Σ
0..1
code
type | variable
StructureMapContextType (Required)
 element 
Σ
0..1
string
Field to create in the context
 variable 
Σ
0..1
id
Named context for field, if desired, and a field is specified
 listMode 
Σ
0..*
code
first | share | last | collate
StructureMapTargetListMode (Required)
 listRuleId 
Σ
0..1
id
Internal rule reference for shared list items
 transform 
Σ
0..1
code
create | copy +
StructureMapTransform (Required)
 parameter 
Σ
0..*
BackboneElement
Parameters to the transform
 value[x] 
Σ
1..1
Parameter value - variable or literal
 valueId
id
 valueString
string
 valueBoolean
boolean
 valueInteger
integer
 valueDecimal
decimal
 rule 
Σ
0..*
see rule
Rules contained in this rule
 dependent 
Σ
0..*
BackboneElement
Which other rules to apply in the context of this rule
 name 
Σ
1..1
id
Name of a rule or group to apply
 variable 
Σ
1..*
string
Variable to pass to the rule or group
 documentation 
0..1
string
Documentation for this instance of data

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Conformance"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/StructureMap",
      "version" : "4.0.0",
      "name" : "StructureMap",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A Map of relationships between 2 structures that can be used to transform data.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "StructureMap",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "StructureMap",
          "path" : "StructureMap",
          "short" : "A Map of relationships between 2 structures that can be used to transform data",
          "definition" : "A Map of relationships between 2 structures that can be used to transform data.",
          "alias" : ["Template",
          "Profile"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "smp-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.id",
          "path" : "StructureMap.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.meta",
          "path" : "StructureMap.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.implicitRules",
          "path" : "StructureMap.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "StructureMap.language",
          "path" : "StructureMap.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "StructureMap.text",
          "path" : "StructureMap.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "StructureMap.contained",
          "path" : "StructureMap.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.extension",
          "path" : "StructureMap.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.modifierExtension",
          "path" : "StructureMap.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.url",
          "path" : "StructureMap.url",
          "short" : "Canonical identifier for this structure map, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this structure map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this structure map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the structure map is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the structure map to be referenced by a single globally unique identifier.",
          "alias" : ["url",
          "authoritative-url",
          "destination",
          "identity"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "StructureMap.identifier",
          "path" : "StructureMap.identifier",
          "short" : "Additional identifier for the structure map",
          "definition" : "A formal identifier that is used to identify this structure map when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this structure map outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureMap.version",
          "path" : "StructureMap.version",
          "short" : "Business version of the structure map",
          "definition" : "The identifier that is used to identify this version of the structure map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different structure map instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the structure map with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "StructureMap.name",
          "path" : "StructureMap.name",
          "short" : "Name for this structure map (computer friendly)",
          "definition" : "A natural language name identifying the structure map. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.title",
          "path" : "StructureMap.title",
          "short" : "Name for this structure map (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the structure map.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "StructureMap.status",
          "path" : "StructureMap.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this structure map. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of structure maps that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "StructureMap.experimental",
          "path" : "StructureMap.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this structure map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of structure maps that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level structure map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "StructureMap.date",
          "path" : "StructureMap.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the structure map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the structure map changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the structure map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "StructureMap.publisher",
          "path" : "StructureMap.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the structure map.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the structure map is the organization or individual primarily responsible for the maintenance and upkeep of the structure map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the structure map. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the structure map.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "StructureMap.contact",
          "path" : "StructureMap.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "StructureMap.description",
          "path" : "StructureMap.description",
          "short" : "Natural language description of the structure map",
          "definition" : "A free text natural language description of the structure map from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the structure map was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the structure map as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the structure map is presumed to be the predominant language in the place the structure map was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "StructureMap.useContext",
          "path" : "StructureMap.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate structure map instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "StructureMap.jurisdiction",
          "path" : "StructureMap.jurisdiction",
          "short" : "Intended jurisdiction for structure map (if applicable)",
          "definition" : "A legal or geographic region in which the structure map is intended to be used.",
          "comment" : "It may be possible for the structure map to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "StructureMap.purpose",
          "path" : "StructureMap.purpose",
          "short" : "Why this structure map is defined",
          "definition" : "Explanation of why this structure map is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the structure map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this structure map.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureMap.copyright",
          "path" : "StructureMap.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the structure map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the structure map.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the structure map and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureMap.structure",
          "path" : "StructureMap.structure",
          "short" : "Structure Definition used by this map",
          "definition" : "A structure definition used by this map. The structure definition may describe instances that are converted, or the instances that are produced.",
          "comment" : "It is not necessary for a structure map to identify any dependent structures, though not listing them may restrict its usefulness.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.structure",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.structure.id",
          "path" : "StructureMap.structure.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.structure.extension",
          "path" : "StructureMap.structure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.structure.modifierExtension",
          "path" : "StructureMap.structure.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.structure.url",
          "path" : "StructureMap.structure.url",
          "short" : "Canonical reference to structure definition",
          "definition" : "The canonical reference to the structure.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.structure.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.structure.mode",
          "path" : "StructureMap.structure.mode",
          "short" : "source | queried | target | produced",
          "definition" : "How the referenced structure is used in this mapping.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.structure.mode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapModelMode"
            }],
            "strength" : "required",
            "description" : "How the referenced structure is used in this mapping.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-model-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.structure.alias",
          "path" : "StructureMap.structure.alias",
          "short" : "Name for type in this map",
          "definition" : "The name used for this type in the map.",
          "comment" : "This is needed if both types have the same name (e.g. version conversion).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.structure.alias",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.structure.documentation",
          "path" : "StructureMap.structure.documentation",
          "short" : "Documentation on use of structure",
          "definition" : "Documentation that describes how the structure is used in the mapping.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.structure.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureMap.import",
          "path" : "StructureMap.import",
          "short" : "Other maps used by this map (canonical URLs)",
          "definition" : "Other maps used by this map (canonical URLs).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.import",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureMap"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group",
          "path" : "StructureMap.group",
          "short" : "Named sections for reader convenience",
          "definition" : "Organizes the mapping into manageable chunks for human review/ease of maintenance.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.id",
          "path" : "StructureMap.group.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.extension",
          "path" : "StructureMap.group.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.modifierExtension",
          "path" : "StructureMap.group.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.group.name",
          "path" : "StructureMap.group.name",
          "short" : "Human-readable label",
          "definition" : "A unique name for the group for the convenience of human readers.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.extends",
          "path" : "StructureMap.group.extends",
          "short" : "Another group that this group adds rules to",
          "definition" : "Another group that this group adds rules to.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.extends",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.typeMode",
          "path" : "StructureMap.group.typeMode",
          "short" : "none | types | type-and-types",
          "definition" : "If this is the default rule set to apply for the source type or this combination of types.",
          "comment" : "Not applicable if the underlying model is untyped. There can only be one default mapping for any particular type combination.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.typeMode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapGroupTypeMode"
            }],
            "strength" : "required",
            "description" : "If this is the default rule set to apply for the source type, or this combination of types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-group-type-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.documentation",
          "path" : "StructureMap.group.documentation",
          "short" : "Additional description/explanation for group",
          "definition" : "Additional supporting documentation that explains the purpose of the group and the types of mappings within it.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.input",
          "path" : "StructureMap.group.input",
          "short" : "Named instance provided when invoking the map",
          "definition" : "A name assigned to an instance of data. The instance must be provided when the mapping is invoked.",
          "comment" : "If no inputs are named, then the entry mappings are type based.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.input",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.input.id",
          "path" : "StructureMap.group.input.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.input.extension",
          "path" : "StructureMap.group.input.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.input.modifierExtension",
          "path" : "StructureMap.group.input.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.group.input.name",
          "path" : "StructureMap.group.input.name",
          "short" : "Name for this instance of data",
          "definition" : "Name for this instance of data.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.input.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.input.type",
          "path" : "StructureMap.group.input.type",
          "short" : "Type for this instance of data",
          "definition" : "Type for this instance of data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.input.type",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.input.mode",
          "path" : "StructureMap.group.input.mode",
          "short" : "source | target",
          "definition" : "Mode for this instance of data.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.input.mode",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapInputMode"
            }],
            "strength" : "required",
            "description" : "Mode for this instance of data.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-input-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.input.documentation",
          "path" : "StructureMap.group.input.documentation",
          "short" : "Documentation for this instance of data",
          "definition" : "Documentation for this instance of data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.input.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "StructureMap.group.rule",
          "path" : "StructureMap.group.rule",
          "short" : "Transform Rule from source to target",
          "definition" : "Transform Rule from source to target.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.rule",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.id",
          "path" : "StructureMap.group.rule.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
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          }]
        },
        {
          "id" : "StructureMap.group.rule.extension",
          "path" : "StructureMap.group.rule.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.rule.modifierExtension",
          "path" : "StructureMap.group.rule.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.group.rule.name",
          "path" : "StructureMap.group.rule.name",
          "short" : "Name of the rule for internal references",
          "definition" : "Name of the rule for internal references.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source",
          "path" : "StructureMap.group.rule.source",
          "short" : "Source inputs to the mapping",
          "definition" : "Source inputs to the mapping.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.rule.source",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.id",
          "path" : "StructureMap.group.rule.source.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
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          }]
        },
        {
          "id" : "StructureMap.group.rule.source.extension",
          "path" : "StructureMap.group.rule.source.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
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          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
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          }]
        },
        {
          "id" : "StructureMap.group.rule.source.modifierExtension",
          "path" : "StructureMap.group.rule.source.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
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          }]
        },
        {
          "id" : "StructureMap.group.rule.source.context",
          "path" : "StructureMap.group.rule.source.context",
          "short" : "Type or variable this rule applies to",
          "definition" : "Type or variable this rule applies to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.context",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.min",
          "path" : "StructureMap.group.rule.source.min",
          "short" : "Specified minimum cardinality",
          "definition" : "Specified minimum cardinality for the element. This is optional; if present, it acts an implicit check on the input content.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.min",
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            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.max",
          "path" : "StructureMap.group.rule.source.max",
          "short" : "Specified maximum cardinality (number or *)",
          "definition" : "Specified maximum cardinality for the element - a number or a \"*\". This is optional; if present, it acts an implicit check on the input content (* just serves as documentation; it's the default value).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.max",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.type",
          "path" : "StructureMap.group.rule.source.type",
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          "definition" : "Specified type for the element. This works as a condition on the mapping - use for polymorphic elements.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.type",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
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          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.defaultValue[x]",
          "path" : "StructureMap.group.rule.source.defaultValue[x]",
          "short" : "Default value if no value exists",
          "definition" : "A value to use if there is no existing value in the source object.",
          "comment" : "If there's a default value on an item that can repeat, it will only be used once.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.defaultValue[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "url"
          },
          {
            "code" : "uuid"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "ContactDetail"
          },
          {
            "code" : "Contributor"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "ParameterDefinition"
          },
          {
            "code" : "RelatedArtifact"
          },
          {
            "code" : "TriggerDefinition"
          },
          {
            "code" : "UsageContext"
          },
          {
            "code" : "Dosage"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.element",
          "path" : "StructureMap.group.rule.source.element",
          "short" : "Optional field for this source",
          "definition" : "Optional field for this source.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.element",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.listMode",
          "path" : "StructureMap.group.rule.source.listMode",
          "short" : "first | not_first | last | not_last | only_one",
          "definition" : "How to handle the list mode for this element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.listMode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapSourceListMode"
            }],
            "strength" : "required",
            "description" : "If field is a list, how to manage the source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-source-list-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.rule.source.variable",
          "path" : "StructureMap.group.rule.source.variable",
          "short" : "Named context for field, if a field is specified",
          "definition" : "Named context for field, if a field is specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.variable",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.condition",
          "path" : "StructureMap.group.rule.source.condition",
          "short" : "FHIRPath expression  - must be true or the rule does not apply",
          "definition" : "FHIRPath expression  - must be true or the rule does not apply.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.condition",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.check",
          "path" : "StructureMap.group.rule.source.check",
          "short" : "FHIRPath expression  - must be true or the mapping engine throws an error instead of completing",
          "definition" : "FHIRPath expression  - must be true or the mapping engine throws an error instead of completing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.check",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.logMessage",
          "path" : "StructureMap.group.rule.source.logMessage",
          "short" : "Message to put in log if source exists (FHIRPath)",
          "definition" : "A FHIRPath expression which specifies a message to put in the transform log when content matching the source rule is found.",
          "comment" : "This is typically used for recording that something Is not transformed to the target for some reason.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.source.logMessage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target",
          "path" : "StructureMap.group.rule.target",
          "short" : "Content to create because of this mapping rule",
          "definition" : "Content to create because of this mapping rule.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.rule.target",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "smp-2",
            "severity" : "error",
            "human" : "Must have a contextType if you have a context",
            "expression" : "context.exists() implies contextType.exists()",
            "xpath" : "not(f:context) or (f:contextType)"
          },
          {
            "key" : "smp-1",
            "severity" : "error",
            "human" : "Can only have an element if you have a context",
            "expression" : "element.exists() implies context.exists()",
            "xpath" : "not(f:element) or (f:context)"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.id",
          "path" : "StructureMap.group.rule.target.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.rule.target.extension",
          "path" : "StructureMap.group.rule.target.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.rule.target.modifierExtension",
          "path" : "StructureMap.group.rule.target.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.group.rule.target.context",
          "path" : "StructureMap.group.rule.target.context",
          "short" : "Type or variable this rule applies to",
          "definition" : "Type or variable this rule applies to.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.target.context",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.contextType",
          "path" : "StructureMap.group.rule.target.contextType",
          "short" : "type | variable",
          "definition" : "How to interpret the context.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.target.contextType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapContextType"
            }],
            "strength" : "required",
            "description" : "How to interpret the context.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-context-type|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.rule.target.element",
          "path" : "StructureMap.group.rule.target.element",
          "short" : "Field to create in the context",
          "definition" : "Field to create in the context.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.target.element",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.variable",
          "path" : "StructureMap.group.rule.target.variable",
          "short" : "Named context for field, if desired, and a field is specified",
          "definition" : "Named context for field, if desired, and a field is specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.target.variable",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.listMode",
          "path" : "StructureMap.group.rule.target.listMode",
          "short" : "first | share | last | collate",
          "definition" : "If field is a list, how to manage the list.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.rule.target.listMode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapTargetListMode"
            }],
            "strength" : "required",
            "description" : "If field is a list, how to manage the production.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-target-list-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.rule.target.listRuleId",
          "path" : "StructureMap.group.rule.target.listRuleId",
          "short" : "Internal rule reference for shared list items",
          "definition" : "Internal rule reference for shared list items.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.target.listRuleId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.transform",
          "path" : "StructureMap.group.rule.target.transform",
          "short" : "create | copy +",
          "definition" : "How the data is copied / created.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.target.transform",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapTransform"
            }],
            "strength" : "required",
            "description" : "How data is copied/created.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-transform|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.rule.target.parameter",
          "path" : "StructureMap.group.rule.target.parameter",
          "short" : "Parameters to the transform",
          "definition" : "Parameters to the transform.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.rule.target.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.parameter.id",
          "path" : "StructureMap.group.rule.target.parameter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.rule.target.parameter.extension",
          "path" : "StructureMap.group.rule.target.parameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.rule.target.parameter.modifierExtension",
          "path" : "StructureMap.group.rule.target.parameter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.group.rule.target.parameter.value[x]",
          "path" : "StructureMap.group.rule.target.parameter.value[x]",
          "short" : "Parameter value - variable or literal",
          "definition" : "Parameter value - variable or literal.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.target.parameter.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          },
          {
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.rule",
          "path" : "StructureMap.group.rule.rule",
          "short" : "Rules contained in this rule",
          "definition" : "Rules contained in this rule.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.rule.rule",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#StructureMap.group.rule",
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.dependent",
          "path" : "StructureMap.group.rule.dependent",
          "short" : "Which other rules to apply in the context of this rule",
          "definition" : "Which other rules to apply in the context of this rule.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.rule.dependent",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.dependent.id",
          "path" : "StructureMap.group.rule.dependent.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.rule.dependent.extension",
          "path" : "StructureMap.group.rule.dependent.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.group.rule.dependent.modifierExtension",
          "path" : "StructureMap.group.rule.dependent.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "StructureMap.group.rule.dependent.name",
          "path" : "StructureMap.group.rule.dependent.name",
          "short" : "Name of a rule or group to apply",
          "definition" : "Name of a rule or group to apply.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.dependent.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.dependent.variable",
          "path" : "StructureMap.group.rule.dependent.variable",
          "short" : "Variable to pass to the rule or group",
          "definition" : "Variable to pass to the rule or group.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "StructureMap.group.rule.dependent.variable",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.documentation",
          "path" : "StructureMap.group.rule.documentation",
          "short" : "Documentation for this instance of data",
          "definition" : "Documentation for this instance of data.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "StructureMap.group.rule.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "StructureMap",
          "path" : "StructureMap",
          "short" : "A Map of relationships between 2 structures that can be used to transform data",
          "definition" : "A Map of relationships between 2 structures that can be used to transform data.",
          "alias" : ["Template",
          "Profile"],
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "smp-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "StructureMap.url",
          "path" : "StructureMap.url",
          "short" : "Canonical identifier for this structure map, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this structure map when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this structure map is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the structure map is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the structure map to be referenced by a single globally unique identifier.",
          "alias" : ["url",
          "authoritative-url",
          "destination",
          "identity"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "StructureMap.identifier",
          "path" : "StructureMap.identifier",
          "short" : "Additional identifier for the structure map",
          "definition" : "A formal identifier that is used to identify this structure map when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this structure map outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureMap.version",
          "path" : "StructureMap.version",
          "short" : "Business version of the structure map",
          "definition" : "The identifier that is used to identify this version of the structure map when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the structure map author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different structure map instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the structure map with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "StructureMap.name",
          "path" : "StructureMap.name",
          "short" : "Name for this structure map (computer friendly)",
          "definition" : "A natural language name identifying the structure map. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.title",
          "path" : "StructureMap.title",
          "short" : "Name for this structure map (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the structure map.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "StructureMap.status",
          "path" : "StructureMap.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this structure map. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of structure maps that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "StructureMap.experimental",
          "path" : "StructureMap.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this structure map is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of structure maps that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level structure map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "StructureMap.date",
          "path" : "StructureMap.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the structure map was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the structure map changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the structure map. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "StructureMap.publisher",
          "path" : "StructureMap.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the structure map.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the structure map is the organization or individual primarily responsible for the maintenance and upkeep of the structure map. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the structure map. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the structure map.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "StructureMap.contact",
          "path" : "StructureMap.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "StructureMap.description",
          "path" : "StructureMap.description",
          "short" : "Natural language description of the structure map",
          "definition" : "A free text natural language description of the structure map from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the structure map was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the structure map as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the structure map is presumed to be the predominant language in the place the structure map was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "StructureMap.useContext",
          "path" : "StructureMap.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate structure map instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "StructureMap.jurisdiction",
          "path" : "StructureMap.jurisdiction",
          "short" : "Intended jurisdiction for structure map (if applicable)",
          "definition" : "A legal or geographic region in which the structure map is intended to be used.",
          "comment" : "It may be possible for the structure map to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "StructureMap.purpose",
          "path" : "StructureMap.purpose",
          "short" : "Why this structure map is defined",
          "definition" : "Explanation of why this structure map is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the structure map. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this structure map.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureMap.copyright",
          "path" : "StructureMap.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the structure map and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the structure map.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the structure map and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "StructureMap.structure",
          "path" : "StructureMap.structure",
          "short" : "Structure Definition used by this map",
          "definition" : "A structure definition used by this map. The structure definition may describe instances that are converted, or the instances that are produced.",
          "comment" : "It is not necessary for a structure map to identify any dependent structures, though not listing them may restrict its usefulness.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.structure.url",
          "path" : "StructureMap.structure.url",
          "short" : "Canonical reference to structure definition",
          "definition" : "The canonical reference to the structure.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureDefinition"]
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.structure.mode",
          "path" : "StructureMap.structure.mode",
          "short" : "source | queried | target | produced",
          "definition" : "How the referenced structure is used in this mapping.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapModelMode"
            }],
            "strength" : "required",
            "description" : "How the referenced structure is used in this mapping.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-model-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.structure.alias",
          "path" : "StructureMap.structure.alias",
          "short" : "Name for type in this map",
          "definition" : "The name used for this type in the map.",
          "comment" : "This is needed if both types have the same name (e.g. version conversion).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.structure.documentation",
          "path" : "StructureMap.structure.documentation",
          "short" : "Documentation on use of structure",
          "definition" : "Documentation that describes how the structure is used in the mapping.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "StructureMap.import",
          "path" : "StructureMap.import",
          "short" : "Other maps used by this map (canonical URLs)",
          "definition" : "Other maps used by this map (canonical URLs).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/StructureMap"]
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group",
          "path" : "StructureMap.group",
          "short" : "Named sections for reader convenience",
          "definition" : "Organizes the mapping into manageable chunks for human review/ease of maintenance.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.name",
          "path" : "StructureMap.group.name",
          "short" : "Human-readable label",
          "definition" : "A unique name for the group for the convenience of human readers.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.extends",
          "path" : "StructureMap.group.extends",
          "short" : "Another group that this group adds rules to",
          "definition" : "Another group that this group adds rules to.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.typeMode",
          "path" : "StructureMap.group.typeMode",
          "short" : "none | types | type-and-types",
          "definition" : "If this is the default rule set to apply for the source type or this combination of types.",
          "comment" : "Not applicable if the underlying model is untyped. There can only be one default mapping for any particular type combination.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapGroupTypeMode"
            }],
            "strength" : "required",
            "description" : "If this is the default rule set to apply for the source type, or this combination of types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-group-type-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.documentation",
          "path" : "StructureMap.group.documentation",
          "short" : "Additional description/explanation for group",
          "definition" : "Additional supporting documentation that explains the purpose of the group and the types of mappings within it.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.input",
          "path" : "StructureMap.group.input",
          "short" : "Named instance provided when invoking the map",
          "definition" : "A name assigned to an instance of data. The instance must be provided when the mapping is invoked.",
          "comment" : "If no inputs are named, then the entry mappings are type based.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.input.name",
          "path" : "StructureMap.group.input.name",
          "short" : "Name for this instance of data",
          "definition" : "Name for this instance of data.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.input.type",
          "path" : "StructureMap.group.input.type",
          "short" : "Type for this instance of data",
          "definition" : "Type for this instance of data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.input.mode",
          "path" : "StructureMap.group.input.mode",
          "short" : "source | target",
          "definition" : "Mode for this instance of data.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapInputMode"
            }],
            "strength" : "required",
            "description" : "Mode for this instance of data.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-input-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.input.documentation",
          "path" : "StructureMap.group.input.documentation",
          "short" : "Documentation for this instance of data",
          "definition" : "Documentation for this instance of data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "StructureMap.group.rule",
          "path" : "StructureMap.group.rule",
          "short" : "Transform Rule from source to target",
          "definition" : "Transform Rule from source to target.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.name",
          "path" : "StructureMap.group.rule.name",
          "short" : "Name of the rule for internal references",
          "definition" : "Name of the rule for internal references.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source",
          "path" : "StructureMap.group.rule.source",
          "short" : "Source inputs to the mapping",
          "definition" : "Source inputs to the mapping.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.context",
          "path" : "StructureMap.group.rule.source.context",
          "short" : "Type or variable this rule applies to",
          "definition" : "Type or variable this rule applies to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.min",
          "path" : "StructureMap.group.rule.source.min",
          "short" : "Specified minimum cardinality",
          "definition" : "Specified minimum cardinality for the element. This is optional; if present, it acts an implicit check on the input content.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.max",
          "path" : "StructureMap.group.rule.source.max",
          "short" : "Specified maximum cardinality (number or *)",
          "definition" : "Specified maximum cardinality for the element - a number or a \"*\". This is optional; if present, it acts an implicit check on the input content (* just serves as documentation; it's the default value).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.type",
          "path" : "StructureMap.group.rule.source.type",
          "short" : "Rule only applies if source has this type",
          "definition" : "Specified type for the element. This works as a condition on the mapping - use for polymorphic elements.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.defaultValue[x]",
          "path" : "StructureMap.group.rule.source.defaultValue[x]",
          "short" : "Default value if no value exists",
          "definition" : "A value to use if there is no existing value in the source object.",
          "comment" : "If there's a default value on an item that can repeat, it will only be used once.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "url"
          },
          {
            "code" : "uuid"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "ContactDetail"
          },
          {
            "code" : "Contributor"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "ParameterDefinition"
          },
          {
            "code" : "RelatedArtifact"
          },
          {
            "code" : "TriggerDefinition"
          },
          {
            "code" : "UsageContext"
          },
          {
            "code" : "Dosage"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.element",
          "path" : "StructureMap.group.rule.source.element",
          "short" : "Optional field for this source",
          "definition" : "Optional field for this source.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.listMode",
          "path" : "StructureMap.group.rule.source.listMode",
          "short" : "first | not_first | last | not_last | only_one",
          "definition" : "How to handle the list mode for this element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapSourceListMode"
            }],
            "strength" : "required",
            "description" : "If field is a list, how to manage the source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-source-list-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.rule.source.variable",
          "path" : "StructureMap.group.rule.source.variable",
          "short" : "Named context for field, if a field is specified",
          "definition" : "Named context for field, if a field is specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.condition",
          "path" : "StructureMap.group.rule.source.condition",
          "short" : "FHIRPath expression  - must be true or the rule does not apply",
          "definition" : "FHIRPath expression  - must be true or the rule does not apply.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.check",
          "path" : "StructureMap.group.rule.source.check",
          "short" : "FHIRPath expression  - must be true or the mapping engine throws an error instead of completing",
          "definition" : "FHIRPath expression  - must be true or the mapping engine throws an error instead of completing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.source.logMessage",
          "path" : "StructureMap.group.rule.source.logMessage",
          "short" : "Message to put in log if source exists (FHIRPath)",
          "definition" : "A FHIRPath expression which specifies a message to put in the transform log when content matching the source rule is found.",
          "comment" : "This is typically used for recording that something Is not transformed to the target for some reason.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target",
          "path" : "StructureMap.group.rule.target",
          "short" : "Content to create because of this mapping rule",
          "definition" : "Content to create because of this mapping rule.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "smp-2",
            "severity" : "error",
            "human" : "Must have a contextType if you have a context",
            "expression" : "context.exists() implies contextType.exists()",
            "xpath" : "not(f:context) or (f:contextType)"
          },
          {
            "key" : "smp-1",
            "severity" : "error",
            "human" : "Can only have an element if you have a context",
            "expression" : "element.exists() implies context.exists()",
            "xpath" : "not(f:element) or (f:context)"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.context",
          "path" : "StructureMap.group.rule.target.context",
          "short" : "Type or variable this rule applies to",
          "definition" : "Type or variable this rule applies to.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.contextType",
          "path" : "StructureMap.group.rule.target.contextType",
          "short" : "type | variable",
          "definition" : "How to interpret the context.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapContextType"
            }],
            "strength" : "required",
            "description" : "How to interpret the context.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-context-type|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.rule.target.element",
          "path" : "StructureMap.group.rule.target.element",
          "short" : "Field to create in the context",
          "definition" : "Field to create in the context.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.variable",
          "path" : "StructureMap.group.rule.target.variable",
          "short" : "Named context for field, if desired, and a field is specified",
          "definition" : "Named context for field, if desired, and a field is specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.listMode",
          "path" : "StructureMap.group.rule.target.listMode",
          "short" : "first | share | last | collate",
          "definition" : "If field is a list, how to manage the list.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapTargetListMode"
            }],
            "strength" : "required",
            "description" : "If field is a list, how to manage the production.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-target-list-mode|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.rule.target.listRuleId",
          "path" : "StructureMap.group.rule.target.listRuleId",
          "short" : "Internal rule reference for shared list items",
          "definition" : "Internal rule reference for shared list items.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.transform",
          "path" : "StructureMap.group.rule.target.transform",
          "short" : "create | copy +",
          "definition" : "How the data is copied / created.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "StructureMapTransform"
            }],
            "strength" : "required",
            "description" : "How data is copied/created.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/map-transform|4.0.0"
          }
        },
        {
          "id" : "StructureMap.group.rule.target.parameter",
          "path" : "StructureMap.group.rule.target.parameter",
          "short" : "Parameters to the transform",
          "definition" : "Parameters to the transform.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.target.parameter.value[x]",
          "path" : "StructureMap.group.rule.target.parameter.value[x]",
          "short" : "Parameter value - variable or literal",
          "definition" : "Parameter value - variable or literal.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          },
          {
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.rule",
          "path" : "StructureMap.group.rule.rule",
          "short" : "Rules contained in this rule",
          "definition" : "Rules contained in this rule.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#StructureMap.group.rule",
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.dependent",
          "path" : "StructureMap.group.rule.dependent",
          "short" : "Which other rules to apply in the context of this rule",
          "definition" : "Which other rules to apply in the context of this rule.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.dependent.name",
          "path" : "StructureMap.group.rule.dependent.name",
          "short" : "Name of a rule or group to apply",
          "definition" : "Name of a rule or group to apply.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.dependent.variable",
          "path" : "StructureMap.group.rule.dependent.variable",
          "short" : "Variable to pass to the rule or group",
          "definition" : "Variable to pass to the rule or group.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "StructureMap.group.rule.documentation",
          "path" : "StructureMap.group.rule.documentation",
          "short" : "Documentation for this instance of data",
          "definition" : "Documentation for this instance of data.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Subscription",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Subscription",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Subscription 
ΣTU
DomainResource
Server push subscription criteria
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 status 
?!Σ
1..1
code
requested | active | error | off
SubscriptionStatus (Required)
 contact 
Σ
0..*
ContactPoint
Contact details for source (e.g. troubleshooting)
 end 
Σ
0..1
instant
When to automatically delete the subscription
 reason 
Σ
1..1
string
Description of why this subscription was created
 criteria 
Σ
1..1
string
Rule for server push
 error 
Σ
0..1
string
Latest error note
 channel 
Σ
1..1
BackboneElement
The channel on which to report matches to the criteria
 type 
Σ
1..1
code
rest-hook | websocket | email | sms | message
SubscriptionChannelType (Required)
 endpoint 
Σ
0..1
url
Where the channel points to
 payload 
Σ
0..1
code
MIME type to send, or omit for no payload
MimeType (Required)
 header 
Σ
0..*
string
Usage depends on the channel type

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Other"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 3
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Subscription",
      "version" : "4.0.0",
      "name" : "Subscription",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "The subscription resource is used to define a push-based subscription from a server to another system. Once a subscription is registered with the server, the server checks every resource that is created or updated, and if the resource matches the given criteria, it sends a message on the defined \"channel\" so that another system can take an appropriate action.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Subscription",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Subscription",
          "path" : "Subscription",
          "short" : "Server push subscription criteria",
          "definition" : "The subscription resource is used to define a push-based subscription from a server to another system. Once a subscription is registered with the server, the server checks every resource that is created or updated, and if the resource matches the given criteria, it sends a message on the defined \"channel\" so that another system can take an appropriate action.",
          "alias" : ["WebHook",
          "Hook",
          "Routing Rule"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Subscription",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Subscription.id",
          "path" : "Subscription.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Subscription.meta",
          "path" : "Subscription.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Subscription.implicitRules",
          "path" : "Subscription.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Subscription.language",
          "path" : "Subscription.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Subscription.text",
          "path" : "Subscription.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Subscription.contained",
          "path" : "Subscription.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Subscription.extension",
          "path" : "Subscription.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Subscription.modifierExtension",
          "path" : "Subscription.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Subscription.status",
          "path" : "Subscription.status",
          "short" : "requested | active | error | off",
          "definition" : "The status of the subscription, which marks the server state for managing the subscription.",
          "comment" : "A client can only submit subscription resources in the requested or off state. Only the server can  move a subscription from requested to active, and then to error. Either the server or the client can turn a subscription off.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Subscription.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubscriptionStatus"
            }],
            "strength" : "required",
            "description" : "The status of a subscription.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subscription-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Subscription.contact",
          "path" : "Subscription.contact",
          "short" : "Contact details for source (e.g. troubleshooting)",
          "definition" : "Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Subscription.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Subscription.end",
          "path" : "Subscription.end",
          "short" : "When to automatically delete the subscription",
          "definition" : "The time for the server to turn the subscription off.",
          "comment" : "The server is permitted to deviate from this time but should observe it.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Subscription.end",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "instant"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Subscription.reason",
          "path" : "Subscription.reason",
          "short" : "Description of why this subscription was created",
          "definition" : "A description of why this subscription is defined.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Subscription.reason",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "Subscription.criteria",
          "path" : "Subscription.criteria",
          "short" : "Rule for server push",
          "definition" : "The rules that the server should use to determine when to generate notifications for this subscription.",
          "comment" : "The rules are search criteria (without the [base] part). Like Bundle.entry.request.url, it has no leading \"/\".",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Subscription.criteria",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Subscription.error",
          "path" : "Subscription.error",
          "short" : "Latest error note",
          "definition" : "A record of the last error that occurred when the server processed a notification.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Subscription.error",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Subscription.channel",
          "path" : "Subscription.channel",
          "short" : "The channel on which to report matches to the criteria",
          "definition" : "Details where to send notifications when resources are received that meet the criteria.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Subscription.channel",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Subscription.channel.id",
          "path" : "Subscription.channel.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Subscription.channel.extension",
          "path" : "Subscription.channel.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Subscription.channel.modifierExtension",
          "path" : "Subscription.channel.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Subscription.channel.type",
          "path" : "Subscription.channel.type",
          "short" : "rest-hook | websocket | email | sms | message",
          "definition" : "The type of channel to send notifications on.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Subscription.channel.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubscriptionChannelType"
            }],
            "strength" : "required",
            "description" : "The type of method used to execute a subscription.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.0"
          }
        },
        {
          "id" : "Subscription.channel.endpoint",
          "path" : "Subscription.channel.endpoint",
          "short" : "Where the channel points to",
          "definition" : "The url that describes the actual end-point to send messages to.",
          "comment" : "For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Subscription.channel.endpoint",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Subscription.channel.payload",
          "path" : "Subscription.channel.payload",
          "short" : "MIME type to send, or omit for no payload",
          "definition" : "The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. If the payload is not present, then there is no payload in the notification, just a notification. The mime type \"text/plain\" may also be used for Email and SMS subscriptions.",
          "comment" : "Sending the payload has obvious security implications. The server is responsible for ensuring that the content is appropriately secured.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Subscription.channel.payload",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "Subscription.channel.header",
          "path" : "Subscription.channel.header",
          "short" : "Usage depends on the channel type",
          "definition" : "Additional headers / information to send as part of the notification.",
          "comment" : "Exactly what these mean depend on the channel type. They can convey additional information to the recipient and/or meet security requirements; for example, support of multiple headers in the outgoing notifications for rest-hook type subscriptions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Subscription.channel.header",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Subscription",
          "path" : "Subscription",
          "short" : "Server push subscription criteria",
          "definition" : "The subscription resource is used to define a push-based subscription from a server to another system. Once a subscription is registered with the server, the server checks every resource that is created or updated, and if the resource matches the given criteria, it sends a message on the defined \"channel\" so that another system can take an appropriate action.",
          "alias" : ["WebHook",
          "Hook",
          "Routing Rule"],
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Subscription.status",
          "path" : "Subscription.status",
          "short" : "requested | active | error | off",
          "definition" : "The status of the subscription, which marks the server state for managing the subscription.",
          "comment" : "A client can only submit subscription resources in the requested or off state. Only the server can  move a subscription from requested to active, and then to error. Either the server or the client can turn a subscription off.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubscriptionStatus"
            }],
            "strength" : "required",
            "description" : "The status of a subscription.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subscription-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "Subscription.contact",
          "path" : "Subscription.contact",
          "short" : "Contact details for source (e.g. troubleshooting)",
          "definition" : "Contact details for a human to contact about the subscription. The primary use of this for system administrator troubleshooting.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactPoint"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Subscription.end",
          "path" : "Subscription.end",
          "short" : "When to automatically delete the subscription",
          "definition" : "The time for the server to turn the subscription off.",
          "comment" : "The server is permitted to deviate from this time but should observe it.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "instant"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          }]
        },
        {
          "id" : "Subscription.reason",
          "path" : "Subscription.reason",
          "short" : "Description of why this subscription was created",
          "definition" : "A description of why this subscription is defined.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          }]
        },
        {
          "id" : "Subscription.criteria",
          "path" : "Subscription.criteria",
          "short" : "Rule for server push",
          "definition" : "The rules that the server should use to determine when to generate notifications for this subscription.",
          "comment" : "The rules are search criteria (without the [base] part). Like Bundle.entry.request.url, it has no leading \"/\".",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Subscription.error",
          "path" : "Subscription.error",
          "short" : "Latest error note",
          "definition" : "A record of the last error that occurred when the server processed a notification.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "Subscription.channel",
          "path" : "Subscription.channel",
          "short" : "The channel on which to report matches to the criteria",
          "definition" : "Details where to send notifications when resources are received that meet the criteria.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "Subscription.channel.type",
          "path" : "Subscription.channel.type",
          "short" : "rest-hook | websocket | email | sms | message",
          "definition" : "The type of channel to send notifications on.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubscriptionChannelType"
            }],
            "strength" : "required",
            "description" : "The type of method used to execute a subscription.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/subscription-channel-type|4.0.0"
          }
        },
        {
          "id" : "Subscription.channel.endpoint",
          "path" : "Subscription.channel.endpoint",
          "short" : "Where the channel points to",
          "definition" : "The url that describes the actual end-point to send messages to.",
          "comment" : "For rest-hook, and websocket, the end-point must be an http: or https: URL; for email, a mailto: url, for sms, a tel: url, and for message the endpoint can be in any form of url the server understands (usually, http: or mllp:). The URI is allowed to be relative; in which case, it is relative to the server end-point (since there may be more than one, clients should avoid using relative URIs).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }],
          "isSummary" : true
        },
        {
          "id" : "Subscription.channel.payload",
          "path" : "Subscription.channel.payload",
          "short" : "MIME type to send, or omit for no payload",
          "definition" : "The mime type to send the payload in - either application/fhir+xml, or application/fhir+json. If the payload is not present, then there is no payload in the notification, just a notification. The mime type \"text/plain\" may also be used for Email and SMS subscriptions.",
          "comment" : "Sending the payload has obvious security implications. The server is responsible for ensuring that the content is appropriately secured.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "Subscription.channel.header",
          "path" : "Subscription.channel.header",
          "short" : "Usage depends on the channel type",
          "definition" : "Additional headers / information to send as part of the notification.",
          "comment" : "Exactly what these mean depend on the channel type. They can convey additional information to the recipient and/or meet security requirements; for example, support of multiple headers in the outgoing notifications for rest-hook type subscriptions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Substance",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Substance",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Substance 
TU
DomainResource
A homogeneous material with a definite composition
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Unique identifier
 status 
?!Σ
0..1
code
active | inactive | entered-in-error
FHIRSubstanceStatus (Required)
 category 
Σ
0..*
CodeableConcept
What class/type of substance this is
Substance Category Codes (Extensible)
 code 
Σ
1..1
CodeableConcept
What substance this is
Substance Code (Example)
 description 
Σ
0..1
string
Textual description of the substance, comments
 instance 
Σ
0..*
BackboneElement
If this describes a specific package/container of the substance
 identifier 
Σ
0..1
Identifier
Identifier of the package/container
 expiry 
Σ
0..1
dateTime
When no longer valid to use
 quantity 
Σ
0..1
SimpleQuantity
Amount of substance in the package
 ingredient 
Σ
0..*
BackboneElement
Composition information about the substance
 quantity 
Σ
0..1
Ratio
Optional amount (concentration)
 substance[x] 
Σ
1..1
A component of the substance
Substance Code (Example)
 substanceCodeableConcept
CodeableConcept
 substanceReference
Reference(Substance)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Entities"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Substance",
      "version" : "4.0.0",
      "name" : "Substance",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A homogeneous material with a definite composition.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "orim",
        "uri" : "http://hl7.org/orim",
        "name" : "Ontological RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Substance",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Substance",
          "path" : "Substance",
          "short" : "A homogeneous material with a definite composition",
          "definition" : "A homogeneous material with a definite composition.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Substance",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "Material"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Substance rdfs:subClassOf   rim:Entity, [      a owl:Restriction;     owl:onProperty  rim:Act.classCode;     owl:allValuesFrom  cs:EntityClass\\#MAT   ]."
          }]
        },
        {
          "id" : "Substance.id",
          "path" : "Substance.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Substance.meta",
          "path" : "Substance.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Substance.implicitRules",
          "path" : "Substance.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Substance.language",
          "path" : "Substance.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Substance.text",
          "path" : "Substance.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Substance.contained",
          "path" : "Substance.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Substance.extension",
          "path" : "Substance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Substance.modifierExtension",
          "path" : "Substance.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Substance.identifier",
          "path" : "Substance.identifier",
          "short" : "Unique identifier",
          "definition" : "Unique identifier for the substance.",
          "comment" : "This identifier is associated with the kind of substance in contrast to the  Substance.instance.identifier which is associated with the package/container.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Substance.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Substance.status",
          "path" : "Substance.status",
          "short" : "active | inactive | entered-in-error",
          "definition" : "A code to indicate if the substance is actively used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Substance.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRSubstanceStatus"
            }],
            "strength" : "required",
            "description" : "A code to indicate if the substance is actively used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Substance.category",
          "path" : "Substance.category",
          "short" : "What class/type of substance this is",
          "definition" : "A code that classifies the general type of substance.  This is used  for searching, sorting and display purposes.",
          "comment" : "The level of granularity is defined by the category concepts in the value set.   More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Substance.code.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Substance.category",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceCategory"
            }],
            "strength" : "extensible",
            "description" : "Category or classification of substance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Substance.code",
          "path" : "Substance.code",
          "short" : "What substance this is",
          "definition" : "A code (or set of codes) that identify this substance.",
          "comment" : "This could be a reference to an externally defined code.  It could also be a locally assigned code (e.g. a formulary),  optionally with translations to the standard drug codes.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Substance.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceCode"
            }],
            "strength" : "example",
            "description" : "Substance codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-code"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Substance.code rdfs:subPropertyOf rim:Entity.code"
          }]
        },
        {
          "id" : "Substance.description",
          "path" : "Substance.description",
          "short" : "Textual description of the substance, comments",
          "definition" : "A description of the substance - its appearance, handling requirements, and other usage notes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Substance.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.desc"
          }]
        },
        {
          "id" : "Substance.instance",
          "path" : "Substance.instance",
          "short" : "If this describes a specific package/container of the substance",
          "definition" : "Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instance.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Substance.instance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "meaningWhenMissing" : "If this element is not present, then the substance resource describes a kind of substance",
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.determinerCode"
          }]
        },
        {
          "id" : "Substance.instance.id",
          "path" : "Substance.instance.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Substance.instance.extension",
          "path" : "Substance.instance.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Substance.instance.modifierExtension",
          "path" : "Substance.instance.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Substance.instance.identifier",
          "path" : "Substance.instance.identifier",
          "short" : "Identifier of the package/container",
          "definition" : "Identifier associated with the package/container (usually a label affixed directly).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Substance.instance.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Substance.instance.expiry",
          "path" : "Substance.instance.expiry",
          "short" : "When no longer valid to use",
          "definition" : "When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiry.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Substance.instance.expiry",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".expiryTime"
          }]
        },
        {
          "id" : "Substance.instance.quantity",
          "path" : "Substance.instance.quantity",
          "short" : "Amount of substance in the package",
          "definition" : "The amount of the substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Substance.instance.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.quantity"
          }]
        },
        {
          "id" : "Substance.ingredient",
          "path" : "Substance.ingredient",
          "short" : "Composition information about the substance",
          "definition" : "A substance can be composed of other substances.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Substance.ingredient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.scopesRole[classCode=INGR]"
          }]
        },
        {
          "id" : "Substance.ingredient.id",
          "path" : "Substance.ingredient.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Substance.ingredient.extension",
          "path" : "Substance.ingredient.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Substance.ingredient.modifierExtension",
          "path" : "Substance.ingredient.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Substance.ingredient.quantity",
          "path" : "Substance.ingredient.quantity",
          "short" : "Optional amount (concentration)",
          "definition" : "The amount of the ingredient in the substance - a concentration ratio.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Substance.ingredient.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "Substance.ingredient.substance[x]",
          "path" : "Substance.ingredient.substance[x]",
          "short" : "A component of the substance",
          "definition" : "Another substance that is a component of this substance.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Substance.ingredient.substance[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceIngredient"
            }],
            "strength" : "example",
            "description" : "Substance Ingredient codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Substance",
          "path" : "Substance",
          "short" : "A homogeneous material with a definite composition",
          "definition" : "A homogeneous material with a definite composition.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "Material"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Substance rdfs:subClassOf   rim:Entity, [      a owl:Restriction;     owl:onProperty  rim:Act.classCode;     owl:allValuesFrom  cs:EntityClass\\#MAT   ]."
          }]
        },
        {
          "id" : "Substance.identifier",
          "path" : "Substance.identifier",
          "short" : "Unique identifier",
          "definition" : "Unique identifier for the substance.",
          "comment" : "This identifier is associated with the kind of substance in contrast to the  Substance.instance.identifier which is associated with the package/container.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Substance.status",
          "path" : "Substance.status",
          "short" : "active | inactive | entered-in-error",
          "definition" : "A code to indicate if the substance is actively used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRSubstanceStatus"
            }],
            "strength" : "required",
            "description" : "A code to indicate if the substance is actively used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Substance.category",
          "path" : "Substance.category",
          "short" : "What class/type of substance this is",
          "definition" : "A code that classifies the general type of substance.  This is used  for searching, sorting and display purposes.",
          "comment" : "The level of granularity is defined by the category concepts in the value set.   More fine-grained filtering can be performed using the metadata and/or terminology hierarchy in Substance.code.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceCategory"
            }],
            "strength" : "extensible",
            "description" : "Category or classification of substance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-category"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Substance.code",
          "path" : "Substance.code",
          "short" : "What substance this is",
          "definition" : "A code (or set of codes) that identify this substance.",
          "comment" : "This could be a reference to an externally defined code.  It could also be a locally assigned code (e.g. a formulary),  optionally with translations to the standard drug codes.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceCode"
            }],
            "strength" : "example",
            "description" : "Substance codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-code"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          },
          {
            "identity" : "orim",
            "map" : "fhir:Substance.code rdfs:subPropertyOf rim:Entity.code"
          }]
        },
        {
          "id" : "Substance.description",
          "path" : "Substance.description",
          "short" : "Textual description of the substance, comments",
          "definition" : "A description of the substance - its appearance, handling requirements, and other usage notes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.desc"
          }]
        },
        {
          "id" : "Substance.instance",
          "path" : "Substance.instance",
          "short" : "If this describes a specific package/container of the substance",
          "definition" : "Substance may be used to describe a kind of substance, or a specific package/container of the substance: an instance.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "meaningWhenMissing" : "If this element is not present, then the substance resource describes a kind of substance",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.determinerCode"
          }]
        },
        {
          "id" : "Substance.instance.identifier",
          "path" : "Substance.instance.identifier",
          "short" : "Identifier of the package/container",
          "definition" : "Identifier associated with the package/container (usually a label affixed directly).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Substance.instance.expiry",
          "path" : "Substance.instance.expiry",
          "short" : "When no longer valid to use",
          "definition" : "When the substance is no longer valid to use. For some substances, a single arbitrary date is used for expiry.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".expiryTime"
          }]
        },
        {
          "id" : "Substance.instance.quantity",
          "path" : "Substance.instance.quantity",
          "short" : "Amount of substance in the package",
          "definition" : "The amount of the substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.quantity"
          }]
        },
        {
          "id" : "Substance.ingredient",
          "path" : "Substance.ingredient",
          "short" : "Composition information about the substance",
          "definition" : "A substance can be composed of other substances.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player.scopesRole[classCode=INGR]"
          }]
        },
        {
          "id" : "Substance.ingredient.quantity",
          "path" : "Substance.ingredient.quantity",
          "short" : "Optional amount (concentration)",
          "definition" : "The amount of the ingredient in the substance - a concentration ratio.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "Substance.ingredient.substance[x]",
          "path" : "Substance.ingredient.substance[x]",
          "short" : "A component of the substance",
          "definition" : "Another substance that is a component of this substance.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Substance"]
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SubstanceIngredient"
            }],
            "strength" : "example",
            "description" : "Substance Ingredient codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/substance-code"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".player"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SubstanceNucleicAcid",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SubstanceNucleicAcid 
ΣTU
DomainResource
Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual substance/moiety IDs will be created for each of these elements. The nucleotide sequence will be always entered in the 5’-3’ direction
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 sequenceType 
Σ
0..1
CodeableConcept
The type of the sequence shall be specified based on a controlled vocabulary
 numberOfSubunits 
Σ
0..1
integer
The number of linear sequences of nucleotides linked through phosphodiester bonds shall be described. Subunits would be strands of nucleic acids that are tightly associated typically through Watson-Crick base pairing. NOTE: If not specified in the reference source, the assumption is that there is 1 subunit
 areaOfHybridisation 
Σ
0..1
string
The area of hybridisation shall be described if applicable for double stranded RNA or DNA. The number associated with the subunit followed by the number associated to the residue shall be specified in increasing order. The underscore “” shall be used as separator as follows: “Subunitnumber Residue”
 oligoNucleotideType 
Σ
0..1
CodeableConcept
(TBC)
 subunit 
Σ
0..*
BackboneElement
Subunits are listed in order of decreasing length; sequences of the same length will be ordered by molecular weight; subunits that have identical sequences will be repeated multiple times
 subunit 
Σ
0..1
integer
Index of linear sequences of nucleic acids in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts
 sequence 
Σ
0..1
string
Actual nucleotide sequence notation from 5' to 3' end using standard single letter codes. In addition to the base sequence, sugar and type of phosphate or non-phosphate linkage should also be captured
 length 
Σ
0..1
integer
The length of the sequence shall be captured
 sequenceAttachment 
Σ
0..1
Attachment
(TBC)
 fivePrime 
Σ
0..1
CodeableConcept
The nucleotide present at the 5’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the first position in the sequence. A separate representation would be redundant
 threePrime 
Σ
0..1
CodeableConcept
The nucleotide present at the 3’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the last position in the sequence. A separate representation would be redundant
 linkage 
Σ
0..*
BackboneElement
The linkages between sugar residues will also be captured
 connectivity 
Σ
0..1
string
The entity that links the sugar residues together should also be captured for nearly all naturally occurring nucleic acid the linkage is a phosphate group. For many synthetic oligonucleotides phosphorothioate linkages are often seen. Linkage connectivity is assumed to be 3’-5’. If the linkage is either 3’-3’ or 5’-5’ this should be specified
 identifier 
Σ
0..1
Identifier
Each linkage will be registered as a fragment and have an ID
 name 
Σ
0..1
string
Each linkage will be registered as a fragment and have at least one name. A single name shall be assigned to each linkage
 residueSite 
Σ
0..1
string
Residues shall be captured as described in 5.3.6.8.3
 sugar 
Σ
0..*
BackboneElement
5.3.6.8.1 Sugar ID (Mandatory)
 identifier 
Σ
0..1
Identifier
The Substance ID of the sugar or sugar-like component that make up the nucleotide
 name 
Σ
0..1
string
The name of the sugar or sugar-like component that make up the nucleotide
 residueSite 
Σ
0..1
string
The residues that contain a given sugar will be captured. The order of given residues will be captured in the 5‘-3‘direction consistent with the base sequences listed above

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid",
      "version" : "4.0.0",
      "name" : "SubstanceNucleicAcid",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual substance/moiety IDs will be created for each of these elements. The nucleotide sequence will be always entered in the 5’-3’ direction.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SubstanceNucleicAcid",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SubstanceNucleicAcid",
          "path" : "SubstanceNucleicAcid",
          "short" : "Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual substance/moiety IDs will be created for each of these elements. The nucleotide sequence will be always entered in the 5’-3’ direction",
          "definition" : "Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual substance/moiety IDs will be created for each of these elements. The nucleotide sequence will be always entered in the 5’-3’ direction.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceNucleicAcid",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.id",
          "path" : "SubstanceNucleicAcid.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.meta",
          "path" : "SubstanceNucleicAcid.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.implicitRules",
          "path" : "SubstanceNucleicAcid.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.language",
          "path" : "SubstanceNucleicAcid.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SubstanceNucleicAcid.text",
          "path" : "SubstanceNucleicAcid.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.contained",
          "path" : "SubstanceNucleicAcid.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.extension",
          "path" : "SubstanceNucleicAcid.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.modifierExtension",
          "path" : "SubstanceNucleicAcid.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.sequenceType",
          "path" : "SubstanceNucleicAcid.sequenceType",
          "short" : "The type of the sequence shall be specified based on a controlled vocabulary",
          "definition" : "The type of the sequence shall be specified based on a controlled vocabulary.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.sequenceType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.numberOfSubunits",
          "path" : "SubstanceNucleicAcid.numberOfSubunits",
          "short" : "The number of linear sequences of nucleotides linked through phosphodiester bonds shall be described. Subunits would be strands of nucleic acids that are tightly associated typically through Watson-Crick base pairing. NOTE: If not specified in the reference source, the assumption is that there is 1 subunit",
          "definition" : "The number of linear sequences of nucleotides linked through phosphodiester bonds shall be described. Subunits would be strands of nucleic acids that are tightly associated typically through Watson-Crick base pairing. NOTE: If not specified in the reference source, the assumption is that there is 1 subunit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.numberOfSubunits",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.areaOfHybridisation",
          "path" : "SubstanceNucleicAcid.areaOfHybridisation",
          "short" : "The area of hybridisation shall be described if applicable for double stranded RNA or DNA. The number associated with the subunit followed by the number associated to the residue shall be specified in increasing order. The underscore “” shall be used as separator as follows: “Subunitnumber Residue”",
          "definition" : "The area of hybridisation shall be described if applicable for double stranded RNA or DNA. The number associated with the subunit followed by the number associated to the residue shall be specified in increasing order. The underscore “” shall be used as separator as follows: “Subunitnumber Residue”.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.areaOfHybridisation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.oligoNucleotideType",
          "path" : "SubstanceNucleicAcid.oligoNucleotideType",
          "short" : "(TBC)",
          "definition" : "(TBC).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.oligoNucleotideType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit",
          "path" : "SubstanceNucleicAcid.subunit",
          "short" : "Subunits are listed in order of decreasing length; sequences of the same length will be ordered by molecular weight; subunits that have identical sequences will be repeated multiple times",
          "definition" : "Subunits are listed in order of decreasing length; sequences of the same length will be ordered by molecular weight; subunits that have identical sequences will be repeated multiple times.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.id",
          "path" : "SubstanceNucleicAcid.subunit.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.extension",
          "path" : "SubstanceNucleicAcid.subunit.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.modifierExtension",
          "path" : "SubstanceNucleicAcid.subunit.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.subunit",
          "path" : "SubstanceNucleicAcid.subunit.subunit",
          "short" : "Index of linear sequences of nucleic acids in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts",
          "definition" : "Index of linear sequences of nucleic acids in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.subunit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sequence",
          "path" : "SubstanceNucleicAcid.subunit.sequence",
          "short" : "Actual nucleotide sequence notation from 5' to 3' end using standard single letter codes. In addition to the base sequence, sugar and type of phosphate or non-phosphate linkage should also be captured",
          "definition" : "Actual nucleotide sequence notation from 5' to 3' end using standard single letter codes. In addition to the base sequence, sugar and type of phosphate or non-phosphate linkage should also be captured.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.sequence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.length",
          "path" : "SubstanceNucleicAcid.subunit.length",
          "short" : "The length of the sequence shall be captured",
          "definition" : "The length of the sequence shall be captured.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.length",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sequenceAttachment",
          "path" : "SubstanceNucleicAcid.subunit.sequenceAttachment",
          "short" : "(TBC)",
          "definition" : "(TBC).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.sequenceAttachment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.fivePrime",
          "path" : "SubstanceNucleicAcid.subunit.fivePrime",
          "short" : "The nucleotide present at the 5’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the first position in the sequence. A separate representation would be redundant",
          "definition" : "The nucleotide present at the 5’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the first position in the sequence. A separate representation would be redundant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.fivePrime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.threePrime",
          "path" : "SubstanceNucleicAcid.subunit.threePrime",
          "short" : "The nucleotide present at the 3’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the last position in the sequence. A separate representation would be redundant",
          "definition" : "The nucleotide present at the 3’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the last position in the sequence. A separate representation would be redundant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.threePrime",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage",
          "path" : "SubstanceNucleicAcid.subunit.linkage",
          "short" : "The linkages between sugar residues will also be captured",
          "definition" : "The linkages between sugar residues will also be captured.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.linkage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.id",
          "path" : "SubstanceNucleicAcid.subunit.linkage.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.extension",
          "path" : "SubstanceNucleicAcid.subunit.linkage.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.modifierExtension",
          "path" : "SubstanceNucleicAcid.subunit.linkage.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.connectivity",
          "path" : "SubstanceNucleicAcid.subunit.linkage.connectivity",
          "short" : "The entity that links the sugar residues together should also be captured for nearly all naturally occurring nucleic acid the linkage is a phosphate group. For many synthetic oligonucleotides phosphorothioate linkages are often seen. Linkage connectivity is assumed to be 3’-5’. If the linkage is either 3’-3’ or 5’-5’ this should be specified",
          "definition" : "The entity that links the sugar residues together should also be captured for nearly all naturally occurring nucleic acid the linkage is a phosphate group. For many synthetic oligonucleotides phosphorothioate linkages are often seen. Linkage connectivity is assumed to be 3’-5’. If the linkage is either 3’-3’ or 5’-5’ this should be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.linkage.connectivity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.identifier",
          "path" : "SubstanceNucleicAcid.subunit.linkage.identifier",
          "short" : "Each linkage will be registered as a fragment and have an ID",
          "definition" : "Each linkage will be registered as a fragment and have an ID.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.linkage.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.name",
          "path" : "SubstanceNucleicAcid.subunit.linkage.name",
          "short" : "Each linkage will be registered as a fragment and have at least one name. A single name shall be assigned to each linkage",
          "definition" : "Each linkage will be registered as a fragment and have at least one name. A single name shall be assigned to each linkage.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.linkage.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.residueSite",
          "path" : "SubstanceNucleicAcid.subunit.linkage.residueSite",
          "short" : "Residues shall be captured as described in 5.3.6.8.3",
          "definition" : "Residues shall be captured as described in 5.3.6.8.3.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.linkage.residueSite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar",
          "path" : "SubstanceNucleicAcid.subunit.sugar",
          "short" : "5.3.6.8.1 Sugar ID (Mandatory)",
          "definition" : "5.3.6.8.1 Sugar ID (Mandatory).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.sugar",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.id",
          "path" : "SubstanceNucleicAcid.subunit.sugar.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.extension",
          "path" : "SubstanceNucleicAcid.subunit.sugar.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.modifierExtension",
          "path" : "SubstanceNucleicAcid.subunit.sugar.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.identifier",
          "path" : "SubstanceNucleicAcid.subunit.sugar.identifier",
          "short" : "The Substance ID of the sugar or sugar-like component that make up the nucleotide",
          "definition" : "The Substance ID of the sugar or sugar-like component that make up the nucleotide.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.sugar.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.name",
          "path" : "SubstanceNucleicAcid.subunit.sugar.name",
          "short" : "The name of the sugar or sugar-like component that make up the nucleotide",
          "definition" : "The name of the sugar or sugar-like component that make up the nucleotide.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.sugar.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.residueSite",
          "path" : "SubstanceNucleicAcid.subunit.sugar.residueSite",
          "short" : "The residues that contain a given sugar will be captured. The order of given residues will be captured in the 5‘-3‘direction consistent with the base sequences listed above",
          "definition" : "The residues that contain a given sugar will be captured. The order of given residues will be captured in the 5‘-3‘direction consistent with the base sequences listed above.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceNucleicAcid.subunit.sugar.residueSite",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SubstanceNucleicAcid",
          "path" : "SubstanceNucleicAcid",
          "short" : "Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual substance/moiety IDs will be created for each of these elements. The nucleotide sequence will be always entered in the 5’-3’ direction",
          "definition" : "Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual substance/moiety IDs will be created for each of these elements. The nucleotide sequence will be always entered in the 5’-3’ direction.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "SubstanceNucleicAcid.sequenceType",
          "path" : "SubstanceNucleicAcid.sequenceType",
          "short" : "The type of the sequence shall be specified based on a controlled vocabulary",
          "definition" : "The type of the sequence shall be specified based on a controlled vocabulary.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.numberOfSubunits",
          "path" : "SubstanceNucleicAcid.numberOfSubunits",
          "short" : "The number of linear sequences of nucleotides linked through phosphodiester bonds shall be described. Subunits would be strands of nucleic acids that are tightly associated typically through Watson-Crick base pairing. NOTE: If not specified in the reference source, the assumption is that there is 1 subunit",
          "definition" : "The number of linear sequences of nucleotides linked through phosphodiester bonds shall be described. Subunits would be strands of nucleic acids that are tightly associated typically through Watson-Crick base pairing. NOTE: If not specified in the reference source, the assumption is that there is 1 subunit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.areaOfHybridisation",
          "path" : "SubstanceNucleicAcid.areaOfHybridisation",
          "short" : "The area of hybridisation shall be described if applicable for double stranded RNA or DNA. The number associated with the subunit followed by the number associated to the residue shall be specified in increasing order. The underscore “” shall be used as separator as follows: “Subunitnumber Residue”",
          "definition" : "The area of hybridisation shall be described if applicable for double stranded RNA or DNA. The number associated with the subunit followed by the number associated to the residue shall be specified in increasing order. The underscore “” shall be used as separator as follows: “Subunitnumber Residue”.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.oligoNucleotideType",
          "path" : "SubstanceNucleicAcid.oligoNucleotideType",
          "short" : "(TBC)",
          "definition" : "(TBC).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit",
          "path" : "SubstanceNucleicAcid.subunit",
          "short" : "Subunits are listed in order of decreasing length; sequences of the same length will be ordered by molecular weight; subunits that have identical sequences will be repeated multiple times",
          "definition" : "Subunits are listed in order of decreasing length; sequences of the same length will be ordered by molecular weight; subunits that have identical sequences will be repeated multiple times.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.subunit",
          "path" : "SubstanceNucleicAcid.subunit.subunit",
          "short" : "Index of linear sequences of nucleic acids in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts",
          "definition" : "Index of linear sequences of nucleic acids in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sequence",
          "path" : "SubstanceNucleicAcid.subunit.sequence",
          "short" : "Actual nucleotide sequence notation from 5' to 3' end using standard single letter codes. In addition to the base sequence, sugar and type of phosphate or non-phosphate linkage should also be captured",
          "definition" : "Actual nucleotide sequence notation from 5' to 3' end using standard single letter codes. In addition to the base sequence, sugar and type of phosphate or non-phosphate linkage should also be captured.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.length",
          "path" : "SubstanceNucleicAcid.subunit.length",
          "short" : "The length of the sequence shall be captured",
          "definition" : "The length of the sequence shall be captured.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sequenceAttachment",
          "path" : "SubstanceNucleicAcid.subunit.sequenceAttachment",
          "short" : "(TBC)",
          "definition" : "(TBC).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.fivePrime",
          "path" : "SubstanceNucleicAcid.subunit.fivePrime",
          "short" : "The nucleotide present at the 5’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the first position in the sequence. A separate representation would be redundant",
          "definition" : "The nucleotide present at the 5’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the first position in the sequence. A separate representation would be redundant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.threePrime",
          "path" : "SubstanceNucleicAcid.subunit.threePrime",
          "short" : "The nucleotide present at the 3’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the last position in the sequence. A separate representation would be redundant",
          "definition" : "The nucleotide present at the 3’ terminal shall be specified based on a controlled vocabulary. Since the sequence is represented from the 5' to the 3' end, the 5’ prime nucleotide is the letter at the last position in the sequence. A separate representation would be redundant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage",
          "path" : "SubstanceNucleicAcid.subunit.linkage",
          "short" : "The linkages between sugar residues will also be captured",
          "definition" : "The linkages between sugar residues will also be captured.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.connectivity",
          "path" : "SubstanceNucleicAcid.subunit.linkage.connectivity",
          "short" : "The entity that links the sugar residues together should also be captured for nearly all naturally occurring nucleic acid the linkage is a phosphate group. For many synthetic oligonucleotides phosphorothioate linkages are often seen. Linkage connectivity is assumed to be 3’-5’. If the linkage is either 3’-3’ or 5’-5’ this should be specified",
          "definition" : "The entity that links the sugar residues together should also be captured for nearly all naturally occurring nucleic acid the linkage is a phosphate group. For many synthetic oligonucleotides phosphorothioate linkages are often seen. Linkage connectivity is assumed to be 3’-5’. If the linkage is either 3’-3’ or 5’-5’ this should be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.identifier",
          "path" : "SubstanceNucleicAcid.subunit.linkage.identifier",
          "short" : "Each linkage will be registered as a fragment and have an ID",
          "definition" : "Each linkage will be registered as a fragment and have an ID.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.name",
          "path" : "SubstanceNucleicAcid.subunit.linkage.name",
          "short" : "Each linkage will be registered as a fragment and have at least one name. A single name shall be assigned to each linkage",
          "definition" : "Each linkage will be registered as a fragment and have at least one name. A single name shall be assigned to each linkage.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.linkage.residueSite",
          "path" : "SubstanceNucleicAcid.subunit.linkage.residueSite",
          "short" : "Residues shall be captured as described in 5.3.6.8.3",
          "definition" : "Residues shall be captured as described in 5.3.6.8.3.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar",
          "path" : "SubstanceNucleicAcid.subunit.sugar",
          "short" : "5.3.6.8.1 Sugar ID (Mandatory)",
          "definition" : "5.3.6.8.1 Sugar ID (Mandatory).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.identifier",
          "path" : "SubstanceNucleicAcid.subunit.sugar.identifier",
          "short" : "The Substance ID of the sugar or sugar-like component that make up the nucleotide",
          "definition" : "The Substance ID of the sugar or sugar-like component that make up the nucleotide.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.name",
          "path" : "SubstanceNucleicAcid.subunit.sugar.name",
          "short" : "The name of the sugar or sugar-like component that make up the nucleotide",
          "definition" : "The name of the sugar or sugar-like component that make up the nucleotide.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceNucleicAcid.subunit.sugar.residueSite",
          "path" : "SubstanceNucleicAcid.subunit.sugar.residueSite",
          "short" : "The residues that contain a given sugar will be captured. The order of given residues will be captured in the 5‘-3‘direction consistent with the base sequences listed above",
          "definition" : "The residues that contain a given sugar will be captured. The order of given residues will be captured in the 5‘-3‘direction consistent with the base sequences listed above.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SubstancePolymer",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SubstancePolymer",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SubstancePolymer 
ΣTU
DomainResource
Todo
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 class 
Σ
0..1
CodeableConcept
Todo
 geometry 
Σ
0..1
CodeableConcept
Todo
 copolymerConnectivity 
Σ
0..*
CodeableConcept
Todo
 modification 
Σ
0..*
string
Todo
 monomerSet 
Σ
0..*
BackboneElement
Todo
 ratioType 
Σ
0..1
CodeableConcept
Todo
 startingMaterial 
Σ
0..*
BackboneElement
Todo
 material 
Σ
0..1
CodeableConcept
Todo
 type 
Σ
0..1
CodeableConcept
Todo
 isDefining 
Σ
0..1
boolean
Todo
 amount 
Σ
0..1
SubstanceAmount
Todo
 repeat 
Σ
0..*
BackboneElement
Todo
 numberOfUnits 
Σ
0..1
integer
Todo
 averageMolecularFormula 
Σ
0..1
string
Todo
 repeatUnitAmountType 
Σ
0..1
CodeableConcept
Todo
 repeatUnit 
Σ
0..*
BackboneElement
Todo
 orientationOfPolymerisation 
Σ
0..1
CodeableConcept
Todo
 repeatUnit 
Σ
0..1
string
Todo
 amount 
Σ
0..1
SubstanceAmount
Todo
 degreeOfPolymerisation 
Σ
0..*
BackboneElement
Todo
 degree 
Σ
0..1
CodeableConcept
Todo
 amount 
Σ
0..1
SubstanceAmount
Todo
 structuralRepresentation 
Σ
0..*
BackboneElement
Todo
 type 
Σ
0..1
CodeableConcept
Todo
 representation 
Σ
0..1
string
Todo
 attachment 
Σ
0..1
Attachment
Todo

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SubstancePolymer",
      "version" : "4.0.0",
      "name" : "SubstancePolymer",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "Todo.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SubstancePolymer",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SubstancePolymer",
          "path" : "SubstancePolymer",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "SubstancePolymer.id",
          "path" : "SubstancePolymer.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.meta",
          "path" : "SubstancePolymer.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.implicitRules",
          "path" : "SubstancePolymer.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.language",
          "path" : "SubstancePolymer.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SubstancePolymer.text",
          "path" : "SubstancePolymer.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SubstancePolymer.contained",
          "path" : "SubstancePolymer.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstancePolymer.extension",
          "path" : "SubstancePolymer.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstancePolymer.modifierExtension",
          "path" : "SubstancePolymer.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstancePolymer.class",
          "path" : "SubstancePolymer.class",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.class",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.geometry",
          "path" : "SubstancePolymer.geometry",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.geometry",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.copolymerConnectivity",
          "path" : "SubstancePolymer.copolymerConnectivity",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer.copolymerConnectivity",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.modification",
          "path" : "SubstancePolymer.modification",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer.modification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet",
          "path" : "SubstancePolymer.monomerSet",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer.monomerSet",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.id",
          "path" : "SubstancePolymer.monomerSet.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.monomerSet.extension",
          "path" : "SubstancePolymer.monomerSet.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.monomerSet.modifierExtension",
          "path" : "SubstancePolymer.monomerSet.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstancePolymer.monomerSet.ratioType",
          "path" : "SubstancePolymer.monomerSet.ratioType",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.monomerSet.ratioType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial",
          "path" : "SubstancePolymer.monomerSet.startingMaterial",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer.monomerSet.startingMaterial",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.id",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.extension",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.modifierExtension",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.material",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.material",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.monomerSet.startingMaterial.material",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.type",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.type",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.monomerSet.startingMaterial.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.isDefining",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.isDefining",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.monomerSet.startingMaterial.isDefining",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.amount",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.amount",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.monomerSet.startingMaterial.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "SubstanceAmount"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat",
          "path" : "SubstancePolymer.repeat",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer.repeat",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.id",
          "path" : "SubstancePolymer.repeat.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.repeat.extension",
          "path" : "SubstancePolymer.repeat.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.repeat.modifierExtension",
          "path" : "SubstancePolymer.repeat.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstancePolymer.repeat.numberOfUnits",
          "path" : "SubstancePolymer.repeat.numberOfUnits",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.numberOfUnits",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.averageMolecularFormula",
          "path" : "SubstancePolymer.repeat.averageMolecularFormula",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.averageMolecularFormula",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnitAmountType",
          "path" : "SubstancePolymer.repeat.repeatUnitAmountType",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnitAmountType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit",
          "path" : "SubstancePolymer.repeat.repeatUnit",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.id",
          "path" : "SubstancePolymer.repeat.repeatUnit.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.extension",
          "path" : "SubstancePolymer.repeat.repeatUnit.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.modifierExtension",
          "path" : "SubstancePolymer.repeat.repeatUnit.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
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          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation",
          "path" : "SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
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          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.repeatUnit",
          "path" : "SubstancePolymer.repeat.repeatUnit.repeatUnit",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.repeatUnit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
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          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.amount",
          "path" : "SubstancePolymer.repeat.repeatUnit.amount",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "SubstanceAmount"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
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          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
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          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.id",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
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          "type" : [{
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          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
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        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.extension",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
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            "max" : "*"
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          "type" : [{
            "code" : "Extension"
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          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
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        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.modifierExtension",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
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            "max" : "*"
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          "type" : [{
            "code" : "Extension"
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          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
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        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree",
            "min" : 0,
            "max" : "1"
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          "type" : [{
            "code" : "CodeableConcept"
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          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "SubstanceAmount"
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          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.id",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
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          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.extension",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
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            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
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          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
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        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.modifierExtension",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
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            "max" : "*"
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          "type" : [{
            "code" : "Extension"
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          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
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        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.type",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.type",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.type",
            "min" : 0,
            "max" : "1"
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          "type" : [{
            "code" : "CodeableConcept"
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          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.representation",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.representation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.representation",
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          "type" : [{
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          "isModifier" : false,
          "isSummary" : true
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        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.attachment",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.attachment",
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          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.attachment",
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            "max" : "1"
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          "type" : [{
            "code" : "Attachment"
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          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SubstancePolymer",
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          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "SubstancePolymer.class",
          "path" : "SubstancePolymer.class",
          "short" : "Todo",
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          "max" : "1",
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            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.geometry",
          "path" : "SubstancePolymer.geometry",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.copolymerConnectivity",
          "path" : "SubstancePolymer.copolymerConnectivity",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.modification",
          "path" : "SubstancePolymer.modification",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet",
          "path" : "SubstancePolymer.monomerSet",
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          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.ratioType",
          "path" : "SubstancePolymer.monomerSet.ratioType",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial",
          "path" : "SubstancePolymer.monomerSet.startingMaterial",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.material",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.material",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.type",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.type",
          "short" : "Todo",
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          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.isDefining",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.isDefining",
          "short" : "Todo",
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          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.monomerSet.startingMaterial.amount",
          "path" : "SubstancePolymer.monomerSet.startingMaterial.amount",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "SubstanceAmount"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat",
          "path" : "SubstancePolymer.repeat",
          "short" : "Todo",
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          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.numberOfUnits",
          "path" : "SubstancePolymer.repeat.numberOfUnits",
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          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.averageMolecularFormula",
          "path" : "SubstancePolymer.repeat.averageMolecularFormula",
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          "max" : "1",
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          "isSummary" : true
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        {
          "id" : "SubstancePolymer.repeat.repeatUnitAmountType",
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          "max" : "1",
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          "isSummary" : true
        },
        {
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          "path" : "SubstancePolymer.repeat.repeatUnit",
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          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation",
          "path" : "SubstancePolymer.repeat.repeatUnit.orientationOfPolymerisation",
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          "min" : 0,
          "max" : "1",
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.repeatUnit",
          "path" : "SubstancePolymer.repeat.repeatUnit.repeatUnit",
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          "max" : "1",
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            "code" : "string"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.amount",
          "path" : "SubstancePolymer.repeat.repeatUnit.amount",
          "short" : "Todo",
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          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "SubstanceAmount"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation",
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          "max" : "*",
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            "code" : "BackboneElement"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.degree",
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          "max" : "1",
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount",
          "path" : "SubstancePolymer.repeat.repeatUnit.degreeOfPolymerisation.amount",
          "short" : "Todo",
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            "code" : "SubstanceAmount"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation",
          "short" : "Todo",
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          "max" : "*",
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            "code" : "BackboneElement"
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          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.type",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.type",
          "short" : "Todo",
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          "isSummary" : true
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        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.representation",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.representation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.attachment",
          "path" : "SubstancePolymer.repeat.repeatUnit.structuralRepresentation.attachment",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SubstanceProtein",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SubstanceProtein",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SubstanceProtein 
ΣTU
DomainResource
A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination of subunits that are either covalently linked or have a defined invariant stoichiometric relationship. This includes all synthetic, recombinant and purified SubstanceProteins of defined sequence, whether the use is therapeutic or prophylactic. This set of elements will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/SubstanceProtein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 sequenceType 
Σ
0..1
CodeableConcept
The SubstanceProtein descriptive elements will only be used when a complete or partial amino acid sequence is available or derivable from a nucleic acid sequence
 numberOfSubunits 
Σ
0..1
integer
Number of linear sequences of amino acids linked through peptide bonds. The number of subunits constituting the SubstanceProtein shall be described. It is possible that the number of subunits can be variable
 disulfideLinkage 
Σ
0..*
string
The disulphide bond between two cysteine residues either on the same subunit or on two different subunits shall be described. The position of the disulfide bonds in the SubstanceProtein shall be listed in increasing order of subunit number and position within subunit followed by the abbreviation of the amino acids involved. The disulfide linkage positions shall actually contain the amino acid Cysteine at the respective positions
 subunit 
Σ
0..*
BackboneElement
This subclause refers to the description of each subunit constituting the SubstanceProtein. A subunit is a linear sequence of amino acids linked through peptide bonds. The Subunit information shall be provided when the finished SubstanceProtein is a complex of multiple sequences; subunits are not used to delineate domains within a single sequence. Subunits are listed in order of decreasing length; sequences of the same length will be ordered by decreasing molecular weight; subunits that have identical sequences will be repeated multiple times
 subunit 
Σ
0..1
integer
Index of primary sequences of amino acids linked through peptide bonds in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts
 sequence 
Σ
0..1
string
The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence
 length 
Σ
0..1
integer
Length of linear sequences of amino acids contained in the subunit
 sequenceAttachment 
Σ
0..1
Attachment
The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence
 nTerminalModificationId 
Σ
0..1
Identifier
Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID
 nTerminalModification 
Σ
0..1
string
The name of the fragment modified at the N-terminal of the SubstanceProtein shall be specified
 cTerminalModificationId 
Σ
0..1
Identifier
Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID
 cTerminalModification 
Σ
0..1
string
The modification at the C-terminal shall be specified

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SubstanceProtein",
      "version" : "4.0.0",
      "name" : "SubstanceProtein",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination of subunits that are either covalently linked or have a defined invariant stoichiometric relationship. This includes all synthetic, recombinant and purified SubstanceProteins of defined sequence, whether the use is therapeutic or prophylactic. This set of elements will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/SubstanceProtein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SubstanceProtein",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SubstanceProtein",
          "path" : "SubstanceProtein",
          "short" : "A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination of subunits that are either covalently linked or have a defined invariant stoichiometric relationship. This includes all synthetic, recombinant and purified SubstanceProteins of defined sequence, whether the use is therapeutic or prophylactic. This set of elements will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/SubstanceProtein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators",
          "definition" : "A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination of subunits that are either covalently linked or have a defined invariant stoichiometric relationship. This includes all synthetic, recombinant and purified SubstanceProteins of defined sequence, whether the use is therapeutic or prophylactic. This set of elements will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/SubstanceProtein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceProtein",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "SubstanceProtein.id",
          "path" : "SubstanceProtein.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.meta",
          "path" : "SubstanceProtein.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.implicitRules",
          "path" : "SubstanceProtein.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.language",
          "path" : "SubstanceProtein.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SubstanceProtein.text",
          "path" : "SubstanceProtein.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SubstanceProtein.contained",
          "path" : "SubstanceProtein.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceProtein.extension",
          "path" : "SubstanceProtein.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceProtein.modifierExtension",
          "path" : "SubstanceProtein.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceProtein.sequenceType",
          "path" : "SubstanceProtein.sequenceType",
          "short" : "The SubstanceProtein descriptive elements will only be used when a complete or partial amino acid sequence is available or derivable from a nucleic acid sequence",
          "definition" : "The SubstanceProtein descriptive elements will only be used when a complete or partial amino acid sequence is available or derivable from a nucleic acid sequence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.sequenceType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.numberOfSubunits",
          "path" : "SubstanceProtein.numberOfSubunits",
          "short" : "Number of linear sequences of amino acids linked through peptide bonds. The number of subunits constituting the SubstanceProtein shall be described. It is possible that the number of subunits can be variable",
          "definition" : "Number of linear sequences of amino acids linked through peptide bonds. The number of subunits constituting the SubstanceProtein shall be described. It is possible that the number of subunits can be variable.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.numberOfSubunits",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.disulfideLinkage",
          "path" : "SubstanceProtein.disulfideLinkage",
          "short" : "The disulphide bond between two cysteine residues either on the same subunit or on two different subunits shall be described. The position of the disulfide bonds in the SubstanceProtein shall be listed in increasing order of subunit number and position within subunit followed by the abbreviation of the amino acids involved. The disulfide linkage positions shall actually contain the amino acid Cysteine at the respective positions",
          "definition" : "The disulphide bond between two cysteine residues either on the same subunit or on two different subunits shall be described. The position of the disulfide bonds in the SubstanceProtein shall be listed in increasing order of subunit number and position within subunit followed by the abbreviation of the amino acids involved. The disulfide linkage positions shall actually contain the amino acid Cysteine at the respective positions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceProtein.disulfideLinkage",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit",
          "path" : "SubstanceProtein.subunit",
          "short" : "This subclause refers to the description of each subunit constituting the SubstanceProtein. A subunit is a linear sequence of amino acids linked through peptide bonds. The Subunit information shall be provided when the finished SubstanceProtein is a complex of multiple sequences; subunits are not used to delineate domains within a single sequence. Subunits are listed in order of decreasing length; sequences of the same length will be ordered by decreasing molecular weight; subunits that have identical sequences will be repeated multiple times",
          "definition" : "This subclause refers to the description of each subunit constituting the SubstanceProtein. A subunit is a linear sequence of amino acids linked through peptide bonds. The Subunit information shall be provided when the finished SubstanceProtein is a complex of multiple sequences; subunits are not used to delineate domains within a single sequence. Subunits are listed in order of decreasing length; sequences of the same length will be ordered by decreasing molecular weight; subunits that have identical sequences will be repeated multiple times.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceProtein.subunit",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.id",
          "path" : "SubstanceProtein.subunit.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceProtein.subunit.extension",
          "path" : "SubstanceProtein.subunit.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceProtein.subunit.modifierExtension",
          "path" : "SubstanceProtein.subunit.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceProtein.subunit.subunit",
          "path" : "SubstanceProtein.subunit.subunit",
          "short" : "Index of primary sequences of amino acids linked through peptide bonds in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts",
          "definition" : "Index of primary sequences of amino acids linked through peptide bonds in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.subunit.subunit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.sequence",
          "path" : "SubstanceProtein.subunit.sequence",
          "short" : "The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence",
          "definition" : "The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.subunit.sequence",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.length",
          "path" : "SubstanceProtein.subunit.length",
          "short" : "Length of linear sequences of amino acids contained in the subunit",
          "definition" : "Length of linear sequences of amino acids contained in the subunit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.subunit.length",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.sequenceAttachment",
          "path" : "SubstanceProtein.subunit.sequenceAttachment",
          "short" : "The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence",
          "definition" : "The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.subunit.sequenceAttachment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.nTerminalModificationId",
          "path" : "SubstanceProtein.subunit.nTerminalModificationId",
          "short" : "Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID",
          "definition" : "Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.subunit.nTerminalModificationId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.nTerminalModification",
          "path" : "SubstanceProtein.subunit.nTerminalModification",
          "short" : "The name of the fragment modified at the N-terminal of the SubstanceProtein shall be specified",
          "definition" : "The name of the fragment modified at the N-terminal of the SubstanceProtein shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.subunit.nTerminalModification",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.cTerminalModificationId",
          "path" : "SubstanceProtein.subunit.cTerminalModificationId",
          "short" : "Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID",
          "definition" : "Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.subunit.cTerminalModificationId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.cTerminalModification",
          "path" : "SubstanceProtein.subunit.cTerminalModification",
          "short" : "The modification at the C-terminal shall be specified",
          "definition" : "The modification at the C-terminal shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceProtein.subunit.cTerminalModification",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SubstanceProtein",
          "path" : "SubstanceProtein",
          "short" : "A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination of subunits that are either covalently linked or have a defined invariant stoichiometric relationship. This includes all synthetic, recombinant and purified SubstanceProteins of defined sequence, whether the use is therapeutic or prophylactic. This set of elements will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/SubstanceProtein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators",
          "definition" : "A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination of subunits that are either covalently linked or have a defined invariant stoichiometric relationship. This includes all synthetic, recombinant and purified SubstanceProteins of defined sequence, whether the use is therapeutic or prophylactic. This set of elements will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/SubstanceProtein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "SubstanceProtein.sequenceType",
          "path" : "SubstanceProtein.sequenceType",
          "short" : "The SubstanceProtein descriptive elements will only be used when a complete or partial amino acid sequence is available or derivable from a nucleic acid sequence",
          "definition" : "The SubstanceProtein descriptive elements will only be used when a complete or partial amino acid sequence is available or derivable from a nucleic acid sequence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.numberOfSubunits",
          "path" : "SubstanceProtein.numberOfSubunits",
          "short" : "Number of linear sequences of amino acids linked through peptide bonds. The number of subunits constituting the SubstanceProtein shall be described. It is possible that the number of subunits can be variable",
          "definition" : "Number of linear sequences of amino acids linked through peptide bonds. The number of subunits constituting the SubstanceProtein shall be described. It is possible that the number of subunits can be variable.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.disulfideLinkage",
          "path" : "SubstanceProtein.disulfideLinkage",
          "short" : "The disulphide bond between two cysteine residues either on the same subunit or on two different subunits shall be described. The position of the disulfide bonds in the SubstanceProtein shall be listed in increasing order of subunit number and position within subunit followed by the abbreviation of the amino acids involved. The disulfide linkage positions shall actually contain the amino acid Cysteine at the respective positions",
          "definition" : "The disulphide bond between two cysteine residues either on the same subunit or on two different subunits shall be described. The position of the disulfide bonds in the SubstanceProtein shall be listed in increasing order of subunit number and position within subunit followed by the abbreviation of the amino acids involved. The disulfide linkage positions shall actually contain the amino acid Cysteine at the respective positions.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit",
          "path" : "SubstanceProtein.subunit",
          "short" : "This subclause refers to the description of each subunit constituting the SubstanceProtein. A subunit is a linear sequence of amino acids linked through peptide bonds. The Subunit information shall be provided when the finished SubstanceProtein is a complex of multiple sequences; subunits are not used to delineate domains within a single sequence. Subunits are listed in order of decreasing length; sequences of the same length will be ordered by decreasing molecular weight; subunits that have identical sequences will be repeated multiple times",
          "definition" : "This subclause refers to the description of each subunit constituting the SubstanceProtein. A subunit is a linear sequence of amino acids linked through peptide bonds. The Subunit information shall be provided when the finished SubstanceProtein is a complex of multiple sequences; subunits are not used to delineate domains within a single sequence. Subunits are listed in order of decreasing length; sequences of the same length will be ordered by decreasing molecular weight; subunits that have identical sequences will be repeated multiple times.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.subunit",
          "path" : "SubstanceProtein.subunit.subunit",
          "short" : "Index of primary sequences of amino acids linked through peptide bonds in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts",
          "definition" : "Index of primary sequences of amino acids linked through peptide bonds in order of decreasing length. Sequences of the same length will be ordered by molecular weight. Subunits that have identical sequences will be repeated and have sequential subscripts.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.sequence",
          "path" : "SubstanceProtein.subunit.sequence",
          "short" : "The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence",
          "definition" : "The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.length",
          "path" : "SubstanceProtein.subunit.length",
          "short" : "Length of linear sequences of amino acids contained in the subunit",
          "definition" : "Length of linear sequences of amino acids contained in the subunit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.sequenceAttachment",
          "path" : "SubstanceProtein.subunit.sequenceAttachment",
          "short" : "The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence",
          "definition" : "The sequence information shall be provided enumerating the amino acids from N- to C-terminal end using standard single-letter amino acid codes. Uppercase shall be used for L-amino acids and lowercase for D-amino acids. Transcribed SubstanceProteins will always be described using the translated sequence; for synthetic peptide containing amino acids that are not represented with a single letter code an X should be used within the sequence. The modified amino acids will be distinguished by their position in the sequence.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.nTerminalModificationId",
          "path" : "SubstanceProtein.subunit.nTerminalModificationId",
          "short" : "Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID",
          "definition" : "Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.nTerminalModification",
          "path" : "SubstanceProtein.subunit.nTerminalModification",
          "short" : "The name of the fragment modified at the N-terminal of the SubstanceProtein shall be specified",
          "definition" : "The name of the fragment modified at the N-terminal of the SubstanceProtein shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.cTerminalModificationId",
          "path" : "SubstanceProtein.subunit.cTerminalModificationId",
          "short" : "Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID",
          "definition" : "Unique identifier for molecular fragment modification based on the ISO 11238 Substance ID.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceProtein.subunit.cTerminalModification",
          "path" : "SubstanceProtein.subunit.cTerminalModification",
          "short" : "The modification at the C-terminal shall be specified",
          "definition" : "The modification at the C-terminal shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SubstanceReferenceInformation",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SubstanceReferenceInformation 
ΣTU
DomainResource
Todo
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 comment 
Σ
0..1
string
Todo
 gene 
Σ
0..*
BackboneElement
Todo
 geneSequenceOrigin 
Σ
0..1
CodeableConcept
Todo
 gene 
Σ
0..1
CodeableConcept
Todo
 source 
Σ
0..*
Reference(DocumentReference)
Todo
 geneElement 
Σ
0..*
BackboneElement
Todo
 type 
Σ
0..1
CodeableConcept
Todo
 element 
Σ
0..1
Identifier
Todo
 source 
Σ
0..*
Reference(DocumentReference)
Todo
 classification 
Σ
0..*
BackboneElement
Todo
 domain 
Σ
0..1
CodeableConcept
Todo
 classification 
Σ
0..1
CodeableConcept
Todo
 subtype 
Σ
0..*
CodeableConcept
Todo
 source 
Σ
0..*
Reference(DocumentReference)
Todo
 target 
Σ
0..*
BackboneElement
Todo
 target 
Σ
0..1
Identifier
Todo
 type 
Σ
0..1
CodeableConcept
Todo
 interaction 
Σ
0..1
CodeableConcept
Todo
 organism 
Σ
0..1
CodeableConcept
Todo
 organismType 
Σ
0..1
CodeableConcept
Todo
 amount[x] 
Σ
0..1
Todo
 amountQuantity
Quantity
 amountRange
Range
 amountString
string
 amountType 
Σ
0..1
CodeableConcept
Todo
 source 
Σ
0..*
Reference(DocumentReference)
Todo

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation",
      "version" : "4.0.0",
      "name" : "SubstanceReferenceInformation",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "Todo.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SubstanceReferenceInformation",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SubstanceReferenceInformation",
          "path" : "SubstanceReferenceInformation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.id",
          "path" : "SubstanceReferenceInformation.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.meta",
          "path" : "SubstanceReferenceInformation.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.implicitRules",
          "path" : "SubstanceReferenceInformation.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.language",
          "path" : "SubstanceReferenceInformation.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SubstanceReferenceInformation.text",
          "path" : "SubstanceReferenceInformation.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.contained",
          "path" : "SubstanceReferenceInformation.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.extension",
          "path" : "SubstanceReferenceInformation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.modifierExtension",
          "path" : "SubstanceReferenceInformation.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.comment",
          "path" : "SubstanceReferenceInformation.comment",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.gene",
          "path" : "SubstanceReferenceInformation.gene",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.gene",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.gene.id",
          "path" : "SubstanceReferenceInformation.gene.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.gene.extension",
          "path" : "SubstanceReferenceInformation.gene.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.gene.modifierExtension",
          "path" : "SubstanceReferenceInformation.gene.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.gene.geneSequenceOrigin",
          "path" : "SubstanceReferenceInformation.gene.geneSequenceOrigin",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.gene.geneSequenceOrigin",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.gene.gene",
          "path" : "SubstanceReferenceInformation.gene.gene",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.gene.gene",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.gene.source",
          "path" : "SubstanceReferenceInformation.gene.source",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.gene.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement",
          "path" : "SubstanceReferenceInformation.geneElement",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.geneElement",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.id",
          "path" : "SubstanceReferenceInformation.geneElement.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.extension",
          "path" : "SubstanceReferenceInformation.geneElement.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.modifierExtension",
          "path" : "SubstanceReferenceInformation.geneElement.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.type",
          "path" : "SubstanceReferenceInformation.geneElement.type",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.geneElement.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.element",
          "path" : "SubstanceReferenceInformation.geneElement.element",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.geneElement.element",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.source",
          "path" : "SubstanceReferenceInformation.geneElement.source",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.geneElement.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification",
          "path" : "SubstanceReferenceInformation.classification",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.classification",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification.id",
          "path" : "SubstanceReferenceInformation.classification.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.classification.extension",
          "path" : "SubstanceReferenceInformation.classification.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.classification.modifierExtension",
          "path" : "SubstanceReferenceInformation.classification.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.classification.domain",
          "path" : "SubstanceReferenceInformation.classification.domain",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.classification.domain",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification.classification",
          "path" : "SubstanceReferenceInformation.classification.classification",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.classification.classification",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification.subtype",
          "path" : "SubstanceReferenceInformation.classification.subtype",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.classification.subtype",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification.source",
          "path" : "SubstanceReferenceInformation.classification.source",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.classification.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target",
          "path" : "SubstanceReferenceInformation.target",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.target",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.id",
          "path" : "SubstanceReferenceInformation.target.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.target.extension",
          "path" : "SubstanceReferenceInformation.target.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.target.modifierExtension",
          "path" : "SubstanceReferenceInformation.target.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceReferenceInformation.target.target",
          "path" : "SubstanceReferenceInformation.target.target",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.target.target",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.type",
          "path" : "SubstanceReferenceInformation.target.type",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.target.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.interaction",
          "path" : "SubstanceReferenceInformation.target.interaction",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.target.interaction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.organism",
          "path" : "SubstanceReferenceInformation.target.organism",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.target.organism",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.organismType",
          "path" : "SubstanceReferenceInformation.target.organismType",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.target.organismType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.amount[x]",
          "path" : "SubstanceReferenceInformation.target.amount[x]",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.target.amount[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.amountType",
          "path" : "SubstanceReferenceInformation.target.amountType",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceReferenceInformation.target.amountType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.source",
          "path" : "SubstanceReferenceInformation.target.source",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceReferenceInformation.target.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SubstanceReferenceInformation",
          "path" : "SubstanceReferenceInformation",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "SubstanceReferenceInformation.comment",
          "path" : "SubstanceReferenceInformation.comment",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.gene",
          "path" : "SubstanceReferenceInformation.gene",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.gene.geneSequenceOrigin",
          "path" : "SubstanceReferenceInformation.gene.geneSequenceOrigin",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.gene.gene",
          "path" : "SubstanceReferenceInformation.gene.gene",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.gene.source",
          "path" : "SubstanceReferenceInformation.gene.source",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement",
          "path" : "SubstanceReferenceInformation.geneElement",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.type",
          "path" : "SubstanceReferenceInformation.geneElement.type",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.element",
          "path" : "SubstanceReferenceInformation.geneElement.element",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.geneElement.source",
          "path" : "SubstanceReferenceInformation.geneElement.source",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification",
          "path" : "SubstanceReferenceInformation.classification",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification.domain",
          "path" : "SubstanceReferenceInformation.classification.domain",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification.classification",
          "path" : "SubstanceReferenceInformation.classification.classification",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification.subtype",
          "path" : "SubstanceReferenceInformation.classification.subtype",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.classification.source",
          "path" : "SubstanceReferenceInformation.classification.source",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target",
          "path" : "SubstanceReferenceInformation.target",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.target",
          "path" : "SubstanceReferenceInformation.target.target",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.type",
          "path" : "SubstanceReferenceInformation.target.type",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.interaction",
          "path" : "SubstanceReferenceInformation.target.interaction",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.organism",
          "path" : "SubstanceReferenceInformation.target.organism",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.organismType",
          "path" : "SubstanceReferenceInformation.target.organismType",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.amount[x]",
          "path" : "SubstanceReferenceInformation.target.amount[x]",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.amountType",
          "path" : "SubstanceReferenceInformation.target.amountType",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceReferenceInformation.target.source",
          "path" : "SubstanceReferenceInformation.target.source",
          "short" : "Todo",
          "definition" : "Todo.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SubstanceSourceMaterial",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SubstanceSourceMaterial 
ΣTU
DomainResource
Source material shall capture information on the taxonomic and anatomical origins as well as the fraction of a material that can result in or can be modified to form a substance. This set of data elements shall be used to define polymer substances isolated from biological matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary as required. This information is captured for naturally derived polymers ( . starch) and structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance level defines the fresh material of a single species or infraspecies, the Herbal Drug and the Herbal preparation. For Herbal preparations, the fraction information will be captured at the Substance information level and additional information for herbal extracts will be captured at the Specified Substance Group 1 information level. See for further explanation the Substance Class: Structurally Diverse and the herbal annex
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 sourceMaterialClass 
Σ
0..1
CodeableConcept
General high level classification of the source material specific to the origin of the material
 sourceMaterialType 
Σ
0..1
CodeableConcept
The type of the source material shall be specified based on a controlled vocabulary. For vaccines, this subclause refers to the class of infectious agent
 sourceMaterialState 
Σ
0..1
CodeableConcept
The state of the source material when extracted
 organismId 
Σ
0..1
Identifier
The unique identifier associated with the source material parent organism shall be specified
 organismName 
Σ
0..1
string
The organism accepted Scientific name shall be provided based on the organism taxonomy
 parentSubstanceId 
Σ
0..*
Identifier
The parent of the herbal drug Ginkgo biloba, Leaf is the substance ID of the substance (fresh) of Ginkgo biloba L. or Ginkgo biloba L. (Whole plant)
 parentSubstanceName 
Σ
0..*
string
The parent substance of the Herbal Drug, or Herbal preparation
 countryOfOrigin 
Σ
0..*
CodeableConcept
The country where the plant material is harvested or the countries where the plasma is sourced from as laid down in accordance with the Plasma Master File. For “Plasma-derived substances” the attribute country of origin provides information about the countries used for the manufacturing of the Cryopoor plama or Crioprecipitate
 geographicalLocation 
Σ
0..*
string
The place/region where the plant is harvested or the places/regions where the animal source material has its habitat
 developmentStage 
Σ
0..1
CodeableConcept
Stage of life for animals, plants, insects and microorganisms. This information shall be provided only when the substance is significantly different in these stages (e.g. foetal bovine serum)
 fractionDescription 
Σ
0..*
BackboneElement
Many complex materials are fractions of parts of plants, animals, or minerals. Fraction elements are often necessary to define both Substances and Specified Group 1 Substances. For substances derived from Plants, fraction information will be captured at the Substance information level ( . Oils, Juices and Exudates). Additional information for Extracts, such as extraction solvent composition, will be captured at the Specified Substance Group 1 information level. For plasma-derived products fraction information will be captured at the Substance and the Specified Substance Group 1 levels
 fraction 
Σ
0..1
string
This element is capturing information about the fraction of a plant part, or human plasma for fractionation
 materialType 
Σ
0..1
CodeableConcept
The specific type of the material constituting the component. For Herbal preparations the particulars of the extracts (liquid/dry) is described in Specified Substance Group 1
 organism 
Σ
0..1
BackboneElement
This subclause describes the organism which the substance is derived from. For vaccines, the parent organism shall be specified based on these subclause elements. As an example, full taxonomy will be described for the Substance Name: ., Leaf
 family 
Σ
0..1
CodeableConcept
The family of an organism shall be specified
 genus 
Σ
0..1
CodeableConcept
The genus of an organism shall be specified; refers to the Latin epithet of the genus element of the plant/animal scientific name; it is present in names for genera, species and infraspecies
 species 
Σ
0..1
CodeableConcept
The species of an organism shall be specified; refers to the Latin epithet of the species of the plant/animal; it is present in names for species and infraspecies
 intraspecificType 
Σ
0..1
CodeableConcept
The Intraspecific type of an organism shall be specified
 intraspecificDescription 
Σ
0..1
string
The intraspecific description of an organism shall be specified based on a controlled vocabulary. For Influenza Vaccine, the intraspecific description shall contain the syntax of the antigen in line with the WHO convention
 author 
Σ
0..*
BackboneElement
4.9.13.6.1 Author type (Conditional)
 authorType 
Σ
0..1
CodeableConcept
The type of author of an organism species shall be specified. The parenthetical author of an organism species refers to the first author who published the plant/animal name (of any rank). The primary author of an organism species refers to the first author(s), who validly published the plant/animal name
 authorDescription 
Σ
0..1
string
The author of an organism species shall be specified. The author year of an organism shall also be specified when applicable; refers to the year in which the first author(s) published the infraspecific plant/animal name (of any rank)
 hybrid 
Σ
0..1
BackboneElement
4.9.13.8.1 Hybrid species maternal organism ID (Optional)
 maternalOrganismId 
Σ
0..1
string
The identifier of the maternal species constituting the hybrid organism shall be specified based on a controlled vocabulary. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal
 maternalOrganismName 
Σ
0..1
string
The name of the maternal species constituting the hybrid organism shall be specified. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal
 paternalOrganismId 
Σ
0..1
string
The identifier of the paternal species constituting the hybrid organism shall be specified based on a controlled vocabulary
 paternalOrganismName 
Σ
0..1
string
The name of the paternal species constituting the hybrid organism shall be specified
 hybridType 
Σ
0..1
CodeableConcept
The hybrid type of an organism shall be specified
 organismGeneral 
Σ
0..1
BackboneElement
4.9.13.7.1 Kingdom (Conditional)
 kingdom 
Σ
0..1
CodeableConcept
The kingdom of an organism shall be specified
 phylum 
Σ
0..1
CodeableConcept
The phylum of an organism shall be specified
 class 
Σ
0..1
CodeableConcept
The class of an organism shall be specified
 order 
Σ
0..1
CodeableConcept
The order of an organism shall be specified,
 partDescription 
Σ
0..*
BackboneElement
To do
 part 
Σ
0..1
CodeableConcept
Entity of anatomical origin of source material within an organism
 partLocation 
Σ
0..1
CodeableConcept
The detailed anatomic location when the part can be extracted from different anatomical locations of the organism. Multiple alternative locations may apply

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial",
      "version" : "4.0.0",
      "name" : "SubstanceSourceMaterial",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "Source material shall capture information on the taxonomic and anatomical origins as well as the fraction of a material that can result in or can be modified to form a substance. This set of data elements shall be used to define polymer substances isolated from biological matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary as required. This information is captured for naturally derived polymers ( . starch) and structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance level defines the fresh material of a single species or infraspecies, the Herbal Drug and the Herbal preparation. For Herbal preparations, the fraction information will be captured at the Substance information level and additional information for herbal extracts will be captured at the Specified Substance Group 1 information level. See for further explanation the Substance Class: Structurally Diverse and the herbal annex.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SubstanceSourceMaterial",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SubstanceSourceMaterial",
          "path" : "SubstanceSourceMaterial",
          "short" : "Source material shall capture information on the taxonomic and anatomical origins as well as the fraction of a material that can result in or can be modified to form a substance. This set of data elements shall be used to define polymer substances isolated from biological matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary as required. This information is captured for naturally derived polymers ( . starch) and structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance level defines the fresh material of a single species or infraspecies, the Herbal Drug and the Herbal preparation. For Herbal preparations, the fraction information will be captured at the Substance information level and additional information for herbal extracts will be captured at the Specified Substance Group 1 information level. See for further explanation the Substance Class: Structurally Diverse and the herbal annex",
          "definition" : "Source material shall capture information on the taxonomic and anatomical origins as well as the fraction of a material that can result in or can be modified to form a substance. This set of data elements shall be used to define polymer substances isolated from biological matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary as required. This information is captured for naturally derived polymers ( . starch) and structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance level defines the fresh material of a single species or infraspecies, the Herbal Drug and the Herbal preparation. For Herbal preparations, the fraction information will be captured at the Substance information level and additional information for herbal extracts will be captured at the Specified Substance Group 1 information level. See for further explanation the Substance Class: Structurally Diverse and the herbal annex.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSourceMaterial",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.id",
          "path" : "SubstanceSourceMaterial.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.meta",
          "path" : "SubstanceSourceMaterial.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.implicitRules",
          "path" : "SubstanceSourceMaterial.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.language",
          "path" : "SubstanceSourceMaterial.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SubstanceSourceMaterial.text",
          "path" : "SubstanceSourceMaterial.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.contained",
          "path" : "SubstanceSourceMaterial.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.extension",
          "path" : "SubstanceSourceMaterial.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.modifierExtension",
          "path" : "SubstanceSourceMaterial.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.sourceMaterialClass",
          "path" : "SubstanceSourceMaterial.sourceMaterialClass",
          "short" : "General high level classification of the source material specific to the origin of the material",
          "definition" : "General high level classification of the source material specific to the origin of the material.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.sourceMaterialClass",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.sourceMaterialType",
          "path" : "SubstanceSourceMaterial.sourceMaterialType",
          "short" : "The type of the source material shall be specified based on a controlled vocabulary. For vaccines, this subclause refers to the class of infectious agent",
          "definition" : "The type of the source material shall be specified based on a controlled vocabulary. For vaccines, this subclause refers to the class of infectious agent.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.sourceMaterialType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.sourceMaterialState",
          "path" : "SubstanceSourceMaterial.sourceMaterialState",
          "short" : "The state of the source material when extracted",
          "definition" : "The state of the source material when extracted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.sourceMaterialState",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organismId",
          "path" : "SubstanceSourceMaterial.organismId",
          "short" : "The unique identifier associated with the source material parent organism shall be specified",
          "definition" : "The unique identifier associated with the source material parent organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organismId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organismName",
          "path" : "SubstanceSourceMaterial.organismName",
          "short" : "The organism accepted Scientific name shall be provided based on the organism taxonomy",
          "definition" : "The organism accepted Scientific name shall be provided based on the organism taxonomy.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organismName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.parentSubstanceId",
          "path" : "SubstanceSourceMaterial.parentSubstanceId",
          "short" : "The parent of the herbal drug Ginkgo biloba, Leaf is the substance ID of the substance (fresh) of Ginkgo biloba L. or Ginkgo biloba L. (Whole plant)",
          "definition" : "The parent of the herbal drug Ginkgo biloba, Leaf is the substance ID of the substance (fresh) of Ginkgo biloba L. or Ginkgo biloba L. (Whole plant).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSourceMaterial.parentSubstanceId",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.parentSubstanceName",
          "path" : "SubstanceSourceMaterial.parentSubstanceName",
          "short" : "The parent substance of the Herbal Drug, or Herbal preparation",
          "definition" : "The parent substance of the Herbal Drug, or Herbal preparation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSourceMaterial.parentSubstanceName",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.countryOfOrigin",
          "path" : "SubstanceSourceMaterial.countryOfOrigin",
          "short" : "The country where the plant material is harvested or the countries where the plasma is sourced from as laid down in accordance with the Plasma Master File. For “Plasma-derived substances” the attribute country of origin provides information about the countries used for the manufacturing of the Cryopoor plama or Crioprecipitate",
          "definition" : "The country where the plant material is harvested or the countries where the plasma is sourced from as laid down in accordance with the Plasma Master File. For “Plasma-derived substances” the attribute country of origin provides information about the countries used for the manufacturing of the Cryopoor plama or Crioprecipitate.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSourceMaterial.countryOfOrigin",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.geographicalLocation",
          "path" : "SubstanceSourceMaterial.geographicalLocation",
          "short" : "The place/region where the plant is harvested or the places/regions where the animal source material has its habitat",
          "definition" : "The place/region where the plant is harvested or the places/regions where the animal source material has its habitat.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSourceMaterial.geographicalLocation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.developmentStage",
          "path" : "SubstanceSourceMaterial.developmentStage",
          "short" : "Stage of life for animals, plants, insects and microorganisms. This information shall be provided only when the substance is significantly different in these stages (e.g. foetal bovine serum)",
          "definition" : "Stage of life for animals, plants, insects and microorganisms. This information shall be provided only when the substance is significantly different in these stages (e.g. foetal bovine serum).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.developmentStage",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription",
          "path" : "SubstanceSourceMaterial.fractionDescription",
          "short" : "Many complex materials are fractions of parts of plants, animals, or minerals. Fraction elements are often necessary to define both Substances and Specified Group 1 Substances. For substances derived from Plants, fraction information will be captured at the Substance information level ( . Oils, Juices and Exudates). Additional information for Extracts, such as extraction solvent composition, will be captured at the Specified Substance Group 1 information level. For plasma-derived products fraction information will be captured at the Substance and the Specified Substance Group 1 levels",
          "definition" : "Many complex materials are fractions of parts of plants, animals, or minerals. Fraction elements are often necessary to define both Substances and Specified Group 1 Substances. For substances derived from Plants, fraction information will be captured at the Substance information level ( . Oils, Juices and Exudates). Additional information for Extracts, such as extraction solvent composition, will be captured at the Specified Substance Group 1 information level. For plasma-derived products fraction information will be captured at the Substance and the Specified Substance Group 1 levels.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSourceMaterial.fractionDescription",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription.id",
          "path" : "SubstanceSourceMaterial.fractionDescription.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription.extension",
          "path" : "SubstanceSourceMaterial.fractionDescription.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription.modifierExtension",
          "path" : "SubstanceSourceMaterial.fractionDescription.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription.fraction",
          "path" : "SubstanceSourceMaterial.fractionDescription.fraction",
          "short" : "This element is capturing information about the fraction of a plant part, or human plasma for fractionation",
          "definition" : "This element is capturing information about the fraction of a plant part, or human plasma for fractionation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.fractionDescription.fraction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription.materialType",
          "path" : "SubstanceSourceMaterial.fractionDescription.materialType",
          "short" : "The specific type of the material constituting the component. For Herbal preparations the particulars of the extracts (liquid/dry) is described in Specified Substance Group 1",
          "definition" : "The specific type of the material constituting the component. For Herbal preparations the particulars of the extracts (liquid/dry) is described in Specified Substance Group 1.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.fractionDescription.materialType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism",
          "path" : "SubstanceSourceMaterial.organism",
          "short" : "This subclause describes the organism which the substance is derived from. For vaccines, the parent organism shall be specified based on these subclause elements. As an example, full taxonomy will be described for the Substance Name: ., Leaf",
          "definition" : "This subclause describes the organism which the substance is derived from. For vaccines, the parent organism shall be specified based on these subclause elements. As an example, full taxonomy will be described for the Substance Name: ., Leaf.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.id",
          "path" : "SubstanceSourceMaterial.organism.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.extension",
          "path" : "SubstanceSourceMaterial.organism.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.modifierExtension",
          "path" : "SubstanceSourceMaterial.organism.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.family",
          "path" : "SubstanceSourceMaterial.organism.family",
          "short" : "The family of an organism shall be specified",
          "definition" : "The family of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.family",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.genus",
          "path" : "SubstanceSourceMaterial.organism.genus",
          "short" : "The genus of an organism shall be specified; refers to the Latin epithet of the genus element of the plant/animal scientific name; it is present in names for genera, species and infraspecies",
          "definition" : "The genus of an organism shall be specified; refers to the Latin epithet of the genus element of the plant/animal scientific name; it is present in names for genera, species and infraspecies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.genus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.species",
          "path" : "SubstanceSourceMaterial.organism.species",
          "short" : "The species of an organism shall be specified; refers to the Latin epithet of the species of the plant/animal; it is present in names for species and infraspecies",
          "definition" : "The species of an organism shall be specified; refers to the Latin epithet of the species of the plant/animal; it is present in names for species and infraspecies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.species",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.intraspecificType",
          "path" : "SubstanceSourceMaterial.organism.intraspecificType",
          "short" : "The Intraspecific type of an organism shall be specified",
          "definition" : "The Intraspecific type of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.intraspecificType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.intraspecificDescription",
          "path" : "SubstanceSourceMaterial.organism.intraspecificDescription",
          "short" : "The intraspecific description of an organism shall be specified based on a controlled vocabulary. For Influenza Vaccine, the intraspecific description shall contain the syntax of the antigen in line with the WHO convention",
          "definition" : "The intraspecific description of an organism shall be specified based on a controlled vocabulary. For Influenza Vaccine, the intraspecific description shall contain the syntax of the antigen in line with the WHO convention.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.intraspecificDescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author",
          "path" : "SubstanceSourceMaterial.organism.author",
          "short" : "4.9.13.6.1 Author type (Conditional)",
          "definition" : "4.9.13.6.1 Author type (Conditional).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.author",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author.id",
          "path" : "SubstanceSourceMaterial.organism.author.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author.extension",
          "path" : "SubstanceSourceMaterial.organism.author.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author.modifierExtension",
          "path" : "SubstanceSourceMaterial.organism.author.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author.authorType",
          "path" : "SubstanceSourceMaterial.organism.author.authorType",
          "short" : "The type of author of an organism species shall be specified. The parenthetical author of an organism species refers to the first author who published the plant/animal name (of any rank). The primary author of an organism species refers to the first author(s), who validly published the plant/animal name",
          "definition" : "The type of author of an organism species shall be specified. The parenthetical author of an organism species refers to the first author who published the plant/animal name (of any rank). The primary author of an organism species refers to the first author(s), who validly published the plant/animal name.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.author.authorType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author.authorDescription",
          "path" : "SubstanceSourceMaterial.organism.author.authorDescription",
          "short" : "The author of an organism species shall be specified. The author year of an organism shall also be specified when applicable; refers to the year in which the first author(s) published the infraspecific plant/animal name (of any rank)",
          "definition" : "The author of an organism species shall be specified. The author year of an organism shall also be specified when applicable; refers to the year in which the first author(s) published the infraspecific plant/animal name (of any rank).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.author.authorDescription",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid",
          "path" : "SubstanceSourceMaterial.organism.hybrid",
          "short" : "4.9.13.8.1 Hybrid species maternal organism ID (Optional)",
          "definition" : "4.9.13.8.1 Hybrid species maternal organism ID (Optional).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.hybrid",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.id",
          "path" : "SubstanceSourceMaterial.organism.hybrid.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.extension",
          "path" : "SubstanceSourceMaterial.organism.hybrid.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.modifierExtension",
          "path" : "SubstanceSourceMaterial.organism.hybrid.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismId",
          "path" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismId",
          "short" : "The identifier of the maternal species constituting the hybrid organism shall be specified based on a controlled vocabulary. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal",
          "definition" : "The identifier of the maternal species constituting the hybrid organism shall be specified based on a controlled vocabulary. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismName",
          "path" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismName",
          "short" : "The name of the maternal species constituting the hybrid organism shall be specified. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal",
          "definition" : "The name of the maternal species constituting the hybrid organism shall be specified. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismId",
          "path" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismId",
          "short" : "The identifier of the paternal species constituting the hybrid organism shall be specified based on a controlled vocabulary",
          "definition" : "The identifier of the paternal species constituting the hybrid organism shall be specified based on a controlled vocabulary.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismName",
          "path" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismName",
          "short" : "The name of the paternal species constituting the hybrid organism shall be specified",
          "definition" : "The name of the paternal species constituting the hybrid organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismName",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.hybridType",
          "path" : "SubstanceSourceMaterial.organism.hybrid.hybridType",
          "short" : "The hybrid type of an organism shall be specified",
          "definition" : "The hybrid type of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.hybrid.hybridType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral",
          "short" : "4.9.13.7.1 Kingdom (Conditional)",
          "definition" : "4.9.13.7.1 Kingdom (Conditional).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.organismGeneral",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.id",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.extension",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.modifierExtension",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.kingdom",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.kingdom",
          "short" : "The kingdom of an organism shall be specified",
          "definition" : "The kingdom of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.organismGeneral.kingdom",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.phylum",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.phylum",
          "short" : "The phylum of an organism shall be specified",
          "definition" : "The phylum of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.organismGeneral.phylum",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.class",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.class",
          "short" : "The class of an organism shall be specified",
          "definition" : "The class of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.organismGeneral.class",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.order",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.order",
          "short" : "The order of an organism shall be specified,",
          "definition" : "The order of an organism shall be specified,.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.organism.organismGeneral.order",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription",
          "path" : "SubstanceSourceMaterial.partDescription",
          "short" : "To do",
          "definition" : "To do.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSourceMaterial.partDescription",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription.id",
          "path" : "SubstanceSourceMaterial.partDescription.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription.extension",
          "path" : "SubstanceSourceMaterial.partDescription.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription.modifierExtension",
          "path" : "SubstanceSourceMaterial.partDescription.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription.part",
          "path" : "SubstanceSourceMaterial.partDescription.part",
          "short" : "Entity of anatomical origin of source material within an organism",
          "definition" : "Entity of anatomical origin of source material within an organism.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.partDescription.part",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription.partLocation",
          "path" : "SubstanceSourceMaterial.partDescription.partLocation",
          "short" : "The detailed anatomic location when the part can be extracted from different anatomical locations of the organism. Multiple alternative locations may apply",
          "definition" : "The detailed anatomic location when the part can be extracted from different anatomical locations of the organism. Multiple alternative locations may apply.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSourceMaterial.partDescription.partLocation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SubstanceSourceMaterial",
          "path" : "SubstanceSourceMaterial",
          "short" : "Source material shall capture information on the taxonomic and anatomical origins as well as the fraction of a material that can result in or can be modified to form a substance. This set of data elements shall be used to define polymer substances isolated from biological matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary as required. This information is captured for naturally derived polymers ( . starch) and structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance level defines the fresh material of a single species or infraspecies, the Herbal Drug and the Herbal preparation. For Herbal preparations, the fraction information will be captured at the Substance information level and additional information for herbal extracts will be captured at the Specified Substance Group 1 information level. See for further explanation the Substance Class: Structurally Diverse and the herbal annex",
          "definition" : "Source material shall capture information on the taxonomic and anatomical origins as well as the fraction of a material that can result in or can be modified to form a substance. This set of data elements shall be used to define polymer substances isolated from biological matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary as required. This information is captured for naturally derived polymers ( . starch) and structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance level defines the fresh material of a single species or infraspecies, the Herbal Drug and the Herbal preparation. For Herbal preparations, the fraction information will be captured at the Substance information level and additional information for herbal extracts will be captured at the Specified Substance Group 1 information level. See for further explanation the Substance Class: Structurally Diverse and the herbal annex.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "SubstanceSourceMaterial.sourceMaterialClass",
          "path" : "SubstanceSourceMaterial.sourceMaterialClass",
          "short" : "General high level classification of the source material specific to the origin of the material",
          "definition" : "General high level classification of the source material specific to the origin of the material.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.sourceMaterialType",
          "path" : "SubstanceSourceMaterial.sourceMaterialType",
          "short" : "The type of the source material shall be specified based on a controlled vocabulary. For vaccines, this subclause refers to the class of infectious agent",
          "definition" : "The type of the source material shall be specified based on a controlled vocabulary. For vaccines, this subclause refers to the class of infectious agent.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.sourceMaterialState",
          "path" : "SubstanceSourceMaterial.sourceMaterialState",
          "short" : "The state of the source material when extracted",
          "definition" : "The state of the source material when extracted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organismId",
          "path" : "SubstanceSourceMaterial.organismId",
          "short" : "The unique identifier associated with the source material parent organism shall be specified",
          "definition" : "The unique identifier associated with the source material parent organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organismName",
          "path" : "SubstanceSourceMaterial.organismName",
          "short" : "The organism accepted Scientific name shall be provided based on the organism taxonomy",
          "definition" : "The organism accepted Scientific name shall be provided based on the organism taxonomy.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.parentSubstanceId",
          "path" : "SubstanceSourceMaterial.parentSubstanceId",
          "short" : "The parent of the herbal drug Ginkgo biloba, Leaf is the substance ID of the substance (fresh) of Ginkgo biloba L. or Ginkgo biloba L. (Whole plant)",
          "definition" : "The parent of the herbal drug Ginkgo biloba, Leaf is the substance ID of the substance (fresh) of Ginkgo biloba L. or Ginkgo biloba L. (Whole plant).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.parentSubstanceName",
          "path" : "SubstanceSourceMaterial.parentSubstanceName",
          "short" : "The parent substance of the Herbal Drug, or Herbal preparation",
          "definition" : "The parent substance of the Herbal Drug, or Herbal preparation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.countryOfOrigin",
          "path" : "SubstanceSourceMaterial.countryOfOrigin",
          "short" : "The country where the plant material is harvested or the countries where the plasma is sourced from as laid down in accordance with the Plasma Master File. For “Plasma-derived substances” the attribute country of origin provides information about the countries used for the manufacturing of the Cryopoor plama or Crioprecipitate",
          "definition" : "The country where the plant material is harvested or the countries where the plasma is sourced from as laid down in accordance with the Plasma Master File. For “Plasma-derived substances” the attribute country of origin provides information about the countries used for the manufacturing of the Cryopoor plama or Crioprecipitate.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.geographicalLocation",
          "path" : "SubstanceSourceMaterial.geographicalLocation",
          "short" : "The place/region where the plant is harvested or the places/regions where the animal source material has its habitat",
          "definition" : "The place/region where the plant is harvested or the places/regions where the animal source material has its habitat.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.developmentStage",
          "path" : "SubstanceSourceMaterial.developmentStage",
          "short" : "Stage of life for animals, plants, insects and microorganisms. This information shall be provided only when the substance is significantly different in these stages (e.g. foetal bovine serum)",
          "definition" : "Stage of life for animals, plants, insects and microorganisms. This information shall be provided only when the substance is significantly different in these stages (e.g. foetal bovine serum).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription",
          "path" : "SubstanceSourceMaterial.fractionDescription",
          "short" : "Many complex materials are fractions of parts of plants, animals, or minerals. Fraction elements are often necessary to define both Substances and Specified Group 1 Substances. For substances derived from Plants, fraction information will be captured at the Substance information level ( . Oils, Juices and Exudates). Additional information for Extracts, such as extraction solvent composition, will be captured at the Specified Substance Group 1 information level. For plasma-derived products fraction information will be captured at the Substance and the Specified Substance Group 1 levels",
          "definition" : "Many complex materials are fractions of parts of plants, animals, or minerals. Fraction elements are often necessary to define both Substances and Specified Group 1 Substances. For substances derived from Plants, fraction information will be captured at the Substance information level ( . Oils, Juices and Exudates). Additional information for Extracts, such as extraction solvent composition, will be captured at the Specified Substance Group 1 information level. For plasma-derived products fraction information will be captured at the Substance and the Specified Substance Group 1 levels.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription.fraction",
          "path" : "SubstanceSourceMaterial.fractionDescription.fraction",
          "short" : "This element is capturing information about the fraction of a plant part, or human plasma for fractionation",
          "definition" : "This element is capturing information about the fraction of a plant part, or human plasma for fractionation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.fractionDescription.materialType",
          "path" : "SubstanceSourceMaterial.fractionDescription.materialType",
          "short" : "The specific type of the material constituting the component. For Herbal preparations the particulars of the extracts (liquid/dry) is described in Specified Substance Group 1",
          "definition" : "The specific type of the material constituting the component. For Herbal preparations the particulars of the extracts (liquid/dry) is described in Specified Substance Group 1.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism",
          "path" : "SubstanceSourceMaterial.organism",
          "short" : "This subclause describes the organism which the substance is derived from. For vaccines, the parent organism shall be specified based on these subclause elements. As an example, full taxonomy will be described for the Substance Name: ., Leaf",
          "definition" : "This subclause describes the organism which the substance is derived from. For vaccines, the parent organism shall be specified based on these subclause elements. As an example, full taxonomy will be described for the Substance Name: ., Leaf.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.family",
          "path" : "SubstanceSourceMaterial.organism.family",
          "short" : "The family of an organism shall be specified",
          "definition" : "The family of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.genus",
          "path" : "SubstanceSourceMaterial.organism.genus",
          "short" : "The genus of an organism shall be specified; refers to the Latin epithet of the genus element of the plant/animal scientific name; it is present in names for genera, species and infraspecies",
          "definition" : "The genus of an organism shall be specified; refers to the Latin epithet of the genus element of the plant/animal scientific name; it is present in names for genera, species and infraspecies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.species",
          "path" : "SubstanceSourceMaterial.organism.species",
          "short" : "The species of an organism shall be specified; refers to the Latin epithet of the species of the plant/animal; it is present in names for species and infraspecies",
          "definition" : "The species of an organism shall be specified; refers to the Latin epithet of the species of the plant/animal; it is present in names for species and infraspecies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.intraspecificType",
          "path" : "SubstanceSourceMaterial.organism.intraspecificType",
          "short" : "The Intraspecific type of an organism shall be specified",
          "definition" : "The Intraspecific type of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.intraspecificDescription",
          "path" : "SubstanceSourceMaterial.organism.intraspecificDescription",
          "short" : "The intraspecific description of an organism shall be specified based on a controlled vocabulary. For Influenza Vaccine, the intraspecific description shall contain the syntax of the antigen in line with the WHO convention",
          "definition" : "The intraspecific description of an organism shall be specified based on a controlled vocabulary. For Influenza Vaccine, the intraspecific description shall contain the syntax of the antigen in line with the WHO convention.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author",
          "path" : "SubstanceSourceMaterial.organism.author",
          "short" : "4.9.13.6.1 Author type (Conditional)",
          "definition" : "4.9.13.6.1 Author type (Conditional).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author.authorType",
          "path" : "SubstanceSourceMaterial.organism.author.authorType",
          "short" : "The type of author of an organism species shall be specified. The parenthetical author of an organism species refers to the first author who published the plant/animal name (of any rank). The primary author of an organism species refers to the first author(s), who validly published the plant/animal name",
          "definition" : "The type of author of an organism species shall be specified. The parenthetical author of an organism species refers to the first author who published the plant/animal name (of any rank). The primary author of an organism species refers to the first author(s), who validly published the plant/animal name.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.author.authorDescription",
          "path" : "SubstanceSourceMaterial.organism.author.authorDescription",
          "short" : "The author of an organism species shall be specified. The author year of an organism shall also be specified when applicable; refers to the year in which the first author(s) published the infraspecific plant/animal name (of any rank)",
          "definition" : "The author of an organism species shall be specified. The author year of an organism shall also be specified when applicable; refers to the year in which the first author(s) published the infraspecific plant/animal name (of any rank).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid",
          "path" : "SubstanceSourceMaterial.organism.hybrid",
          "short" : "4.9.13.8.1 Hybrid species maternal organism ID (Optional)",
          "definition" : "4.9.13.8.1 Hybrid species maternal organism ID (Optional).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismId",
          "path" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismId",
          "short" : "The identifier of the maternal species constituting the hybrid organism shall be specified based on a controlled vocabulary. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal",
          "definition" : "The identifier of the maternal species constituting the hybrid organism shall be specified based on a controlled vocabulary. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismName",
          "path" : "SubstanceSourceMaterial.organism.hybrid.maternalOrganismName",
          "short" : "The name of the maternal species constituting the hybrid organism shall be specified. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal",
          "definition" : "The name of the maternal species constituting the hybrid organism shall be specified. For plants, the parents aren’t always known, and it is unlikely that it will be known which is maternal and which is paternal.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismId",
          "path" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismId",
          "short" : "The identifier of the paternal species constituting the hybrid organism shall be specified based on a controlled vocabulary",
          "definition" : "The identifier of the paternal species constituting the hybrid organism shall be specified based on a controlled vocabulary.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismName",
          "path" : "SubstanceSourceMaterial.organism.hybrid.paternalOrganismName",
          "short" : "The name of the paternal species constituting the hybrid organism shall be specified",
          "definition" : "The name of the paternal species constituting the hybrid organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.hybrid.hybridType",
          "path" : "SubstanceSourceMaterial.organism.hybrid.hybridType",
          "short" : "The hybrid type of an organism shall be specified",
          "definition" : "The hybrid type of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral",
          "short" : "4.9.13.7.1 Kingdom (Conditional)",
          "definition" : "4.9.13.7.1 Kingdom (Conditional).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.kingdom",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.kingdom",
          "short" : "The kingdom of an organism shall be specified",
          "definition" : "The kingdom of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.phylum",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.phylum",
          "short" : "The phylum of an organism shall be specified",
          "definition" : "The phylum of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.class",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.class",
          "short" : "The class of an organism shall be specified",
          "definition" : "The class of an organism shall be specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.organism.organismGeneral.order",
          "path" : "SubstanceSourceMaterial.organism.organismGeneral.order",
          "short" : "The order of an organism shall be specified,",
          "definition" : "The order of an organism shall be specified,.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription",
          "path" : "SubstanceSourceMaterial.partDescription",
          "short" : "To do",
          "definition" : "To do.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription.part",
          "path" : "SubstanceSourceMaterial.partDescription.part",
          "short" : "Entity of anatomical origin of source material within an organism",
          "definition" : "Entity of anatomical origin of source material within an organism.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSourceMaterial.partDescription.partLocation",
          "path" : "SubstanceSourceMaterial.partDescription.partLocation",
          "short" : "The detailed anatomic location when the part can be extracted from different anatomical locations of the organism. Multiple alternative locations may apply",
          "definition" : "The detailed anatomic location when the part can be extracted from different anatomical locations of the organism. Multiple alternative locations may apply.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SubstanceSpecification",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SubstanceSpecification 
ΣTU
DomainResource
The detailed description of a substance, typically at a level beyond what is used for prescribing
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..1
Identifier
Identifier by which this substance is known
 type 
Σ
0..1
CodeableConcept
High level categorization, e.g. polymer or nucleic acid
 status 
Σ
0..1
CodeableConcept
Status of substance within the catalogue e.g. approved
 domain 
Σ
0..1
CodeableConcept
If the substance applies to only human or veterinary use
 description 
Σ
0..1
string
Textual description of the substance
 source 
Σ
0..*
Reference(DocumentReference)
Supporting literature
 comment 
Σ
0..1
string
Textual comment about this record of a substance
 moiety 
Σ
0..*
BackboneElement
Moiety, for structural modifications
 role 
Σ
0..1
CodeableConcept
Role that the moiety is playing
 identifier 
Σ
0..1
Identifier
Identifier by which this moiety substance is known
 name 
Σ
0..1
string
Textual name for this moiety substance
 stereochemistry 
Σ
0..1
CodeableConcept
Stereochemistry type
 opticalActivity 
Σ
0..1
CodeableConcept
Optical activity type
 molecularFormula 
Σ
0..1
string
Molecular formula
 amount[x] 
Σ
0..1
Quantitative value for this moiety
 amountQuantity
Quantity
 amountString
string
 property 
Σ
0..*
BackboneElement
General specifications for this substance, including how it is related to other substances
 category 
Σ
0..1
CodeableConcept
A category for this property, e.g. Physical, Chemical, Enzymatic
 code 
Σ
0..1
CodeableConcept
Property type e.g. viscosity, pH, isoelectric point
 parameters 
Σ
0..1
string
Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1)
 definingSubstance[x] 
Σ
0..1
A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol)
 definingSubstanceReference
Reference(SubstanceSpecification | Substance)
 definingSubstanceCodeableConcept
CodeableConcept
 amount[x] 
Σ
0..1
Quantitative value for this property
 amountQuantity
Quantity
 amountString
string
 referenceInformation 
Σ
0..1
Reference(SubstanceReferenceInformation)
General information detailing this substance
 structure 
Σ
0..1
BackboneElement
Structural information
 stereochemistry 
Σ
0..1
CodeableConcept
Stereochemistry type
 opticalActivity 
Σ
0..1
CodeableConcept
Optical activity type
 molecularFormula 
Σ
0..1
string
Molecular formula
 molecularFormulaByMoiety 
Σ
0..1
string
Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot
 isotope 
Σ
0..*
BackboneElement
Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio
 identifier 
Σ
0..1
Identifier
Substance identifier for each non-natural or radioisotope
 name 
Σ
0..1
CodeableConcept
Substance name for each non-natural or radioisotope
 substitution 
Σ
0..1
CodeableConcept
The type of isotopic substitution present in a single substance
 halfLife 
Σ
0..1
Quantity
Half life - for a non-natural nuclide
 molecularWeight 
Σ
0..1
BackboneElement
The molecular weight or weight range (for proteins, polymers or nucleic acids)
 method 
Σ
0..1
CodeableConcept
The method by which the molecular weight was determined
 type 
Σ
0..1
CodeableConcept
Type of molecular weight such as exact, average (also known as. number average), weight average
 amount 
Σ
0..1
Quantity
Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field
 molecularWeight 
Σ
0..1
see molecularWeight
The molecular weight or weight range (for proteins, polymers or nucleic acids)
 source 
Σ
0..*
Reference(DocumentReference)
Supporting literature
 representation 
Σ
0..*
BackboneElement
Molecular structural representation
 type 
Σ
0..1
CodeableConcept
The type of structure (e.g. Full, Partial, Representative)
 representation 
Σ
0..1
string
The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX
 attachment 
Σ
0..1
Attachment
An attached file with the structural representation
 code 
Σ
0..*
BackboneElement
Codes associated with the substance
 code 
Σ
0..1
CodeableConcept
The specific code
 status 
Σ
0..1
CodeableConcept
Status of the code assignment
 statusDate 
Σ
0..1
dateTime
The date at which the code status is changed as part of the terminology maintenance
 comment 
Σ
0..1
string
Any comment can be provided in this field, if necessary
 source 
Σ
0..*
Reference(DocumentReference)
Supporting literature
 name 
Σ
0..*
BackboneElement
Names applicable to this substance
 name 
Σ
1..1
string
The actual name
 type 
Σ
0..1
CodeableConcept
Name type
 status 
Σ
0..1
CodeableConcept
The status of the name
 preferred 
Σ
0..1
boolean
If this is the preferred name for this substance
 language 
Σ
0..*
CodeableConcept
Language of the name
 domain 
Σ
0..*
CodeableConcept
The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive
 jurisdiction 
Σ
0..*
CodeableConcept
The jurisdiction where this name applies
 synonym 
Σ
0..*
see name
A synonym of this name
 translation 
Σ
0..*
see name
A translation for this name
 official 
Σ
0..*
BackboneElement
Details of the official nature of this name
 authority 
Σ
0..1
CodeableConcept
Which authority uses this official name
 status 
Σ
0..1
CodeableConcept
The status of the official name
 date 
Σ
0..1
dateTime
Date of official name change
 source 
Σ
0..*
Reference(DocumentReference)
Supporting literature
 molecularWeight 
Σ
0..*
see molecularWeight
The molecular weight or weight range (for proteins, polymers or nucleic acids)
 relationship 
Σ
0..*
BackboneElement
A link between this substance and another, with details of the relationship
 substance[x] 
Σ
0..1
A pointer to another substance, as a resource or just a representational code
 substanceReference
Reference(SubstanceSpecification)
 substanceCodeableConcept
CodeableConcept
 relationship 
Σ
0..1
CodeableConcept
For example "salt to parent", "active moiety", "starting material"
 isDefining 
Σ
0..1
boolean
For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships
 amount[x] 
Σ
0..1
A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other
 amountQuantity
Quantity
 amountRange
Range
 amountRatio
Ratio
 amountString
string
 amountRatioLowLimit 
Σ
0..1
Ratio
For use when the numeric
 amountType 
Σ
0..1
CodeableConcept
An operator for the amount, for example "average", "approximately", "less than"
 source 
Σ
0..*
Reference(DocumentReference)
Supporting literature
 nucleicAcid 
Σ
0..1
Reference(SubstanceNucleicAcid)
Data items specific to nucleic acids
 polymer 
Σ
0..1
Reference(SubstancePolymer)
Data items specific to polymers
 protein 
Σ
0..1
Reference(SubstanceProtein)
Data items specific to proteins
 sourceMaterial 
Σ
0..1
Reference(SubstanceSourceMaterial)
Material or taxonomic/anatomical source for the substance

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Medication Definition"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "brr"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SubstanceSpecification",
      "version" : "4.0.0",
      "name" : "SubstanceSpecification",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Biomedical Research and Regulation)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/rcrim/index.cfm"
        }]
      }],
      "description" : "The detailed description of a substance, typically at a level beyond what is used for prescribing.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SubstanceSpecification",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SubstanceSpecification",
          "path" : "SubstanceSpecification",
          "short" : "The detailed description of a substance, typically at a level beyond what is used for prescribing",
          "definition" : "The detailed description of a substance, typically at a level beyond what is used for prescribing.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "SubstanceSpecification.id",
          "path" : "SubstanceSpecification.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.meta",
          "path" : "SubstanceSpecification.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.implicitRules",
          "path" : "SubstanceSpecification.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.language",
          "path" : "SubstanceSpecification.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SubstanceSpecification.text",
          "path" : "SubstanceSpecification.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SubstanceSpecification.contained",
          "path" : "SubstanceSpecification.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.extension",
          "path" : "SubstanceSpecification.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.modifierExtension",
          "path" : "SubstanceSpecification.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.identifier",
          "path" : "SubstanceSpecification.identifier",
          "short" : "Identifier by which this substance is known",
          "definition" : "Identifier by which this substance is known.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.type",
          "path" : "SubstanceSpecification.type",
          "short" : "High level categorization, e.g. polymer or nucleic acid",
          "definition" : "High level categorization, e.g. polymer or nucleic acid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.status",
          "path" : "SubstanceSpecification.status",
          "short" : "Status of substance within the catalogue e.g. approved",
          "definition" : "Status of substance within the catalogue e.g. approved.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.domain",
          "path" : "SubstanceSpecification.domain",
          "short" : "If the substance applies to only human or veterinary use",
          "definition" : "If the substance applies to only human or veterinary use.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.domain",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.description",
          "path" : "SubstanceSpecification.description",
          "short" : "Textual description of the substance",
          "definition" : "Textual description of the substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.source",
          "path" : "SubstanceSpecification.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.comment",
          "path" : "SubstanceSpecification.comment",
          "short" : "Textual comment about this record of a substance",
          "definition" : "Textual comment about this record of a substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety",
          "path" : "SubstanceSpecification.moiety",
          "short" : "Moiety, for structural modifications",
          "definition" : "Moiety, for structural modifications.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.moiety",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.id",
          "path" : "SubstanceSpecification.moiety.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.moiety.extension",
          "path" : "SubstanceSpecification.moiety.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.moiety.modifierExtension",
          "path" : "SubstanceSpecification.moiety.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.moiety.role",
          "path" : "SubstanceSpecification.moiety.role",
          "short" : "Role that the moiety is playing",
          "definition" : "Role that the moiety is playing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.moiety.role",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.identifier",
          "path" : "SubstanceSpecification.moiety.identifier",
          "short" : "Identifier by which this moiety substance is known",
          "definition" : "Identifier by which this moiety substance is known.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.moiety.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.name",
          "path" : "SubstanceSpecification.moiety.name",
          "short" : "Textual name for this moiety substance",
          "definition" : "Textual name for this moiety substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.moiety.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.stereochemistry",
          "path" : "SubstanceSpecification.moiety.stereochemistry",
          "short" : "Stereochemistry type",
          "definition" : "Stereochemistry type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.moiety.stereochemistry",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.opticalActivity",
          "path" : "SubstanceSpecification.moiety.opticalActivity",
          "short" : "Optical activity type",
          "definition" : "Optical activity type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.moiety.opticalActivity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.molecularFormula",
          "path" : "SubstanceSpecification.moiety.molecularFormula",
          "short" : "Molecular formula",
          "definition" : "Molecular formula.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.moiety.molecularFormula",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.amount[x]",
          "path" : "SubstanceSpecification.moiety.amount[x]",
          "short" : "Quantitative value for this moiety",
          "definition" : "Quantitative value for this moiety.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.moiety.amount[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property",
          "path" : "SubstanceSpecification.property",
          "short" : "General specifications for this substance, including how it is related to other substances",
          "definition" : "General specifications for this substance, including how it is related to other substances.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.property",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.id",
          "path" : "SubstanceSpecification.property.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.property.extension",
          "path" : "SubstanceSpecification.property.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.property.modifierExtension",
          "path" : "SubstanceSpecification.property.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.property.category",
          "path" : "SubstanceSpecification.property.category",
          "short" : "A category for this property, e.g. Physical, Chemical, Enzymatic",
          "definition" : "A category for this property, e.g. Physical, Chemical, Enzymatic.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.property.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.code",
          "path" : "SubstanceSpecification.property.code",
          "short" : "Property type e.g. viscosity, pH, isoelectric point",
          "definition" : "Property type e.g. viscosity, pH, isoelectric point.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.property.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.parameters",
          "path" : "SubstanceSpecification.property.parameters",
          "short" : "Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1)",
          "definition" : "Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.property.parameters",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.definingSubstance[x]",
          "path" : "SubstanceSpecification.property.definingSubstance[x]",
          "short" : "A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol)",
          "definition" : "A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.property.definingSubstance[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceSpecification",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.amount[x]",
          "path" : "SubstanceSpecification.property.amount[x]",
          "short" : "Quantitative value for this property",
          "definition" : "Quantitative value for this property.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.property.amount[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.referenceInformation",
          "path" : "SubstanceSpecification.referenceInformation",
          "short" : "General information detailing this substance",
          "definition" : "General information detailing this substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.referenceInformation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure",
          "path" : "SubstanceSpecification.structure",
          "short" : "Structural information",
          "definition" : "Structural information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.id",
          "path" : "SubstanceSpecification.structure.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.extension",
          "path" : "SubstanceSpecification.structure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.modifierExtension",
          "path" : "SubstanceSpecification.structure.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.stereochemistry",
          "path" : "SubstanceSpecification.structure.stereochemistry",
          "short" : "Stereochemistry type",
          "definition" : "Stereochemistry type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.stereochemistry",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.opticalActivity",
          "path" : "SubstanceSpecification.structure.opticalActivity",
          "short" : "Optical activity type",
          "definition" : "Optical activity type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.opticalActivity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.molecularFormula",
          "path" : "SubstanceSpecification.structure.molecularFormula",
          "short" : "Molecular formula",
          "definition" : "Molecular formula.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.molecularFormula",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.molecularFormulaByMoiety",
          "path" : "SubstanceSpecification.structure.molecularFormulaByMoiety",
          "short" : "Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot",
          "definition" : "Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.molecularFormulaByMoiety",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope",
          "path" : "SubstanceSpecification.structure.isotope",
          "short" : "Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio",
          "definition" : "Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.id",
          "path" : "SubstanceSpecification.structure.isotope.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.extension",
          "path" : "SubstanceSpecification.structure.isotope.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.modifierExtension",
          "path" : "SubstanceSpecification.structure.isotope.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.identifier",
          "path" : "SubstanceSpecification.structure.isotope.identifier",
          "short" : "Substance identifier for each non-natural or radioisotope",
          "definition" : "Substance identifier for each non-natural or radioisotope.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.name",
          "path" : "SubstanceSpecification.structure.isotope.name",
          "short" : "Substance name for each non-natural or radioisotope",
          "definition" : "Substance name for each non-natural or radioisotope.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.substitution",
          "path" : "SubstanceSpecification.structure.isotope.substitution",
          "short" : "The type of isotopic substitution present in a single substance",
          "definition" : "The type of isotopic substitution present in a single substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope.substitution",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.halfLife",
          "path" : "SubstanceSpecification.structure.isotope.halfLife",
          "short" : "Half life - for a non-natural nuclide",
          "definition" : "Half life - for a non-natural nuclide.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope.halfLife",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight",
          "short" : "The molecular weight or weight range (for proteins, polymers or nucleic acids)",
          "definition" : "The molecular weight or weight range (for proteins, polymers or nucleic acids).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope.molecularWeight",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.id",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.extension",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.modifierExtension",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.method",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.method",
          "short" : "The method by which the molecular weight was determined",
          "definition" : "The method by which the molecular weight was determined.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope.molecularWeight.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.type",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.type",
          "short" : "Type of molecular weight such as exact, average (also known as. number average), weight average",
          "definition" : "Type of molecular weight such as exact, average (also known as. number average), weight average.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope.molecularWeight.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.amount",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.amount",
          "short" : "Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field",
          "definition" : "Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.isotope.molecularWeight.amount",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.molecularWeight",
          "path" : "SubstanceSpecification.structure.molecularWeight",
          "short" : "The molecular weight or weight range (for proteins, polymers or nucleic acids)",
          "definition" : "The molecular weight or weight range (for proteins, polymers or nucleic acids).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.molecularWeight",
            "min" : 0,
            "max" : "1"
          },
          "contentReference" : "#SubstanceSpecification.structure.isotope.molecularWeight",
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.source",
          "path" : "SubstanceSpecification.structure.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.structure.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.representation",
          "path" : "SubstanceSpecification.structure.representation",
          "short" : "Molecular structural representation",
          "definition" : "Molecular structural representation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.structure.representation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.representation.id",
          "path" : "SubstanceSpecification.structure.representation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.representation.extension",
          "path" : "SubstanceSpecification.structure.representation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.representation.modifierExtension",
          "path" : "SubstanceSpecification.structure.representation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.structure.representation.type",
          "path" : "SubstanceSpecification.structure.representation.type",
          "short" : "The type of structure (e.g. Full, Partial, Representative)",
          "definition" : "The type of structure (e.g. Full, Partial, Representative).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.representation.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.representation.representation",
          "path" : "SubstanceSpecification.structure.representation.representation",
          "short" : "The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX",
          "definition" : "The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.representation.representation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.representation.attachment",
          "path" : "SubstanceSpecification.structure.representation.attachment",
          "short" : "An attached file with the structural representation",
          "definition" : "An attached file with the structural representation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.structure.representation.attachment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Attachment"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code",
          "path" : "SubstanceSpecification.code",
          "short" : "Codes associated with the substance",
          "definition" : "Codes associated with the substance.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.code",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.id",
          "path" : "SubstanceSpecification.code.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.code.extension",
          "path" : "SubstanceSpecification.code.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.code.modifierExtension",
          "path" : "SubstanceSpecification.code.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.code.code",
          "path" : "SubstanceSpecification.code.code",
          "short" : "The specific code",
          "definition" : "The specific code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.code.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.status",
          "path" : "SubstanceSpecification.code.status",
          "short" : "Status of the code assignment",
          "definition" : "Status of the code assignment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.code.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.statusDate",
          "path" : "SubstanceSpecification.code.statusDate",
          "short" : "The date at which the code status is changed as part of the terminology maintenance",
          "definition" : "The date at which the code status is changed as part of the terminology maintenance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.code.statusDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.comment",
          "path" : "SubstanceSpecification.code.comment",
          "short" : "Any comment can be provided in this field, if necessary",
          "definition" : "Any comment can be provided in this field, if necessary.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.code.comment",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.source",
          "path" : "SubstanceSpecification.code.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.code.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name",
          "path" : "SubstanceSpecification.name",
          "short" : "Names applicable to this substance",
          "definition" : "Names applicable to this substance.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.name",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.id",
          "path" : "SubstanceSpecification.name.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.name.extension",
          "path" : "SubstanceSpecification.name.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.name.modifierExtension",
          "path" : "SubstanceSpecification.name.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.name.name",
          "path" : "SubstanceSpecification.name.name",
          "short" : "The actual name",
          "definition" : "The actual name.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.name.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.type",
          "path" : "SubstanceSpecification.name.type",
          "short" : "Name type",
          "definition" : "Name type.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.name.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.status",
          "path" : "SubstanceSpecification.name.status",
          "short" : "The status of the name",
          "definition" : "The status of the name.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.name.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.preferred",
          "path" : "SubstanceSpecification.name.preferred",
          "short" : "If this is the preferred name for this substance",
          "definition" : "If this is the preferred name for this substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.name.preferred",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.language",
          "path" : "SubstanceSpecification.name.language",
          "short" : "Language of the name",
          "definition" : "Language of the name.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.name.language",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.domain",
          "path" : "SubstanceSpecification.name.domain",
          "short" : "The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive",
          "definition" : "The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.name.domain",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.jurisdiction",
          "path" : "SubstanceSpecification.name.jurisdiction",
          "short" : "The jurisdiction where this name applies",
          "definition" : "The jurisdiction where this name applies.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.name.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.synonym",
          "path" : "SubstanceSpecification.name.synonym",
          "short" : "A synonym of this name",
          "definition" : "A synonym of this name.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.name.synonym",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#SubstanceSpecification.name",
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.translation",
          "path" : "SubstanceSpecification.name.translation",
          "short" : "A translation for this name",
          "definition" : "A translation for this name.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.name.translation",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#SubstanceSpecification.name",
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.official",
          "path" : "SubstanceSpecification.name.official",
          "short" : "Details of the official nature of this name",
          "definition" : "Details of the official nature of this name.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.name.official",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.official.id",
          "path" : "SubstanceSpecification.name.official.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.name.official.extension",
          "path" : "SubstanceSpecification.name.official.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.name.official.modifierExtension",
          "path" : "SubstanceSpecification.name.official.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.name.official.authority",
          "path" : "SubstanceSpecification.name.official.authority",
          "short" : "Which authority uses this official name",
          "definition" : "Which authority uses this official name.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.name.official.authority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.official.status",
          "path" : "SubstanceSpecification.name.official.status",
          "short" : "The status of the official name",
          "definition" : "The status of the official name.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.name.official.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.official.date",
          "path" : "SubstanceSpecification.name.official.date",
          "short" : "Date of official name change",
          "definition" : "Date of official name change.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.name.official.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.source",
          "path" : "SubstanceSpecification.name.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.name.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.molecularWeight",
          "path" : "SubstanceSpecification.molecularWeight",
          "short" : "The molecular weight or weight range (for proteins, polymers or nucleic acids)",
          "definition" : "The molecular weight or weight range (for proteins, polymers or nucleic acids).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.molecularWeight",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#SubstanceSpecification.structure.isotope.molecularWeight",
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship",
          "path" : "SubstanceSpecification.relationship",
          "short" : "A link between this substance and another, with details of the relationship",
          "definition" : "A link between this substance and another, with details of the relationship.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.relationship",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.id",
          "path" : "SubstanceSpecification.relationship.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.relationship.extension",
          "path" : "SubstanceSpecification.relationship.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SubstanceSpecification.relationship.modifierExtension",
          "path" : "SubstanceSpecification.relationship.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SubstanceSpecification.relationship.substance[x]",
          "path" : "SubstanceSpecification.relationship.substance[x]",
          "short" : "A pointer to another substance, as a resource or just a representational code",
          "definition" : "A pointer to another substance, as a resource or just a representational code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.relationship.substance[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.relationship",
          "path" : "SubstanceSpecification.relationship.relationship",
          "short" : "For example \"salt to parent\", \"active moiety\", \"starting material\"",
          "definition" : "For example \"salt to parent\", \"active moiety\", \"starting material\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.relationship.relationship",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.isDefining",
          "path" : "SubstanceSpecification.relationship.isDefining",
          "short" : "For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships",
          "definition" : "For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.relationship.isDefining",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.amount[x]",
          "path" : "SubstanceSpecification.relationship.amount[x]",
          "short" : "A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other",
          "definition" : "A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.relationship.amount[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.amountRatioLowLimit",
          "path" : "SubstanceSpecification.relationship.amountRatioLowLimit",
          "short" : "For use when the numeric",
          "definition" : "For use when the numeric.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.relationship.amountRatioLowLimit",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Ratio"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.amountType",
          "path" : "SubstanceSpecification.relationship.amountType",
          "short" : "An operator for the amount, for example \"average\", \"approximately\", \"less than\"",
          "definition" : "An operator for the amount, for example \"average\", \"approximately\", \"less than\".",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.relationship.amountType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.source",
          "path" : "SubstanceSpecification.relationship.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SubstanceSpecification.relationship.source",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.nucleicAcid",
          "path" : "SubstanceSpecification.nucleicAcid",
          "short" : "Data items specific to nucleic acids",
          "definition" : "Data items specific to nucleic acids.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.nucleicAcid",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.polymer",
          "path" : "SubstanceSpecification.polymer",
          "short" : "Data items specific to polymers",
          "definition" : "Data items specific to polymers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.polymer",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstancePolymer"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.protein",
          "path" : "SubstanceSpecification.protein",
          "short" : "Data items specific to proteins",
          "definition" : "Data items specific to proteins.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.protein",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceProtein"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.sourceMaterial",
          "path" : "SubstanceSpecification.sourceMaterial",
          "short" : "Material or taxonomic/anatomical source for the substance",
          "definition" : "Material or taxonomic/anatomical source for the substance.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SubstanceSpecification.sourceMaterial",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial"]
          }],
          "isModifier" : false,
          "isSummary" : true
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SubstanceSpecification",
          "path" : "SubstanceSpecification",
          "short" : "The detailed description of a substance, typically at a level beyond what is used for prescribing",
          "definition" : "The detailed description of a substance, typically at a level beyond what is used for prescribing.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "SubstanceSpecification.identifier",
          "path" : "SubstanceSpecification.identifier",
          "short" : "Identifier by which this substance is known",
          "definition" : "Identifier by which this substance is known.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.type",
          "path" : "SubstanceSpecification.type",
          "short" : "High level categorization, e.g. polymer or nucleic acid",
          "definition" : "High level categorization, e.g. polymer or nucleic acid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.status",
          "path" : "SubstanceSpecification.status",
          "short" : "Status of substance within the catalogue e.g. approved",
          "definition" : "Status of substance within the catalogue e.g. approved.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.domain",
          "path" : "SubstanceSpecification.domain",
          "short" : "If the substance applies to only human or veterinary use",
          "definition" : "If the substance applies to only human or veterinary use.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.description",
          "path" : "SubstanceSpecification.description",
          "short" : "Textual description of the substance",
          "definition" : "Textual description of the substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.source",
          "path" : "SubstanceSpecification.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.comment",
          "path" : "SubstanceSpecification.comment",
          "short" : "Textual comment about this record of a substance",
          "definition" : "Textual comment about this record of a substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety",
          "path" : "SubstanceSpecification.moiety",
          "short" : "Moiety, for structural modifications",
          "definition" : "Moiety, for structural modifications.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.role",
          "path" : "SubstanceSpecification.moiety.role",
          "short" : "Role that the moiety is playing",
          "definition" : "Role that the moiety is playing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.identifier",
          "path" : "SubstanceSpecification.moiety.identifier",
          "short" : "Identifier by which this moiety substance is known",
          "definition" : "Identifier by which this moiety substance is known.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.name",
          "path" : "SubstanceSpecification.moiety.name",
          "short" : "Textual name for this moiety substance",
          "definition" : "Textual name for this moiety substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.stereochemistry",
          "path" : "SubstanceSpecification.moiety.stereochemistry",
          "short" : "Stereochemistry type",
          "definition" : "Stereochemistry type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.opticalActivity",
          "path" : "SubstanceSpecification.moiety.opticalActivity",
          "short" : "Optical activity type",
          "definition" : "Optical activity type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.molecularFormula",
          "path" : "SubstanceSpecification.moiety.molecularFormula",
          "short" : "Molecular formula",
          "definition" : "Molecular formula.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.moiety.amount[x]",
          "path" : "SubstanceSpecification.moiety.amount[x]",
          "short" : "Quantitative value for this moiety",
          "definition" : "Quantitative value for this moiety.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property",
          "path" : "SubstanceSpecification.property",
          "short" : "General specifications for this substance, including how it is related to other substances",
          "definition" : "General specifications for this substance, including how it is related to other substances.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.category",
          "path" : "SubstanceSpecification.property.category",
          "short" : "A category for this property, e.g. Physical, Chemical, Enzymatic",
          "definition" : "A category for this property, e.g. Physical, Chemical, Enzymatic.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.code",
          "path" : "SubstanceSpecification.property.code",
          "short" : "Property type e.g. viscosity, pH, isoelectric point",
          "definition" : "Property type e.g. viscosity, pH, isoelectric point.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.parameters",
          "path" : "SubstanceSpecification.property.parameters",
          "short" : "Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1)",
          "definition" : "Parameters that were used in the measurement of a property (e.g. for viscosity: measured at 20C with a pH of 7.1).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.definingSubstance[x]",
          "path" : "SubstanceSpecification.property.definingSubstance[x]",
          "short" : "A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol)",
          "definition" : "A substance upon which a defining property depends (e.g. for solubility: in water, in alcohol).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceSpecification",
            "http://hl7.org/fhir/StructureDefinition/Substance"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.property.amount[x]",
          "path" : "SubstanceSpecification.property.amount[x]",
          "short" : "Quantitative value for this property",
          "definition" : "Quantitative value for this property.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.referenceInformation",
          "path" : "SubstanceSpecification.referenceInformation",
          "short" : "General information detailing this substance",
          "definition" : "General information detailing this substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceReferenceInformation"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure",
          "path" : "SubstanceSpecification.structure",
          "short" : "Structural information",
          "definition" : "Structural information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.stereochemistry",
          "path" : "SubstanceSpecification.structure.stereochemistry",
          "short" : "Stereochemistry type",
          "definition" : "Stereochemistry type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.opticalActivity",
          "path" : "SubstanceSpecification.structure.opticalActivity",
          "short" : "Optical activity type",
          "definition" : "Optical activity type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.molecularFormula",
          "path" : "SubstanceSpecification.structure.molecularFormula",
          "short" : "Molecular formula",
          "definition" : "Molecular formula.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.molecularFormulaByMoiety",
          "path" : "SubstanceSpecification.structure.molecularFormulaByMoiety",
          "short" : "Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot",
          "definition" : "Specified per moiety according to the Hill system, i.e. first C, then H, then alphabetical, each moiety separated by a dot.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope",
          "path" : "SubstanceSpecification.structure.isotope",
          "short" : "Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio",
          "definition" : "Applicable for single substances that contain a radionuclide or a non-natural isotopic ratio.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.identifier",
          "path" : "SubstanceSpecification.structure.isotope.identifier",
          "short" : "Substance identifier for each non-natural or radioisotope",
          "definition" : "Substance identifier for each non-natural or radioisotope.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.name",
          "path" : "SubstanceSpecification.structure.isotope.name",
          "short" : "Substance name for each non-natural or radioisotope",
          "definition" : "Substance name for each non-natural or radioisotope.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.substitution",
          "path" : "SubstanceSpecification.structure.isotope.substitution",
          "short" : "The type of isotopic substitution present in a single substance",
          "definition" : "The type of isotopic substitution present in a single substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.halfLife",
          "path" : "SubstanceSpecification.structure.isotope.halfLife",
          "short" : "Half life - for a non-natural nuclide",
          "definition" : "Half life - for a non-natural nuclide.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight",
          "short" : "The molecular weight or weight range (for proteins, polymers or nucleic acids)",
          "definition" : "The molecular weight or weight range (for proteins, polymers or nucleic acids).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.method",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.method",
          "short" : "The method by which the molecular weight was determined",
          "definition" : "The method by which the molecular weight was determined.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.type",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.type",
          "short" : "Type of molecular weight such as exact, average (also known as. number average), weight average",
          "definition" : "Type of molecular weight such as exact, average (also known as. number average), weight average.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.isotope.molecularWeight.amount",
          "path" : "SubstanceSpecification.structure.isotope.molecularWeight.amount",
          "short" : "Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field",
          "definition" : "Used to capture quantitative values for a variety of elements. If only limits are given, the arithmetic mean would be the average. If only a single definite value for a given element is given, it would be captured in this field.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.molecularWeight",
          "path" : "SubstanceSpecification.structure.molecularWeight",
          "short" : "The molecular weight or weight range (for proteins, polymers or nucleic acids)",
          "definition" : "The molecular weight or weight range (for proteins, polymers or nucleic acids).",
          "min" : 0,
          "max" : "1",
          "contentReference" : "#SubstanceSpecification.structure.isotope.molecularWeight",
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.source",
          "path" : "SubstanceSpecification.structure.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.representation",
          "path" : "SubstanceSpecification.structure.representation",
          "short" : "Molecular structural representation",
          "definition" : "Molecular structural representation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.representation.type",
          "path" : "SubstanceSpecification.structure.representation.type",
          "short" : "The type of structure (e.g. Full, Partial, Representative)",
          "definition" : "The type of structure (e.g. Full, Partial, Representative).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.representation.representation",
          "path" : "SubstanceSpecification.structure.representation.representation",
          "short" : "The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX",
          "definition" : "The structural representation as text string in a format e.g. InChI, SMILES, MOLFILE, CDX.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.structure.representation.attachment",
          "path" : "SubstanceSpecification.structure.representation.attachment",
          "short" : "An attached file with the structural representation",
          "definition" : "An attached file with the structural representation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Attachment"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code",
          "path" : "SubstanceSpecification.code",
          "short" : "Codes associated with the substance",
          "definition" : "Codes associated with the substance.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.code",
          "path" : "SubstanceSpecification.code.code",
          "short" : "The specific code",
          "definition" : "The specific code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.status",
          "path" : "SubstanceSpecification.code.status",
          "short" : "Status of the code assignment",
          "definition" : "Status of the code assignment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.statusDate",
          "path" : "SubstanceSpecification.code.statusDate",
          "short" : "The date at which the code status is changed as part of the terminology maintenance",
          "definition" : "The date at which the code status is changed as part of the terminology maintenance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.comment",
          "path" : "SubstanceSpecification.code.comment",
          "short" : "Any comment can be provided in this field, if necessary",
          "definition" : "Any comment can be provided in this field, if necessary.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.code.source",
          "path" : "SubstanceSpecification.code.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name",
          "path" : "SubstanceSpecification.name",
          "short" : "Names applicable to this substance",
          "definition" : "Names applicable to this substance.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.name",
          "path" : "SubstanceSpecification.name.name",
          "short" : "The actual name",
          "definition" : "The actual name.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.type",
          "path" : "SubstanceSpecification.name.type",
          "short" : "Name type",
          "definition" : "Name type.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.status",
          "path" : "SubstanceSpecification.name.status",
          "short" : "The status of the name",
          "definition" : "The status of the name.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.preferred",
          "path" : "SubstanceSpecification.name.preferred",
          "short" : "If this is the preferred name for this substance",
          "definition" : "If this is the preferred name for this substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.language",
          "path" : "SubstanceSpecification.name.language",
          "short" : "Language of the name",
          "definition" : "Language of the name.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.domain",
          "path" : "SubstanceSpecification.name.domain",
          "short" : "The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive",
          "definition" : "The use context of this name for example if there is a different name a drug active ingredient as opposed to a food colour additive.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.jurisdiction",
          "path" : "SubstanceSpecification.name.jurisdiction",
          "short" : "The jurisdiction where this name applies",
          "definition" : "The jurisdiction where this name applies.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.synonym",
          "path" : "SubstanceSpecification.name.synonym",
          "short" : "A synonym of this name",
          "definition" : "A synonym of this name.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#SubstanceSpecification.name",
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.translation",
          "path" : "SubstanceSpecification.name.translation",
          "short" : "A translation for this name",
          "definition" : "A translation for this name.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#SubstanceSpecification.name",
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.official",
          "path" : "SubstanceSpecification.name.official",
          "short" : "Details of the official nature of this name",
          "definition" : "Details of the official nature of this name.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.official.authority",
          "path" : "SubstanceSpecification.name.official.authority",
          "short" : "Which authority uses this official name",
          "definition" : "Which authority uses this official name.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.official.status",
          "path" : "SubstanceSpecification.name.official.status",
          "short" : "The status of the official name",
          "definition" : "The status of the official name.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.official.date",
          "path" : "SubstanceSpecification.name.official.date",
          "short" : "Date of official name change",
          "definition" : "Date of official name change.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.name.source",
          "path" : "SubstanceSpecification.name.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.molecularWeight",
          "path" : "SubstanceSpecification.molecularWeight",
          "short" : "The molecular weight or weight range (for proteins, polymers or nucleic acids)",
          "definition" : "The molecular weight or weight range (for proteins, polymers or nucleic acids).",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#SubstanceSpecification.structure.isotope.molecularWeight",
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship",
          "path" : "SubstanceSpecification.relationship",
          "short" : "A link between this substance and another, with details of the relationship",
          "definition" : "A link between this substance and another, with details of the relationship.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.substance[x]",
          "path" : "SubstanceSpecification.relationship.substance[x]",
          "short" : "A pointer to another substance, as a resource or just a representational code",
          "definition" : "A pointer to another substance, as a resource or just a representational code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceSpecification"]
          },
          {
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.relationship",
          "path" : "SubstanceSpecification.relationship.relationship",
          "short" : "For example \"salt to parent\", \"active moiety\", \"starting material\"",
          "definition" : "For example \"salt to parent\", \"active moiety\", \"starting material\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.isDefining",
          "path" : "SubstanceSpecification.relationship.isDefining",
          "short" : "For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships",
          "definition" : "For example where an enzyme strongly bonds with a particular substance, this is a defining relationship for that enzyme, out of several possible substance relationships.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.amount[x]",
          "path" : "SubstanceSpecification.relationship.amount[x]",
          "short" : "A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other",
          "definition" : "A numeric factor for the relationship, for instance to express that the salt of a substance has some percentage of the active substance in relation to some other.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.amountRatioLowLimit",
          "path" : "SubstanceSpecification.relationship.amountRatioLowLimit",
          "short" : "For use when the numeric",
          "definition" : "For use when the numeric.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Ratio"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.amountType",
          "path" : "SubstanceSpecification.relationship.amountType",
          "short" : "An operator for the amount, for example \"average\", \"approximately\", \"less than\"",
          "definition" : "An operator for the amount, for example \"average\", \"approximately\", \"less than\".",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.relationship.source",
          "path" : "SubstanceSpecification.relationship.source",
          "short" : "Supporting literature",
          "definition" : "Supporting literature.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.nucleicAcid",
          "path" : "SubstanceSpecification.nucleicAcid",
          "short" : "Data items specific to nucleic acids",
          "definition" : "Data items specific to nucleic acids.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceNucleicAcid"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.polymer",
          "path" : "SubstanceSpecification.polymer",
          "short" : "Data items specific to polymers",
          "definition" : "Data items specific to polymers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstancePolymer"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.protein",
          "path" : "SubstanceSpecification.protein",
          "short" : "Data items specific to proteins",
          "definition" : "Data items specific to proteins.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceProtein"]
          }],
          "isSummary" : true
        },
        {
          "id" : "SubstanceSpecification.sourceMaterial",
          "path" : "SubstanceSpecification.sourceMaterial",
          "short" : "Material or taxonomic/anatomical source for the substance",
          "definition" : "Material or taxonomic/anatomical source for the substance.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SubstanceSourceMaterial"]
          }],
          "isSummary" : true
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SupplyDelivery",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SupplyDelivery",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SupplyDelivery 
TU
DomainResource
Delivery of bulk Supplies
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
External identifier
 basedOn 
Σ
0..*
Reference(SupplyRequest)
Fulfills plan, proposal or order
 partOf 
Σ
0..*
Reference(SupplyDelivery | Contract)
Part of referenced event
 status 
?!Σ
0..1
code
in-progress | completed | abandoned | entered-in-error
SupplyDeliveryStatus (Required)
 patient 
0..1
Reference(Patient)
Patient for whom the item is supplied
 type 
0..1
CodeableConcept
Category of dispense event
Supply Item Type (Required)
 suppliedItem 
0..1
BackboneElement
The item that is delivered or supplied
 quantity 
0..1
SimpleQuantity
Amount dispensed
 item[x] 
0..1
Medication, Substance, or Device supplied
SNOMED CT Supply Item (Example)
 itemCodeableConcept
CodeableConcept
 itemReference
Reference(Medication | Substance | Device)
 occurrence[x] 
Σ
0..1
When event occurred
 occurrenceDateTime
dateTime
 occurrencePeriod
Period
 occurrenceTiming
Timing
 supplier 
0..1
Reference(Practitioner | PractitionerRole | Organization)
Dispenser
 destination 
0..1
Reference(Location)
Where the Supply was sent
 receiver 
0..*
Reference(Practitioner | PractitionerRole)
Who collected the Supply

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Request & Response"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SupplyDelivery",
      "version" : "4.0.0",
      "name" : "SupplyDelivery",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "Record of delivery of what is supplied.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SupplyDelivery",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SupplyDelivery",
          "path" : "SupplyDelivery",
          "short" : "Delivery of bulk Supplies",
          "definition" : "Record of delivery of what is supplied.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyDelivery",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Supply[moodCode=RQO]"
          }]
        },
        {
          "id" : "SupplyDelivery.id",
          "path" : "SupplyDelivery.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SupplyDelivery.meta",
          "path" : "SupplyDelivery.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SupplyDelivery.implicitRules",
          "path" : "SupplyDelivery.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SupplyDelivery.language",
          "path" : "SupplyDelivery.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SupplyDelivery.text",
          "path" : "SupplyDelivery.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SupplyDelivery.contained",
          "path" : "SupplyDelivery.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SupplyDelivery.extension",
          "path" : "SupplyDelivery.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SupplyDelivery.modifierExtension",
          "path" : "SupplyDelivery.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SupplyDelivery.identifier",
          "path" : "SupplyDelivery.identifier",
          "short" : "External identifier",
          "definition" : "Identifier for the supply delivery event that is used to identify it across multiple disparate systems.",
          "comment" : "This identifier is typically assigned by the dispenser, and may be used to reference the delivery when exchanging information about it with other systems.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyDelivery.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "SupplyDelivery.basedOn",
          "path" : "SupplyDelivery.basedOn",
          "short" : "Fulfills plan, proposal or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
          "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyDelivery.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SupplyRequest"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC in proximity to EVN segment"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "SupplyDelivery.partOf",
          "path" : "SupplyDelivery.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular event is a component or step.",
          "comment" : "Not to be used to link an event to an Encounter - use Event.context for that.\r\r[The allowed reference resources may be adjusted as appropriate for the event resource].",
          "requirements" : "E.g. Drug administration as part of a procedure, procedure as part of observation, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyDelivery.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SupplyDelivery",
            "http://hl7.org/fhir/StructureDefinition/Contract"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "SupplyDelivery.status",
          "path" : "SupplyDelivery.status",
          "short" : "in-progress | completed | abandoned | entered-in-error",
          "definition" : "A code specifying the state of the dispense event.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyDeliveryStatus"
            }],
            "strength" : "required",
            "description" : "Status of the supply delivery.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplydelivery-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode, also existence of fulfillment events"
          }]
        },
        {
          "id" : "SupplyDelivery.patient",
          "path" : "SupplyDelivery.patient",
          "short" : "Patient for whom the item is supplied",
          "definition" : "A link to a resource representing the person whom the delivered item is for.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.patient",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          }]
        },
        {
          "id" : "SupplyDelivery.type",
          "path" : "SupplyDelivery.type",
          "short" : "Category of dispense event",
          "definition" : "Indicates the type of dispensing event that is performed. Examples include: Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyDeliveryType"
            }],
            "strength" : "required",
            "description" : "The type of supply dispense.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem",
          "path" : "SupplyDelivery.suppliedItem",
          "short" : "The item that is delivered or supplied",
          "definition" : "The item that is being delivered or has been supplied.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.suppliedItem",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem.id",
          "path" : "SupplyDelivery.suppliedItem.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem.extension",
          "path" : "SupplyDelivery.suppliedItem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem.modifierExtension",
          "path" : "SupplyDelivery.suppliedItem.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem.quantity",
          "path" : "SupplyDelivery.suppliedItem.quantity",
          "short" : "Amount dispensed",
          "definition" : "The amount of supply that has been dispensed. Includes unit of measure.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.suppliedItem.quantity",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem.item[x]",
          "path" : "SupplyDelivery.suppliedItem.item[x]",
          "short" : "Medication, Substance, or Device supplied",
          "definition" : "Identifies the medication, substance or device being dispensed. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.suppliedItem.item[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyDeliveryItem"
            }],
            "strength" : "example",
            "description" : "The item that was delivered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supply-item"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role"
          }]
        },
        {
          "id" : "SupplyDelivery.occurrence[x]",
          "path" : "SupplyDelivery.occurrence[x]",
          "short" : "When event occurred",
          "definition" : "The date or time(s) the activity occurred.",
          "comment" : "[The list of types may be constrained as appropriate for the type of event].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.occurrence[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "SupplyDelivery.supplier",
          "path" : "SupplyDelivery.supplier",
          "short" : "Dispenser",
          "definition" : "The individual responsible for dispensing the medication, supplier or device.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.supplier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].role"
          }]
        },
        {
          "id" : "SupplyDelivery.destination",
          "path" : "SupplyDelivery.destination",
          "short" : "Where the Supply was sent",
          "definition" : "Identification of the facility/location where the Supply was shipped to, as part of the dispense event.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyDelivery.destination",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=DST].role"
          }]
        },
        {
          "id" : "SupplyDelivery.receiver",
          "path" : "SupplyDelivery.receiver",
          "short" : "Who collected the Supply",
          "definition" : "Identifies the person who picked up the Supply.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyDelivery.receiver",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=RCV].role"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SupplyDelivery",
          "path" : "SupplyDelivery",
          "short" : "Delivery of bulk Supplies",
          "definition" : "Record of delivery of what is supplied.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event"
          },
          {
            "identity" : "rim",
            "map" : "Supply[moodCode=RQO]"
          }]
        },
        {
          "id" : "SupplyDelivery.identifier",
          "path" : "SupplyDelivery.identifier",
          "short" : "External identifier",
          "definition" : "Identifier for the supply delivery event that is used to identify it across multiple disparate systems.",
          "comment" : "This identifier is typically assigned by the dispenser, and may be used to reference the delivery when exchanging information about it with other systems.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "SupplyDelivery.basedOn",
          "path" : "SupplyDelivery.basedOn",
          "short" : "Fulfills plan, proposal or order",
          "definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event.",
          "requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SupplyRequest"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.basedOn"
          },
          {
            "identity" : "v2",
            "map" : "ORC in proximity to EVN segment"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target"
          }]
        },
        {
          "id" : "SupplyDelivery.partOf",
          "path" : "SupplyDelivery.partOf",
          "short" : "Part of referenced event",
          "definition" : "A larger event of which this particular event is a component or step.",
          "comment" : "Not to be used to link an event to an Encounter - use Event.context for that.\r\r[The allowed reference resources may be adjusted as appropriate for the event resource].",
          "requirements" : "E.g. Drug administration as part of a procedure, procedure as part of observation, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/SupplyDelivery",
            "http://hl7.org/fhir/StructureDefinition/Contract"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
          }]
        },
        {
          "id" : "SupplyDelivery.status",
          "path" : "SupplyDelivery.status",
          "short" : "in-progress | completed | abandoned | entered-in-error",
          "definition" : "A code specifying the state of the dispense event.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyDeliveryStatus"
            }],
            "strength" : "required",
            "description" : "Status of the supply delivery.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplydelivery-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode, also existence of fulfillment events"
          }]
        },
        {
          "id" : "SupplyDelivery.patient",
          "path" : "SupplyDelivery.patient",
          "short" : "Patient for whom the item is supplied",
          "definition" : "A link to a resource representing the person whom the delivered item is for.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.subject"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          }]
        },
        {
          "id" : "SupplyDelivery.type",
          "path" : "SupplyDelivery.type",
          "short" : "Category of dispense event",
          "definition" : "Indicates the type of dispensing event that is performed. Examples include: Trial Fill, Completion of Trial, Partial Fill, Emergency Fill, Samples, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyDeliveryType"
            }],
            "strength" : "required",
            "description" : "The type of supply dispense.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplydelivery-type|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem",
          "path" : "SupplyDelivery.suppliedItem",
          "short" : "The item that is delivered or supplied",
          "definition" : "The item that is being delivered or has been supplied.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem.quantity",
          "path" : "SupplyDelivery.suppliedItem.quantity",
          "short" : "Amount dispensed",
          "definition" : "The amount of supply that has been dispensed. Includes unit of measure.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "SupplyDelivery.suppliedItem.item[x]",
          "path" : "SupplyDelivery.suppliedItem.item[x]",
          "short" : "Medication, Substance, or Device supplied",
          "definition" : "Identifies the medication, substance or device being dispensed. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyDeliveryItem"
            }],
            "strength" : "example",
            "description" : "The item that was delivered.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supply-item"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=PRD].role"
          }]
        },
        {
          "id" : "SupplyDelivery.occurrence[x]",
          "path" : "SupplyDelivery.occurrence[x]",
          "short" : "When event occurred",
          "definition" : "The date or time(s) the activity occurred.",
          "comment" : "[The list of types may be constrained as appropriate for the type of event].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "SupplyDelivery.supplier",
          "path" : "SupplyDelivery.supplier",
          "short" : "Dispenser",
          "definition" : "The individual responsible for dispensing the medication, supplier or device.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PFM].role"
          }]
        },
        {
          "id" : "SupplyDelivery.destination",
          "path" : "SupplyDelivery.destination",
          "short" : "Where the Supply was sent",
          "definition" : "Identification of the facility/location where the Supply was shipped to, as part of the dispense event.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=DST].role"
          }]
        },
        {
          "id" : "SupplyDelivery.receiver",
          "path" : "SupplyDelivery.receiver",
          "short" : "Who collected the Supply",
          "definition" : "Identifies the person who picked up the Supply.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=RCV].role"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/SupplyRequest",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "SupplyRequest",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 SupplyRequest 
TU
DomainResource
Request for a medication, substance or device
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..*
Identifier
Business Identifier for SupplyRequest
 status 
?!Σ
0..1
code
draft | active | suspended +
SupplyRequestStatus (Required)
 category 
Σ
0..1
CodeableConcept
The kind of supply (central, non-stock, etc.)
Supply Type (Example)
 priority 
Σ
0..1
code
routine | urgent | asap | stat
Request priority (Required)
 item[x] 
Σ
1..1
Medication, Substance, or Device requested to be supplied
SNOMED CT Supply Item (Example)
 itemCodeableConcept
CodeableConcept
 itemReference
Reference(Medication | Substance | Device)
 quantity 
Σ
1..1
Quantity
The requested amount of the item indicated
 parameter 
0..*
BackboneElement
Ordered item details
 code 
0..1
CodeableConcept
Item detail
 value[x] 
0..1
Value of detail
 valueCodeableConcept
CodeableConcept
 valueQuantity
Quantity
 valueRange
Range
 valueBoolean
boolean
 occurrence[x] 
Σ
0..1
When the request should be fulfilled
 occurrenceDateTime
dateTime
 occurrencePeriod
Period
 occurrenceTiming
Timing
 authoredOn 
Σ
0..1
dateTime
When the request was made
 requester 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)
Individual making the request
 supplier 
Σ
0..*
Reference(Organization | HealthcareService)
Who is intended to fulfill the request
 reasonCode 
0..*
CodeableConcept
The reason why the supply item was requested
SupplyRequestReason (Example)
 reasonReference 
0..*
Reference(Condition | Observation | DiagnosticReport | DocumentReference)
The reason why the supply item was requested
 deliverFrom 
0..1
Reference(Organization | Location)
The origin of the supply
 deliverTo 
0..1
Reference(Organization | Location | Patient)
The destination of the supply

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Request & Response"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 1
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/SupplyRequest",
      "version" : "4.0.0",
      "name" : "SupplyRequest",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A record of a request for a medication, substance or device used in the healthcare setting.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "SupplyRequest",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "SupplyRequest",
          "path" : "SupplyRequest",
          "short" : "Request for a medication, substance or device",
          "definition" : "A record of a request for a medication, substance or device used in the healthcare setting.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyRequest",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode<=INT]"
          }]
        },
        {
          "id" : "SupplyRequest.id",
          "path" : "SupplyRequest.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SupplyRequest.meta",
          "path" : "SupplyRequest.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "SupplyRequest.implicitRules",
          "path" : "SupplyRequest.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "SupplyRequest.language",
          "path" : "SupplyRequest.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "SupplyRequest.text",
          "path" : "SupplyRequest.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "SupplyRequest.contained",
          "path" : "SupplyRequest.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SupplyRequest.extension",
          "path" : "SupplyRequest.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SupplyRequest.modifierExtension",
          "path" : "SupplyRequest.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SupplyRequest.identifier",
          "path" : "SupplyRequest.identifier",
          "short" : "Business Identifier for SupplyRequest",
          "definition" : "Business identifiers assigned to this SupplyRequest by the author and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.",
          "comment" : "The identifier.type element is used to distinguish between the identifiers assigned by the requester/placer and the performer/filler.",
          "requirements" : "Allows identification of the request as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyRequest.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.2, ORC.3"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "SupplyRequest.status",
          "path" : "SupplyRequest.status",
          "short" : "draft | active | suspended +",
          "definition" : "Status of the supply request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.status",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyRequestStatus"
            }],
            "strength" : "required",
            "description" : "Status of the supply request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC.5"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "SupplyRequest.category",
          "path" : "SupplyRequest.category",
          "short" : "The kind of supply (central, non-stock, etc.)",
          "definition" : "Category of supply, e.g.  central, non-stock, etc. This is used to support work flows associated with the supply process.",
          "alias" : ["kind"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.category",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyRequestKind"
            }],
            "strength" : "example",
            "description" : "Category of supply request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplyrequest-kind"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyRequest.priority",
          "path" : "SupplyRequest.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly this SupplyRequest should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "TQ1.9"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "SupplyRequest.item[x]",
          "path" : "SupplyRequest.item[x]",
          "short" : "Medication, Substance, or Device requested to be supplied",
          "definition" : "The item that is requested to be supplied. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.",
          "comment" : "Note that there's a difference between a prescription - an instruction to take a medication, along with a (sometimes) implicit supply, and an explicit request to supply, with no explicit instructions.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.item[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyRequestItem"
            }],
            "strength" : "example",
            "description" : "The item that was requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supply-item"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyRequest.quantity",
          "path" : "SupplyRequest.quantity",
          "short" : "The requested amount of the item indicated",
          "definition" : "The amount that is being ordered of the indicated item.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.quantity",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "SupplyRequest.parameter",
          "path" : "SupplyRequest.parameter",
          "short" : "Ordered item details",
          "definition" : "Specific parameters for the ordered item.  For example, the size of the indicated item.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyRequest.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          }]
        },
        {
          "id" : "SupplyRequest.parameter.id",
          "path" : "SupplyRequest.parameter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SupplyRequest.parameter.extension",
          "path" : "SupplyRequest.parameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "SupplyRequest.parameter.modifierExtension",
          "path" : "SupplyRequest.parameter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "SupplyRequest.parameter.code",
          "path" : "SupplyRequest.parameter.code",
          "short" : "Item detail",
          "definition" : "A code or string that identifies the device detail being asserted.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.parameter.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParameterCode"
            }],
            "strength" : "example",
            "description" : "A code that identifies the device detail."
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyRequest.parameter.value[x]",
          "path" : "SupplyRequest.parameter.value[x]",
          "short" : "Value of detail",
          "definition" : "The value of the device detail.",
          "comment" : "Range means device should have a value that falls somewhere within the specified range.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.parameter.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyRequest.occurrence[x]",
          "path" : "SupplyRequest.occurrence[x]",
          "short" : "When the request should be fulfilled",
          "definition" : "When the request should be fulfilled.",
          "alias" : ["when",
          "timing"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.occurrence[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying TQ1/TQ2 segments"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "SupplyRequest.authoredOn",
          "path" : "SupplyRequest.authoredOn",
          "short" : "When the request was made",
          "definition" : "When the request was made.",
          "alias" : ["date",
          "createdOn",
          "signedOn"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.authoredOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ORC.9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "SupplyRequest.requester",
          "path" : "SupplyRequest.requester",
          "short" : "Individual making the request",
          "definition" : "The device, practitioner, etc. who initiated the request.",
          "alias" : ["author",
          "source"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.requester",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC.12"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "SupplyRequest.supplier",
          "path" : "SupplyRequest.supplier",
          "short" : "Who is intended to fulfill the request",
          "definition" : "Who is intended to fulfill the request.",
          "alias" : ["performer"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyRequest.supplier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "SupplyRequest.reasonCode",
          "path" : "SupplyRequest.reasonCode",
          "short" : "The reason why the supply item was requested",
          "definition" : "The reason why the supply item was requested.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyRequest.reasonCode",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyRequestReason"
            }],
            "strength" : "example",
            "description" : "The reason why the supply item was requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplyrequest-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "SupplyRequest.reasonReference",
          "path" : "SupplyRequest.reasonReference",
          "short" : "The reason why the supply item was requested",
          "definition" : "The reason why the supply item was requested.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "SupplyRequest.reasonReference",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "SupplyRequest.deliverFrom",
          "path" : "SupplyRequest.deliverFrom",
          "short" : "The origin of the supply",
          "definition" : "Where the supply is expected to come from.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.deliverFrom",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation"
          }]
        },
        {
          "id" : "SupplyRequest.deliverTo",
          "path" : "SupplyRequest.deliverTo",
          "short" : "The destination of the supply",
          "definition" : "Where the supply is destined to go.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "SupplyRequest.deliverTo",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "SupplyRequest",
          "path" : "SupplyRequest",
          "short" : "Request for a medication, substance or device",
          "definition" : "A record of a request for a medication, substance or device used in the healthcare setting.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "v2",
            "map" : "ORC"
          },
          {
            "identity" : "rim",
            "map" : "Act[moodCode<=INT]"
          }]
        },
        {
          "id" : "SupplyRequest.identifier",
          "path" : "SupplyRequest.identifier",
          "short" : "Business Identifier for SupplyRequest",
          "definition" : "Business identifiers assigned to this SupplyRequest by the author and/or other systems. These identifiers remain constant as the resource is updated and propagates from server to server.",
          "comment" : "The identifier.type element is used to distinguish between the identifiers assigned by the requester/placer and the performer/filler.",
          "requirements" : "Allows identification of the request as it is known by various participating systems and in a way that remains consistent across servers.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC.2, ORC.3"
          },
          {
            "identity" : "rim",
            "map" : ".identifier"
          }]
        },
        {
          "id" : "SupplyRequest.status",
          "path" : "SupplyRequest.status",
          "short" : "draft | active | suspended +",
          "definition" : "Status of the supply request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyRequestStatus"
            }],
            "strength" : "required",
            "description" : "Status of the supply request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplyrequest-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "v2",
            "map" : "ORC.5"
          },
          {
            "identity" : "rim",
            "map" : ".status"
          }]
        },
        {
          "id" : "SupplyRequest.category",
          "path" : "SupplyRequest.category",
          "short" : "The kind of supply (central, non-stock, etc.)",
          "definition" : "Category of supply, e.g.  central, non-stock, etc. This is used to support work flows associated with the supply process.",
          "alias" : ["kind"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyRequestKind"
            }],
            "strength" : "example",
            "description" : "Category of supply request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplyrequest-kind"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "v2",
            "map" : "N/A"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyRequest.priority",
          "path" : "SupplyRequest.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly this SupplyRequest should be addressed with respect to other requests.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "RequestPriority"
            }],
            "strength" : "required",
            "description" : "Identifies the level of importance to be assigned to actioning the request.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "v2",
            "map" : "TQ1.9"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "SupplyRequest.item[x]",
          "path" : "SupplyRequest.item[x]",
          "short" : "Medication, Substance, or Device requested to be supplied",
          "definition" : "The item that is requested to be supplied. This is either a link to a resource representing the details of the item or a code that identifies the item from a known list.",
          "comment" : "Note that there's a difference between a prescription - an instruction to take a medication, along with a (sometimes) implicit supply, and an explicit request to supply, with no explicit instructions.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Medication",
            "http://hl7.org/fhir/StructureDefinition/Substance",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyRequestItem"
            }],
            "strength" : "example",
            "description" : "The item that was requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supply-item"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyRequest.quantity",
          "path" : "SupplyRequest.quantity",
          "short" : "The requested amount of the item indicated",
          "definition" : "The amount that is being ordered of the indicated item.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Quantity"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".quantity"
          }]
        },
        {
          "id" : "SupplyRequest.parameter",
          "path" : "SupplyRequest.parameter",
          "short" : "Ordered item details",
          "definition" : "Specific parameters for the ordered item.  For example, the size of the indicated item.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          }]
        },
        {
          "id" : "SupplyRequest.parameter.code",
          "path" : "SupplyRequest.parameter.code",
          "short" : "Item detail",
          "definition" : "A code or string that identifies the device detail being asserted.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ParameterCode"
            }],
            "strength" : "example",
            "description" : "A code that identifies the device detail."
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyRequest.parameter.value[x]",
          "path" : "SupplyRequest.parameter.value[x]",
          "short" : "Value of detail",
          "definition" : "The value of the device detail.",
          "comment" : "Range means device should have a value that falls somewhere within the specified range.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "boolean"
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "v2",
            "map" : "Varies by domain"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "SupplyRequest.occurrence[x]",
          "path" : "SupplyRequest.occurrence[x]",
          "short" : "When the request should be fulfilled",
          "definition" : "When the request should be fulfilled.",
          "alias" : ["when",
          "timing"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Timing"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.planned"
          },
          {
            "identity" : "v2",
            "map" : "Accompanying TQ1/TQ2 segments"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "SupplyRequest.authoredOn",
          "path" : "SupplyRequest.authoredOn",
          "short" : "When the request was made",
          "definition" : "When the request was made.",
          "alias" : ["date",
          "createdOn",
          "signedOn"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "ORC.9"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "SupplyRequest.requester",
          "path" : "SupplyRequest.requester",
          "short" : "Individual making the request",
          "definition" : "The device, practitioner, etc. who initiated the request.",
          "alias" : ["author",
          "source"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Device"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "ORC.12"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "SupplyRequest.supplier",
          "path" : "SupplyRequest.supplier",
          "short" : "Who is intended to fulfill the request",
          "definition" : "Who is intended to fulfill the request.",
          "alias" : ["performer"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
          }]
        },
        {
          "id" : "SupplyRequest.reasonCode",
          "path" : "SupplyRequest.reasonCode",
          "short" : "The reason why the supply item was requested",
          "definition" : "The reason why the supply item was requested.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "SupplyRequestReason"
            }],
            "strength" : "example",
            "description" : "The reason why the supply item was requested.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/supplyrequest-reason"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "SupplyRequest.reasonReference",
          "path" : "SupplyRequest.reasonReference",
          "short" : "The reason why the supply item was requested",
          "definition" : "The reason why the supply item was requested.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Condition",
            "http://hl7.org/fhir/StructureDefinition/Observation",
            "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
            "http://hl7.org/fhir/StructureDefinition/DocumentReference"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "ORC.16"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "SupplyRequest.deliverFrom",
          "path" : "SupplyRequest.deliverFrom",
          "short" : "The origin of the supply",
          "definition" : "Where the supply is expected to come from.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation"
          }]
        },
        {
          "id" : "SupplyRequest.deliverTo",
          "path" : "SupplyRequest.deliverTo",
          "short" : "The destination of the supply",
          "definition" : "Where the supply is destined to go.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Location",
            "http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "mapping" : [{
            "identity" : "v2",
            "map" : "PRT"
          },
          {
            "identity" : "rim",
            "map" : ".participation"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/Task",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "Task",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 Task 
ITU
DomainResource
A task to be performed
+ Rule: Last modified date must be greater than or equal to authored-on date.
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Task Instance Identifier
 instantiatesCanonical 
Σ
0..1
canonical(ActivityDefinition)
Formal definition of task
 instantiatesUri 
Σ
0..1
uri
Formal definition of task
 basedOn 
Σ
0..*
Reference(Any)
Request fulfilled by this task
 groupIdentifier 
Σ
0..1
Identifier
Requisition or grouper id
 partOf 
Σ
0..*
Reference(Task)
Composite task
 status 
?!Σ
1..1
code
draft | requested | received | accepted | +
TaskStatus (Required)
 statusReason 
Σ
0..1
CodeableConcept
Reason for current status
 businessStatus 
Σ
0..1
CodeableConcept
E.g. "Specimen collected", "IV prepped"
 intent 
Σ
1..1
code
unknown | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
TaskIntent (Required)
 priority 
0..1
code
routine | urgent | asap | stat
Request priority (Required)
 code 
Σ
0..1
CodeableConcept
Task Type
Task Codes (Example)
 description 
Σ
0..1
string
Human-readable explanation of task
 focus 
Σ
0..1
Reference(Any)
What task is acting on
 for 
Σ
0..1
Reference(Any)
Beneficiary of the Task
 encounter 
Σ
0..1
Reference(Encounter)
Healthcare event during which this task originated
 executionPeriod 
Σ
0..1
Period
Start and end time of execution
 authoredOn 
I
0..1
dateTime
Task Creation Date
 lastModified 
ΣI
0..1
dateTime
Task Last Modified Date
 requester 
Σ
0..1
Reference(Device | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)
Who is asking for task to be done
 performerType 
0..*
CodeableConcept
Requested performer
Procedure Performer Role Codes (Preferred)
 owner 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson)
Responsible individual
 location 
Σ
0..1
Reference(Location)
Where task occurs
 reasonCode 
0..1
CodeableConcept
Why task is needed
 reasonReference 
0..1
Reference(Any)
Why task is needed
 insurance 
0..*
Reference(Coverage | ClaimResponse)
Associated insurance coverage
 note 
0..*
Annotation
Comments made about the task
 relevantHistory 
0..*
Reference(Provenance)
Key events in history of the Task
 restriction 
0..1
BackboneElement
Constraints on fulfillment tasks
 repetitions 
0..1
positiveInt
How many times to repeat
 period 
0..1
Period
When fulfillment sought
 recipient 
0..*
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Group | Organization)
For whom is fulfillment sought?
 input 
0..*
BackboneElement
Information used to perform task
 type 
1..1
CodeableConcept
Label for the input
 value[x] 
1..1
*
Content to use in performing the task
 output 
0..*
BackboneElement
Information produced as part of task
 type 
1..1
CodeableConcept
Label for output
 value[x] 
1..1
*
Result of output

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Workflow"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "not-classified"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "oo"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/Task",
      "version" : "4.0.0",
      "name" : "Task",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Orders and Observations)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders/index.cfm"
        }]
      }],
      "description" : "A task to be performed.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "Task",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "Task",
          "path" : "Task",
          "short" : "A task to be performed",
          "definition" : "A task to be performed.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "inv-1",
            "severity" : "error",
            "human" : "Last modified date must be greater than or equal to authored-on date.",
            "expression" : "lastModified.exists().not() or authoredOn.exists().not() or lastModified >= authoredOn",
            "xpath" : "not(exists(f:lastModified/@value)) or not(exists(f:authoredOn/@value)) or f:lastModified/@value >= f:authoredOn/@value"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request, Event"
          },
          {
            "identity" : "rim",
            "map" : "ControlAct[moodCode=INT]"
          }]
        },
        {
          "id" : "Task.id",
          "path" : "Task.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Task.meta",
          "path" : "Task.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "Task.implicitRules",
          "path" : "Task.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "Task.language",
          "path" : "Task.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "Task.text",
          "path" : "Task.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "Task.contained",
          "path" : "Task.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Task.extension",
          "path" : "Task.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Task.modifierExtension",
          "path" : "Task.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Task.identifier",
          "path" : "Task.identifier",
          "short" : "Task Instance Identifier",
          "definition" : "The business identifier for this task.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier, Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Task.instantiatesCanonical",
          "path" : "Task.instantiatesCanonical",
          "short" : "Formal definition of task",
          "definition" : "The URL pointing to a *FHIR*-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.",
          "requirements" : "Enables a formal definition of how he task is to be performed, enabling automation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.instantiatesCanonical",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical, Event.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Task.instantiatesUri",
          "path" : "Task.instantiatesUri",
          "short" : "Formal definition of task",
          "definition" : "The URL pointing to an *externally* maintained  protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.",
          "requirements" : "Enables a formal definition of how he task is to be performed (e.g. using BPMN, BPEL, XPDL or other formal notation to be associated with a task), enabling automation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.instantiatesUri",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUrl"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Task.basedOn",
          "path" : "Task.basedOn",
          "short" : "Request fulfilled by this task",
          "definition" : "BasedOn refers to a higher-level authorization that triggered the creation of the task.  It references a \"request\" resource such as a ServiceRequest, MedicationRequest, ServiceRequest, CarePlan, etc. which is distinct from the \"request\" resource the task is seeking to fulfill.  This latter resource is referenced by FocusOn.  For example, based on a ServiceRequest (= BasedOn), a task is created to fulfill a procedureRequest ( = FocusOn ) to collect a specimen from a patient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.basedOn",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn, Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=INT]"
          }]
        },
        {
          "id" : "Task.groupIdentifier",
          "path" : "Task.groupIdentifier",
          "short" : "Requisition or grouper id",
          "definition" : "An identifier that links together multiple tasks and other requests that were created in the same context.",
          "requirements" : "Billing and/or reporting can be linked to whether multiple requests were created as a single unit.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.groupIdentifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=INT].id"
          }]
        },
        {
          "id" : "Task.partOf",
          "path" : "Task.partOf",
          "short" : "Composite task",
          "definition" : "Task that this particular task is part of.",
          "comment" : "This should usually be 0..1.",
          "requirements" : "Allows tasks to be broken down into sub-steps (and this division can occur independent of the original task).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.partOf",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Task"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=INT]"
          }]
        },
        {
          "id" : "Task.status",
          "path" : "Task.status",
          "short" : "draft | requested | received | accepted | +",
          "definition" : "The current status of the task.",
          "requirements" : "These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Task.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskStatus"
            }],
            "strength" : "required",
            "description" : "The current status of the task.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/task-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status, Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Task.statusReason",
          "path" : "Task.statusReason",
          "short" : "Reason for current status",
          "definition" : "An explanation as to why this task is held, failed, was refused, etc.",
          "comment" : "This applies to the current status.  Look at the history of the task to see reasons for past statuses.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.statusReason",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskStatusReason"
            }],
            "strength" : "example",
            "description" : "Codes to identify the reason for current status.  These will typically be specific to a particular workflow."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN, code=\"status change\"].reasonCode"
          }]
        },
        {
          "id" : "Task.businessStatus",
          "path" : "Task.businessStatus",
          "short" : "E.g. \"Specimen collected\", \"IV prepped\"",
          "definition" : "Contains business-specific nuances of the business state.",
          "requirements" : "There's often a need to track substates of a task - this is often variable by specific workflow implementation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.businessStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskBusinessStatus"
            }],
            "strength" : "example",
            "description" : "The domain-specific business-contextual sub-state of the task.  For example: \"Blood drawn\", \"IV inserted\", \"Awaiting physician signature\", etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"business status\"]"
          }]
        },
        {
          "id" : "Task.intent",
          "path" : "Task.intent",
          "short" : "unknown | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option",
          "definition" : "Indicates the \"level\" of actionability associated with the Task, i.e. i+R[9]Cs this a proposed task, a planned task, an actionable task, etc.",
          "comment" : "This element is immutable.  Proposed tasks, planned tasks, etc. must be distinct instances.\n\nIn most cases, Tasks will have an intent of \"order\".",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Task.intent",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskIntent"
            }],
            "strength" : "required",
            "description" : "Distinguishes whether the task is a proposal, plan or full order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/task-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode"
          }]
        },
        {
          "id" : "Task.priority",
          "path" : "Task.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the Task should be addressed with respect to other requests.",
          "requirements" : "Used to identify the service level expected while performing a task.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.priority",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskPriority"
            }],
            "strength" : "required",
            "description" : "The task's priority.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "Task.code",
          "path" : "Task.code",
          "short" : "Task Type",
          "definition" : "A name or code (or both) briefly describing what the task involves.",
          "comment" : "The title (eg \"My Tasks\", \"Outstanding Tasks for Patient X\") should go into the code.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskCode"
            }],
            "strength" : "example",
            "description" : "Codes to identify what the task involves.  These will typically be specific to a particular workflow.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/task-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code, Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Task.description",
          "path" : "Task.description",
          "short" : "Human-readable explanation of task",
          "definition" : "A free-text description of what is to be performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Task.focus",
          "path" : "Task.focus",
          "short" : "What task is acting on",
          "definition" : "The request being actioned or the resource being manipulated by this task.",
          "comment" : "If multiple resources need to be manipulated, use sub-tasks.  (This ensures that status can be tracked independently for each referenced resource.).",
          "requirements" : "Used to identify the thing to be done.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.focus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target"
          }]
        },
        {
          "id" : "Task.for",
          "path" : "Task.for",
          "short" : "Beneficiary of the Task",
          "definition" : "The entity who benefits from the performance of the service specified in the task (e.g., the patient).",
          "requirements" : "Used to track tasks outstanding for a beneficiary.  Do not use to track the task owner or creator (see owner and creator respectively).  This can also affect access control.",
          "alias" : ["Patient"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.for",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject, Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=RCT].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Task.encounter",
          "path" : "Task.encounter",
          "short" : "Healthcare event during which this task originated",
          "definition" : "The healthcare event  (e.g. a patient and healthcare provider interaction) during which this task was created.",
          "requirements" : "For some tasks it may be important to know the link between the encounter the task originated within.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context, Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "Task.executionPeriod",
          "path" : "Task.executionPeriod",
          "short" : "Start and end time of execution",
          "definition" : "Identifies the time action was first taken against the task (start) and/or the time final action was taken against the task prior to marking it as completed (end).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.executionPeriod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Task.authoredOn",
          "path" : "Task.authoredOn",
          "short" : "Task Creation Date",
          "definition" : "The date and time this task was created.",
          "requirements" : "Most often used along with lastUpdated to track duration of task to supporting monitoring and management.",
          "alias" : ["Created Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.authoredOn",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "condition" : ["inv-1"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Task.lastModified",
          "path" : "Task.lastModified",
          "short" : "Task Last Modified Date",
          "definition" : "The date and time of last modification to this task.",
          "requirements" : "Used along with history to track task activity and time in a particular task state.  This enables monitoring and management.",
          "alias" : ["Update Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.lastModified",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "condition" : ["inv-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ, ].source[classCode=CACT, moodCode=EVN].effectiveTime"
          }]
        },
        {
          "id" : "Task.requester",
          "path" : "Task.requester",
          "short" : "Who is asking for task to be done",
          "definition" : "The creator of the task.",
          "requirements" : "Identifies who created this task.  May be used by access control mechanisms (e.g., to ensure that only the creator can cancel a task).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.requester",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "Task.performerType",
          "path" : "Task.performerType",
          "short" : "Requested performer",
          "definition" : "The kind of participant that should perform the task.",
          "requirements" : "Use to distinguish tasks on different activity queues.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.performerType",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskPerformerType"
            }],
            "strength" : "preferred",
            "description" : "The type(s) of task performers allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.role, Request.performerType"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role.code"
          }]
        },
        {
          "id" : "Task.owner",
          "path" : "Task.owner",
          "short" : "Responsible individual",
          "definition" : "Individual organization or Device currently responsible for task execution.",
          "comment" : "Tasks may be created with an owner not yet identified.",
          "requirements" : "Identifies who is expected to perform this task.",
          "alias" : ["Performer",
          "Executer"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.owner",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor, Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role"
          }]
        },
        {
          "id" : "Task.location",
          "path" : "Task.location",
          "short" : "Where task occurs",
          "definition" : "Principal physical location where the this task is performed.",
          "requirements" : "Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.location",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode, Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          }]
        },
        {
          "id" : "Task.reasonCode",
          "path" : "Task.reasonCode",
          "short" : "Why task is needed",
          "definition" : "A description or code indicating why this task needs to be performed.",
          "comment" : "This should only be included if there is no focus or if it differs from the reason indicated on the focus.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.reasonCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskReason"
            }],
            "strength" : "example",
            "description" : "Indicates why the task is needed.  E.g. Suspended because patient admitted to hospital."
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.7"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Task.reasonReference",
          "path" : "Task.reasonReference",
          "short" : "Why task is needed",
          "definition" : "A resource reference indicating why this task needs to be performed.",
          "comment" : "Tasks might be justified based on an Observation, a Condition, a past or planned procedure, etc.   This should only be included if there is no focus or if it differs from the reason indicated on the focus.    Use the CodeableConcept text element in `Task.reasonCode` if the data is free (uncoded) text.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.reasonReference",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference, Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "Task.insurance",
          "path" : "Task.insurance",
          "short" : "Associated insurance coverage",
          "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.insurance",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
            "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          },
          {
            "identity" : "v2",
            "map" : "IN1/IN2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COVBY].target"
          }]
        },
        {
          "id" : "Task.note",
          "path" : "Task.note",
          "short" : "Comments made about the task",
          "definition" : "Free-text information captured about the task as it progresses.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note, Event.note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ, ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value(string)"
          }]
        },
        {
          "id" : "Task.relevantHistory",
          "path" : "Task.relevantHistory",
          "short" : "Key events in history of the Task",
          "definition" : "Links to Provenance records for past versions of this Task that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the task.",
          "comment" : "This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed.  The Provenance for the current version can be retrieved with a _revinclude.",
          "alias" : ["Status History"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.relevantHistory",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.relevantHistory"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        },
        {
          "id" : "Task.restriction",
          "path" : "Task.restriction",
          "short" : "Constraints on fulfillment tasks",
          "definition" : "If the Task.focus is a request resource and the task is seeking fulfillment (i.e. is asking for the request to be actioned), this element identifies any limitations on what parts of the referenced request should be actioned.",
          "requirements" : "Sometimes when fulfillment is sought, you don't want full fulfillment.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.restriction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Instead of pointing to request, would point to component of request, having these characteristics"
          }]
        },
        {
          "id" : "Task.restriction.id",
          "path" : "Task.restriction.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Task.restriction.extension",
          "path" : "Task.restriction.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Task.restriction.modifierExtension",
          "path" : "Task.restriction.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Task.restriction.repetitions",
          "path" : "Task.restriction.repetitions",
          "short" : "How many times to repeat",
          "definition" : "Indicates the number of times the requested action should occur.",
          "requirements" : "E.g. order that requests monthly lab tests, fulfillment is sought for 1.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.restriction.repetitions",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "positiveInt"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".repeatNumber"
          }]
        },
        {
          "id" : "Task.restriction.period",
          "path" : "Task.restriction.period",
          "short" : "When fulfillment sought",
          "definition" : "Over what time-period is fulfillment sought.",
          "comment" : "Note that period.high is the due date representing the time by which the task should be completed.",
          "requirements" : "E.g. order that authorizes 1 year's services.  Fulfillment is sought for next 3 months.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Task.restriction.period",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Period"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime(IVL)"
          }]
        },
        {
          "id" : "Task.restriction.recipient",
          "path" : "Task.restriction.recipient",
          "short" : "For whom is fulfillment sought?",
          "definition" : "For requests that are targeted to more than on potential recipient/target, for whom is fulfillment sought?",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.restriction.recipient",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          }]
        },
        {
          "id" : "Task.input",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Parameter"
          }],
          "path" : "Task.input",
          "short" : "Information used to perform task",
          "definition" : "Additional information that may be needed in the execution of the task.",
          "requirements" : "Resources and data used to perform the task.  This data is used in the business logic of task execution, and is stored separately because it varies between workflows.",
          "alias" : ["Supporting Information"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.input",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.input.id",
          "path" : "Task.input.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Task.input.extension",
          "path" : "Task.input.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Task.input.modifierExtension",
          "path" : "Task.input.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Task.input.type",
          "path" : "Task.input.type",
          "short" : "Label for the input",
          "definition" : "A code or description indicating how the input is intended to be used as part of the task execution.",
          "comment" : "If referencing a BPMN workflow or Protocol, the \"system\" is the URL for the workflow definition and the code is the \"name\" of the required input.",
          "requirements" : "Inputs are named to enable task automation to bind data and pass it from one task to the next.",
          "alias" : ["Name"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Task.input.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskInputParameterType"
            }],
            "strength" : "example",
            "description" : "Codes to identify types of input parameters.  These will typically be specific to a particular workflow.  E.g. \"Comparison source\", \"Applicable consent\", \"Concomitent Medications\", etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.input.value[x]",
          "path" : "Task.input.value[x]",
          "short" : "Content to use in performing the task",
          "definition" : "The value of the input parameter as a basic type.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Task.input.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "url"
          },
          {
            "code" : "uuid"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "ContactDetail"
          },
          {
            "code" : "Contributor"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "ParameterDefinition"
          },
          {
            "code" : "RelatedArtifact"
          },
          {
            "code" : "TriggerDefinition"
          },
          {
            "code" : "UsageContext"
          },
          {
            "code" : "Dosage"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.output",
          "path" : "Task.output",
          "short" : "Information produced as part of task",
          "definition" : "Outputs produced by the Task.",
          "requirements" : "Resources and data produced during the execution the task.  This data is generated by the business logic of task execution, and is stored separately because it varies between workflows.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Task.output",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.output.id",
          "path" : "Task.output.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Task.output.extension",
          "path" : "Task.output.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "Task.output.modifierExtension",
          "path" : "Task.output.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "Task.output.type",
          "path" : "Task.output.type",
          "short" : "Label for output",
          "definition" : "The name of the Output parameter.",
          "requirements" : "Outputs are named to enable task automation to bind data and pass it from one task to the next.",
          "alias" : ["Name"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Task.output.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskOutputParameterType"
            }],
            "strength" : "example",
            "description" : "Codes to identify types of input parameters.  These will typically be specific to a particular workflow.  E.g. \"Identified issues\", \"Preliminary results\", \"Filler order\", \"Final results\", etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.output.value[x]",
          "path" : "Task.output.value[x]",
          "short" : "Result of output",
          "definition" : "The value of the Output parameter as a basic type.",
          "requirements" : "Task outputs can take any form.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "Task.output.value[x]",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "url"
          },
          {
            "code" : "uuid"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "ContactDetail"
          },
          {
            "code" : "Contributor"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "ParameterDefinition"
          },
          {
            "code" : "RelatedArtifact"
          },
          {
            "code" : "TriggerDefinition"
          },
          {
            "code" : "UsageContext"
          },
          {
            "code" : "Dosage"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "Task",
          "path" : "Task",
          "short" : "A task to be performed",
          "definition" : "A task to be performed.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "inv-1",
            "severity" : "error",
            "human" : "Last modified date must be greater than or equal to authored-on date.",
            "expression" : "lastModified.exists().not() or authoredOn.exists().not() or lastModified >= authoredOn",
            "xpath" : "not(exists(f:lastModified/@value)) or not(exists(f:authoredOn/@value)) or f:lastModified/@value >= f:authoredOn/@value"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request, Event"
          },
          {
            "identity" : "rim",
            "map" : "ControlAct[moodCode=INT]"
          }]
        },
        {
          "id" : "Task.identifier",
          "path" : "Task.identifier",
          "short" : "Task Instance Identifier",
          "definition" : "The business identifier for this task.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier, Event.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : ".id"
          }]
        },
        {
          "id" : "Task.instantiatesCanonical",
          "path" : "Task.instantiatesCanonical",
          "short" : "Formal definition of task",
          "definition" : "The URL pointing to a *FHIR*-defined protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.",
          "requirements" : "Enables a formal definition of how he task is to be performed, enabling automation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ActivityDefinition"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.instantiatesCanonical, Event.instantiatesCanonical"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Task.instantiatesUri",
          "path" : "Task.instantiatesUri",
          "short" : "Formal definition of task",
          "definition" : "The URL pointing to an *externally* maintained  protocol, guideline, orderset or other definition that is adhered to in whole or in part by this Task.",
          "requirements" : "Enables a formal definition of how he task is to be performed (e.g. using BPMN, BPEL, XPDL or other formal notation to be associated with a task), enabling automation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.instantiatesUrl"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=DEFN].target"
          }]
        },
        {
          "id" : "Task.basedOn",
          "path" : "Task.basedOn",
          "short" : "Request fulfilled by this task",
          "definition" : "BasedOn refers to a higher-level authorization that triggered the creation of the task.  It references a \"request\" resource such as a ServiceRequest, MedicationRequest, ServiceRequest, CarePlan, etc. which is distinct from the \"request\" resource the task is seeking to fulfill.  This latter resource is referenced by FocusOn.  For example, based on a ServiceRequest (= BasedOn), a task is created to fulfill a procedureRequest ( = FocusOn ) to collect a specimen from a patient.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.basedOn, Event.basedOn"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=FLFS].target[moodCode=INT]"
          }]
        },
        {
          "id" : "Task.groupIdentifier",
          "path" : "Task.groupIdentifier",
          "short" : "Requisition or grouper id",
          "definition" : "An identifier that links together multiple tasks and other requests that were created in the same context.",
          "requirements" : "Billing and/or reporting can be linked to whether multiple requests were created as a single unit.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.groupIdentifier"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=INT].id"
          }]
        },
        {
          "id" : "Task.partOf",
          "path" : "Task.partOf",
          "short" : "Composite task",
          "definition" : "Task that this particular task is part of.",
          "comment" : "This should usually be 0..1.",
          "requirements" : "Allows tasks to be broken down into sub-steps (and this division can occur independent of the original task).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Task"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.partOf"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[moodCode=INT]"
          }]
        },
        {
          "id" : "Task.status",
          "path" : "Task.status",
          "short" : "draft | requested | received | accepted | +",
          "definition" : "The current status of the task.",
          "requirements" : "These states enable coordination of task status with off-the-shelf workflow solutions that support automation of tasks.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskStatus"
            }],
            "strength" : "required",
            "description" : "The current status of the task.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/task-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status, Event.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : ".statusCode"
          }]
        },
        {
          "id" : "Task.statusReason",
          "path" : "Task.statusReason",
          "short" : "Reason for current status",
          "definition" : "An explanation as to why this task is held, failed, was refused, etc.",
          "comment" : "This applies to the current status.  Look at the history of the task to see reasons for past statuses.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskStatusReason"
            }],
            "strength" : "example",
            "description" : "Codes to identify the reason for current status.  These will typically be specific to a particular workflow."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN, code=\"status change\"].reasonCode"
          }]
        },
        {
          "id" : "Task.businessStatus",
          "path" : "Task.businessStatus",
          "short" : "E.g. \"Specimen collected\", \"IV prepped\"",
          "definition" : "Contains business-specific nuances of the business state.",
          "requirements" : "There's often a need to track substates of a task - this is often variable by specific workflow implementation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskBusinessStatus"
            }],
            "strength" : "example",
            "description" : "The domain-specific business-contextual sub-state of the task.  For example: \"Blood drawn\", \"IV inserted\", \"Awaiting physician signature\", etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=\"business status\"]"
          }]
        },
        {
          "id" : "Task.intent",
          "path" : "Task.intent",
          "short" : "unknown | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option",
          "definition" : "Indicates the \"level\" of actionability associated with the Task, i.e. i+R[9]Cs this a proposed task, a planned task, an actionable task, etc.",
          "comment" : "This element is immutable.  Proposed tasks, planned tasks, etc. must be distinct instances.\n\nIn most cases, Tasks will have an intent of \"order\".",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskIntent"
            }],
            "strength" : "required",
            "description" : "Distinguishes whether the task is a proposal, plan or full order.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/task-intent|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.intent"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          },
          {
            "identity" : "rim",
            "map" : ".moodCode"
          }]
        },
        {
          "id" : "Task.priority",
          "path" : "Task.priority",
          "short" : "routine | urgent | asap | stat",
          "definition" : "Indicates how quickly the Task should be addressed with respect to other requests.",
          "requirements" : "Used to identify the service level expected while performing a task.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "meaningWhenMissing" : "If missing, this task should be performed with normal priority",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskPriority"
            }],
            "strength" : "required",
            "description" : "The task's priority.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/request-priority|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.priority"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.grade"
          },
          {
            "identity" : "rim",
            "map" : ".priorityCode"
          }]
        },
        {
          "id" : "Task.code",
          "path" : "Task.code",
          "short" : "Task Type",
          "definition" : "A name or code (or both) briefly describing what the task involves.",
          "comment" : "The title (eg \"My Tasks\", \"Outstanding Tasks for Patient X\") should go into the code.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskCode"
            }],
            "strength" : "example",
            "description" : "Codes to identify what the task involves.  These will typically be specific to a particular workflow.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/task-code"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.code, Event.code"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".code"
          }]
        },
        {
          "id" : "Task.description",
          "path" : "Task.description",
          "short" : "Human-readable explanation of task",
          "definition" : "A free-text description of what is to be performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".text"
          }]
        },
        {
          "id" : "Task.focus",
          "path" : "Task.focus",
          "short" : "What task is acting on",
          "definition" : "The request being actioned or the resource being manipulated by this task.",
          "comment" : "If multiple resources need to be manipulated, use sub-tasks.  (This ensures that status can be tracked independently for each referenced resource.).",
          "requirements" : "Used to identify the thing to be done.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.what[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=SUBJ].target"
          }]
        },
        {
          "id" : "Task.for",
          "path" : "Task.for",
          "short" : "Beneficiary of the Task",
          "definition" : "The entity who benefits from the performance of the service specified in the task (e.g., the patient).",
          "requirements" : "Used to track tasks outstanding for a beneficiary.  Do not use to track the task owner or creator (see owner and creator respectively).  This can also affect access control.",
          "alias" : ["Patient"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject, Event.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=RCT].role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "Task.encounter",
          "path" : "Task.encounter",
          "short" : "Healthcare event during which this task originated",
          "definition" : "The healthcare event  (e.g. a patient and healthcare provider interaction) during which this task was created.",
          "requirements" : "For some tasks it may be important to know the link between the encounter the task originated within.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context, Event.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=COMP].source[classCode=PCPR, moodCode=EVN]"
          }]
        },
        {
          "id" : "Task.executionPeriod",
          "path" : "Task.executionPeriod",
          "short" : "Start and end time of execution",
          "definition" : "Identifies the time action was first taken against the task (start) and/or the time final action was taken against the task prior to marking it as completed (end).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.occurrence[x]"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.done[x]"
          },
          {
            "identity" : "rim",
            "map" : ".effectiveTime"
          }]
        },
        {
          "id" : "Task.authoredOn",
          "path" : "Task.authoredOn",
          "short" : "Task Creation Date",
          "definition" : "The date and time this task was created.",
          "requirements" : "Most often used along with lastUpdated to track duration of task to supporting monitoring and management.",
          "alias" : ["Created Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "condition" : ["inv-1"],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].time"
          }]
        },
        {
          "id" : "Task.lastModified",
          "path" : "Task.lastModified",
          "short" : "Task Last Modified Date",
          "definition" : "The date and time of last modification to this task.",
          "requirements" : "Used along with history to track task activity and time in a particular task state.  This enables monitoring and management.",
          "alias" : ["Update Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "condition" : ["inv-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ, ].source[classCode=CACT, moodCode=EVN].effectiveTime"
          }]
        },
        {
          "id" : "Task.requester",
          "path" : "Task.requester",
          "short" : "Who is asking for task to be done",
          "definition" : "The creator of the task.",
          "requirements" : "Identifies who created this task.  May be used by access control mechanisms (e.g., to ensure that only the creator can cancel a task).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=AUT].role"
          }]
        },
        {
          "id" : "Task.performerType",
          "path" : "Task.performerType",
          "short" : "Requested performer",
          "definition" : "The kind of participant that should perform the task.",
          "requirements" : "Use to distinguish tasks on different activity queues.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskPerformerType"
            }],
            "strength" : "preferred",
            "description" : "The type(s) of task performers allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/performer-role"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.role, Request.performerType"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role.code"
          }]
        },
        {
          "id" : "Task.owner",
          "path" : "Task.owner",
          "short" : "Responsible individual",
          "definition" : "Individual organization or Device currently responsible for task execution.",
          "comment" : "Tasks may be created with an owner not yet identified.",
          "requirements" : "Identifies who is expected to perform this task.",
          "alias" : ["Performer",
          "Executer"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/CareTeam",
            "http://hl7.org/fhir/StructureDefinition/HealthcareService",
            "http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Device",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.performer.actor, Request.performer"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.actor"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=PRF].role"
          }]
        },
        {
          "id" : "Task.location",
          "path" : "Task.location",
          "short" : "Where task occurs",
          "definition" : "Principal physical location where the this task is performed.",
          "requirements" : "Ties the event to where the records are likely kept and provides context around the event occurrence (e.g. if it occurred inside or outside a dedicated healthcare setting).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Location"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonCode, Event.reasonCode"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.where[x]"
          },
          {
            "identity" : "rim",
            "map" : ".participation[typeCode=LOC].role"
          }]
        },
        {
          "id" : "Task.reasonCode",
          "path" : "Task.reasonCode",
          "short" : "Why task is needed",
          "definition" : "A description or code indicating why this task needs to be performed.",
          "comment" : "This should only be included if there is no focus or if it differs from the reason indicated on the focus.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskReason"
            }],
            "strength" : "example",
            "description" : "Indicates why the task is needed.  E.g. Suspended because patient admitted to hospital."
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Event.location"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "v2",
            "map" : "EVN.7"
          },
          {
            "identity" : "rim",
            "map" : ".reasonCode"
          }]
        },
        {
          "id" : "Task.reasonReference",
          "path" : "Task.reasonReference",
          "short" : "Why task is needed",
          "definition" : "A resource reference indicating why this task needs to be performed.",
          "comment" : "Tasks might be justified based on an Observation, a Condition, a past or planned procedure, etc.   This should only be included if there is no focus or if it differs from the reason indicated on the focus.    Use the CodeableConcept text element in `Task.reasonCode` if the data is free (uncoded) text.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.reasonReference, Event.reasonReference"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=RSON].target"
          }]
        },
        {
          "id" : "Task.insurance",
          "path" : "Task.insurance",
          "short" : "Associated insurance coverage",
          "definition" : "Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be relevant to the Task.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Coverage",
            "http://hl7.org/fhir/StructureDefinition/ClaimResponse"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.insurance"
          },
          {
            "identity" : "v2",
            "map" : "IN1/IN2"
          },
          {
            "identity" : "rim",
            "map" : ".outboundRelationship[typeCode=COVBY].target"
          }]
        },
        {
          "id" : "Task.note",
          "path" : "Task.note",
          "short" : "Comments made about the task",
          "definition" : "Free-text information captured about the task as it progresses.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.note, Event.note"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship[typeCode=SUBJ, ].source[classCode=OBS, moodCode=EVN, code=\"annotation\"].value(string)"
          }]
        },
        {
          "id" : "Task.relevantHistory",
          "path" : "Task.relevantHistory",
          "short" : "Key events in history of the Task",
          "definition" : "Links to Provenance records for past versions of this Task that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the task.",
          "comment" : "This element does not point to the Provenance associated with the *current* version of the resource - as it would be created after this version existed.  The Provenance for the current version can be retrieved with a _revinclude.",
          "alias" : ["Status History"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Provenance"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.relevantHistory"
          },
          {
            "identity" : "rim",
            "map" : ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"
          }]
        },
        {
          "id" : "Task.restriction",
          "path" : "Task.restriction",
          "short" : "Constraints on fulfillment tasks",
          "definition" : "If the Task.focus is a request resource and the task is seeking fulfillment (i.e. is asking for the request to be actioned), this element identifies any limitations on what parts of the referenced request should be actioned.",
          "requirements" : "Sometimes when fulfillment is sought, you don't want full fulfillment.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "Instead of pointing to request, would point to component of request, having these characteristics"
          }]
        },
        {
          "id" : "Task.restriction.repetitions",
          "path" : "Task.restriction.repetitions",
          "short" : "How many times to repeat",
          "definition" : "Indicates the number of times the requested action should occur.",
          "requirements" : "E.g. order that requests monthly lab tests, fulfillment is sought for 1.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "positiveInt"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".repeatNumber"
          }]
        },
        {
          "id" : "Task.restriction.period",
          "path" : "Task.restriction.period",
          "short" : "When fulfillment sought",
          "definition" : "Over what time-period is fulfillment sought.",
          "comment" : "Note that period.high is the due date representing the time by which the task should be completed.",
          "requirements" : "E.g. order that authorizes 1 year's services.  Fulfillment is sought for next 3 months.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Period"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".effectiveTime(IVL)"
          }]
        },
        {
          "id" : "Task.restriction.recipient",
          "path" : "Task.restriction.recipient",
          "short" : "For whom is fulfillment sought?",
          "definition" : "For requests that are targeted to more than on potential recipient/target, for whom is fulfillment sought?",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
            "http://hl7.org/fhir/StructureDefinition/Group",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : ".participation[typeCode=SBJ].role"
          }]
        },
        {
          "id" : "Task.input",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Parameter"
          }],
          "path" : "Task.input",
          "short" : "Information used to perform task",
          "definition" : "Additional information that may be needed in the execution of the task.",
          "requirements" : "Resources and data used to perform the task.  This data is used in the business logic of task execution, and is stored separately because it varies between workflows.",
          "alias" : ["Supporting Information"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.input.type",
          "path" : "Task.input.type",
          "short" : "Label for the input",
          "definition" : "A code or description indicating how the input is intended to be used as part of the task execution.",
          "comment" : "If referencing a BPMN workflow or Protocol, the \"system\" is the URL for the workflow definition and the code is the \"name\" of the required input.",
          "requirements" : "Inputs are named to enable task automation to bind data and pass it from one task to the next.",
          "alias" : ["Name"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskInputParameterType"
            }],
            "strength" : "example",
            "description" : "Codes to identify types of input parameters.  These will typically be specific to a particular workflow.  E.g. \"Comparison source\", \"Applicable consent\", \"Concomitent Medications\", etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.input.value[x]",
          "path" : "Task.input.value[x]",
          "short" : "Content to use in performing the task",
          "definition" : "The value of the input parameter as a basic type.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "url"
          },
          {
            "code" : "uuid"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "ContactDetail"
          },
          {
            "code" : "Contributor"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "ParameterDefinition"
          },
          {
            "code" : "RelatedArtifact"
          },
          {
            "code" : "TriggerDefinition"
          },
          {
            "code" : "UsageContext"
          },
          {
            "code" : "Dosage"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.output",
          "path" : "Task.output",
          "short" : "Information produced as part of task",
          "definition" : "Outputs produced by the Task.",
          "requirements" : "Resources and data produced during the execution the task.  This data is generated by the business logic of task execution, and is stored separately because it varies between workflows.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.output.type",
          "path" : "Task.output.type",
          "short" : "Label for output",
          "definition" : "The name of the Output parameter.",
          "requirements" : "Outputs are named to enable task automation to bind data and pass it from one task to the next.",
          "alias" : ["Name"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TaskOutputParameterType"
            }],
            "strength" : "example",
            "description" : "Codes to identify types of input parameters.  These will typically be specific to a particular workflow.  E.g. \"Identified issues\", \"Preliminary results\", \"Filler order\", \"Final results\", etc."
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        },
        {
          "id" : "Task.output.value[x]",
          "path" : "Task.output.value[x]",
          "short" : "Result of output",
          "definition" : "The value of the Output parameter as a basic type.",
          "requirements" : "Task outputs can take any form.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "base64Binary"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "canonical"
          },
          {
            "code" : "code"
          },
          {
            "code" : "date"
          },
          {
            "code" : "dateTime"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "id"
          },
          {
            "code" : "instant"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "markdown"
          },
          {
            "code" : "oid"
          },
          {
            "code" : "positiveInt"
          },
          {
            "code" : "string"
          },
          {
            "code" : "time"
          },
          {
            "code" : "unsignedInt"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "url"
          },
          {
            "code" : "uuid"
          },
          {
            "code" : "Address"
          },
          {
            "code" : "Age"
          },
          {
            "code" : "Annotation"
          },
          {
            "code" : "Attachment"
          },
          {
            "code" : "CodeableConcept"
          },
          {
            "code" : "Coding"
          },
          {
            "code" : "ContactPoint"
          },
          {
            "code" : "Count"
          },
          {
            "code" : "Distance"
          },
          {
            "code" : "Duration"
          },
          {
            "code" : "HumanName"
          },
          {
            "code" : "Identifier"
          },
          {
            "code" : "Money"
          },
          {
            "code" : "Period"
          },
          {
            "code" : "Quantity"
          },
          {
            "code" : "Range"
          },
          {
            "code" : "Ratio"
          },
          {
            "code" : "Reference"
          },
          {
            "code" : "SampledData"
          },
          {
            "code" : "Signature"
          },
          {
            "code" : "Timing"
          },
          {
            "code" : "ContactDetail"
          },
          {
            "code" : "Contributor"
          },
          {
            "code" : "DataRequirement"
          },
          {
            "code" : "Expression"
          },
          {
            "code" : "ParameterDefinition"
          },
          {
            "code" : "RelatedArtifact"
          },
          {
            "code" : "TriggerDefinition"
          },
          {
            "code" : "UsageContext"
          },
          {
            "code" : "Dosage"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "???"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/TerminologyCapabilities",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "TerminologyCapabilities",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 TerminologyCapabilities 
ITU
DomainResource
A statement of system capabilities
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
+ Rule: A Capability Statement SHALL have at least one of description, software, or implementation element.
+ Rule: If kind = instance, implementation must be present and software may be present
+ Rule: If kind = capability, implementation must be absent, software must be present
+ Rule: If kind = requirements, implementation and software must be absent
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this terminology capabilities, represented as a URI (globally unique)
 version 
Σ
0..1
string
Business version of the terminology capabilities
 name 
ΣI
0..1
string
Name for this terminology capabilities (computer friendly)
 title 
Σ
0..1
string
Name for this terminology capabilities (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
1..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the terminology capabilities
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for terminology capabilities (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this terminology capabilities is defined
 copyright 
Σ
0..1
markdown
Use and/or publishing restrictions
 kind 
ΣI
1..1
code
instance | capability | requirements
CapabilityStatementKind (Required)
 software 
ΣI
0..1
BackboneElement
Software that is covered by this terminology capability statement
 name 
Σ
1..1
string
A name the software is known by
 version 
Σ
0..1
string
Version covered by this statement
 implementation 
ΣI
0..1
BackboneElement
If this describes a specific instance
 description 
Σ
1..1
string
Describes this specific instance
 url 
Σ
0..1
url
Base URL for the implementation
 lockedDate 
Σ
0..1
boolean
Whether lockedDate is supported
 codeSystem 
I
0..*
BackboneElement
A code system supported by the server
+ Rule: If there is more than one version, a version code must be defined
 uri 
0..1
canonical(CodeSystem)
URI for the Code System
 version 
0..*
BackboneElement
Version of Code System supported
 code 
ΣI
0..1
string
Version identifier for this version
 isDefault 
Σ
0..1
boolean
If this is the default version for this code system
 compositional 
0..1
boolean
If compositional grammar is supported
 language 
0..*
code
Language Displays supported
 filter 
0..*
BackboneElement
Filter Properties supported
 code 
1..1
code
Code of the property supported
 op 
1..*
code
Operations supported for the property
 property 
0..*
code
Properties supported for $lookup
 subsumption 
0..1
boolean
Whether subsumption is supported
 expansion 
0..1
BackboneElement
Information about the [ValueSet/$expand](valueset-operation-expand.html) operation
 hierarchical 
0..1
boolean
Whether the server can return nested value sets
 paging 
0..1
boolean
Whether the server supports paging on expansion
 incomplete 
0..1
boolean
Allow request for incomplete expansions?
 parameter 
0..*
BackboneElement
Supported expansion parameter
 name 
1..1
code
Expansion Parameter name
 documentation 
0..1
string
Description of support for parameter
 textFilter 
0..1
markdown
Documentation about text searching works
 codeSearch 
0..1
code
explicit | all
CodeSearchSupport (Required)
 validateCode 
0..1
BackboneElement
Information about the [ValueSet/$validate-code](valueset-operation-validate-code.html) operation
 translations 
1..1
boolean
Whether translations are validated
 translation 
0..1
BackboneElement
Information about the [ConceptMap/$translate](conceptmap-operation-translate.html) operation
 needsMap 
1..1
boolean
Whether the client must identify the map
 closure 
0..1
BackboneElement
Information about the [ConceptMap/$closure](conceptmap-operation-closure.html) operation
 translation 
0..1
boolean
If cross-system closure is supported

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Terminology"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "vocab"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/TerminologyCapabilities",
      "version" : "4.0.0",
      "name" : "TerminologyCapabilities",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Vocabulary)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/Vocab/index.cfm"
        }]
      }],
      "description" : "A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "TerminologyCapabilities",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "TerminologyCapabilities",
          "path" : "TerminologyCapabilities",
          "short" : "A statement of system capabilities",
          "definition" : "A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "tcp-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "tcp-3",
            "severity" : "error",
            "human" : "If kind = instance, implementation must be present and software may be present",
            "expression" : "(kind != 'instance') or implementation.exists()",
            "xpath" : "not(f:kind/@value='instance') or exists(f:implementation)"
          },
          {
            "key" : "tcp-2",
            "severity" : "error",
            "human" : "A Capability Statement SHALL have at least one of description, software, or implementation element.",
            "expression" : "(description.count() + software.count() + implementation.count()) > 0",
            "xpath" : "count(f:software | f:implementation | f:description) > 0"
          },
          {
            "key" : "tcp-5",
            "severity" : "error",
            "human" : "If kind = requirements, implementation and software must be absent",
            "expression" : "(kind!='requirements') or (implementation.exists().not() and software.exists().not())",
            "xpath" : "not(f:kind/@value='instance') or (not(exists(f:implementation)) and not(exists(f:software)))"
          },
          {
            "key" : "tcp-4",
            "severity" : "error",
            "human" : "If kind = capability, implementation must be absent, software must be present",
            "expression" : "(kind != 'capability') or (implementation.exists().not() and software.exists())",
            "xpath" : " not(f:kind/@value='instance') or (not(exists(f:implementation)) and exists(f:software))"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.id",
          "path" : "TerminologyCapabilities.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.meta",
          "path" : "TerminologyCapabilities.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.implicitRules",
          "path" : "TerminologyCapabilities.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.language",
          "path" : "TerminologyCapabilities.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "TerminologyCapabilities.text",
          "path" : "TerminologyCapabilities.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "TerminologyCapabilities.contained",
          "path" : "TerminologyCapabilities.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.extension",
          "path" : "TerminologyCapabilities.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.modifierExtension",
          "path" : "TerminologyCapabilities.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.url",
          "path" : "TerminologyCapabilities.url",
          "short" : "Canonical identifier for this terminology capabilities, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this terminology capabilities when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this terminology capabilities is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the terminology capabilities is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the terminology capabilities to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "TerminologyCapabilities.version",
          "path" : "TerminologyCapabilities.version",
          "short" : "Business version of the terminology capabilities",
          "definition" : "The identifier that is used to identify this version of the terminology capabilities when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the terminology capabilities author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different terminology capabilities instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the terminology capabilities with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "TerminologyCapabilities.name",
          "path" : "TerminologyCapabilities.name",
          "short" : "Name for this terminology capabilities (computer friendly)",
          "definition" : "A natural language name identifying the terminology capabilities. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.title",
          "path" : "TerminologyCapabilities.title",
          "short" : "Name for this terminology capabilities (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the terminology capabilities.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "TerminologyCapabilities.status",
          "path" : "TerminologyCapabilities.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this terminology capabilities. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of terminology capabilitiess that are appropriate for use versus not.This is not intended for use with actual capability statements, but where capability statements are used to describe possible or desired systems.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "TerminologyCapabilities.experimental",
          "path" : "TerminologyCapabilities.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this terminology capabilities is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of terminology capabilitiess that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level terminology capabilities.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "TerminologyCapabilities.date",
          "path" : "TerminologyCapabilities.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the terminology capabilities was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the terminology capabilities changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the terminology capabilities. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.date",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "TerminologyCapabilities.publisher",
          "path" : "TerminologyCapabilities.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the terminology capabilities.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the terminology capabilities is the organization or individual primarily responsible for the maintenance and upkeep of the terminology capabilities. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the terminology capabilities. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the terminology capabilities.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "TerminologyCapabilities.contact",
          "path" : "TerminologyCapabilities.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "TerminologyCapabilities.description",
          "path" : "TerminologyCapabilities.description",
          "short" : "Natural language description of the terminology capabilities",
          "definition" : "A free text natural language description of the terminology capabilities from a consumer's perspective. Typically, this is used when the capability statement describes a desired rather than an actual solution, for example as a formal expression of requirements as part of an RFP.",
          "comment" : "This description can be used to capture details such as why the terminology capabilities was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the terminology capabilities as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the terminology capabilities is presumed to be the predominant language in the place the terminology capabilities was created).This does not need to be populated if the description is adequately implied by the software or implementation details.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "TerminologyCapabilities.useContext",
          "path" : "TerminologyCapabilities.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate terminology capabilities instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "TerminologyCapabilities.jurisdiction",
          "path" : "TerminologyCapabilities.jurisdiction",
          "short" : "Intended jurisdiction for terminology capabilities (if applicable)",
          "definition" : "A legal or geographic region in which the terminology capabilities is intended to be used.",
          "comment" : "It may be possible for the terminology capabilities to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "TerminologyCapabilities.purpose",
          "path" : "TerminologyCapabilities.purpose",
          "short" : "Why this terminology capabilities is defined",
          "definition" : "Explanation of why this terminology capabilities is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the terminology capabilities. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this terminology capabilities.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TerminologyCapabilities.copyright",
          "path" : "TerminologyCapabilities.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the terminology capabilities and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the terminology capabilities.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the terminology capabilities and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TerminologyCapabilities.kind",
          "path" : "TerminologyCapabilities.kind",
          "short" : "instance | capability | requirements",
          "definition" : "The way that this statement is intended to be used, to describe an actual running instance of software, a particular product (kind, not instance of software) or a class of implementation (e.g. a desired purchase).",
          "requirements" : "Allow searching the 3 modes.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.kind",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["tcp-3",
          "tcp-4",
          "tcp-5"],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CapabilityStatementKind"
            }],
            "strength" : "required",
            "description" : "How a capability statement is intended to be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0"
          }
        },
        {
          "id" : "TerminologyCapabilities.software",
          "path" : "TerminologyCapabilities.software",
          "short" : "Software that is covered by this terminology capability statement",
          "definition" : "Software that is covered by this terminology capability statement.  It is used when the statement describes the capabilities of a particular software version, independent of an installation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.software",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["tcp-2"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.software.id",
          "path" : "TerminologyCapabilities.software.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.software.extension",
          "path" : "TerminologyCapabilities.software.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.software.modifierExtension",
          "path" : "TerminologyCapabilities.software.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.software.name",
          "path" : "TerminologyCapabilities.software.name",
          "short" : "A name the software is known by",
          "definition" : "Name the software is known by.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.software.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.software.version",
          "path" : "TerminologyCapabilities.software.version",
          "short" : "Version covered by this statement",
          "definition" : "The version identifier for the software covered by this statement.",
          "comment" : "If possible, a version should be specified, as statements are likely to be different for different versions of software.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.software.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.implementation",
          "path" : "TerminologyCapabilities.implementation",
          "short" : "If this describes a specific instance",
          "definition" : "Identifies a specific implementation instance that is described by the terminology capability statement - i.e. a particular installation, rather than the capabilities of a software program.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.implementation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["tcp-2",
          "tcp-5"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.implementation.id",
          "path" : "TerminologyCapabilities.implementation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.implementation.extension",
          "path" : "TerminologyCapabilities.implementation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.implementation.modifierExtension",
          "path" : "TerminologyCapabilities.implementation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.implementation.description",
          "path" : "TerminologyCapabilities.implementation.description",
          "short" : "Describes this specific instance",
          "definition" : "Information about the specific installation that this terminology capability statement relates to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.implementation.description",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.implementation.url",
          "path" : "TerminologyCapabilities.implementation.url",
          "short" : "Base URL for the implementation",
          "definition" : "An absolute base URL for the implementation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.implementation.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "url"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.lockedDate",
          "path" : "TerminologyCapabilities.lockedDate",
          "short" : "Whether lockedDate is supported",
          "definition" : "Whether the server supports lockedDate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.lockedDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.codeSystem",
          "path" : "TerminologyCapabilities.codeSystem",
          "short" : "A code system supported by the server",
          "definition" : "Identifies a code system that is supported by the server. If there is a no code system URL, then this declares the general assumptions a client can make about support for any CodeSystem resource.",
          "comment" : "The code system - identified by its system URL - may also be declared explicitly as a Code System Resource at /CodeSystem, but it might not be.",
          "alias" : ["1"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "tcp-1",
            "severity" : "error",
            "human" : "If there is more than one version, a version code must be defined",
            "expression" : "version.count() > 1 implies version.all(code.exists())",
            "xpath" : "(count(f:version) <= 1) or not(exists(f:version[not(f:code)]))"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.id",
          "path" : "TerminologyCapabilities.codeSystem.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.extension",
          "path" : "TerminologyCapabilities.codeSystem.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.modifierExtension",
          "path" : "TerminologyCapabilities.codeSystem.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.uri",
          "path" : "TerminologyCapabilities.codeSystem.uri",
          "short" : "URI for the Code System",
          "definition" : "URI for the Code System.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.uri",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CodeSystem"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version",
          "path" : "TerminologyCapabilities.codeSystem.version",
          "short" : "Version of Code System supported",
          "definition" : "For the code system, a list of versions that are supported by the server.",
          "comment" : "Language translations might not be available for all codes.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.id",
          "path" : "TerminologyCapabilities.codeSystem.version.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.extension",
          "path" : "TerminologyCapabilities.codeSystem.version.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.modifierExtension",
          "path" : "TerminologyCapabilities.codeSystem.version.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.code",
          "path" : "TerminologyCapabilities.codeSystem.version.code",
          "short" : "Version identifier for this version",
          "definition" : "For version-less code systems, there should be a single version with no identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["tcp-1"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.isDefault",
          "path" : "TerminologyCapabilities.codeSystem.version.isDefault",
          "short" : "If this is the default version for this code system",
          "definition" : "If this is the default version for this code system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version.isDefault",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.compositional",
          "path" : "TerminologyCapabilities.codeSystem.version.compositional",
          "short" : "If compositional grammar is supported",
          "definition" : "If the compositional grammar defined by the code system is supported.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version.compositional",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.language",
          "path" : "TerminologyCapabilities.codeSystem.version.language",
          "short" : "Language Displays supported",
          "definition" : "Language Displays supported.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version.language",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter",
          "path" : "TerminologyCapabilities.codeSystem.version.filter",
          "short" : "Filter Properties supported",
          "definition" : "Filter Properties supported.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version.filter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter.id",
          "path" : "TerminologyCapabilities.codeSystem.version.filter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter.extension",
          "path" : "TerminologyCapabilities.codeSystem.version.filter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter.modifierExtension",
          "path" : "TerminologyCapabilities.codeSystem.version.filter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter.code",
          "path" : "TerminologyCapabilities.codeSystem.version.filter.code",
          "short" : "Code of the property supported",
          "definition" : "Code of the property supported.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version.filter.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter.op",
          "path" : "TerminologyCapabilities.codeSystem.version.filter.op",
          "short" : "Operations supported for the property",
          "definition" : "Operations supported for the property.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version.filter.op",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.property",
          "path" : "TerminologyCapabilities.codeSystem.version.property",
          "short" : "Properties supported for $lookup",
          "definition" : "Properties supported for $lookup.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.version.property",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.subsumption",
          "path" : "TerminologyCapabilities.codeSystem.subsumption",
          "short" : "Whether subsumption is supported",
          "definition" : "True if subsumption is supported for this version of the code system.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.codeSystem.subsumption",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.expansion",
          "path" : "TerminologyCapabilities.expansion",
          "short" : "Information about the [ValueSet/$expand](valueset-operation-expand.html) operation",
          "definition" : "Information about the [ValueSet/$expand](valueset-operation-expand.html) operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.expansion",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.expansion.id",
          "path" : "TerminologyCapabilities.expansion.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.extension",
          "path" : "TerminologyCapabilities.expansion.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.modifierExtension",
          "path" : "TerminologyCapabilities.expansion.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.hierarchical",
          "path" : "TerminologyCapabilities.expansion.hierarchical",
          "short" : "Whether the server can return nested value sets",
          "definition" : "Whether the server can return nested value sets.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.expansion.hierarchical",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.expansion.paging",
          "path" : "TerminologyCapabilities.expansion.paging",
          "short" : "Whether the server supports paging on expansion",
          "definition" : "Whether the server supports paging on expansion.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.expansion.paging",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.expansion.incomplete",
          "path" : "TerminologyCapabilities.expansion.incomplete",
          "short" : "Allow request for incomplete expansions?",
          "definition" : "Allow request for incomplete expansions?",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.expansion.incomplete",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter",
          "path" : "TerminologyCapabilities.expansion.parameter",
          "short" : "Supported expansion parameter",
          "definition" : "Supported expansion parameter.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TerminologyCapabilities.expansion.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter.id",
          "path" : "TerminologyCapabilities.expansion.parameter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter.extension",
          "path" : "TerminologyCapabilities.expansion.parameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter.modifierExtension",
          "path" : "TerminologyCapabilities.expansion.parameter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter.name",
          "path" : "TerminologyCapabilities.expansion.parameter.name",
          "short" : "Expansion Parameter name",
          "definition" : "Expansion Parameter name.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.expansion.parameter.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter.documentation",
          "path" : "TerminologyCapabilities.expansion.parameter.documentation",
          "short" : "Description of support for parameter",
          "definition" : "Description of support for parameter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.expansion.parameter.documentation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.expansion.textFilter",
          "path" : "TerminologyCapabilities.expansion.textFilter",
          "short" : "Documentation about text searching works",
          "definition" : "Documentation about text searching works.",
          "comment" : "This documentation should cover things like case sensitivity,  use of punctuation if not ignored, what wild cards are supported (if any), whether text is starts with or contains, and whether word order matters.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.expansion.textFilter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.codeSearch",
          "path" : "TerminologyCapabilities.codeSearch",
          "short" : "explicit | all",
          "definition" : "The degree to which the server supports the code search parameter on ValueSet, if it is supported.",
          "comment" : "See notes on the [ValueSet](valueset.html#) resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.codeSearch",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CodeSearchSupport"
            }],
            "strength" : "required",
            "description" : "The degree to which the server supports the code search parameter on ValueSet, if it is supported.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/code-search-support|4.0.0"
          }
        },
        {
          "id" : "TerminologyCapabilities.validateCode",
          "path" : "TerminologyCapabilities.validateCode",
          "short" : "Information about the [ValueSet/$validate-code](valueset-operation-validate-code.html) operation",
          "definition" : "Information about the [ValueSet/$validate-code](valueset-operation-validate-code.html) operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.validateCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.validateCode.id",
          "path" : "TerminologyCapabilities.validateCode.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.validateCode.extension",
          "path" : "TerminologyCapabilities.validateCode.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.validateCode.modifierExtension",
          "path" : "TerminologyCapabilities.validateCode.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.validateCode.translations",
          "path" : "TerminologyCapabilities.validateCode.translations",
          "short" : "Whether translations are validated",
          "definition" : "Whether translations are validated.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.validateCode.translations",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.translation",
          "path" : "TerminologyCapabilities.translation",
          "short" : "Information about the [ConceptMap/$translate](conceptmap-operation-translate.html) operation",
          "definition" : "Information about the [ConceptMap/$translate](conceptmap-operation-translate.html) operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.translation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.translation.id",
          "path" : "TerminologyCapabilities.translation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.translation.extension",
          "path" : "TerminologyCapabilities.translation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.translation.modifierExtension",
          "path" : "TerminologyCapabilities.translation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.translation.needsMap",
          "path" : "TerminologyCapabilities.translation.needsMap",
          "short" : "Whether the client must identify the map",
          "definition" : "Whether the client must identify the map.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.translation.needsMap",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.closure",
          "path" : "TerminologyCapabilities.closure",
          "short" : "Information about the [ConceptMap/$closure](conceptmap-operation-closure.html) operation",
          "definition" : "Whether the $closure operation is supported.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.closure",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TerminologyCapabilities.closure.id",
          "path" : "TerminologyCapabilities.closure.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
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            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.closure.extension",
          "path" : "TerminologyCapabilities.closure.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.closure.modifierExtension",
          "path" : "TerminologyCapabilities.closure.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TerminologyCapabilities.closure.translation",
          "path" : "TerminologyCapabilities.closure.translation",
          "short" : "If cross-system closure is supported",
          "definition" : "If cross-system closure is supported.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TerminologyCapabilities.closure.translation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "TerminologyCapabilities",
          "path" : "TerminologyCapabilities",
          "short" : "A statement of system capabilities",
          "definition" : "A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR Terminology Server that may be used as a statement of actual server functionality or a statement of required or desired server implementation.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "tcp-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          },
          {
            "key" : "tcp-3",
            "severity" : "error",
            "human" : "If kind = instance, implementation must be present and software may be present",
            "expression" : "(kind != 'instance') or implementation.exists()",
            "xpath" : "not(f:kind/@value='instance') or exists(f:implementation)"
          },
          {
            "key" : "tcp-2",
            "severity" : "error",
            "human" : "A Capability Statement SHALL have at least one of description, software, or implementation element.",
            "expression" : "(description.count() + software.count() + implementation.count()) > 0",
            "xpath" : "count(f:software | f:implementation | f:description) > 0"
          },
          {
            "key" : "tcp-5",
            "severity" : "error",
            "human" : "If kind = requirements, implementation and software must be absent",
            "expression" : "(kind!='requirements') or (implementation.exists().not() and software.exists().not())",
            "xpath" : "not(f:kind/@value='instance') or (not(exists(f:implementation)) and not(exists(f:software)))"
          },
          {
            "key" : "tcp-4",
            "severity" : "error",
            "human" : "If kind = capability, implementation must be absent, software must be present",
            "expression" : "(kind != 'capability') or (implementation.exists().not() and software.exists())",
            "xpath" : " not(f:kind/@value='instance') or (not(exists(f:implementation)) and exists(f:software))"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TerminologyCapabilities.url",
          "path" : "TerminologyCapabilities.url",
          "short" : "Canonical identifier for this terminology capabilities, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this terminology capabilities when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this terminology capabilities is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the terminology capabilities is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the terminology capabilities to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "TerminologyCapabilities.version",
          "path" : "TerminologyCapabilities.version",
          "short" : "Business version of the terminology capabilities",
          "definition" : "The identifier that is used to identify this version of the terminology capabilities when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the terminology capabilities author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different terminology capabilities instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the terminology capabilities with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "TerminologyCapabilities.name",
          "path" : "TerminologyCapabilities.name",
          "short" : "Name for this terminology capabilities (computer friendly)",
          "definition" : "A natural language name identifying the terminology capabilities. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.title",
          "path" : "TerminologyCapabilities.title",
          "short" : "Name for this terminology capabilities (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the terminology capabilities.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "TerminologyCapabilities.status",
          "path" : "TerminologyCapabilities.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this terminology capabilities. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of terminology capabilitiess that are appropriate for use versus not.This is not intended for use with actual capability statements, but where capability statements are used to describe possible or desired systems.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "TerminologyCapabilities.experimental",
          "path" : "TerminologyCapabilities.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this terminology capabilities is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of terminology capabilitiess that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level terminology capabilities.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "TerminologyCapabilities.date",
          "path" : "TerminologyCapabilities.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the terminology capabilities was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the terminology capabilities changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the terminology capabilities. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "TerminologyCapabilities.publisher",
          "path" : "TerminologyCapabilities.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the terminology capabilities.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the terminology capabilities is the organization or individual primarily responsible for the maintenance and upkeep of the terminology capabilities. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the terminology capabilities. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the terminology capabilities.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "TerminologyCapabilities.contact",
          "path" : "TerminologyCapabilities.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "TerminologyCapabilities.description",
          "path" : "TerminologyCapabilities.description",
          "short" : "Natural language description of the terminology capabilities",
          "definition" : "A free text natural language description of the terminology capabilities from a consumer's perspective. Typically, this is used when the capability statement describes a desired rather than an actual solution, for example as a formal expression of requirements as part of an RFP.",
          "comment" : "This description can be used to capture details such as why the terminology capabilities was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the terminology capabilities as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the terminology capabilities is presumed to be the predominant language in the place the terminology capabilities was created).This does not need to be populated if the description is adequately implied by the software or implementation details.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "TerminologyCapabilities.useContext",
          "path" : "TerminologyCapabilities.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate terminology capabilities instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "TerminologyCapabilities.jurisdiction",
          "path" : "TerminologyCapabilities.jurisdiction",
          "short" : "Intended jurisdiction for terminology capabilities (if applicable)",
          "definition" : "A legal or geographic region in which the terminology capabilities is intended to be used.",
          "comment" : "It may be possible for the terminology capabilities to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "TerminologyCapabilities.purpose",
          "path" : "TerminologyCapabilities.purpose",
          "short" : "Why this terminology capabilities is defined",
          "definition" : "Explanation of why this terminology capabilities is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the terminology capabilities. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this terminology capabilities.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TerminologyCapabilities.copyright",
          "path" : "TerminologyCapabilities.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the terminology capabilities and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the terminology capabilities.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the terminology capabilities and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TerminologyCapabilities.kind",
          "path" : "TerminologyCapabilities.kind",
          "short" : "instance | capability | requirements",
          "definition" : "The way that this statement is intended to be used, to describe an actual running instance of software, a particular product (kind, not instance of software) or a class of implementation (e.g. a desired purchase).",
          "requirements" : "Allow searching the 3 modes.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["tcp-3",
          "tcp-4",
          "tcp-5"],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CapabilityStatementKind"
            }],
            "strength" : "required",
            "description" : "How a capability statement is intended to be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/capability-statement-kind|4.0.0"
          }
        },
        {
          "id" : "TerminologyCapabilities.software",
          "path" : "TerminologyCapabilities.software",
          "short" : "Software that is covered by this terminology capability statement",
          "definition" : "Software that is covered by this terminology capability statement.  It is used when the statement describes the capabilities of a particular software version, independent of an installation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["tcp-2"],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.software.name",
          "path" : "TerminologyCapabilities.software.name",
          "short" : "A name the software is known by",
          "definition" : "Name the software is known by.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.software.version",
          "path" : "TerminologyCapabilities.software.version",
          "short" : "Version covered by this statement",
          "definition" : "The version identifier for the software covered by this statement.",
          "comment" : "If possible, a version should be specified, as statements are likely to be different for different versions of software.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.implementation",
          "path" : "TerminologyCapabilities.implementation",
          "short" : "If this describes a specific instance",
          "definition" : "Identifies a specific implementation instance that is described by the terminology capability statement - i.e. a particular installation, rather than the capabilities of a software program.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["tcp-2",
          "tcp-5"],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.implementation.description",
          "path" : "TerminologyCapabilities.implementation.description",
          "short" : "Describes this specific instance",
          "definition" : "Information about the specific installation that this terminology capability statement relates to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.implementation.url",
          "path" : "TerminologyCapabilities.implementation.url",
          "short" : "Base URL for the implementation",
          "definition" : "An absolute base URL for the implementation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "url"
          }],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.lockedDate",
          "path" : "TerminologyCapabilities.lockedDate",
          "short" : "Whether lockedDate is supported",
          "definition" : "Whether the server supports lockedDate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.codeSystem",
          "path" : "TerminologyCapabilities.codeSystem",
          "short" : "A code system supported by the server",
          "definition" : "Identifies a code system that is supported by the server. If there is a no code system URL, then this declares the general assumptions a client can make about support for any CodeSystem resource.",
          "comment" : "The code system - identified by its system URL - may also be declared explicitly as a Code System Resource at /CodeSystem, but it might not be.",
          "alias" : ["1"],
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "tcp-1",
            "severity" : "error",
            "human" : "If there is more than one version, a version code must be defined",
            "expression" : "version.count() > 1 implies version.all(code.exists())",
            "xpath" : "(count(f:version) <= 1) or not(exists(f:version[not(f:code)]))"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.uri",
          "path" : "TerminologyCapabilities.codeSystem.uri",
          "short" : "URI for the Code System",
          "definition" : "URI for the Code System.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CodeSystem"]
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version",
          "path" : "TerminologyCapabilities.codeSystem.version",
          "short" : "Version of Code System supported",
          "definition" : "For the code system, a list of versions that are supported by the server.",
          "comment" : "Language translations might not be available for all codes.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.code",
          "path" : "TerminologyCapabilities.codeSystem.version.code",
          "short" : "Version identifier for this version",
          "definition" : "For version-less code systems, there should be a single version with no identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["tcp-1"],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.isDefault",
          "path" : "TerminologyCapabilities.codeSystem.version.isDefault",
          "short" : "If this is the default version for this code system",
          "definition" : "If this is the default version for this code system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.compositional",
          "path" : "TerminologyCapabilities.codeSystem.version.compositional",
          "short" : "If compositional grammar is supported",
          "definition" : "If the compositional grammar defined by the code system is supported.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.language",
          "path" : "TerminologyCapabilities.codeSystem.version.language",
          "short" : "Language Displays supported",
          "definition" : "Language Displays supported.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter",
          "path" : "TerminologyCapabilities.codeSystem.version.filter",
          "short" : "Filter Properties supported",
          "definition" : "Filter Properties supported.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter.code",
          "path" : "TerminologyCapabilities.codeSystem.version.filter.code",
          "short" : "Code of the property supported",
          "definition" : "Code of the property supported.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.filter.op",
          "path" : "TerminologyCapabilities.codeSystem.version.filter.op",
          "short" : "Operations supported for the property",
          "definition" : "Operations supported for the property.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.version.property",
          "path" : "TerminologyCapabilities.codeSystem.version.property",
          "short" : "Properties supported for $lookup",
          "definition" : "Properties supported for $lookup.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSystem.subsumption",
          "path" : "TerminologyCapabilities.codeSystem.subsumption",
          "short" : "Whether subsumption is supported",
          "definition" : "True if subsumption is supported for this version of the code system.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion",
          "path" : "TerminologyCapabilities.expansion",
          "short" : "Information about the [ValueSet/$expand](valueset-operation-expand.html) operation",
          "definition" : "Information about the [ValueSet/$expand](valueset-operation-expand.html) operation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.hierarchical",
          "path" : "TerminologyCapabilities.expansion.hierarchical",
          "short" : "Whether the server can return nested value sets",
          "definition" : "Whether the server can return nested value sets.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.paging",
          "path" : "TerminologyCapabilities.expansion.paging",
          "short" : "Whether the server supports paging on expansion",
          "definition" : "Whether the server supports paging on expansion.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.incomplete",
          "path" : "TerminologyCapabilities.expansion.incomplete",
          "short" : "Allow request for incomplete expansions?",
          "definition" : "Allow request for incomplete expansions?",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter",
          "path" : "TerminologyCapabilities.expansion.parameter",
          "short" : "Supported expansion parameter",
          "definition" : "Supported expansion parameter.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter.name",
          "path" : "TerminologyCapabilities.expansion.parameter.name",
          "short" : "Expansion Parameter name",
          "definition" : "Expansion Parameter name.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.parameter.documentation",
          "path" : "TerminologyCapabilities.expansion.parameter.documentation",
          "short" : "Description of support for parameter",
          "definition" : "Description of support for parameter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TerminologyCapabilities.expansion.textFilter",
          "path" : "TerminologyCapabilities.expansion.textFilter",
          "short" : "Documentation about text searching works",
          "definition" : "Documentation about text searching works.",
          "comment" : "This documentation should cover things like case sensitivity,  use of punctuation if not ignored, what wild cards are supported (if any), whether text is starts with or contains, and whether word order matters.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "TerminologyCapabilities.codeSearch",
          "path" : "TerminologyCapabilities.codeSearch",
          "short" : "explicit | all",
          "definition" : "The degree to which the server supports the code search parameter on ValueSet, if it is supported.",
          "comment" : "See notes on the [ValueSet](valueset.html#) resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "CodeSearchSupport"
            }],
            "strength" : "required",
            "description" : "The degree to which the server supports the code search parameter on ValueSet, if it is supported.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/code-search-support|4.0.0"
          }
        },
        {
          "id" : "TerminologyCapabilities.validateCode",
          "path" : "TerminologyCapabilities.validateCode",
          "short" : "Information about the [ValueSet/$validate-code](valueset-operation-validate-code.html) operation",
          "definition" : "Information about the [ValueSet/$validate-code](valueset-operation-validate-code.html) operation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TerminologyCapabilities.validateCode.translations",
          "path" : "TerminologyCapabilities.validateCode.translations",
          "short" : "Whether translations are validated",
          "definition" : "Whether translations are validated.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TerminologyCapabilities.translation",
          "path" : "TerminologyCapabilities.translation",
          "short" : "Information about the [ConceptMap/$translate](conceptmap-operation-translate.html) operation",
          "definition" : "Information about the [ConceptMap/$translate](conceptmap-operation-translate.html) operation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TerminologyCapabilities.translation.needsMap",
          "path" : "TerminologyCapabilities.translation.needsMap",
          "short" : "Whether the client must identify the map",
          "definition" : "Whether the client must identify the map.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TerminologyCapabilities.closure",
          "path" : "TerminologyCapabilities.closure",
          "short" : "Information about the [ConceptMap/$closure](conceptmap-operation-closure.html) operation",
          "definition" : "Whether the $closure operation is supported.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TerminologyCapabilities.closure.translation",
          "path" : "TerminologyCapabilities.closure.translation",
          "short" : "If cross-system closure is supported",
          "definition" : "If cross-system closure is supported.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/TestReport",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "TestReport",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 TestReport 
TU
DomainResource
Describes the results of a TestScript execution
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
Σ
0..1
Identifier
External identifier
 name 
Σ
0..1
string
Informal name of the executed TestScript
 status 
?!Σ
1..1
code
completed | in-progress | waiting | stopped | entered-in-error
TestReportStatus (Required)
 testScript 
Σ
1..1
Reference(TestScript)
Reference to the  version-specific TestScript that was executed to produce this TestReport
 result 
Σ
1..1
code
pass | fail | pending
TestReportResult (Required)
 score 
Σ
0..1
decimal
The final score (percentage of tests passed) resulting from the execution of the TestScript
 tester 
Σ
0..1
string
Name of the tester producing this report (Organization or individual)
 issued 
Σ
0..1
dateTime
When the TestScript was executed and this TestReport was generated
 participant 
0..*
BackboneElement
A participant in the test execution, either the execution engine, a client, or a server
 type 
1..1
code
test-engine | client | server
TestReportParticipantType (Required)
 uri 
1..1
uri
The uri of the participant. An absolute URL is preferred
 display 
0..1
string
The display name of the participant
 setup 
0..1
BackboneElement
The results of the series of required setup operations before the tests were executed
 action 
I
1..*
BackboneElement
A setup operation or assert that was executed
+ Rule: Setup action SHALL contain either an operation or assert but not both.
 operation 
0..1
BackboneElement
The operation to perform
 result 
1..1
code
pass | skip | fail | warning | error
TestReportActionResult (Required)
 message 
0..1
markdown
A message associated with the result
 detail 
0..1
uri
A link to further details on the result
 assert 
0..1
BackboneElement
The assertion to perform
 result 
1..1
code
pass | skip | fail | warning | error
TestReportActionResult (Required)
 message 
0..1
markdown
A message associated with the result
 detail 
0..1
string
A link to further details on the result
 test 
0..*
BackboneElement
A test executed from the test script
 name 
0..1
string
Tracking/logging name of this test
 description 
0..1
string
Tracking/reporting short description of the test
 action 
I
1..*
BackboneElement
A test operation or assert that was performed
+ Rule: Test action SHALL contain either an operation or assert but not both.
 operation 
0..1
see operation
The operation performed
 assert 
0..1
see assert
The assertion performed
 teardown 
0..1
BackboneElement
The results of running the series of required clean up steps
 action 
1..*
BackboneElement
One or more teardown operations performed
 operation 
1..1
see operation
The teardown operation performed

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Quality Reporting & Testing"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/TestReport",
      "version" : "4.0.0",
      "name" : "TestReport",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A summary of information based on the results of executing a TestScript.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "TestReport",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "TestReport",
          "path" : "TestReport",
          "short" : "Describes the results of a TestScript execution",
          "definition" : "A summary of information based on the results of executing a TestScript.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestReport",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "objimpl",
            "map" : "BaseConformance"
          }]
        },
        {
          "id" : "TestReport.id",
          "path" : "TestReport.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TestReport.meta",
          "path" : "TestReport.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TestReport.implicitRules",
          "path" : "TestReport.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "TestReport.language",
          "path" : "TestReport.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "TestReport.text",
          "path" : "TestReport.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "TestReport.contained",
          "path" : "TestReport.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.extension",
          "path" : "TestReport.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.modifierExtension",
          "path" : "TestReport.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.identifier",
          "path" : "TestReport.identifier",
          "short" : "External identifier",
          "definition" : "Identifier for the TestScript assigned for external purposes outside the context of FHIR.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "TestReport.name",
          "path" : "TestReport.name",
          "short" : "Informal name of the executed TestScript",
          "definition" : "A free text natural language name identifying the executed TestScript.",
          "comment" : "Not expected to be globally unique.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "objimpl",
            "map" : "BaseConformance.name"
          }]
        },
        {
          "id" : "TestReport.status",
          "path" : "TestReport.status",
          "short" : "completed | in-progress | waiting | stopped | entered-in-error",
          "definition" : "The current state of this test report.",
          "comment" : "The status represents where the execution is currently within the test script execution life cycle.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestReport.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportStatus"
            }],
            "strength" : "required",
            "description" : "The current status of the test report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-status-codes|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "TestReport.testScript",
          "path" : "TestReport.testScript",
          "short" : "Reference to the  version-specific TestScript that was executed to produce this TestReport",
          "definition" : "Ideally this is an absolute URL that is used to identify the version-specific TestScript that was executed, matching the `TestScript.url`.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestReport.testScript",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/TestScript"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TestReport.result",
          "path" : "TestReport.result",
          "short" : "pass | fail | pending",
          "definition" : "The overall result from the execution of the TestScript.",
          "comment" : "The pass and fail result represents a completed test script execution. The pending result represents a test script execution that has not yet started or is currently in progress.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestReport.result",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportResult"
            }],
            "strength" : "required",
            "description" : "The reported execution result.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-result-codes|4.0.0"
          }
        },
        {
          "id" : "TestReport.score",
          "path" : "TestReport.score",
          "short" : "The final score (percentage of tests passed) resulting from the execution of the TestScript",
          "definition" : "The final score (percentage of tests passed) resulting from the execution of the TestScript.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.score",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TestReport.tester",
          "path" : "TestReport.tester",
          "short" : "Name of the tester producing this report (Organization or individual)",
          "definition" : "Name of the tester producing this report (Organization or individual).",
          "comment" : "Usually an organization, but may be an individual. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the TestReport.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.tester",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TestReport.issued",
          "path" : "TestReport.issued",
          "short" : "When the TestScript was executed and this TestReport was generated",
          "definition" : "When the TestScript was executed and this TestReport was generated.",
          "comment" : "Additional specific dates may be added as extensions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.issued",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "objimpl",
            "map" : "BaseConformance.date"
          }]
        },
        {
          "id" : "TestReport.participant",
          "path" : "TestReport.participant",
          "short" : "A participant in the test execution, either the execution engine, a client, or a server",
          "definition" : "A participant in the test execution, either the execution engine, a client, or a server.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestReport.participant",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.participant.id",
          "path" : "TestReport.participant.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.participant.extension",
          "path" : "TestReport.participant.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.participant.modifierExtension",
          "path" : "TestReport.participant.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.participant.type",
          "path" : "TestReport.participant.type",
          "short" : "test-engine | client | server",
          "definition" : "The type of participant.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestReport.participant.type",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportParticipantType"
            }],
            "strength" : "required",
            "description" : "The type of participant.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-participant-type|4.0.0"
          }
        },
        {
          "id" : "TestReport.participant.uri",
          "path" : "TestReport.participant.uri",
          "short" : "The uri of the participant. An absolute URL is preferred",
          "definition" : "The uri of the participant. An absolute URL is preferred.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestReport.participant.uri",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.participant.display",
          "path" : "TestReport.participant.display",
          "short" : "The display name of the participant",
          "definition" : "The display name of the participant.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.participant.display",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.setup",
          "path" : "TestReport.setup",
          "short" : "The results of the series of required setup operations before the tests were executed",
          "definition" : "The results of the series of required setup operations before the tests were executed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.setup.id",
          "path" : "TestReport.setup.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.setup.extension",
          "path" : "TestReport.setup.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.setup.modifierExtension",
          "path" : "TestReport.setup.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.setup.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SetupAction"
          }],
          "path" : "TestReport.setup.action",
          "short" : "A setup operation or assert that was executed",
          "definition" : "Action would contain either an operation or an assertion.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "TestReport.setup.action",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "inv-1",
            "severity" : "error",
            "human" : "Setup action SHALL contain either an operation or assert but not both.",
            "expression" : "operation.exists() xor assert.exists()",
            "xpath" : "(f:operation or f:assert) and not(f:operation and f:assert)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.setup.action.id",
          "path" : "TestReport.setup.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.setup.action.extension",
          "path" : "TestReport.setup.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.setup.action.modifierExtension",
          "path" : "TestReport.setup.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.setup.action.operation",
          "path" : "TestReport.setup.action.operation",
          "short" : "The operation to perform",
          "definition" : "The operation performed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup.action.operation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.setup.action.operation.id",
          "path" : "TestReport.setup.action.operation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.setup.action.operation.extension",
          "path" : "TestReport.setup.action.operation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.setup.action.operation.modifierExtension",
          "path" : "TestReport.setup.action.operation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.setup.action.operation.result",
          "path" : "TestReport.setup.action.operation.result",
          "short" : "pass | skip | fail | warning | error",
          "definition" : "The result of this operation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup.action.operation.result",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportActionResult"
            }],
            "strength" : "required",
            "description" : "The results of executing an action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0"
          }
        },
        {
          "id" : "TestReport.setup.action.operation.message",
          "path" : "TestReport.setup.action.operation.message",
          "short" : "A message associated with the result",
          "definition" : "An explanatory message associated with the result.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup.action.operation.message",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.setup.action.operation.detail",
          "path" : "TestReport.setup.action.operation.detail",
          "short" : "A link to further details on the result",
          "definition" : "A link to further details on the result.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup.action.operation.detail",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.setup.action.assert",
          "path" : "TestReport.setup.action.assert",
          "short" : "The assertion to perform",
          "definition" : "The results of the assertion performed on the previous operations.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup.action.assert",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.setup.action.assert.id",
          "path" : "TestReport.setup.action.assert.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.setup.action.assert.extension",
          "path" : "TestReport.setup.action.assert.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.setup.action.assert.modifierExtension",
          "path" : "TestReport.setup.action.assert.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.setup.action.assert.result",
          "path" : "TestReport.setup.action.assert.result",
          "short" : "pass | skip | fail | warning | error",
          "definition" : "The result of this assertion.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup.action.assert.result",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportActionResult"
            }],
            "strength" : "required",
            "description" : "The results of executing an action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0"
          }
        },
        {
          "id" : "TestReport.setup.action.assert.message",
          "path" : "TestReport.setup.action.assert.message",
          "short" : "A message associated with the result",
          "definition" : "An explanatory message associated with the result.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup.action.assert.message",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.setup.action.assert.detail",
          "path" : "TestReport.setup.action.assert.detail",
          "short" : "A link to further details on the result",
          "definition" : "A link to further details on the result.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.setup.action.assert.detail",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.test",
          "path" : "TestReport.test",
          "short" : "A test executed from the test script",
          "definition" : "A test executed from the test script.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestReport.test",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.test.id",
          "path" : "TestReport.test.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.test.extension",
          "path" : "TestReport.test.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.test.modifierExtension",
          "path" : "TestReport.test.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.test.name",
          "path" : "TestReport.test.name",
          "short" : "Tracking/logging name of this test",
          "definition" : "The name of this test used for tracking/logging purposes by test engines.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.test.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.test.description",
          "path" : "TestReport.test.description",
          "short" : "Tracking/reporting short description of the test",
          "definition" : "A short description of the test used by test engines for tracking and reporting purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.test.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.test.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TestAction"
          }],
          "path" : "TestReport.test.action",
          "short" : "A test operation or assert that was performed",
          "definition" : "Action would contain either an operation or an assertion.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "TestReport.test.action",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "inv-2",
            "severity" : "error",
            "human" : "Test action SHALL contain either an operation or assert but not both.",
            "expression" : "operation.exists() xor assert.exists()",
            "xpath" : "(f:operation or f:assert) and not(f:operation and f:assert)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.test.action.id",
          "path" : "TestReport.test.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.test.action.extension",
          "path" : "TestReport.test.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.test.action.modifierExtension",
          "path" : "TestReport.test.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.test.action.operation",
          "path" : "TestReport.test.action.operation",
          "short" : "The operation performed",
          "definition" : "An operation would involve a REST request to a server.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.test.action.operation",
            "min" : 0,
            "max" : "1"
          },
          "contentReference" : "#TestReport.setup.action.operation",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.test.action.assert",
          "path" : "TestReport.test.action.assert",
          "short" : "The assertion performed",
          "definition" : "The results of the assertion performed on the previous operations.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.test.action.assert",
            "min" : 0,
            "max" : "1"
          },
          "contentReference" : "#TestReport.setup.action.assert",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.teardown",
          "path" : "TestReport.teardown",
          "short" : "The results of running the series of required clean up steps",
          "definition" : "The results of the series of operations required to clean up after all the tests were executed (successfully or otherwise).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestReport.teardown",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.teardown.id",
          "path" : "TestReport.teardown.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.teardown.extension",
          "path" : "TestReport.teardown.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.teardown.modifierExtension",
          "path" : "TestReport.teardown.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.teardown.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TeardownAction"
          }],
          "path" : "TestReport.teardown.action",
          "short" : "One or more teardown operations performed",
          "definition" : "The teardown action will only contain an operation.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "TestReport.teardown.action",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestReport.teardown.action.id",
          "path" : "TestReport.teardown.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.teardown.action.extension",
          "path" : "TestReport.teardown.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestReport.teardown.action.modifierExtension",
          "path" : "TestReport.teardown.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestReport.teardown.action.operation",
          "path" : "TestReport.teardown.action.operation",
          "short" : "The teardown operation performed",
          "definition" : "An operation would involve a REST request to a server.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestReport.teardown.action.operation",
            "min" : 1,
            "max" : "1"
          },
          "contentReference" : "#TestReport.setup.action.operation",
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "TestReport",
          "path" : "TestReport",
          "short" : "Describes the results of a TestScript execution",
          "definition" : "A summary of information based on the results of executing a TestScript.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "objimpl",
            "map" : "BaseConformance"
          }]
        },
        {
          "id" : "TestReport.identifier",
          "path" : "TestReport.identifier",
          "short" : "External identifier",
          "definition" : "Identifier for the TestScript assigned for external purposes outside the context of FHIR.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "TestReport.name",
          "path" : "TestReport.name",
          "short" : "Informal name of the executed TestScript",
          "definition" : "A free text natural language name identifying the executed TestScript.",
          "comment" : "Not expected to be globally unique.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "objimpl",
            "map" : "BaseConformance.name"
          }]
        },
        {
          "id" : "TestReport.status",
          "path" : "TestReport.status",
          "short" : "completed | in-progress | waiting | stopped | entered-in-error",
          "definition" : "The current state of this test report.",
          "comment" : "The status represents where the execution is currently within the test script execution life cycle.\n\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportStatus"
            }],
            "strength" : "required",
            "description" : "The current status of the test report.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-status-codes|4.0.0"
          },
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "TestReport.testScript",
          "path" : "TestReport.testScript",
          "short" : "Reference to the  version-specific TestScript that was executed to produce this TestReport",
          "definition" : "Ideally this is an absolute URL that is used to identify the version-specific TestScript that was executed, matching the `TestScript.url`.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/TestScript"]
          }],
          "isSummary" : true
        },
        {
          "id" : "TestReport.result",
          "path" : "TestReport.result",
          "short" : "pass | fail | pending",
          "definition" : "The overall result from the execution of the TestScript.",
          "comment" : "The pass and fail result represents a completed test script execution. The pending result represents a test script execution that has not yet started or is currently in progress.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportResult"
            }],
            "strength" : "required",
            "description" : "The reported execution result.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-result-codes|4.0.0"
          }
        },
        {
          "id" : "TestReport.score",
          "path" : "TestReport.score",
          "short" : "The final score (percentage of tests passed) resulting from the execution of the TestScript",
          "definition" : "The final score (percentage of tests passed) resulting from the execution of the TestScript.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "isSummary" : true
        },
        {
          "id" : "TestReport.tester",
          "path" : "TestReport.tester",
          "short" : "Name of the tester producing this report (Organization or individual)",
          "definition" : "Name of the tester producing this report (Organization or individual).",
          "comment" : "Usually an organization, but may be an individual. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the TestReport.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "TestReport.issued",
          "path" : "TestReport.issued",
          "short" : "When the TestScript was executed and this TestReport was generated",
          "definition" : "When the TestScript was executed and this TestReport was generated.",
          "comment" : "Additional specific dates may be added as extensions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "objimpl",
            "map" : "BaseConformance.date"
          }]
        },
        {
          "id" : "TestReport.participant",
          "path" : "TestReport.participant",
          "short" : "A participant in the test execution, either the execution engine, a client, or a server",
          "definition" : "A participant in the test execution, either the execution engine, a client, or a server.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestReport.participant.type",
          "path" : "TestReport.participant.type",
          "short" : "test-engine | client | server",
          "definition" : "The type of participant.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportParticipantType"
            }],
            "strength" : "required",
            "description" : "The type of participant.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-participant-type|4.0.0"
          }
        },
        {
          "id" : "TestReport.participant.uri",
          "path" : "TestReport.participant.uri",
          "short" : "The uri of the participant. An absolute URL is preferred",
          "definition" : "The uri of the participant. An absolute URL is preferred.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "TestReport.participant.display",
          "path" : "TestReport.participant.display",
          "short" : "The display name of the participant",
          "definition" : "The display name of the participant.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestReport.setup",
          "path" : "TestReport.setup",
          "short" : "The results of the series of required setup operations before the tests were executed",
          "definition" : "The results of the series of required setup operations before the tests were executed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestReport.setup.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SetupAction"
          }],
          "path" : "TestReport.setup.action",
          "short" : "A setup operation or assert that was executed",
          "definition" : "Action would contain either an operation or an assertion.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "inv-1",
            "severity" : "error",
            "human" : "Setup action SHALL contain either an operation or assert but not both.",
            "expression" : "operation.exists() xor assert.exists()",
            "xpath" : "(f:operation or f:assert) and not(f:operation and f:assert)"
          }]
        },
        {
          "id" : "TestReport.setup.action.operation",
          "path" : "TestReport.setup.action.operation",
          "short" : "The operation to perform",
          "definition" : "The operation performed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestReport.setup.action.operation.result",
          "path" : "TestReport.setup.action.operation.result",
          "short" : "pass | skip | fail | warning | error",
          "definition" : "The result of this operation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportActionResult"
            }],
            "strength" : "required",
            "description" : "The results of executing an action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0"
          }
        },
        {
          "id" : "TestReport.setup.action.operation.message",
          "path" : "TestReport.setup.action.operation.message",
          "short" : "A message associated with the result",
          "definition" : "An explanatory message associated with the result.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "TestReport.setup.action.operation.detail",
          "path" : "TestReport.setup.action.operation.detail",
          "short" : "A link to further details on the result",
          "definition" : "A link to further details on the result.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "TestReport.setup.action.assert",
          "path" : "TestReport.setup.action.assert",
          "short" : "The assertion to perform",
          "definition" : "The results of the assertion performed on the previous operations.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestReport.setup.action.assert.result",
          "path" : "TestReport.setup.action.assert.result",
          "short" : "pass | skip | fail | warning | error",
          "definition" : "The result of this assertion.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestReportActionResult"
            }],
            "strength" : "required",
            "description" : "The results of executing an action.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/report-action-result-codes|4.0.0"
          }
        },
        {
          "id" : "TestReport.setup.action.assert.message",
          "path" : "TestReport.setup.action.assert.message",
          "short" : "A message associated with the result",
          "definition" : "An explanatory message associated with the result.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }]
        },
        {
          "id" : "TestReport.setup.action.assert.detail",
          "path" : "TestReport.setup.action.assert.detail",
          "short" : "A link to further details on the result",
          "definition" : "A link to further details on the result.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestReport.test",
          "path" : "TestReport.test",
          "short" : "A test executed from the test script",
          "definition" : "A test executed from the test script.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestReport.test.name",
          "path" : "TestReport.test.name",
          "short" : "Tracking/logging name of this test",
          "definition" : "The name of this test used for tracking/logging purposes by test engines.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestReport.test.description",
          "path" : "TestReport.test.description",
          "short" : "Tracking/reporting short description of the test",
          "definition" : "A short description of the test used by test engines for tracking and reporting purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestReport.test.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TestAction"
          }],
          "path" : "TestReport.test.action",
          "short" : "A test operation or assert that was performed",
          "definition" : "Action would contain either an operation or an assertion.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "inv-2",
            "severity" : "error",
            "human" : "Test action SHALL contain either an operation or assert but not both.",
            "expression" : "operation.exists() xor assert.exists()",
            "xpath" : "(f:operation or f:assert) and not(f:operation and f:assert)"
          }]
        },
        {
          "id" : "TestReport.test.action.operation",
          "path" : "TestReport.test.action.operation",
          "short" : "The operation performed",
          "definition" : "An operation would involve a REST request to a server.",
          "min" : 0,
          "max" : "1",
          "contentReference" : "#TestReport.setup.action.operation"
        },
        {
          "id" : "TestReport.test.action.assert",
          "path" : "TestReport.test.action.assert",
          "short" : "The assertion performed",
          "definition" : "The results of the assertion performed on the previous operations.",
          "min" : 0,
          "max" : "1",
          "contentReference" : "#TestReport.setup.action.assert"
        },
        {
          "id" : "TestReport.teardown",
          "path" : "TestReport.teardown",
          "short" : "The results of running the series of required clean up steps",
          "definition" : "The results of the series of operations required to clean up after all the tests were executed (successfully or otherwise).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestReport.teardown.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TeardownAction"
          }],
          "path" : "TestReport.teardown.action",
          "short" : "One or more teardown operations performed",
          "definition" : "The teardown action will only contain an operation.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestReport.teardown.action.operation",
          "path" : "TestReport.teardown.action.operation",
          "short" : "The teardown operation performed",
          "definition" : "An operation would involve a REST request to a server.",
          "min" : 1,
          "max" : "1",
          "contentReference" : "#TestReport.setup.action.operation"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/TestScript",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "TestScript",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 TestScript 
ITU
DomainResource
Describes a set of tests
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
1..1
uri
Canonical identifier for this test script, represented as a URI (globally unique)
 identifier 
Σ
0..1
Identifier
Additional identifier for the test script
 version 
Σ
0..1
string
Business version of the test script
 name 
ΣI
1..1
string
Name for this test script (computer friendly)
 title 
Σ
0..1
string
Name for this test script (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the test script
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for test script (if applicable)
Jurisdiction (Extensible)
 purpose 
0..1
markdown
Why this test script is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 origin 
0..*
BackboneElement
An abstract server representing a client or sender in a message exchange
 index 
1..1
integer
The index of the abstract origin server starting at 1
 profile 
1..1
Coding
FHIR-Client | FHIR-SDC-FormFiller
Test script profile origin type (Extensible)
 destination 
0..*
BackboneElement
An abstract server representing a destination or receiver in a message exchange
 index 
1..1
integer
The index of the abstract destination server starting at 1
 profile 
1..1
Coding
FHIR-Server | FHIR-SDC-FormManager | FHIR-SDC-FormReceiver | FHIR-SDC-FormProcessor
Test script profile destination type (Extensible)
 metadata 
I
0..1
BackboneElement
Required capability that is assumed to function correctly on the FHIR server being tested
+ Rule: TestScript metadata capability SHALL contain required or validated or both.
 link 
0..*
BackboneElement
Links to the FHIR specification
 url 
1..1
uri
URL to the specification
 description 
0..1
string
Short description
 capability 
1..*
BackboneElement
Capabilities  that are assumed to function correctly on the FHIR server being tested
 required 
1..1
boolean
Are the capabilities required?
 validated 
1..1
boolean
Are the capabilities validated?
 description 
0..1
string
The expected capabilities of the server
 origin 
0..*
integer
Which origin server these requirements apply to
 destination 
0..1
integer
Which server these requirements apply to
 link 
0..*
uri
Links to the FHIR specification
 capabilities 
1..1
canonical(CapabilityStatement)
Required Capability Statement
 fixture 
0..*
BackboneElement
Fixture in the test script - by reference (uri)
 autocreate 
1..1
boolean
Whether or not to implicitly create the fixture during setup
 autodelete 
1..1
boolean
Whether or not to implicitly delete the fixture during teardown
 resource 
0..1
Reference(Any)
Reference of the resource
 profile 
0..*
Reference(Any)
Reference of the validation profile
 variable 
I
0..*
BackboneElement
Placeholder for evaluated elements
+ Rule: Variable can only contain one of expression, headerField or path.
 name 
1..1
string
Descriptive name for this variable
 defaultValue 
0..1
string
Default, hard-coded, or user-defined value for this variable
 description 
0..1
string
Natural language description of the variable
 expression 
0..1
string
The FHIRPath expression against the fixture body
 headerField 
0..1
string
HTTP header field name for source
 hint 
0..1
string
Hint help text for default value to enter
 path 
0..1
string
XPath or JSONPath against the fixture body
 sourceId 
0..1
id
Fixture Id of source expression or headerField within this variable
 setup 
0..1
BackboneElement
A series of required setup operations before tests are executed
 action 
I
1..*
BackboneElement
A setup operation or assert to perform
+ Rule: Setup action SHALL contain either an operation or assert but not both.
 operation 
I
0..1
BackboneElement
The setup operation to perform
+ Rule: Setup operation SHALL contain either sourceId or targetId or params or url.
 type 
0..1
Coding
The operation code type that will be executed
Test script operation code (Extensible)
 resource 
0..1
code
Resource type
FHIRDefinedType (Required)
 label 
0..1
string
Tracking/logging operation label
 description 
0..1
string
Tracking/reporting operation description
 accept 
0..1
code
Mime type to accept in the payload of the response, with charset etc.
MimeType (Required)
 contentType 
0..1
code
Mime type of the request payload contents, with charset etc.
MimeType (Required)
 destination 
0..1
integer
Server responding to the request
 encodeRequestUrl 
1..1
boolean
Whether or not to send the request url in encoded format
 method 
0..1
code
delete | get | options | patch | post | put | head
TestScriptRequestMethodCode (Required)
 origin 
0..1
integer
Server initiating the request
 params 
0..1
string
Explicitly defined path parameters
 requestHeader 
0..*
BackboneElement
Each operation can have one or more header elements
 field 
1..1
string
HTTP header field name
 value 
1..1
string
HTTP headerfield value
 requestId 
0..1
id
Fixture Id of mapped request
 responseId 
0..1
id
Fixture Id of mapped response
 sourceId 
0..1
id
Fixture Id of body for PUT and POST requests
 targetId 
0..1
id
Id of fixture used for extracting the [id],  [type], and [vid] for GET requests
 url 
0..1
string
Request URL
 assert 
I
0..1
BackboneElement
The assertion to perform
+ Rule: Only a single assertion SHALL be present within setup action assert element.
+ Rule: Setup action assert SHALL contain either compareToSourceId and compareToSourceExpression, compareToSourceId and compareToSourcePath or neither.
+ Rule: Setup action assert response and responseCode SHALL be empty when direction equals request
 label 
0..1
string
Tracking/logging assertion label
 description 
0..1
string
Tracking/reporting assertion description
 direction 
0..1
code
response | request
AssertionDirectionType (Required)
 compareToSourceId 
0..1
string
Id of the source fixture to be evaluated
 compareToSourceExpression 
0..1
string
The FHIRPath expression to evaluate against the source fixture
 compareToSourcePath 
0..1
string
XPath or JSONPath expression to evaluate against the source fixture
 contentType 
0..1
code
Mime type to compare against the 'Content-Type' header
MimeType (Required)
 expression 
0..1
string
The FHIRPath expression to be evaluated
 headerField 
0..1
string
HTTP header field name
 minimumId 
0..1
string
Fixture Id of minimum content resource
 navigationLinks 
0..1
boolean
Perform validation on navigation links?
 operator 
0..1
code
equals | notEquals | in | notIn | greaterThan | lessThan | empty | notEmpty | contains | notContains | eval
AssertionOperatorType (Required)
 path 
0..1
string
XPath or JSONPath expression
 requestMethod 
0..1
code
delete | get | options | patch | post | put | head
TestScriptRequestMethodCode (Required)
 requestURL 
0..1
string
Request URL comparison value
 resource 
0..1
code
Resource type
FHIRDefinedType (Required)
 response 
0..1
code
okay | created | noContent | notModified | bad | forbidden | notFound | methodNotAllowed | conflict | gone | preconditionFailed | unprocessable
AssertionResponseTypes (Required)
 responseCode 
0..1
string
HTTP response code to test
 sourceId 
0..1
id
Fixture Id of source expression or headerField
 validateProfileId 
0..1
id
Profile Id of validation profile reference
 value 
0..1
string
The value to compare to
 warningOnly 
1..1
boolean
Will this assert produce a warning only on error?
 test 
0..*
BackboneElement
A test in this script
 name 
0..1
string
Tracking/logging name of this test
 description 
0..1
string
Tracking/reporting short description of the test
 action 
I
1..*
BackboneElement
A test operation or assert to perform
+ Rule: Test action SHALL contain either an operation or assert but not both.
 operation 
I
0..1
see operation
The setup operation to perform
+ Rule: Test operation SHALL contain either sourceId or targetId or params or url.
 assert 
I
0..1
see assert
The setup assertion to perform
+ Rule: Only a single assertion SHALL be present within test action assert element.
+ Rule: Test action assert SHALL contain either compareToSourceId and compareToSourceExpression, compareToSourceId and compareToSourcePath or neither.
+ Rule: Test action assert response and response and responseCode SHALL be empty when direction equals request
 teardown 
0..1
BackboneElement
A series of required clean up steps
 action 
1..*
BackboneElement
One or more teardown operations to perform
 operation 
I
1..1
see operation
The teardown operation to perform
+ Rule: Teardown operation SHALL contain either sourceId or targetId or params or url.

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Specialized.Quality Reporting & Testing"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/TestScript",
      "version" : "4.0.0",
      "name" : "TestScript",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "A structured set of tests against a FHIR server or client implementation to determine compliance against the FHIR specification.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "TestScript",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "TestScript",
          "path" : "TestScript",
          "short" : "Describes a set of tests",
          "definition" : "A structured set of tests against a FHIR server or client implementation to determine compliance against the FHIR specification.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "tst-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.id",
          "path" : "TestScript.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TestScript.meta",
          "path" : "TestScript.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TestScript.implicitRules",
          "path" : "TestScript.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "TestScript.language",
          "path" : "TestScript.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "TestScript.text",
          "path" : "TestScript.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "TestScript.contained",
          "path" : "TestScript.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.extension",
          "path" : "TestScript.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.modifierExtension",
          "path" : "TestScript.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.url",
          "path" : "TestScript.url",
          "short" : "Canonical identifier for this test script, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this test script when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this test script is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the test script is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the test script to be referenced by a single globally unique identifier.",
          "alias" : ["url",
          "authoritative-url",
          "destination",
          "identity"],
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "TestScript.identifier",
          "path" : "TestScript.identifier",
          "short" : "Additional identifier for the test script",
          "definition" : "A formal identifier that is used to identify this test script when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this test script outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TestScript.version",
          "path" : "TestScript.version",
          "short" : "Business version of the test script",
          "definition" : "The identifier that is used to identify this version of the test script when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the test script author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different test script instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the test script with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "TestScript.name",
          "path" : "TestScript.name",
          "short" : "Name for this test script (computer friendly)",
          "definition" : "A natural language name identifying the test script. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "TestScript.title",
          "path" : "TestScript.title",
          "short" : "Name for this test script (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the test script.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "TestScript.status",
          "path" : "TestScript.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this test script. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of test scripts that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "TestScript.experimental",
          "path" : "TestScript.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this test script is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of test scripts that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level test script.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "TestScript.date",
          "path" : "TestScript.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the test script was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the test script changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the test script. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "TestScript.publisher",
          "path" : "TestScript.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the test script.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the test script is the organization or individual primarily responsible for the maintenance and upkeep of the test script. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the test script. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the test script.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "TestScript.contact",
          "path" : "TestScript.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "TestScript.description",
          "path" : "TestScript.description",
          "short" : "Natural language description of the test script",
          "definition" : "A free text natural language description of the test script from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the test script was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the test script as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the test script is presumed to be the predominant language in the place the test script was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "TestScript.useContext",
          "path" : "TestScript.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate test script instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "TestScript.jurisdiction",
          "path" : "TestScript.jurisdiction",
          "short" : "Intended jurisdiction for test script (if applicable)",
          "definition" : "A legal or geographic region in which the test script is intended to be used.",
          "comment" : "It may be possible for the test script to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "TestScript.purpose",
          "path" : "TestScript.purpose",
          "short" : "Why this test script is defined",
          "definition" : "Explanation of why this test script is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the test script. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this test script.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TestScript.copyright",
          "path" : "TestScript.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the test script and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the test script.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the test script and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TestScript.origin",
          "path" : "TestScript.origin",
          "short" : "An abstract server representing a client or sender in a message exchange",
          "definition" : "An abstract server used in operations within this test script in the origin element.",
          "comment" : "The purpose of this element is to define the profile of an origin element used elsewhere in the script.  Test engines could then use the origin-profile mapping to offer a filtered list of test systems that can serve as the sender for the interaction.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.origin",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.origin.id",
          "path" : "TestScript.origin.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.origin.extension",
          "path" : "TestScript.origin.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.origin.modifierExtension",
          "path" : "TestScript.origin.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.origin.index",
          "path" : "TestScript.origin.index",
          "short" : "The index of the abstract origin server starting at 1",
          "definition" : "Abstract name given to an origin server in this test script.  The name is provided as a number starting at 1.",
          "comment" : "A given origin index (e.g. 1) can appear only once in the list (e.g. Origin 1 cannot be specified twice ... once as FormFiller and again as FormProcessor within the same script as that could get confusing during test configuration). \n\nDifferent origin indices could play the same actor in the same test script (e.g. You could have two different test systems acting as Form-Filler).\n\nThe origin indices provided elsewhere in the test script must be one of these origin indices.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.origin.index",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.origin.profile",
          "path" : "TestScript.origin.profile",
          "short" : "FHIR-Client | FHIR-SDC-FormFiller",
          "definition" : "The type of origin profile the test system supports.",
          "comment" : "Must be a \"sender\"/\"client\" profile.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.origin.profile",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "meaningWhenMissing" : "FHIR-Client",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptProfileOriginType"
            }],
            "strength" : "extensible",
            "description" : "The type of origin profile the test system supports.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/testscript-profile-origin-types"
          }
        },
        {
          "id" : "TestScript.destination",
          "path" : "TestScript.destination",
          "short" : "An abstract server representing a destination or receiver in a message exchange",
          "definition" : "An abstract server used in operations within this test script in the destination element.",
          "comment" : "The purpose of this element is to define the profile of a destination element used elsewhere in the script.  Test engines could then use the destination-profile mapping to offer a filtered list of test systems that can serve as the receiver for the interaction.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.destination",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.destination.id",
          "path" : "TestScript.destination.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.destination.extension",
          "path" : "TestScript.destination.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.destination.modifierExtension",
          "path" : "TestScript.destination.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.destination.index",
          "path" : "TestScript.destination.index",
          "short" : "The index of the abstract destination server starting at 1",
          "definition" : "Abstract name given to a destination server in this test script.  The name is provided as a number starting at 1.",
          "comment" : "A given destination index (e.g. 1) can appear only once in the list (e.g. Destination 1 cannot be specified twice ... once as Form-Manager and again as Form-Processor within the same script as that could get confusing during test configuration). \n\nDifferent destination indices could play the same actor in the same test script (e.g. You could have two different test systems acting as Form-Manager).\n\nThe destination indices provided elsewhere in the test script must be one of these destination indices.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.destination.index",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.destination.profile",
          "path" : "TestScript.destination.profile",
          "short" : "FHIR-Server | FHIR-SDC-FormManager | FHIR-SDC-FormReceiver | FHIR-SDC-FormProcessor",
          "definition" : "The type of destination profile the test system supports.",
          "comment" : "Must be a \"receiver\"/\"server\" profile.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.destination.profile",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "meaningWhenMissing" : "FHIR-Server",
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptProfileDestinationType"
            }],
            "strength" : "extensible",
            "description" : "The type of destination profile the test system supports.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/testscript-profile-destination-types"
          }
        },
        {
          "id" : "TestScript.metadata",
          "path" : "TestScript.metadata",
          "short" : "Required capability that is assumed to function correctly on the FHIR server being tested",
          "definition" : "The required capability must exist and are assumed to function correctly on the FHIR server being tested.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.metadata",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "tst-4",
            "severity" : "error",
            "human" : "TestScript metadata capability SHALL contain required or validated or both.",
            "expression" : "capability.required.exists() or capability.validated.exists()",
            "xpath" : "f:capability/f:required or f:capability/f:validated or (f:capability/f:required and f:capability/f:validated)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.id",
          "path" : "TestScript.metadata.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.metadata.extension",
          "path" : "TestScript.metadata.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.metadata.modifierExtension",
          "path" : "TestScript.metadata.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.metadata.link",
          "path" : "TestScript.metadata.link",
          "short" : "Links to the FHIR specification",
          "definition" : "A link to the FHIR specification that this test is covering.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.metadata.link",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.link.id",
          "path" : "TestScript.metadata.link.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.metadata.link.extension",
          "path" : "TestScript.metadata.link.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.metadata.link.modifierExtension",
          "path" : "TestScript.metadata.link.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.metadata.link.url",
          "path" : "TestScript.metadata.link.url",
          "short" : "URL to the specification",
          "definition" : "URL to a particular requirement or feature within the FHIR specification.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.metadata.link.url",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.link.description",
          "path" : "TestScript.metadata.link.description",
          "short" : "Short description",
          "definition" : "Short description of the link.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.metadata.link.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.capability",
          "path" : "TestScript.metadata.capability",
          "short" : "Capabilities  that are assumed to function correctly on the FHIR server being tested",
          "definition" : "Capabilities that must exist and are assumed to function correctly on the FHIR server being tested.",
          "comment" : "When the metadata capabilities section is defined at TestScript.metadata or at TestScript.setup.metadata, and the server's conformance statement does not contain the elements defined in the minimal conformance statement, then all the tests in the TestScript are skipped.  When the metadata capabilities section is defined at TestScript.test.metadata and the server's conformance statement does not contain the elements defined in the minimal conformance statement, then only that test is skipped.  The \"metadata.capabilities.required\" and \"metadata.capabilities.validated\" elements only indicate whether the capabilities are the primary focus of the test script or not.  They do not impact the skipping logic.  Capabilities whose \"metadata.capabilities.validated\" flag is true are the primary focus of the test script.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "TestScript.metadata.capability",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.capability.id",
          "path" : "TestScript.metadata.capability.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.extension",
          "path" : "TestScript.metadata.capability.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.modifierExtension",
          "path" : "TestScript.metadata.capability.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.required",
          "path" : "TestScript.metadata.capability.required",
          "short" : "Are the capabilities required?",
          "definition" : "Whether or not the test execution will require the given capabilities of the server in order for this test script to execute.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.metadata.capability.required",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.capability.validated",
          "path" : "TestScript.metadata.capability.validated",
          "short" : "Are the capabilities validated?",
          "definition" : "Whether or not the test execution will validate the given capabilities of the server in order for this test script to execute.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.metadata.capability.validated",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.capability.description",
          "path" : "TestScript.metadata.capability.description",
          "short" : "The expected capabilities of the server",
          "definition" : "Description of the capabilities that this test script is requiring the server to support.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.metadata.capability.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.capability.origin",
          "path" : "TestScript.metadata.capability.origin",
          "short" : "Which origin server these requirements apply to",
          "definition" : "Which origin server these requirements apply to.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.metadata.capability.origin",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.capability.destination",
          "path" : "TestScript.metadata.capability.destination",
          "short" : "Which server these requirements apply to",
          "definition" : "Which server these requirements apply to.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.metadata.capability.destination",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.capability.link",
          "path" : "TestScript.metadata.capability.link",
          "short" : "Links to the FHIR specification",
          "definition" : "Links to the FHIR specification that describes this interaction and the resources involved in more detail.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.metadata.capability.link",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.metadata.capability.capabilities",
          "path" : "TestScript.metadata.capability.capabilities",
          "short" : "Required Capability Statement",
          "definition" : "Minimum capabilities required of server for test script to execute successfully.   If server does not meet at a minimum the referenced capability statement, then all tests in this script are skipped.",
          "comment" : "The conformance statement of the server has to contain at a minimum the contents of the reference pointed to by this element.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.metadata.capability.capabilities",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CapabilityStatement"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.fixture",
          "path" : "TestScript.fixture",
          "short" : "Fixture in the test script - by reference (uri)",
          "definition" : "Fixture in the test script - by reference (uri). All fixtures are required for the test script to execute.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.fixture",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.fixture.id",
          "path" : "TestScript.fixture.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.fixture.extension",
          "path" : "TestScript.fixture.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.fixture.modifierExtension",
          "path" : "TestScript.fixture.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.fixture.autocreate",
          "path" : "TestScript.fixture.autocreate",
          "short" : "Whether or not to implicitly create the fixture during setup",
          "definition" : "Whether or not to implicitly create the fixture during setup. If true, the fixture is automatically created on each server being tested during setup, therefore no create operation is required for this fixture in the TestScript.setup section.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.fixture.autocreate",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.fixture.autodelete",
          "path" : "TestScript.fixture.autodelete",
          "short" : "Whether or not to implicitly delete the fixture during teardown",
          "definition" : "Whether or not to implicitly delete the fixture during teardown. If true, the fixture is automatically deleted on each server being tested during teardown, therefore no delete operation is required for this fixture in the TestScript.teardown section.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.fixture.autodelete",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.fixture.resource",
          "path" : "TestScript.fixture.resource",
          "short" : "Reference of the resource",
          "definition" : "Reference to the resource (containing the contents of the resource needed for operations).",
          "comment" : "See http://build.fhir.org/resourcelist.html for complete list of resource types.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.fixture.resource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.profile",
          "path" : "TestScript.profile",
          "short" : "Reference of the validation profile",
          "definition" : "Reference to the profile to be used for validation.",
          "comment" : "See http://build.fhir.org/resourcelist.html for complete list of resource types.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.profile",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable",
          "path" : "TestScript.variable",
          "short" : "Placeholder for evaluated elements",
          "definition" : "Variable is set based either on element value in response body or on header field value in the response headers.",
          "comment" : "Variables would be set based either on XPath/JSONPath expressions against fixtures (static and response), or headerField evaluations against response headers. If variable evaluates to nodelist or anything other than a primitive value, then test engine would report an error.  Variables would be used to perform clean replacements in \"operation.params\", \"operation.requestHeader.value\", and \"operation.url\" element values during operation calls and in \"assert.value\" during assertion evaluations. This limits the places that test engines would need to look for placeholders \"${}\".  Variables are scoped to the whole script. They are NOT evaluated at declaration. They are evaluated by test engine when used for substitutions in \"operation.params\", \"operation.requestHeader.value\", and \"operation.url\" element values during operation calls and in \"assert.value\" during assertion evaluations.  See example testscript-search.xml.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.variable",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "tst-3",
            "severity" : "error",
            "human" : "Variable can only contain one of expression, headerField or path.",
            "expression" : "expression.empty() or headerField.empty() or path.empty()",
            "xpath" : "not(f:expression and f:headerField and f:path)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable.id",
          "path" : "TestScript.variable.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.variable.extension",
          "path" : "TestScript.variable.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.variable.modifierExtension",
          "path" : "TestScript.variable.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.variable.name",
          "path" : "TestScript.variable.name",
          "short" : "Descriptive name for this variable",
          "definition" : "Descriptive name for this variable.",
          "comment" : "Placeholders would contain the variable name wrapped in ${} in \"operation.params\", \"operation.requestHeader.value\", and \"operation.url\" elements.  These placeholders would need to be replaced by the variable value before the operation is executed.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.variable.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable.defaultValue",
          "path" : "TestScript.variable.defaultValue",
          "short" : "Default, hard-coded, or user-defined value for this variable",
          "definition" : "A default, hard-coded, or user-defined value for this variable.",
          "comment" : "The purpose of this element is to allow for a pre-defined value that can be used as a default or as an override value. Test engines can optionally use this as a placeholder for user-defined execution time values.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.variable.defaultValue",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable.description",
          "path" : "TestScript.variable.description",
          "short" : "Natural language description of the variable",
          "definition" : "A free text natural language description of the variable and its purpose.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.variable.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable.expression",
          "path" : "TestScript.variable.expression",
          "short" : "The FHIRPath expression against the fixture body",
          "definition" : "The FHIRPath expression to evaluate against the fixture body. When variables are defined, only one of either expression, headerField or path must be specified.",
          "comment" : "If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If expression or path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define any combination of expression, headerField and path.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.variable.expression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable.headerField",
          "path" : "TestScript.variable.headerField",
          "short" : "HTTP header field name for source",
          "definition" : "Will be used to grab the HTTP header field value from the headers that sourceId is pointing to.",
          "comment" : "If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define both headerField and path.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.variable.headerField",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable.hint",
          "path" : "TestScript.variable.hint",
          "short" : "Hint help text for default value to enter",
          "definition" : "Displayable text string with hint help information to the user when entering a default value.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.variable.hint",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable.path",
          "path" : "TestScript.variable.path",
          "short" : "XPath or JSONPath against the fixture body",
          "definition" : "XPath or JSONPath to evaluate against the fixture body.  When variables are defined, only one of either expression, headerField or path must be specified.",
          "comment" : "If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If expression or path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define any combination of expression, headerField and path.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.variable.path",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.variable.sourceId",
          "path" : "TestScript.variable.sourceId",
          "short" : "Fixture Id of source expression or headerField within this variable",
          "definition" : "Fixture to evaluate the XPath/JSONPath expression or the headerField  against within this variable.",
          "comment" : "This can be a statically defined fixture (at the top of the TestScript) or a dynamically set fixture created by responseId of the `action.operation` element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.variable.sourceId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup",
          "path" : "TestScript.setup",
          "short" : "A series of required setup operations before tests are executed",
          "definition" : "A series of required setup operations before tests are executed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.id",
          "path" : "TestScript.setup.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.extension",
          "path" : "TestScript.setup.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.modifierExtension",
          "path" : "TestScript.setup.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.setup.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SetupAction"
          }],
          "path" : "TestScript.setup.action",
          "short" : "A setup operation or assert to perform",
          "definition" : "Action would contain either an operation or an assertion.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "TestScript.setup.action",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "tst-1",
            "severity" : "error",
            "human" : "Setup action SHALL contain either an operation or assert but not both.",
            "expression" : "operation.exists() xor assert.exists()",
            "xpath" : "(f:operation or f:assert) and not(f:operation and f:assert)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.id",
          "path" : "TestScript.setup.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.action.extension",
          "path" : "TestScript.setup.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.action.modifierExtension",
          "path" : "TestScript.setup.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation",
          "path" : "TestScript.setup.action.operation",
          "short" : "The setup operation to perform",
          "definition" : "The operation to perform.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "tst-7",
            "severity" : "error",
            "human" : "Setup operation SHALL contain either sourceId or targetId or params or url.",
            "expression" : "sourceId.exists() or (targetId.count() + url.count() + params.count() = 1) or (type.code in ('capabilities' |'search' | 'transaction' | 'history'))",
            "xpath" : "f:sourceId or ((f:targetId or f:url or f:params) and (count(f:targetId) + count(f:url) + count(f:params) =1)) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.id",
          "path" : "TestScript.setup.action.operation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.extension",
          "path" : "TestScript.setup.action.operation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.modifierExtension",
          "path" : "TestScript.setup.action.operation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.type",
          "path" : "TestScript.setup.action.operation.type",
          "short" : "The operation code type that will be executed",
          "definition" : "Server interaction or operation type.",
          "comment" : "See http://build.fhir.org/http.html for list of server interactions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.type",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptOperationCode"
            }],
            "strength" : "extensible",
            "description" : "The allowable operation code types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/testscript-operation-codes"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.resource",
          "path" : "TestScript.setup.action.operation.resource",
          "short" : "Resource type",
          "definition" : "The type of the resource.  See http://build.fhir.org/resourcelist.html.",
          "comment" : "If \"url\" element is specified, then \"targetId\", \"params\", and \"resource\" elements will be ignored as \"url\" element will have everything needed for constructing the request url.  If \"params\" element is specified, then \"targetId\" element is ignored. For FHIR operations that require a resource (e.g. \"read\" and \"vread\" operations), the \"resource\" element must be specified when \"params\" element is specified.  If \"url\" and \"params\" elements are absent, then the request url will be constructed from \"targetId\" fixture if present. For \"read\" operation, the resource and id values will be extracted from \"targetId\" fixture and used to construct the url. For \"vread\" and \"history\" operations, the versionId value will also be used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.resource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDefinedType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "A list of all the concrete types defined in this version of the FHIR specification - Data Types and Resource Types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/defined-types|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.label",
          "path" : "TestScript.setup.action.operation.label",
          "short" : "Tracking/logging operation label",
          "definition" : "The label would be used for tracking/logging purposes by test engines.",
          "comment" : "This has no impact on the verification itself.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.label",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.description",
          "path" : "TestScript.setup.action.operation.description",
          "short" : "Tracking/reporting operation description",
          "definition" : "The description would be used by test engines for tracking and reporting purposes.",
          "comment" : "This has no impact on the verification itself.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.accept",
          "path" : "TestScript.setup.action.operation.accept",
          "short" : "Mime type to accept in the payload of the response, with charset etc.",
          "definition" : "The mime-type to use for RESTful operation in the 'Accept' header.",
          "comment" : "If this is specified, then test engine shall set the 'Accept' header to the corresponding value.  If you'd like to explicitly set the 'Accept' to some other value then use the 'requestHeader' element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.accept",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "application/fhir+xml"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.contentType",
          "path" : "TestScript.setup.action.operation.contentType",
          "short" : "Mime type of the request payload contents, with charset etc.",
          "definition" : "The mime-type to use for RESTful operation in the 'Content-Type' header.",
          "comment" : "If this is specified, then test engine shall set the 'Content-Type' header to the corresponding value.  If you'd like to explicitly set the 'Content-Type' to some other value then use the 'requestHeader' element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.contentType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "application/fhir+xml"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.destination",
          "path" : "TestScript.setup.action.operation.destination",
          "short" : "Server responding to the request",
          "definition" : "The server where the request message is destined for.  Must be one of the server numbers listed in TestScript.destination section.",
          "comment" : "If multiple TestScript.destination elements are defined and operation.destination is undefined, test engine will report an error as it cannot determine what destination to use for the exchange.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.destination",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.encodeRequestUrl",
          "path" : "TestScript.setup.action.operation.encodeRequestUrl",
          "short" : "Whether or not to send the request url in encoded format",
          "definition" : "Whether or not to implicitly send the request url in encoded format. The default is true to match the standard RESTful client behavior. Set to false when communicating with a server that does not support encoded url paths.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.encodeRequestUrl",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.method",
          "path" : "TestScript.setup.action.operation.method",
          "short" : "delete | get | options | patch | post | put | head",
          "definition" : "The HTTP method the test engine MUST use for this operation regardless of any other operation details.",
          "comment" : "The primary purpose of the explicit HTTP method is support of  HTTP POST method invocation of the FHIR search. Other uses will include support of negative testing.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.method",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptRequestMethodCode"
            }],
            "strength" : "required",
            "description" : "The allowable request method or HTTP operation codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/http-operations|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.origin",
          "path" : "TestScript.setup.action.operation.origin",
          "short" : "Server initiating the request",
          "definition" : "The server where the request message originates from.  Must be one of the server numbers listed in TestScript.origin section.",
          "comment" : "If absent, test engine will send the message.  When present, test engine will not send the request message but will wait for the request message to be sent from this origin server.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.origin",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.params",
          "path" : "TestScript.setup.action.operation.params",
          "short" : "Explicitly defined path parameters",
          "definition" : "Path plus parameters after [type].  Used to set parts of the request URL explicitly.",
          "comment" : "If \"url\" element is specified, then \"targetId\", \"params\", and \"resource\" elements will be ignored as \"url\" element will have everything needed for constructing the request url.  If \"params\" element is specified, then \"targetId\" element is ignored.  For FHIR operations that require a resource (e.g. \"read\" and \"vread\" operations), the \"resource\" element must be specified when \"params\" element is specified.  If \"url\" and \"params\" elements are absent, then the request url will be constructed from \"targetId\" fixture if present.  For \"read\" operation, the resource and id values will be extracted from \"targetId\" fixture and used to construct the url.  For \"vread\" and \"history\" operations, the versionId value will also be used.   Test engines would append whatever is specified for \"params\" to the URL after the resource type without tampering with the string (beyond encoding the URL for HTTP).  The \"params\" element does not correspond exactly to \"search parameters\".  Nor is it the \"path\".  It corresponds to the part of the URL that comes after the [type] (when \"resource\" element is specified); e.g. It corresponds to \"/[id]/_history/[vid] {?_format=[mime-type]}\" in the following operation: GET [base]/[type]/[id]/_history/[vid] {?_format=[mime-type]}  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.params",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader",
          "path" : "TestScript.setup.action.operation.requestHeader",
          "short" : "Each operation can have one or more header elements",
          "definition" : "Header elements would be used to set HTTP headers.",
          "comment" : "This gives control to test-script writers to set headers explicitly based on test requirements.  It will allow for testing using:  - \"If-Modified-Since\" and \"If-None-Match\" headers.  See http://build.fhir.org/http.html#2.1.0.5.1 - \"If-Match\" header.  See http://build.fhir.org/http.html#2.1.0.11 - Conditional Create using \"If-None-Exist\".  See http://build.fhir.org/http.html#2.1.0.13.1 - Invalid \"Content-Type\" header for negative testing. - etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.setup.action.operation.requestHeader",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader.id",
          "path" : "TestScript.setup.action.operation.requestHeader.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader.extension",
          "path" : "TestScript.setup.action.operation.requestHeader.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader.modifierExtension",
          "path" : "TestScript.setup.action.operation.requestHeader.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader.field",
          "path" : "TestScript.setup.action.operation.requestHeader.field",
          "short" : "HTTP header field name",
          "definition" : "The HTTP header field e.g. \"Accept\".",
          "comment" : "If header element is specified, then field is required.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.requestHeader.field",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader.value",
          "path" : "TestScript.setup.action.operation.requestHeader.value",
          "short" : "HTTP headerfield value",
          "definition" : "The value of the header e.g. \"application/fhir+xml\".",
          "comment" : "If header element is specified, then value is required.  No conversions will be done by the test engine e.g. \"xml\" to \"application/fhir+xml\".  The values will be set in HTTP headers \"as-is\".  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.requestHeader.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.requestId",
          "path" : "TestScript.setup.action.operation.requestId",
          "short" : "Fixture Id of mapped request",
          "definition" : "The fixture id (maybe new) to map to the request.",
          "comment" : "If a requestId is supplied, then the resulting request (both headers and body) is mapped to the fixture ID (which may be entirely new and previously undeclared) designated by \"requestId\".  If requestId is not specified, it is the test engine's responsibility to store the request and use it as the requestId in subsequent assertions when assertion path and/or headerField is specified, direction is equal to request, and the requestId in not specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.requestId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.responseId",
          "path" : "TestScript.setup.action.operation.responseId",
          "short" : "Fixture Id of mapped response",
          "definition" : "The fixture id (maybe new) to map to the response.",
          "comment" : "If a responseId is supplied, and the server responds, then the resulting response (both headers and body) is mapped to the fixture ID (which may be entirely new and previously undeclared) designated by \"responseId\".  If responseId is not specified, it is the test engine's responsibility to store the response and use it as the responseId in subsequent assertions when assertion path and/or headerField is specified and the responseId is not specified.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.responseId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.sourceId",
          "path" : "TestScript.setup.action.operation.sourceId",
          "short" : "Fixture Id of body for PUT and POST requests",
          "definition" : "The id of the fixture used as the body of a PUT or POST request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.sourceId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.targetId",
          "path" : "TestScript.setup.action.operation.targetId",
          "short" : "Id of fixture used for extracting the [id],  [type], and [vid] for GET requests",
          "definition" : "Id of fixture used for extracting the [id],  [type], and [vid] for GET requests.",
          "comment" : "If \"url\" element is specified, then \"targetId\", \"params\", and \"resource\" elements will be ignored as \"url\" element will have everything needed for constructing the request url.  If \"params\" element is specified, then \"targetId\" element is ignored.  For FHIR operations that require a resource (e.g. \"read\" and \"vread\" operations), the \"resource\" element must be specified when \"params\" element is specified.  If \"url\" and \"params\" elements are absent, then the request url will be constructed from \"targetId\" fixture if present.  For \"read\" operation, the resource and id values will be extracted from \"targetId\" fixture and used to construct the url.  For \"vread\" and \"history\" operations, the versionId value will also be used.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.targetId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.operation.url",
          "path" : "TestScript.setup.action.operation.url",
          "short" : "Request URL",
          "definition" : "Complete request URL.",
          "comment" : "Used to set the request URL explicitly.  If \"url\" element is defined, then \"targetId\", \"resource\", and \"params\" elements will be ignored.  Test engines would use whatever is specified in \"url\" without tampering with the string (beyond encoding the URL for HTTP).  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.operation.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert",
          "path" : "TestScript.setup.action.assert",
          "short" : "The assertion to perform",
          "definition" : "Evaluates the results of previous operations to determine if the server under test behaves appropriately.",
          "comment" : "In order to evaluate an assertion, the request, response, and results of the most recently executed operation must always be maintained by the test engine.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "tst-12",
            "severity" : "error",
            "human" : "Setup action assert response and responseCode SHALL be empty when direction equals request",
            "expression" : "(response.empty() and responseCode.empty() and direction = 'request') or direction.empty() or direction = 'response'",
            "xpath" : "((count(f:response) + count(f:responseCode)) = 0 and (f:direction/@value='request')) or (count(f:direction) = 0) or (f:direction/@value='response')"
          },
          {
            "key" : "tst-5",
            "severity" : "error",
            "human" : "Only a single assertion SHALL be present within setup action assert element.",
            "expression" : "extension.exists() or (contentType.count() + expression.count() + headerField.count() + minimumId.count() + navigationLinks.count() + path.count() + requestMethod.count() + resource.count() + responseCode.count() + response.count()  + validateProfileId.count() <=1)",
            "xpath" : "count(f:contentType) + count(f:expression) + count(f:headerField) + count(f:minimumId) + count(f:navigationLinks) + count(f:path) + count(f:requestMethod) + count(f:resource) + count(f:responseCode) + count(f:response) + count(f:rule) + count(f:ruleset) + count(f:validateProfileId)  <=1"
          },
          {
            "key" : "tst-10",
            "severity" : "error",
            "human" : "Setup action assert SHALL contain either compareToSourceId and compareToSourceExpression, compareToSourceId and compareToSourcePath or neither.",
            "expression" : "compareToSourceId.empty() xor (compareToSourceExpression.exists() or compareToSourcePath.exists())",
            "xpath" : "(f:compareToSourceId and f:compareToSourceExpression) or (f:compareToSourceId and f:compareToSourcePath) or not(f:compareToSourceId or f:compareToSourceExpression or f:compareToSourcePath)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.id",
          "path" : "TestScript.setup.action.assert.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.extension",
          "path" : "TestScript.setup.action.assert.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.modifierExtension",
          "path" : "TestScript.setup.action.assert.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.label",
          "path" : "TestScript.setup.action.assert.label",
          "short" : "Tracking/logging assertion label",
          "definition" : "The label would be used for tracking/logging purposes by test engines.",
          "comment" : "This has no impact on the verification itself.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.label",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.description",
          "path" : "TestScript.setup.action.assert.description",
          "short" : "Tracking/reporting assertion description",
          "definition" : "The description would be used by test engines for tracking and reporting purposes.",
          "comment" : "This has no impact on the verification itself.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.direction",
          "path" : "TestScript.setup.action.assert.direction",
          "short" : "response | request",
          "definition" : "The direction to use for the assertion.",
          "comment" : "If the direction is specified as \"response\" (the default), then the processing of this assert is against the received response message. If the direction is specified as \"request\", then the processing of this assert is against the sent request message.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.direction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AssertionDirectionType"
            }],
            "strength" : "required",
            "description" : "The type of direction to use for assertion.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/assert-direction-codes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.compareToSourceId",
          "path" : "TestScript.setup.action.assert.compareToSourceId",
          "short" : "Id of the source fixture to be evaluated",
          "definition" : "Id of the source fixture used as the contents to be evaluated by either the \"source/expression\" or \"sourceId/path\" definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.compareToSourceId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.compareToSourceExpression",
          "path" : "TestScript.setup.action.assert.compareToSourceExpression",
          "short" : "The FHIRPath expression to evaluate against the source fixture",
          "definition" : "The FHIRPath expression to evaluate against the source fixture. When compareToSourceId is defined, either compareToSourceExpression or compareToSourcePath must be defined, but not both.",
          "comment" : "Thefhirpath expression to be evaluated against the expected fixture to compare to. Ignored if \"assert.value\" is used. The evaluation will be done before the assertion is evaluated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.compareToSourceExpression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.compareToSourcePath",
          "path" : "TestScript.setup.action.assert.compareToSourcePath",
          "short" : "XPath or JSONPath expression to evaluate against the source fixture",
          "definition" : "XPath or JSONPath expression to evaluate against the source fixture. When compareToSourceId is defined, either compareToSourceExpression or compareToSourcePath must be defined, but not both.",
          "comment" : "The XPath or JSONPath expression to be evaluated against the expected fixture to compare to. Ignored if \"assert.value\" is used. The evaluation will be done before the assertion is evaluated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.compareToSourcePath",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.contentType",
          "path" : "TestScript.setup.action.assert.contentType",
          "short" : "Mime type to compare against the 'Content-Type' header",
          "definition" : "The mime-type contents to compare against the request or response message 'Content-Type' header.",
          "comment" : "If this is specified, then test engine shall confirm that the content-type of the last operation's headers is set to this value.  If \"assert.sourceId\" element is specified, then the evaluation will be done against the headers mapped to that sourceId (and not the last operation's headers).  If you'd like to have more control over the string, then use 'assert.headerField' instead.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.contentType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "application/fhir+xml"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.expression",
          "path" : "TestScript.setup.action.assert.expression",
          "short" : "The FHIRPath expression to be evaluated",
          "definition" : "The FHIRPath expression to be evaluated against the request or response message contents - HTTP headers and payload.",
          "comment" : "If both \"expression\" and a \"fixtureId\" are specified, then the expression will be evaluated against the request or response body mapped to the fixtureId.  If \"expression\" is specified and a \"fixtureId\" is not, then the expression will be evaluated against the response body of the last operation.  Test engines are to store the request and response body and headers of the last operation at all times for subsequent assertions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.expression",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.headerField",
          "path" : "TestScript.setup.action.assert.headerField",
          "short" : "HTTP header field name",
          "definition" : "The HTTP header field name e.g. 'Location'.",
          "comment" : "If \"headerField\" is specified then \"value\" must be specified.  If \"sourceId\" is not specified, then \"headerField\" will be evaluated against the last operation's response headers.  Test engines are to keep track of the last operation's response body and response headers.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.headerField",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.minimumId",
          "path" : "TestScript.setup.action.assert.minimumId",
          "short" : "Fixture Id of minimum content resource",
          "definition" : "The ID of a fixture.  Asserts that the response contains at a minimum the fixture specified by minimumId.",
          "comment" : "Asserts that the response contains all the element/content in another fixture pointed to by minimumId.  This can be a statically defined fixture or one that is dynamically set via responseId.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.minimumId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.navigationLinks",
          "path" : "TestScript.setup.action.assert.navigationLinks",
          "short" : "Perform validation on navigation links?",
          "definition" : "Whether or not the test execution performs validation on the bundle navigation links.",
          "comment" : "Asserts that the Bundle contains first, last, and next links.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.navigationLinks",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.operator",
          "path" : "TestScript.setup.action.assert.operator",
          "short" : "equals | notEquals | in | notIn | greaterThan | lessThan | empty | notEmpty | contains | notContains | eval",
          "definition" : "The operator type defines the conditional behavior of the assert. If not defined, the default is equals.",
          "comment" : "Operators are useful especially for negative testing.  If operator is not specified, then the \"equals\" operator is assumed; e.g. ```                                                   ```.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.operator",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AssertionOperatorType"
            }],
            "strength" : "required",
            "description" : "The type of operator to use for assertion.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/assert-operator-codes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.path",
          "path" : "TestScript.setup.action.assert.path",
          "short" : "XPath or JSONPath expression",
          "definition" : "The XPath or JSONPath expression to be evaluated against the fixture representing the response received from server.",
          "comment" : "If both \"path\" and a \"fixtureId\" are specified, then the path will be evaluated against the request or response body mapped to the fixtureId.  If \"path\" is specified and a \"fixtureId\" is not, then the path will be evaluated against the response body of the last operation.  Test engines are to store the request and response body and headers of the last operation at all times for subsequent assertions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.path",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.requestMethod",
          "path" : "TestScript.setup.action.assert.requestMethod",
          "short" : "delete | get | options | patch | post | put | head",
          "definition" : "The request method or HTTP operation code to compare against that used by the client system under test.",
          "comment" : "If \"requestMethod\" is specified then it will be used in place of \"value\". The \"requestMethod\" will evaluate against the last operation's request HTTP operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.requestMethod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptRequestMethodCode"
            }],
            "strength" : "required",
            "description" : "The allowable request method or HTTP operation codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/http-operations|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.requestURL",
          "path" : "TestScript.setup.action.assert.requestURL",
          "short" : "Request URL comparison value",
          "definition" : "The value to use in a comparison against the request URL path string.",
          "comment" : "If \"requestURL\" is specified then it will be used in place of \"value\". The \"requestURL\" will evaluate against the last operation's full request URL path string.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.requestURL",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.resource",
          "path" : "TestScript.setup.action.assert.resource",
          "short" : "Resource type",
          "definition" : "The type of the resource.  See http://build.fhir.org/resourcelist.html.",
          "comment" : "This will be expected resource type in response body e.g. in read, vread, search, etc.  See http://build.fhir.org/resourcelist.html for complete list of resource types; e.g.  .",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.resource",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDefinedType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "A list of all the concrete types defined in this version of the FHIR specification - Data Types and Resource Types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/defined-types|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.response",
          "path" : "TestScript.setup.action.assert.response",
          "short" : "okay | created | noContent | notModified | bad | forbidden | notFound | methodNotAllowed | conflict | gone | preconditionFailed | unprocessable",
          "definition" : "okay | created | noContent | notModified | bad | forbidden | notFound | methodNotAllowed | conflict | gone | preconditionFailed | unprocessable.",
          "comment" : "This is a shorter way of achieving similar verifications via \"assert.responseCode\".  If you need more control, then use \"assert.responseCode\"  e.g.      .",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.response",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AssertionResponseTypes"
            }],
            "strength" : "required",
            "description" : "The type of response code to use for assertion.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/assert-response-code-types|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.responseCode",
          "path" : "TestScript.setup.action.assert.responseCode",
          "short" : "HTTP response code to test",
          "definition" : "The value of the HTTP response code to be tested.",
          "comment" : "To be used with \"operator\" attribute value. Asserts that the response code equals this value if \"operator\" is not specified.   If the operator is \"in\" or \"notIn\" then the responseCode would be a comma-separated list of values e.g. \"200,201\". Otherwise, it's expected to be a numeric value.   If \"fixture\" is not specified, then the \"responseBodyId\" value of the last operation is assumed.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.responseCode",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.sourceId",
          "path" : "TestScript.setup.action.assert.sourceId",
          "short" : "Fixture Id of source expression or headerField",
          "definition" : "Fixture to evaluate the XPath/JSONPath expression or the headerField  against.",
          "comment" : "This can be a statically defined fixture (at the top of the testscript) or a dynamically set fixture created by responseId of the action.operation element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.sourceId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.validateProfileId",
          "path" : "TestScript.setup.action.assert.validateProfileId",
          "short" : "Profile Id of validation profile reference",
          "definition" : "The ID of the Profile to validate against.",
          "comment" : "The ID of a Profile fixture. Asserts that the response is valid according to the Profile specified by validateProfileId.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.validateProfileId",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.value",
          "path" : "TestScript.setup.action.assert.value",
          "short" : "The value to compare to",
          "definition" : "The value to compare to.",
          "comment" : "The string-representation of a number, string, or boolean that is expected.  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before comparing this value to the actual value.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.value",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.setup.action.assert.warningOnly",
          "path" : "TestScript.setup.action.assert.warningOnly",
          "short" : "Will this assert produce a warning only on error?",
          "definition" : "Whether or not the test execution will produce a warning only on error for this assert.",
          "comment" : "If this element is specified and it is true, then assertion failures can be logged by test engine but should not stop the test script execution from proceeding.  There are likely cases where the spec is not clear on what should happen. If the spec says something is optional (maybe a response header for example), but a server doesn’t do it, we could choose to issue a warning.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.setup.action.assert.warningOnly",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.test",
          "path" : "TestScript.test",
          "short" : "A test in this script",
          "definition" : "A test in this script.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "TestScript.test",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.test.id",
          "path" : "TestScript.test.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.test.extension",
          "path" : "TestScript.test.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.test.modifierExtension",
          "path" : "TestScript.test.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.test.name",
          "path" : "TestScript.test.name",
          "short" : "Tracking/logging name of this test",
          "definition" : "The name of this test used for tracking/logging purposes by test engines.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.test.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.test.description",
          "path" : "TestScript.test.description",
          "short" : "Tracking/reporting short description of the test",
          "definition" : "A short description of the test used by test engines for tracking and reporting purposes.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.test.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.test.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TestAction"
          }],
          "path" : "TestScript.test.action",
          "short" : "A test operation or assert to perform",
          "definition" : "Action would contain either an operation or an assertion.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "TestScript.test.action",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "tst-2",
            "severity" : "error",
            "human" : "Test action SHALL contain either an operation or assert but not both.",
            "expression" : "operation.exists() xor assert.exists()",
            "xpath" : "(f:operation or f:assert) and not(f:operation and f:assert)"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.test.action.id",
          "path" : "TestScript.test.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.test.action.extension",
          "path" : "TestScript.test.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.test.action.modifierExtension",
          "path" : "TestScript.test.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.test.action.operation",
          "path" : "TestScript.test.action.operation",
          "short" : "The setup operation to perform",
          "definition" : "An operation would involve a REST request to a server.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.test.action.operation",
            "min" : 0,
            "max" : "1"
          },
          "contentReference" : "#TestScript.setup.action.operation",
          "constraint" : [{
            "key" : "tst-8",
            "severity" : "error",
            "human" : "Test operation SHALL contain either sourceId or targetId or params or url.",
            "expression" : "sourceId.exists() or (targetId.count() + url.count() + params.count() = 1) or (type.code in ('capabilities' | 'search' | 'transaction' | 'history'))",
            "xpath" : "f:sourceId or (f:targetId or f:url or f:params) and (count(f:targetId) + count(f:url) + count(f:params) =1) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.test.action.assert",
          "path" : "TestScript.test.action.assert",
          "short" : "The setup assertion to perform",
          "definition" : "Evaluates the results of previous operations to determine if the server under test behaves appropriately.",
          "comment" : "In order to evaluate an assertion, the request, response, and results of the most recently executed operation must always be maintained by the test engine.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.test.action.assert",
            "min" : 0,
            "max" : "1"
          },
          "contentReference" : "#TestScript.setup.action.assert",
          "constraint" : [{
            "key" : "tst-11",
            "severity" : "error",
            "human" : "Test action assert SHALL contain either compareToSourceId and compareToSourceExpression, compareToSourceId and compareToSourcePath or neither.",
            "expression" : "compareToSourceId.empty() xor (compareToSourceExpression.exists() or compareToSourcePath.exists())",
            "xpath" : "(f:compareToSourceId and f:compareToSourceExpression) or (f:compareToSourceId and f:compareToSourcePath) or not(f:compareToSourceId or f:compareToSourceExpression or f:compareToSourcePath)"
          },
          {
            "key" : "tst-13",
            "severity" : "error",
            "human" : "Test action assert response and response and responseCode SHALL be empty when direction equals request",
            "expression" : "(response.empty() and responseCode.empty() and direction = 'request') or direction.empty() or direction = 'response'",
            "xpath" : "((count(f:response) + count(f:responseCode)) = 0 and (f:direction/@value='request')) or (count(f:direction) = 0) or (f:direction/@value='response')"
          },
          {
            "key" : "tst-6",
            "severity" : "error",
            "human" : "Only a single assertion SHALL be present within test action assert element.",
            "expression" : "extension.exists() or (contentType.count() + expression.count() + headerField.count() + minimumId.count() + navigationLinks.count() + path.count() + requestMethod.count() + resource.count() + responseCode.count() + response.count() + validateProfileId.count() <=1)",
            "xpath" : "count(f:contentType) + count(f:expression) + count(f:headerField) + count(f:minimumId) + count(f:navigationLinks) + count(f:path) + count(f:requestMethod) + count(f:resource) + count(f:responseCode) + count(f:response) + count(f:rule) + count(f:ruleset) + count(f:validateProfileId)  <=1"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.teardown",
          "path" : "TestScript.teardown",
          "short" : "A series of required clean up steps",
          "definition" : "A series of operations required to clean up after all the tests are executed (successfully or otherwise).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "TestScript.teardown",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.teardown.id",
          "path" : "TestScript.teardown.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.teardown.extension",
          "path" : "TestScript.teardown.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.teardown.modifierExtension",
          "path" : "TestScript.teardown.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.teardown.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TeardownAction"
          }],
          "path" : "TestScript.teardown.action",
          "short" : "One or more teardown operations to perform",
          "definition" : "The teardown action will only contain an operation.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "TestScript.teardown.action",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "TestScript.teardown.action.id",
          "path" : "TestScript.teardown.action.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.teardown.action.extension",
          "path" : "TestScript.teardown.action.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.teardown.action.modifierExtension",
          "path" : "TestScript.teardown.action.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "TestScript.teardown.action.operation",
          "path" : "TestScript.teardown.action.operation",
          "short" : "The teardown operation to perform",
          "definition" : "An operation would involve a REST request to a server.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "TestScript.teardown.action.operation",
            "min" : 1,
            "max" : "1"
          },
          "contentReference" : "#TestScript.setup.action.operation",
          "constraint" : [{
            "key" : "tst-9",
            "severity" : "error",
            "human" : "Teardown operation SHALL contain either sourceId or targetId or params or url.",
            "expression" : "sourceId.exists() or (targetId.count() + url.count() + params.count() = 1) or (type.code in ('capabilities' | 'search' | 'transaction' | 'history'))",
            "xpath" : "f:sourceId or (f:targetId or f:url or (f:params and f:resource)) and (count(f:targetId) + count(f:url) + count(f:params) =1) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "TestScript",
          "path" : "TestScript",
          "short" : "Describes a set of tests",
          "definition" : "A structured set of tests against a FHIR server or client implementation to determine compliance against the FHIR specification.",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "tst-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "TestScript.url",
          "path" : "TestScript.url",
          "short" : "Canonical identifier for this test script, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this test script when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this test script is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the test script is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the test script to be referenced by a single globally unique identifier.",
          "alias" : ["url",
          "authoritative-url",
          "destination",
          "identity"],
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "TestScript.identifier",
          "path" : "TestScript.identifier",
          "short" : "Additional identifier for the test script",
          "definition" : "A formal identifier that is used to identify this test script when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this test script outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TestScript.version",
          "path" : "TestScript.version",
          "short" : "Business version of the test script",
          "definition" : "The identifier that is used to identify this version of the test script when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the test script author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different test script instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the test script with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "TestScript.name",
          "path" : "TestScript.name",
          "short" : "Name for this test script (computer friendly)",
          "definition" : "A natural language name identifying the test script. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "TestScript.title",
          "path" : "TestScript.title",
          "short" : "Name for this test script (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the test script.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "TestScript.status",
          "path" : "TestScript.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this test script. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of test scripts that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "TestScript.experimental",
          "path" : "TestScript.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this test script is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of test scripts that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level test script.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "TestScript.date",
          "path" : "TestScript.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the test script was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the test script changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the test script. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "TestScript.publisher",
          "path" : "TestScript.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the test script.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the test script is the organization or individual primarily responsible for the maintenance and upkeep of the test script. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the test script. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the test script.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "TestScript.contact",
          "path" : "TestScript.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "TestScript.description",
          "path" : "TestScript.description",
          "short" : "Natural language description of the test script",
          "definition" : "A free text natural language description of the test script from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the test script was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the test script as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the test script is presumed to be the predominant language in the place the test script was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "TestScript.useContext",
          "path" : "TestScript.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate test script instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "TestScript.jurisdiction",
          "path" : "TestScript.jurisdiction",
          "short" : "Intended jurisdiction for test script (if applicable)",
          "definition" : "A legal or geographic region in which the test script is intended to be used.",
          "comment" : "It may be possible for the test script to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "TestScript.purpose",
          "path" : "TestScript.purpose",
          "short" : "Why this test script is defined",
          "definition" : "Explanation of why this test script is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the test script. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this test script.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TestScript.copyright",
          "path" : "TestScript.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the test script and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the test script.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the test script and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "TestScript.origin",
          "path" : "TestScript.origin",
          "short" : "An abstract server representing a client or sender in a message exchange",
          "definition" : "An abstract server used in operations within this test script in the origin element.",
          "comment" : "The purpose of this element is to define the profile of an origin element used elsewhere in the script.  Test engines could then use the origin-profile mapping to offer a filtered list of test systems that can serve as the sender for the interaction.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.origin.index",
          "path" : "TestScript.origin.index",
          "short" : "The index of the abstract origin server starting at 1",
          "definition" : "Abstract name given to an origin server in this test script.  The name is provided as a number starting at 1.",
          "comment" : "A given origin index (e.g. 1) can appear only once in the list (e.g. Origin 1 cannot be specified twice ... once as FormFiller and again as FormProcessor within the same script as that could get confusing during test configuration). \n\nDifferent origin indices could play the same actor in the same test script (e.g. You could have two different test systems acting as Form-Filler).\n\nThe origin indices provided elsewhere in the test script must be one of these origin indices.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "TestScript.origin.profile",
          "path" : "TestScript.origin.profile",
          "short" : "FHIR-Client | FHIR-SDC-FormFiller",
          "definition" : "The type of origin profile the test system supports.",
          "comment" : "Must be a \"sender\"/\"client\" profile.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "meaningWhenMissing" : "FHIR-Client",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptProfileOriginType"
            }],
            "strength" : "extensible",
            "description" : "The type of origin profile the test system supports.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/testscript-profile-origin-types"
          }
        },
        {
          "id" : "TestScript.destination",
          "path" : "TestScript.destination",
          "short" : "An abstract server representing a destination or receiver in a message exchange",
          "definition" : "An abstract server used in operations within this test script in the destination element.",
          "comment" : "The purpose of this element is to define the profile of a destination element used elsewhere in the script.  Test engines could then use the destination-profile mapping to offer a filtered list of test systems that can serve as the receiver for the interaction.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.destination.index",
          "path" : "TestScript.destination.index",
          "short" : "The index of the abstract destination server starting at 1",
          "definition" : "Abstract name given to a destination server in this test script.  The name is provided as a number starting at 1.",
          "comment" : "A given destination index (e.g. 1) can appear only once in the list (e.g. Destination 1 cannot be specified twice ... once as Form-Manager and again as Form-Processor within the same script as that could get confusing during test configuration). \n\nDifferent destination indices could play the same actor in the same test script (e.g. You could have two different test systems acting as Form-Manager).\n\nThe destination indices provided elsewhere in the test script must be one of these destination indices.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "TestScript.destination.profile",
          "path" : "TestScript.destination.profile",
          "short" : "FHIR-Server | FHIR-SDC-FormManager | FHIR-SDC-FormReceiver | FHIR-SDC-FormProcessor",
          "definition" : "The type of destination profile the test system supports.",
          "comment" : "Must be a \"receiver\"/\"server\" profile.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "meaningWhenMissing" : "FHIR-Server",
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptProfileDestinationType"
            }],
            "strength" : "extensible",
            "description" : "The type of destination profile the test system supports.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/testscript-profile-destination-types"
          }
        },
        {
          "id" : "TestScript.metadata",
          "path" : "TestScript.metadata",
          "short" : "Required capability that is assumed to function correctly on the FHIR server being tested",
          "definition" : "The required capability must exist and are assumed to function correctly on the FHIR server being tested.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "tst-4",
            "severity" : "error",
            "human" : "TestScript metadata capability SHALL contain required or validated or both.",
            "expression" : "capability.required.exists() or capability.validated.exists()",
            "xpath" : "f:capability/f:required or f:capability/f:validated or (f:capability/f:required and f:capability/f:validated)"
          }]
        },
        {
          "id" : "TestScript.metadata.link",
          "path" : "TestScript.metadata.link",
          "short" : "Links to the FHIR specification",
          "definition" : "A link to the FHIR specification that this test is covering.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.metadata.link.url",
          "path" : "TestScript.metadata.link.url",
          "short" : "URL to the specification",
          "definition" : "URL to a particular requirement or feature within the FHIR specification.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "TestScript.metadata.link.description",
          "path" : "TestScript.metadata.link.description",
          "short" : "Short description",
          "definition" : "Short description of the link.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.metadata.capability",
          "path" : "TestScript.metadata.capability",
          "short" : "Capabilities  that are assumed to function correctly on the FHIR server being tested",
          "definition" : "Capabilities that must exist and are assumed to function correctly on the FHIR server being tested.",
          "comment" : "When the metadata capabilities section is defined at TestScript.metadata or at TestScript.setup.metadata, and the server's conformance statement does not contain the elements defined in the minimal conformance statement, then all the tests in the TestScript are skipped.  When the metadata capabilities section is defined at TestScript.test.metadata and the server's conformance statement does not contain the elements defined in the minimal conformance statement, then only that test is skipped.  The \"metadata.capabilities.required\" and \"metadata.capabilities.validated\" elements only indicate whether the capabilities are the primary focus of the test script or not.  They do not impact the skipping logic.  Capabilities whose \"metadata.capabilities.validated\" flag is true are the primary focus of the test script.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.required",
          "path" : "TestScript.metadata.capability.required",
          "short" : "Are the capabilities required?",
          "definition" : "Whether or not the test execution will require the given capabilities of the server in order for this test script to execute.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.validated",
          "path" : "TestScript.metadata.capability.validated",
          "short" : "Are the capabilities validated?",
          "definition" : "Whether or not the test execution will validate the given capabilities of the server in order for this test script to execute.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.description",
          "path" : "TestScript.metadata.capability.description",
          "short" : "The expected capabilities of the server",
          "definition" : "Description of the capabilities that this test script is requiring the server to support.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.origin",
          "path" : "TestScript.metadata.capability.origin",
          "short" : "Which origin server these requirements apply to",
          "definition" : "Which origin server these requirements apply to.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.destination",
          "path" : "TestScript.metadata.capability.destination",
          "short" : "Which server these requirements apply to",
          "definition" : "Which server these requirements apply to.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.link",
          "path" : "TestScript.metadata.capability.link",
          "short" : "Links to the FHIR specification",
          "definition" : "Links to the FHIR specification that describes this interaction and the resources involved in more detail.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "TestScript.metadata.capability.capabilities",
          "path" : "TestScript.metadata.capability.capabilities",
          "short" : "Required Capability Statement",
          "definition" : "Minimum capabilities required of server for test script to execute successfully.   If server does not meet at a minimum the referenced capability statement, then all tests in this script are skipped.",
          "comment" : "The conformance statement of the server has to contain at a minimum the contents of the reference pointed to by this element.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/CapabilityStatement"]
          }]
        },
        {
          "id" : "TestScript.fixture",
          "path" : "TestScript.fixture",
          "short" : "Fixture in the test script - by reference (uri)",
          "definition" : "Fixture in the test script - by reference (uri). All fixtures are required for the test script to execute.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.fixture.autocreate",
          "path" : "TestScript.fixture.autocreate",
          "short" : "Whether or not to implicitly create the fixture during setup",
          "definition" : "Whether or not to implicitly create the fixture during setup. If true, the fixture is automatically created on each server being tested during setup, therefore no create operation is required for this fixture in the TestScript.setup section.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TestScript.fixture.autodelete",
          "path" : "TestScript.fixture.autodelete",
          "short" : "Whether or not to implicitly delete the fixture during teardown",
          "definition" : "Whether or not to implicitly delete the fixture during teardown. If true, the fixture is automatically deleted on each server being tested during teardown, therefore no delete operation is required for this fixture in the TestScript.teardown section.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TestScript.fixture.resource",
          "path" : "TestScript.fixture.resource",
          "short" : "Reference of the resource",
          "definition" : "Reference to the resource (containing the contents of the resource needed for operations).",
          "comment" : "See http://build.fhir.org/resourcelist.html for complete list of resource types.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "TestScript.profile",
          "path" : "TestScript.profile",
          "short" : "Reference of the validation profile",
          "definition" : "Reference to the profile to be used for validation.",
          "comment" : "See http://build.fhir.org/resourcelist.html for complete list of resource types.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }]
        },
        {
          "id" : "TestScript.variable",
          "path" : "TestScript.variable",
          "short" : "Placeholder for evaluated elements",
          "definition" : "Variable is set based either on element value in response body or on header field value in the response headers.",
          "comment" : "Variables would be set based either on XPath/JSONPath expressions against fixtures (static and response), or headerField evaluations against response headers. If variable evaluates to nodelist or anything other than a primitive value, then test engine would report an error.  Variables would be used to perform clean replacements in \"operation.params\", \"operation.requestHeader.value\", and \"operation.url\" element values during operation calls and in \"assert.value\" during assertion evaluations. This limits the places that test engines would need to look for placeholders \"${}\".  Variables are scoped to the whole script. They are NOT evaluated at declaration. They are evaluated by test engine when used for substitutions in \"operation.params\", \"operation.requestHeader.value\", and \"operation.url\" element values during operation calls and in \"assert.value\" during assertion evaluations.  See example testscript-search.xml.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "tst-3",
            "severity" : "error",
            "human" : "Variable can only contain one of expression, headerField or path.",
            "expression" : "expression.empty() or headerField.empty() or path.empty()",
            "xpath" : "not(f:expression and f:headerField and f:path)"
          }]
        },
        {
          "id" : "TestScript.variable.name",
          "path" : "TestScript.variable.name",
          "short" : "Descriptive name for this variable",
          "definition" : "Descriptive name for this variable.",
          "comment" : "Placeholders would contain the variable name wrapped in ${} in \"operation.params\", \"operation.requestHeader.value\", and \"operation.url\" elements.  These placeholders would need to be replaced by the variable value before the operation is executed.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.variable.defaultValue",
          "path" : "TestScript.variable.defaultValue",
          "short" : "Default, hard-coded, or user-defined value for this variable",
          "definition" : "A default, hard-coded, or user-defined value for this variable.",
          "comment" : "The purpose of this element is to allow for a pre-defined value that can be used as a default or as an override value. Test engines can optionally use this as a placeholder for user-defined execution time values.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.variable.description",
          "path" : "TestScript.variable.description",
          "short" : "Natural language description of the variable",
          "definition" : "A free text natural language description of the variable and its purpose.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.variable.expression",
          "path" : "TestScript.variable.expression",
          "short" : "The FHIRPath expression against the fixture body",
          "definition" : "The FHIRPath expression to evaluate against the fixture body. When variables are defined, only one of either expression, headerField or path must be specified.",
          "comment" : "If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If expression or path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define any combination of expression, headerField and path.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.variable.headerField",
          "path" : "TestScript.variable.headerField",
          "short" : "HTTP header field name for source",
          "definition" : "Will be used to grab the HTTP header field value from the headers that sourceId is pointing to.",
          "comment" : "If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define both headerField and path.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.variable.hint",
          "path" : "TestScript.variable.hint",
          "short" : "Hint help text for default value to enter",
          "definition" : "Displayable text string with hint help information to the user when entering a default value.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.variable.path",
          "path" : "TestScript.variable.path",
          "short" : "XPath or JSONPath against the fixture body",
          "definition" : "XPath or JSONPath to evaluate against the fixture body.  When variables are defined, only one of either expression, headerField or path must be specified.",
          "comment" : "If headerField is defined, then the variable will be evaluated against the headers that sourceId is pointing to.  If expression or path is defined, then the variable will be evaluated against the fixture body that sourceId is pointing to.  It is an error to define any combination of expression, headerField and path.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.variable.sourceId",
          "path" : "TestScript.variable.sourceId",
          "short" : "Fixture Id of source expression or headerField within this variable",
          "definition" : "Fixture to evaluate the XPath/JSONPath expression or the headerField  against within this variable.",
          "comment" : "This can be a statically defined fixture (at the top of the TestScript) or a dynamically set fixture created by responseId of the `action.operation` element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "TestScript.setup",
          "path" : "TestScript.setup",
          "short" : "A series of required setup operations before tests are executed",
          "definition" : "A series of required setup operations before tests are executed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.setup.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "SetupAction"
          }],
          "path" : "TestScript.setup.action",
          "short" : "A setup operation or assert to perform",
          "definition" : "Action would contain either an operation or an assertion.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "tst-1",
            "severity" : "error",
            "human" : "Setup action SHALL contain either an operation or assert but not both.",
            "expression" : "operation.exists() xor assert.exists()",
            "xpath" : "(f:operation or f:assert) and not(f:operation and f:assert)"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation",
          "path" : "TestScript.setup.action.operation",
          "short" : "The setup operation to perform",
          "definition" : "The operation to perform.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "tst-7",
            "severity" : "error",
            "human" : "Setup operation SHALL contain either sourceId or targetId or params or url.",
            "expression" : "sourceId.exists() or (targetId.count() + url.count() + params.count() = 1) or (type.code in ('capabilities' |'search' | 'transaction' | 'history'))",
            "xpath" : "f:sourceId or ((f:targetId or f:url or f:params) and (count(f:targetId) + count(f:url) + count(f:params) =1)) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.type",
          "path" : "TestScript.setup.action.operation.type",
          "short" : "The operation code type that will be executed",
          "definition" : "Server interaction or operation type.",
          "comment" : "See http://build.fhir.org/http.html for list of server interactions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptOperationCode"
            }],
            "strength" : "extensible",
            "description" : "The allowable operation code types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/testscript-operation-codes"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.resource",
          "path" : "TestScript.setup.action.operation.resource",
          "short" : "Resource type",
          "definition" : "The type of the resource.  See http://build.fhir.org/resourcelist.html.",
          "comment" : "If \"url\" element is specified, then \"targetId\", \"params\", and \"resource\" elements will be ignored as \"url\" element will have everything needed for constructing the request url.  If \"params\" element is specified, then \"targetId\" element is ignored. For FHIR operations that require a resource (e.g. \"read\" and \"vread\" operations), the \"resource\" element must be specified when \"params\" element is specified.  If \"url\" and \"params\" elements are absent, then the request url will be constructed from \"targetId\" fixture if present. For \"read\" operation, the resource and id values will be extracted from \"targetId\" fixture and used to construct the url. For \"vread\" and \"history\" operations, the versionId value will also be used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDefinedType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "A list of all the concrete types defined in this version of the FHIR specification - Data Types and Resource Types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/defined-types|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.label",
          "path" : "TestScript.setup.action.operation.label",
          "short" : "Tracking/logging operation label",
          "definition" : "The label would be used for tracking/logging purposes by test engines.",
          "comment" : "This has no impact on the verification itself.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.description",
          "path" : "TestScript.setup.action.operation.description",
          "short" : "Tracking/reporting operation description",
          "definition" : "The description would be used by test engines for tracking and reporting purposes.",
          "comment" : "This has no impact on the verification itself.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.accept",
          "path" : "TestScript.setup.action.operation.accept",
          "short" : "Mime type to accept in the payload of the response, with charset etc.",
          "definition" : "The mime-type to use for RESTful operation in the 'Accept' header.",
          "comment" : "If this is specified, then test engine shall set the 'Accept' header to the corresponding value.  If you'd like to explicitly set the 'Accept' to some other value then use the 'requestHeader' element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "application/fhir+xml"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.contentType",
          "path" : "TestScript.setup.action.operation.contentType",
          "short" : "Mime type of the request payload contents, with charset etc.",
          "definition" : "The mime-type to use for RESTful operation in the 'Content-Type' header.",
          "comment" : "If this is specified, then test engine shall set the 'Content-Type' header to the corresponding value.  If you'd like to explicitly set the 'Content-Type' to some other value then use the 'requestHeader' element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "application/fhir+xml"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.destination",
          "path" : "TestScript.setup.action.operation.destination",
          "short" : "Server responding to the request",
          "definition" : "The server where the request message is destined for.  Must be one of the server numbers listed in TestScript.destination section.",
          "comment" : "If multiple TestScript.destination elements are defined and operation.destination is undefined, test engine will report an error as it cannot determine what destination to use for the exchange.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.encodeRequestUrl",
          "path" : "TestScript.setup.action.operation.encodeRequestUrl",
          "short" : "Whether or not to send the request url in encoded format",
          "definition" : "Whether or not to implicitly send the request url in encoded format. The default is true to match the standard RESTful client behavior. Set to false when communicating with a server that does not support encoded url paths.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.method",
          "path" : "TestScript.setup.action.operation.method",
          "short" : "delete | get | options | patch | post | put | head",
          "definition" : "The HTTP method the test engine MUST use for this operation regardless of any other operation details.",
          "comment" : "The primary purpose of the explicit HTTP method is support of  HTTP POST method invocation of the FHIR search. Other uses will include support of negative testing.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptRequestMethodCode"
            }],
            "strength" : "required",
            "description" : "The allowable request method or HTTP operation codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/http-operations|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.operation.origin",
          "path" : "TestScript.setup.action.operation.origin",
          "short" : "Server initiating the request",
          "definition" : "The server where the request message originates from.  Must be one of the server numbers listed in TestScript.origin section.",
          "comment" : "If absent, test engine will send the message.  When present, test engine will not send the request message but will wait for the request message to be sent from this origin server.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.params",
          "path" : "TestScript.setup.action.operation.params",
          "short" : "Explicitly defined path parameters",
          "definition" : "Path plus parameters after [type].  Used to set parts of the request URL explicitly.",
          "comment" : "If \"url\" element is specified, then \"targetId\", \"params\", and \"resource\" elements will be ignored as \"url\" element will have everything needed for constructing the request url.  If \"params\" element is specified, then \"targetId\" element is ignored.  For FHIR operations that require a resource (e.g. \"read\" and \"vread\" operations), the \"resource\" element must be specified when \"params\" element is specified.  If \"url\" and \"params\" elements are absent, then the request url will be constructed from \"targetId\" fixture if present.  For \"read\" operation, the resource and id values will be extracted from \"targetId\" fixture and used to construct the url.  For \"vread\" and \"history\" operations, the versionId value will also be used.   Test engines would append whatever is specified for \"params\" to the URL after the resource type without tampering with the string (beyond encoding the URL for HTTP).  The \"params\" element does not correspond exactly to \"search parameters\".  Nor is it the \"path\".  It corresponds to the part of the URL that comes after the [type] (when \"resource\" element is specified); e.g. It corresponds to \"/[id]/_history/[vid] {?_format=[mime-type]}\" in the following operation: GET [base]/[type]/[id]/_history/[vid] {?_format=[mime-type]}  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader",
          "path" : "TestScript.setup.action.operation.requestHeader",
          "short" : "Each operation can have one or more header elements",
          "definition" : "Header elements would be used to set HTTP headers.",
          "comment" : "This gives control to test-script writers to set headers explicitly based on test requirements.  It will allow for testing using:  - \"If-Modified-Since\" and \"If-None-Match\" headers.  See http://build.fhir.org/http.html#2.1.0.5.1 - \"If-Match\" header.  See http://build.fhir.org/http.html#2.1.0.11 - Conditional Create using \"If-None-Exist\".  See http://build.fhir.org/http.html#2.1.0.13.1 - Invalid \"Content-Type\" header for negative testing. - etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader.field",
          "path" : "TestScript.setup.action.operation.requestHeader.field",
          "short" : "HTTP header field name",
          "definition" : "The HTTP header field e.g. \"Accept\".",
          "comment" : "If header element is specified, then field is required.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.requestHeader.value",
          "path" : "TestScript.setup.action.operation.requestHeader.value",
          "short" : "HTTP headerfield value",
          "definition" : "The value of the header e.g. \"application/fhir+xml\".",
          "comment" : "If header element is specified, then value is required.  No conversions will be done by the test engine e.g. \"xml\" to \"application/fhir+xml\".  The values will be set in HTTP headers \"as-is\".  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.requestId",
          "path" : "TestScript.setup.action.operation.requestId",
          "short" : "Fixture Id of mapped request",
          "definition" : "The fixture id (maybe new) to map to the request.",
          "comment" : "If a requestId is supplied, then the resulting request (both headers and body) is mapped to the fixture ID (which may be entirely new and previously undeclared) designated by \"requestId\".  If requestId is not specified, it is the test engine's responsibility to store the request and use it as the requestId in subsequent assertions when assertion path and/or headerField is specified, direction is equal to request, and the requestId in not specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.responseId",
          "path" : "TestScript.setup.action.operation.responseId",
          "short" : "Fixture Id of mapped response",
          "definition" : "The fixture id (maybe new) to map to the response.",
          "comment" : "If a responseId is supplied, and the server responds, then the resulting response (both headers and body) is mapped to the fixture ID (which may be entirely new and previously undeclared) designated by \"responseId\".  If responseId is not specified, it is the test engine's responsibility to store the response and use it as the responseId in subsequent assertions when assertion path and/or headerField is specified and the responseId is not specified.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.sourceId",
          "path" : "TestScript.setup.action.operation.sourceId",
          "short" : "Fixture Id of body for PUT and POST requests",
          "definition" : "The id of the fixture used as the body of a PUT or POST request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.targetId",
          "path" : "TestScript.setup.action.operation.targetId",
          "short" : "Id of fixture used for extracting the [id],  [type], and [vid] for GET requests",
          "definition" : "Id of fixture used for extracting the [id],  [type], and [vid] for GET requests.",
          "comment" : "If \"url\" element is specified, then \"targetId\", \"params\", and \"resource\" elements will be ignored as \"url\" element will have everything needed for constructing the request url.  If \"params\" element is specified, then \"targetId\" element is ignored.  For FHIR operations that require a resource (e.g. \"read\" and \"vread\" operations), the \"resource\" element must be specified when \"params\" element is specified.  If \"url\" and \"params\" elements are absent, then the request url will be constructed from \"targetId\" fixture if present.  For \"read\" operation, the resource and id values will be extracted from \"targetId\" fixture and used to construct the url.  For \"vread\" and \"history\" operations, the versionId value will also be used.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "TestScript.setup.action.operation.url",
          "path" : "TestScript.setup.action.operation.url",
          "short" : "Request URL",
          "definition" : "Complete request URL.",
          "comment" : "Used to set the request URL explicitly.  If \"url\" element is defined, then \"targetId\", \"resource\", and \"params\" elements will be ignored.  Test engines would use whatever is specified in \"url\" without tampering with the string (beyond encoding the URL for HTTP).  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before sending the request.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert",
          "path" : "TestScript.setup.action.assert",
          "short" : "The assertion to perform",
          "definition" : "Evaluates the results of previous operations to determine if the server under test behaves appropriately.",
          "comment" : "In order to evaluate an assertion, the request, response, and results of the most recently executed operation must always be maintained by the test engine.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "tst-12",
            "severity" : "error",
            "human" : "Setup action assert response and responseCode SHALL be empty when direction equals request",
            "expression" : "(response.empty() and responseCode.empty() and direction = 'request') or direction.empty() or direction = 'response'",
            "xpath" : "((count(f:response) + count(f:responseCode)) = 0 and (f:direction/@value='request')) or (count(f:direction) = 0) or (f:direction/@value='response')"
          },
          {
            "key" : "tst-5",
            "severity" : "error",
            "human" : "Only a single assertion SHALL be present within setup action assert element.",
            "expression" : "extension.exists() or (contentType.count() + expression.count() + headerField.count() + minimumId.count() + navigationLinks.count() + path.count() + requestMethod.count() + resource.count() + responseCode.count() + response.count()  + validateProfileId.count() <=1)",
            "xpath" : "count(f:contentType) + count(f:expression) + count(f:headerField) + count(f:minimumId) + count(f:navigationLinks) + count(f:path) + count(f:requestMethod) + count(f:resource) + count(f:responseCode) + count(f:response) + count(f:rule) + count(f:ruleset) + count(f:validateProfileId)  <=1"
          },
          {
            "key" : "tst-10",
            "severity" : "error",
            "human" : "Setup action assert SHALL contain either compareToSourceId and compareToSourceExpression, compareToSourceId and compareToSourcePath or neither.",
            "expression" : "compareToSourceId.empty() xor (compareToSourceExpression.exists() or compareToSourcePath.exists())",
            "xpath" : "(f:compareToSourceId and f:compareToSourceExpression) or (f:compareToSourceId and f:compareToSourcePath) or not(f:compareToSourceId or f:compareToSourceExpression or f:compareToSourcePath)"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.label",
          "path" : "TestScript.setup.action.assert.label",
          "short" : "Tracking/logging assertion label",
          "definition" : "The label would be used for tracking/logging purposes by test engines.",
          "comment" : "This has no impact on the verification itself.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.description",
          "path" : "TestScript.setup.action.assert.description",
          "short" : "Tracking/reporting assertion description",
          "definition" : "The description would be used by test engines for tracking and reporting purposes.",
          "comment" : "This has no impact on the verification itself.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.direction",
          "path" : "TestScript.setup.action.assert.direction",
          "short" : "response | request",
          "definition" : "The direction to use for the assertion.",
          "comment" : "If the direction is specified as \"response\" (the default), then the processing of this assert is against the received response message. If the direction is specified as \"request\", then the processing of this assert is against the sent request message.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AssertionDirectionType"
            }],
            "strength" : "required",
            "description" : "The type of direction to use for assertion.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/assert-direction-codes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.compareToSourceId",
          "path" : "TestScript.setup.action.assert.compareToSourceId",
          "short" : "Id of the source fixture to be evaluated",
          "definition" : "Id of the source fixture used as the contents to be evaluated by either the \"source/expression\" or \"sourceId/path\" definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.compareToSourceExpression",
          "path" : "TestScript.setup.action.assert.compareToSourceExpression",
          "short" : "The FHIRPath expression to evaluate against the source fixture",
          "definition" : "The FHIRPath expression to evaluate against the source fixture. When compareToSourceId is defined, either compareToSourceExpression or compareToSourcePath must be defined, but not both.",
          "comment" : "Thefhirpath expression to be evaluated against the expected fixture to compare to. Ignored if \"assert.value\" is used. The evaluation will be done before the assertion is evaluated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.compareToSourcePath",
          "path" : "TestScript.setup.action.assert.compareToSourcePath",
          "short" : "XPath or JSONPath expression to evaluate against the source fixture",
          "definition" : "XPath or JSONPath expression to evaluate against the source fixture. When compareToSourceId is defined, either compareToSourceExpression or compareToSourcePath must be defined, but not both.",
          "comment" : "The XPath or JSONPath expression to be evaluated against the expected fixture to compare to. Ignored if \"assert.value\" is used. The evaluation will be done before the assertion is evaluated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.contentType",
          "path" : "TestScript.setup.action.assert.contentType",
          "short" : "Mime type to compare against the 'Content-Type' header",
          "definition" : "The mime-type contents to compare against the request or response message 'Content-Type' header.",
          "comment" : "If this is specified, then test engine shall confirm that the content-type of the last operation's headers is set to this value.  If \"assert.sourceId\" element is specified, then the evaluation will be done against the headers mapped to that sourceId (and not the last operation's headers).  If you'd like to have more control over the string, then use 'assert.headerField' instead.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "example" : [{
            "label" : "General",
            "valueCode" : "application/fhir+xml"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "MimeType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The mime type of an attachment. Any valid mime type is allowed.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/mimetypes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.expression",
          "path" : "TestScript.setup.action.assert.expression",
          "short" : "The FHIRPath expression to be evaluated",
          "definition" : "The FHIRPath expression to be evaluated against the request or response message contents - HTTP headers and payload.",
          "comment" : "If both \"expression\" and a \"fixtureId\" are specified, then the expression will be evaluated against the request or response body mapped to the fixtureId.  If \"expression\" is specified and a \"fixtureId\" is not, then the expression will be evaluated against the response body of the last operation.  Test engines are to store the request and response body and headers of the last operation at all times for subsequent assertions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.headerField",
          "path" : "TestScript.setup.action.assert.headerField",
          "short" : "HTTP header field name",
          "definition" : "The HTTP header field name e.g. 'Location'.",
          "comment" : "If \"headerField\" is specified then \"value\" must be specified.  If \"sourceId\" is not specified, then \"headerField\" will be evaluated against the last operation's response headers.  Test engines are to keep track of the last operation's response body and response headers.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.minimumId",
          "path" : "TestScript.setup.action.assert.minimumId",
          "short" : "Fixture Id of minimum content resource",
          "definition" : "The ID of a fixture.  Asserts that the response contains at a minimum the fixture specified by minimumId.",
          "comment" : "Asserts that the response contains all the element/content in another fixture pointed to by minimumId.  This can be a statically defined fixture or one that is dynamically set via responseId.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.navigationLinks",
          "path" : "TestScript.setup.action.assert.navigationLinks",
          "short" : "Perform validation on navigation links?",
          "definition" : "Whether or not the test execution performs validation on the bundle navigation links.",
          "comment" : "Asserts that the Bundle contains first, last, and next links.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.operator",
          "path" : "TestScript.setup.action.assert.operator",
          "short" : "equals | notEquals | in | notIn | greaterThan | lessThan | empty | notEmpty | contains | notContains | eval",
          "definition" : "The operator type defines the conditional behavior of the assert. If not defined, the default is equals.",
          "comment" : "Operators are useful especially for negative testing.  If operator is not specified, then the \"equals\" operator is assumed; e.g. ```                                                   ```.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AssertionOperatorType"
            }],
            "strength" : "required",
            "description" : "The type of operator to use for assertion.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/assert-operator-codes|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.path",
          "path" : "TestScript.setup.action.assert.path",
          "short" : "XPath or JSONPath expression",
          "definition" : "The XPath or JSONPath expression to be evaluated against the fixture representing the response received from server.",
          "comment" : "If both \"path\" and a \"fixtureId\" are specified, then the path will be evaluated against the request or response body mapped to the fixtureId.  If \"path\" is specified and a \"fixtureId\" is not, then the path will be evaluated against the response body of the last operation.  Test engines are to store the request and response body and headers of the last operation at all times for subsequent assertions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.requestMethod",
          "path" : "TestScript.setup.action.assert.requestMethod",
          "short" : "delete | get | options | patch | post | put | head",
          "definition" : "The request method or HTTP operation code to compare against that used by the client system under test.",
          "comment" : "If \"requestMethod\" is specified then it will be used in place of \"value\". The \"requestMethod\" will evaluate against the last operation's request HTTP operation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "TestScriptRequestMethodCode"
            }],
            "strength" : "required",
            "description" : "The allowable request method or HTTP operation codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/http-operations|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.requestURL",
          "path" : "TestScript.setup.action.assert.requestURL",
          "short" : "Request URL comparison value",
          "definition" : "The value to use in a comparison against the request URL path string.",
          "comment" : "If \"requestURL\" is specified then it will be used in place of \"value\". The \"requestURL\" will evaluate against the last operation's full request URL path string.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.resource",
          "path" : "TestScript.setup.action.assert.resource",
          "short" : "Resource type",
          "definition" : "The type of the resource.  See http://build.fhir.org/resourcelist.html.",
          "comment" : "This will be expected resource type in response body e.g. in read, vread, search, etc.  See http://build.fhir.org/resourcelist.html for complete list of resource types; e.g.  .",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FHIRDefinedType"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "A list of all the concrete types defined in this version of the FHIR specification - Data Types and Resource Types.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/defined-types|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.response",
          "path" : "TestScript.setup.action.assert.response",
          "short" : "okay | created | noContent | notModified | bad | forbidden | notFound | methodNotAllowed | conflict | gone | preconditionFailed | unprocessable",
          "definition" : "okay | created | noContent | notModified | bad | forbidden | notFound | methodNotAllowed | conflict | gone | preconditionFailed | unprocessable.",
          "comment" : "This is a shorter way of achieving similar verifications via \"assert.responseCode\".  If you need more control, then use \"assert.responseCode\"  e.g.      .",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "AssertionResponseTypes"
            }],
            "strength" : "required",
            "description" : "The type of response code to use for assertion.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/assert-response-code-types|4.0.0"
          }
        },
        {
          "id" : "TestScript.setup.action.assert.responseCode",
          "path" : "TestScript.setup.action.assert.responseCode",
          "short" : "HTTP response code to test",
          "definition" : "The value of the HTTP response code to be tested.",
          "comment" : "To be used with \"operator\" attribute value. Asserts that the response code equals this value if \"operator\" is not specified.   If the operator is \"in\" or \"notIn\" then the responseCode would be a comma-separated list of values e.g. \"200,201\". Otherwise, it's expected to be a numeric value.   If \"fixture\" is not specified, then the \"responseBodyId\" value of the last operation is assumed.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.sourceId",
          "path" : "TestScript.setup.action.assert.sourceId",
          "short" : "Fixture Id of source expression or headerField",
          "definition" : "Fixture to evaluate the XPath/JSONPath expression or the headerField  against.",
          "comment" : "This can be a statically defined fixture (at the top of the testscript) or a dynamically set fixture created by responseId of the action.operation element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.validateProfileId",
          "path" : "TestScript.setup.action.assert.validateProfileId",
          "short" : "Profile Id of validation profile reference",
          "definition" : "The ID of the Profile to validate against.",
          "comment" : "The ID of a Profile fixture. Asserts that the response is valid according to the Profile specified by validateProfileId.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "id"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.value",
          "path" : "TestScript.setup.action.assert.value",
          "short" : "The value to compare to",
          "definition" : "The value to compare to.",
          "comment" : "The string-representation of a number, string, or boolean that is expected.  Test engines do have to look for placeholders (${}) and replace the variable placeholders with the variable values at runtime before comparing this value to the actual value.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.setup.action.assert.warningOnly",
          "path" : "TestScript.setup.action.assert.warningOnly",
          "short" : "Will this assert produce a warning only on error?",
          "definition" : "Whether or not the test execution will produce a warning only on error for this assert.",
          "comment" : "If this element is specified and it is true, then assertion failures can be logged by test engine but should not stop the test script execution from proceeding.  There are likely cases where the spec is not clear on what should happen. If the spec says something is optional (maybe a response header for example), but a server doesn’t do it, we could choose to issue a warning.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "TestScript.test",
          "path" : "TestScript.test",
          "short" : "A test in this script",
          "definition" : "A test in this script.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.test.name",
          "path" : "TestScript.test.name",
          "short" : "Tracking/logging name of this test",
          "definition" : "The name of this test used for tracking/logging purposes by test engines.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.test.description",
          "path" : "TestScript.test.description",
          "short" : "Tracking/reporting short description of the test",
          "definition" : "A short description of the test used by test engines for tracking and reporting purposes.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "TestScript.test.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TestAction"
          }],
          "path" : "TestScript.test.action",
          "short" : "A test operation or assert to perform",
          "definition" : "Action would contain either an operation or an assertion.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "tst-2",
            "severity" : "error",
            "human" : "Test action SHALL contain either an operation or assert but not both.",
            "expression" : "operation.exists() xor assert.exists()",
            "xpath" : "(f:operation or f:assert) and not(f:operation and f:assert)"
          }]
        },
        {
          "id" : "TestScript.test.action.operation",
          "path" : "TestScript.test.action.operation",
          "short" : "The setup operation to perform",
          "definition" : "An operation would involve a REST request to a server.",
          "min" : 0,
          "max" : "1",
          "contentReference" : "#TestScript.setup.action.operation",
          "constraint" : [{
            "key" : "tst-8",
            "severity" : "error",
            "human" : "Test operation SHALL contain either sourceId or targetId or params or url.",
            "expression" : "sourceId.exists() or (targetId.count() + url.count() + params.count() = 1) or (type.code in ('capabilities' | 'search' | 'transaction' | 'history'))",
            "xpath" : "f:sourceId or (f:targetId or f:url or f:params) and (count(f:targetId) + count(f:url) + count(f:params) =1) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')"
          }]
        },
        {
          "id" : "TestScript.test.action.assert",
          "path" : "TestScript.test.action.assert",
          "short" : "The setup assertion to perform",
          "definition" : "Evaluates the results of previous operations to determine if the server under test behaves appropriately.",
          "comment" : "In order to evaluate an assertion, the request, response, and results of the most recently executed operation must always be maintained by the test engine.",
          "min" : 0,
          "max" : "1",
          "contentReference" : "#TestScript.setup.action.assert",
          "constraint" : [{
            "key" : "tst-11",
            "severity" : "error",
            "human" : "Test action assert SHALL contain either compareToSourceId and compareToSourceExpression, compareToSourceId and compareToSourcePath or neither.",
            "expression" : "compareToSourceId.empty() xor (compareToSourceExpression.exists() or compareToSourcePath.exists())",
            "xpath" : "(f:compareToSourceId and f:compareToSourceExpression) or (f:compareToSourceId and f:compareToSourcePath) or not(f:compareToSourceId or f:compareToSourceExpression or f:compareToSourcePath)"
          },
          {
            "key" : "tst-13",
            "severity" : "error",
            "human" : "Test action assert response and response and responseCode SHALL be empty when direction equals request",
            "expression" : "(response.empty() and responseCode.empty() and direction = 'request') or direction.empty() or direction = 'response'",
            "xpath" : "((count(f:response) + count(f:responseCode)) = 0 and (f:direction/@value='request')) or (count(f:direction) = 0) or (f:direction/@value='response')"
          },
          {
            "key" : "tst-6",
            "severity" : "error",
            "human" : "Only a single assertion SHALL be present within test action assert element.",
            "expression" : "extension.exists() or (contentType.count() + expression.count() + headerField.count() + minimumId.count() + navigationLinks.count() + path.count() + requestMethod.count() + resource.count() + responseCode.count() + response.count() + validateProfileId.count() <=1)",
            "xpath" : "count(f:contentType) + count(f:expression) + count(f:headerField) + count(f:minimumId) + count(f:navigationLinks) + count(f:path) + count(f:requestMethod) + count(f:resource) + count(f:responseCode) + count(f:response) + count(f:rule) + count(f:ruleset) + count(f:validateProfileId)  <=1"
          }]
        },
        {
          "id" : "TestScript.teardown",
          "path" : "TestScript.teardown",
          "short" : "A series of required clean up steps",
          "definition" : "A series of operations required to clean up after all the tests are executed (successfully or otherwise).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.teardown.action",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "TeardownAction"
          }],
          "path" : "TestScript.teardown.action",
          "short" : "One or more teardown operations to perform",
          "definition" : "The teardown action will only contain an operation.",
          "comment" : "An action should contain either an operation or an assertion but not both.  It can contain any number of variables.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "TestScript.teardown.action.operation",
          "path" : "TestScript.teardown.action.operation",
          "short" : "The teardown operation to perform",
          "definition" : "An operation would involve a REST request to a server.",
          "min" : 1,
          "max" : "1",
          "contentReference" : "#TestScript.setup.action.operation",
          "constraint" : [{
            "key" : "tst-9",
            "severity" : "error",
            "human" : "Teardown operation SHALL contain either sourceId or targetId or params or url.",
            "expression" : "sourceId.exists() or (targetId.count() + url.count() + params.count() = 1) or (type.code in ('capabilities' | 'search' | 'transaction' | 'history'))",
            "xpath" : "f:sourceId or (f:targetId or f:url or (f:params and f:resource)) and (count(f:targetId) + count(f:url) + count(f:params) =1) or (f:type/f:code/@value='capabilities' or f:type/f:code/@value='search' or f:type/f:code/@value='transaction' or f:type/f:code/@value='history')"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/ValueSet",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "ValueSet",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 ValueSet 
IN
DomainResource
A set of codes drawn from one or more code systems
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this value set, represented as a URI (globally unique)
 identifier 
Σ
0..*
Identifier
Additional identifier for the value set (business identifier)
 version 
Σ
0..1
string
Business version of the value set
 name 
ΣI
0..1
string
Name for this value set (computer friendly)
 title 
Σ
0..1
string
Name for this value set (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the value set
 useContext 
ΣTU
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for value set (if applicable)
Jurisdiction (Extensible)
 immutable 
Σ
0..1
boolean
Indicates whether or not any change to the content logical definition may occur
 purpose 
0..1
markdown
Why this value set is defined
 copyright 
0..1
markdown
Use and/or publishing restrictions
 compose 
0..1
BackboneElement
Content logical definition of the value set (CLD)
 lockedDate 
Σ
0..1
date
Fixed date for references with no specified version (transitive)
 inactive 
Σ
0..1
boolean
Whether inactive codes are in the value set
 include 
ΣI
1..*
BackboneElement
Include one or more codes from a code system or other value set(s)
+ Rule: A value set include/exclude SHALL have a value set or a system
+ Rule: A value set with concepts or filters SHALL include a system
+ Rule: Cannot have both concept and filter
 system 
ΣI
0..1
uri
The system the codes come from
 version 
Σ
0..1
string
Specific version of the code system referred to
 concept 
I
0..*
BackboneElement
A concept defined in the system
 code 
1..1
code
Code or expression from system
 display 
0..1
string
Text to display for this code for this value set in this valueset
 designation 
0..*
BackboneElement
Additional representations for this concept
 language 
0..1
code
Human language of the designation
Common Languages (Preferred but limited to AllLanguages)
 use 
0..1
Coding
Types of uses of designations
Designation Use (Extensible)
 value 
1..1
string
The text value for this designation
 filter 
ΣI
0..*
BackboneElement
Select codes/concepts by their properties (including relationships)
 property 
Σ
1..1
code
A property/filter defined by the code system
 op 
Σ
1..1
code
= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists
FilterOperator (Required)
 value 
Σ
1..1
string
Code from the system, or regex criteria, or boolean value for exists
 valueSet 
ΣI
0..*
canonical(ValueSet)
Select the contents included in this value set
 exclude 
I
0..*
see include
Explicitly exclude codes from a code system or other value sets
 expansion 
0..1
BackboneElement
Used when the value set is "expanded"
 identifier 
0..1
uri
Identifies the value set expansion (business identifier)
 timestamp 
1..1
dateTime
Time ValueSet expansion happened
 total 
0..1
integer
Total number of codes in the expansion
 offset 
0..1
integer
Offset at which this resource starts
 parameter 
0..*
BackboneElement
Parameter that controlled the expansion process
 name 
1..1
string
Name as assigned by the client or server
 value[x] 
0..1
Value of the named parameter
 valueString
string
 valueBoolean
boolean
 valueInteger
integer
 valueDecimal
decimal
 valueUri
uri
 valueCode
code
 valueDateTime
dateTime
 contains 
I
0..*
BackboneElement
Codes in the value set
+ Rule: SHALL have a code or a display
+ Rule: Must have a code if not abstract
+ Rule: Must have a system if a code is present
 system 
0..1
uri
System value for the code
 abstract 
0..1
boolean
If user cannot select this entry
 inactive 
0..1
boolean
If concept is inactive in the code system
 version 
0..1
string
Version in which this code/display is defined
 code 
I
0..1
code
Code - if blank, this is not a selectable code
 display 
I
0..1
string
User display for the concept
 designation 
0..*
see designation
Additional representations for this item
 contains 
0..*
see contains
Codes contained under this entry

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Foundation.Terminology"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "normative"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode" : "4.0.0"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 5
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "anonymous"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "vocab"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/ValueSet",
      "version" : "4.0.0",
      "name" : "ValueSet",
      "status" : "active",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Vocabulary)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/Vocab/index.cfm"
        }]
      }],
      "description" : "A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [[[CodeSystem]]] definitions and their use in [coded elements](terminologies.html).",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "objimpl",
        "uri" : "http://hl7.org/fhir/object-implementation",
        "name" : "Object Implementation Information"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "ValueSet",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "_baseDefinition" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-codegen-super",
          "valueString" : "MetadataResource"
        }]
      },
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "ValueSet",
          "path" : "ValueSet",
          "short" : "A set of codes drawn from one or more code systems",
          "definition" : "A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "vsd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.id",
          "path" : "ValueSet.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ValueSet.meta",
          "path" : "ValueSet.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ValueSet.implicitRules",
          "path" : "ValueSet.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "ValueSet.language",
          "path" : "ValueSet.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ValueSet.text",
          "path" : "ValueSet.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "ValueSet.contained",
          "path" : "ValueSet.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.extension",
          "path" : "ValueSet.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.modifierExtension",
          "path" : "ValueSet.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.url",
          "path" : "ValueSet.url",
          "short" : "Canonical identifier for this value set, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this value set when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this value set is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the value set is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the value set to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.identifier",
          "path" : "ValueSet.identifier",
          "short" : "Additional identifier for the value set (business identifier)",
          "definition" : "A formal identifier that is used to identify this value set when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this value set outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ValueSet.version",
          "path" : "ValueSet.version",
          "short" : "Business version of the value set",
          "definition" : "The identifier that is used to identify this version of the value set when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the value set author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different value set instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the value set with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ValueSet.name",
          "path" : "ValueSet.name",
          "short" : "Name for this value set (computer friendly)",
          "definition" : "A natural language name identifying the value set. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.A name should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a name.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ValueSet.title",
          "path" : "ValueSet.title",
          "short" : "Name for this value set (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the value set.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ValueSet.status",
          "path" : "ValueSet.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this value set. Enables tracking the life-cycle of the content. The status of the value set applies to the value set definition (ValueSet.compose) and the associated ValueSet metadata. Expansions do not have a state.",
          "comment" : "Allows filtering of value sets that are appropriate for use versus not.See also the [valueset-workflowStatus](extension-valueset-workflowstatus.html) extension for additional status information related to the editorial process.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ValueSet.experimental",
          "path" : "ValueSet.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this value set is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of value sets that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level value set.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ValueSet.date",
          "path" : "ValueSet.date",
          "short" : "Date last changed",
          "definition" : "The date (and optionally time) when the value set was created or revised (e.g. the 'content logical definition').",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the value set. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.publisher",
          "path" : "ValueSet.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the value set.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the value set is the organization or individual primarily responsible for the maintenance and upkeep of the value set. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the value set. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the value set.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ValueSet.contact",
          "path" : "ValueSet.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ValueSet.description",
          "path" : "ValueSet.description",
          "short" : "Natural language description of the value set",
          "definition" : "A free text natural language description of the value set from a consumer's perspective. The textual description specifies the span of meanings for concepts to be included within the Value Set Expansion, and also may specify the intended use and limitations of the Value Set.",
          "comment" : "This description can be used to capture details such as why the value set was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the value set as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the value set is presumed to be the predominant language in the place the value set was created).The description is not intended to describe the semantics of the Value Set - there are no intrinsic semantics separate from the codes contained in its expansion. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes. A description should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a description.",
          "alias" : ["Scope",
          "Purpose"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "ValueSet.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate value set instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ValueSet.jurisdiction",
          "path" : "ValueSet.jurisdiction",
          "short" : "Intended jurisdiction for value set (if applicable)",
          "definition" : "A legal or geographic region in which the value set is intended to be used.",
          "comment" : "It may be possible for the value set to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ValueSet.immutable",
          "path" : "ValueSet.immutable",
          "short" : "Indicates whether or not any change to the content logical definition may occur",
          "definition" : "If this is set to 'true', then no new versions of the content logical definition can be created.  Note: Other metadata might still change.",
          "comment" : "Normally immutability is set to 'false', which is the default assumption if it is not populated.  Note that the implication is that if this is set to 'true', there may be only one ValueSet version for this definition. Immutability tends to be set to 'true' in one of two cases: - Where the value set, by the nature of its usage, cannot change.  For example \"All specializations of ACT in ActClassCode\" - Where there's no safe way to express the \"Purpose\" such that someone else could safely make changes to the value set definition. Source workflow control must guarantee that the same URI always yields the same definition.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.immutable",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ValueSet.purpose",
          "path" : "ValueSet.purpose",
          "short" : "Why this value set is defined",
          "definition" : "Explanation of why this value set is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the value set. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this value set.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.purpose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ValueSet.copyright",
          "path" : "ValueSet.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the value set and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the value set.",
          "comment" : "nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the value set and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.copyright",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ValueSet.compose",
          "path" : "ValueSet.compose",
          "short" : "Content logical definition of the value set (CLD)",
          "definition" : "A set of criteria that define the contents of the value set by including or excluding codes selected from the specified code system(s) that the value set draws from. This is also known as the Content Logical Definition (CLD).",
          "alias" : ["Content Logical Definition",
          "CLD"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.compose.id",
          "path" : "ValueSet.compose.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.extension",
          "path" : "ValueSet.compose.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.modifierExtension",
          "path" : "ValueSet.compose.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.lockedDate",
          "path" : "ValueSet.compose.lockedDate",
          "short" : "Fixed date for references with no specified version (transitive)",
          "definition" : "The Locked Date is  the effective date that is used to determine the version of all referenced Code Systems and Value Set Definitions included in the compose that are not already tied to a specific version.",
          "comment" : "With a defined lockedDate the value set is considered \"Locked\". Otherwise, the value set may have different expansions as underlying code systems and/or value sets evolve.  The interpretation of lockedDate is often dependent on the context - e.g. a SNOMED CT derived value set with a lockedDate will have a different expansion in USA than in UK.  If a value set specifies a version for include and exclude statements, and also specifies a locked date, the specified versions need to be available that date, or the value set will not be usable.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.lockedDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "ValueSet.compose.inactive",
          "path" : "ValueSet.compose.inactive",
          "short" : "Whether inactive codes are in the value set",
          "definition" : "Whether inactive codes - codes that are not approved for current use - are in the value set. If inactive = true, inactive codes are to be included in the expansion, if inactive = false, the inactive codes will not be included in the expansion. If absent, the behavior is determined by the implementation, or by the applicable $expand parameters (but generally, inactive codes would be expected to be included).",
          "comment" : "Note that in the FHIR terminology framework, \"deprecated\" does not mean inactive, but in some code systems, e.g. LOINC, \"deprecated\" does mean inactive. Code systems should define what codes are considered to be inactive. If this is not clearly defined (including in the FHIR code system resource), then all codes are assumed to be active.\n\nThe Value Set Definition specification defines an ActiveOnly element, which is the reverse of this element e.g. (ValueSet.compose.inactive=FALSE) is the same as (VSD.ActiveOnly=TRUE).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.inactive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "ValueSet.compose.include",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ConceptSet"
          }],
          "path" : "ValueSet.compose.include",
          "short" : "Include one or more codes from a code system or other value set(s)",
          "definition" : "Include one or more codes from a code system or other value set(s).",
          "comment" : "All the conditions in an include must be true. If a system is listed, all the codes from the system are listed. If one or more filters are listed, all of the filters must apply. If one or more value sets are listed, the codes must be in all the value sets. E.g. each include is 'include all the codes that meet all these conditions'.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.compose.include",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "vsd-2",
            "severity" : "error",
            "human" : "A value set with concepts or filters SHALL include a system",
            "expression" : "(concept.exists() or filter.exists()) implies system.exists()",
            "xpath" : "not(exists(f:concept) or exists(f:filter)) or exists(f:system)"
          },
          {
            "key" : "vsd-3",
            "severity" : "error",
            "human" : "Cannot have both concept and filter",
            "expression" : "concept.empty() or filter.empty()",
            "xpath" : "not(exists(f:concept)) or not(exists(f:filter))"
          },
          {
            "key" : "vsd-1",
            "severity" : "error",
            "human" : "A value set include/exclude SHALL have a value set or a system",
            "expression" : "valueSet.exists() or system.exists()",
            "xpath" : "exists(f:valueSet) or exists(f:system)"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.id",
          "path" : "ValueSet.compose.include.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.include.extension",
          "path" : "ValueSet.compose.include.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.include.modifierExtension",
          "path" : "ValueSet.compose.include.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.system",
          "path" : "ValueSet.compose.include.system",
          "short" : "The system the codes come from",
          "definition" : "An absolute URI which is the code system from which the selected codes come from.",
          "comment" : "If there are no codes or filters, the entire code system is included. Note that the set of codes that are included may contain abstract codes. See ''Coding.system'' for further documentation about the correct value for the system element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.system",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["vsd-1",
          "vsd-2"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.version",
          "path" : "ValueSet.compose.include.version",
          "short" : "Specific version of the code system referred to",
          "definition" : "The version of the code system that the codes are selected from, or the special version '*' for all versions.",
          "comment" : "This is used when selecting the descendants of a concept - they may change between versions. If no version is specified, then the exact contents of the value set might not be known until a context of use binds it to a particular version. The special value '*' means all versions; It is at server discretion regarding expansions and which versions must be supported.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ConceptReference"
          }],
          "path" : "ValueSet.compose.include.concept",
          "short" : "A concept defined in the system",
          "definition" : "Specifies a concept to be included or excluded.",
          "comment" : "The list of concepts is considered ordered, though the order might not have any particular significance. Typically, the order of an expansion follows that defined in the compose element.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.compose.include.concept",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["vsd-3"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.id",
          "path" : "ValueSet.compose.include.concept.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.extension",
          "path" : "ValueSet.compose.include.concept.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.modifierExtension",
          "path" : "ValueSet.compose.include.concept.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.code",
          "path" : "ValueSet.compose.include.concept.code",
          "short" : "Code or expression from system",
          "definition" : "Specifies a code for the concept to be included or excluded.",
          "comment" : "Expressions are allowed if defined by the underlying code system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.concept.code",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.display",
          "path" : "ValueSet.compose.include.concept.display",
          "short" : "Text to display for this code for this value set in this valueset",
          "definition" : "The text to display to the user for this concept in the context of this valueset. If no display is provided, then applications using the value set use the display specified for the code by the system.",
          "comment" : "The value set resource allows for an alternative display to be specified for when this concept is used in this particular value set. See notes in the value set narrative about the correct use of this element.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.concept.display",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.designation",
          "path" : "ValueSet.compose.include.concept.designation",
          "short" : "Additional representations for this concept",
          "definition" : "Additional representations for this concept when used in this value set - other languages, aliases, specialized purposes, used for particular purposes, etc.",
          "comment" : "Concepts have both a ```display``` and an array of ```designation```. The display is equivalent to a special designation with an implied ```designation.use``` of \"primary code\" and a language equal to the [Resource Language](resource.html#language).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.compose.include.concept.designation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.id",
          "path" : "ValueSet.compose.include.concept.designation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.extension",
          "path" : "ValueSet.compose.include.concept.designation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.modifierExtension",
          "path" : "ValueSet.compose.include.concept.designation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.language",
          "path" : "ValueSet.compose.include.concept.designation.language",
          "short" : "Human language of the designation",
          "definition" : "The language this designation is defined for.",
          "comment" : "In the absence of a language, the resource language applies.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.concept.designation.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.use",
          "path" : "ValueSet.compose.include.concept.designation.use",
          "short" : "Types of uses of designations",
          "definition" : "A code that represents types of uses of designations.",
          "comment" : "If no use is provided, the designation can be assumed to be suitable for general display to a human user.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.concept.designation.use",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Coding"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConceptDesignationUse"
            }],
            "strength" : "extensible",
            "description" : "Details of how a designation would be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/designation-use"
          }
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.value",
          "path" : "ValueSet.compose.include.concept.designation.value",
          "short" : "The text value for this designation",
          "definition" : "The text value for this designation.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.concept.designation.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.compose.include.filter",
          "path" : "ValueSet.compose.include.filter",
          "short" : "Select codes/concepts by their properties (including relationships)",
          "definition" : "Select concepts by specify a matching criterion based on the properties (including relationships) defined by the system, or on filters defined by the system. If multiple filters are specified, they SHALL all be true.",
          "comment" : "Selecting codes by specifying filters based on properties is only possible where the underlying code system defines appropriate properties. Note that in some cases, the underlying code system defines the logical concepts but not the literal codes for the concepts. In such cases, the literal definitions may be provided by a third party.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.compose.include.filter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["vsd-3"],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.id",
          "path" : "ValueSet.compose.include.filter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.extension",
          "path" : "ValueSet.compose.include.filter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.modifierExtension",
          "path" : "ValueSet.compose.include.filter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.property",
          "path" : "ValueSet.compose.include.filter.property",
          "short" : "A property/filter defined by the code system",
          "definition" : "A code that identifies a property or a filter defined in the code system.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.filter.property",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.op",
          "path" : "ValueSet.compose.include.filter.op",
          "short" : "= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists",
          "definition" : "The kind of operation to perform as a part of the filter criteria.",
          "comment" : "In case filter.property represents a property of the system, the operation applies to the selected property. In case filter.property represents a filter of the system, the operation SHALL match one of the CodeSystem.filter.operator values.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.filter.op",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FilterOperator"
            }],
            "strength" : "required",
            "description" : "The kind of operation to perform as a part of a property based filter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/filter-operator|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.value",
          "path" : "ValueSet.compose.include.filter.value",
          "short" : "Code from the system, or regex criteria, or boolean value for exists",
          "definition" : "The match value may be either a code defined by the system, or a string value, which is a regex match on the literal string of the property value  (if the filter represents a property defined in CodeSystem) or of the system filter value (if the filter represents a filter defined in CodeSystem) when the operation is 'regex', or one of the values (true and false), when the operation is 'exists'.",
          "comment" : "Use regex matching with care - full regex matching on every SNOMED CT term is prohibitive, for example.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.compose.include.filter.value",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.valueSet",
          "path" : "ValueSet.compose.include.valueSet",
          "short" : "Select the contents included in this value set",
          "definition" : "Selects the concepts found in this value set (based on its value set definition). This is an absolute URI that is a reference to ValueSet.url.  If multiple value sets are specified this includes the union of the contents of all of the referenced value sets.",
          "comment" : "The value set URI is either a logical reference to a defined value set such as a [SNOMED CT reference set](snomedct.html#implicit), or a direct reference to a value set definition using ValueSet.url. The reference might not refer to an actual FHIR ValueSet resource; in this case, whatever is referred to is an implicit definition of a value set that needs to be clear about how versions are resolved.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.compose.include.valueSet",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "condition" : ["vsd-1"],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.exclude",
          "path" : "ValueSet.compose.exclude",
          "short" : "Explicitly exclude codes from a code system or other value sets",
          "definition" : "Exclude one or more codes from the value set based on code system filters and/or other value sets.",
          "comment" : "Usually this is used to selectively exclude codes that were included by subsumption in the inclusions. Any display names specified for the codes are ignored.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.compose.exclude",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ValueSet.compose.include",
          "condition" : ["vsd-2"],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.expansion",
          "path" : "ValueSet.expansion",
          "short" : "Used when the value set is \"expanded\"",
          "definition" : "A value set can also be \"expanded\", where the value set is turned into a simple collection of enumerated codes. This element holds the expansion, if it has been performed.",
          "comment" : "Expansion is performed to produce a collection of codes that are ready to use for data entry or validation. Value set expansions are always considered to be stateless - they are a record of the set of codes in the value set at a point in time under a given set of conditions, and are not subject to ongoing maintenance.\n\nExpansion.parameter is  a simplified list of parameters - a subset of the features of the [Parameters](parameters.html) resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.id",
          "path" : "ValueSet.expansion.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.expansion.extension",
          "path" : "ValueSet.expansion.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.expansion.modifierExtension",
          "path" : "ValueSet.expansion.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.expansion.identifier",
          "path" : "ValueSet.expansion.identifier",
          "short" : "Identifies the value set expansion (business identifier)",
          "definition" : "An identifier that uniquely identifies this expansion of the valueset, based on a unique combination of the provided parameters, the system default parameters, and the underlying system code system versions etc. Systems may re-use the same identifier as long as those factors remain the same, and the expansion is the same, but are not required to do so. This is a business identifier.",
          "comment" : "Typically, this uri is a UUID (e.g. urn:uuid:8230ff20-c97a-4167-a59d-dc2cb9df16dd).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.identifier",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.timestamp",
          "path" : "ValueSet.expansion.timestamp",
          "short" : "Time ValueSet expansion happened",
          "definition" : "The time at which the expansion was produced by the expanding system.",
          "comment" : "This SHOULD be a fully populated instant, but in some circumstances, value sets are expanded by hand, and the expansion is published without that precision.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.timestamp",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.total",
          "path" : "ValueSet.expansion.total",
          "short" : "Total number of codes in the expansion",
          "definition" : "The total number of concepts in the expansion. If the number of concept nodes in this resource is less than the stated number, then the server can return more using the offset parameter.",
          "comment" : "Paging only applies to flat expansions.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.total",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.offset",
          "path" : "ValueSet.expansion.offset",
          "short" : "Offset at which this resource starts",
          "definition" : "If paging is being used, the offset at which this resource starts.  I.e. this resource is a partial view into the expansion. If paging is not being used, this element SHALL NOT be present.",
          "comment" : "Paging only applies to flat expansions. If a filter is applied, the count is the number of concepts that matched the filter, not the number of concepts in an unfiltered view of the expansion.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.offset",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "meaningWhenMissing" : "Paging is not being used",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.parameter",
          "path" : "ValueSet.expansion.parameter",
          "short" : "Parameter that controlled the expansion process",
          "definition" : "A parameter that controlled the expansion process. These parameters may be used by users of expanded value sets to check whether the expansion is suitable for a particular purpose, or to pick the correct expansion.",
          "comment" : "The server decides which parameters to include here, but at a minimum, the list SHOULD include all of the parameters that affect the $expand operation. If the expansion will be persisted all of these parameters SHALL be included. If the codeSystem on the server has a specified version then this version SHALL be provided as a parameter in the expansion (note that not all code systems have a version).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.expansion.parameter",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.parameter.id",
          "path" : "ValueSet.expansion.parameter.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.expansion.parameter.extension",
          "path" : "ValueSet.expansion.parameter.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.expansion.parameter.modifierExtension",
          "path" : "ValueSet.expansion.parameter.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.expansion.parameter.name",
          "path" : "ValueSet.expansion.parameter.name",
          "short" : "Name as assigned by the client or server",
          "definition" : "Name of the input parameter to the $expand operation; may be a server-assigned name for additional default or other server-supplied parameters used to control the expansion process.",
          "comment" : "The names are assigned at the discretion of the server.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.parameter.name",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.parameter.value[x]",
          "path" : "ValueSet.expansion.parameter.value[x]",
          "short" : "Value of the named parameter",
          "definition" : "The value of the parameter.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.parameter.value[x]",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "code"
          },
          {
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains",
          "path" : "ValueSet.expansion.contains",
          "short" : "Codes in the value set",
          "definition" : "The codes that are contained in the value set expansion.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.expansion.contains",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          },
          {
            "key" : "vsd-6",
            "severity" : "error",
            "human" : "SHALL have a code or a display",
            "expression" : "code.exists() or display.exists()",
            "xpath" : "exists(f:code) or exists(f:display)"
          },
          {
            "key" : "vsd-9",
            "severity" : "error",
            "human" : "Must have a code if not abstract",
            "expression" : "code.exists() or abstract = true",
            "xpath" : "exists(f:code) or (f:abstract/@value = true())"
          },
          {
            "key" : "vsd-10",
            "severity" : "error",
            "human" : "Must have a system if a code is present",
            "expression" : "code.empty() or system.exists()",
            "xpath" : "exists(f:system) or not(exists(f:code))"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains.id",
          "path" : "ValueSet.expansion.contains.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.expansion.contains.extension",
          "path" : "ValueSet.expansion.contains.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "ValueSet.expansion.contains.modifierExtension",
          "path" : "ValueSet.expansion.contains.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.expansion.contains.system",
          "path" : "ValueSet.expansion.contains.system",
          "short" : "System value for the code",
          "definition" : "An absolute URI which is the code system in which the code for this item in the expansion is defined.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.contains.system",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains.abstract",
          "path" : "ValueSet.expansion.contains.abstract",
          "short" : "If user cannot select this entry",
          "definition" : "If true, this entry is included in the expansion for navigational purposes, and the user cannot select the code directly as a proper value.",
          "comment" : "This should not be understood to exclude its use for searching (e.g. by subsumption testing). The client should know whether it is appropriate for the user to select an abstract code or not.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.contains.abstract",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If this is not populated, systems can assume that the concept it not abstract. This SHALL always be populated for abstract concepts",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains.inactive",
          "path" : "ValueSet.expansion.contains.inactive",
          "short" : "If concept is inactive in the code system",
          "definition" : "If the concept is inactive in the code system that defines it. Inactive codes are those that are no longer to be used, but are maintained by the code system for understanding legacy data. It might not be known or specified whether an concept is inactive (and it may depend on the context of use).",
          "comment" : "This should only have a value if the concept is inactive.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.contains.inactive",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains.version",
          "path" : "ValueSet.expansion.contains.version",
          "short" : "Version in which this code/display is defined",
          "definition" : "The version of the code system from this code was taken. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
          "comment" : "The exact value of the version string is specified by the system from which the code is derived.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.contains.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains.code",
          "path" : "ValueSet.expansion.contains.code",
          "short" : "Code - if blank, this is not a selectable code",
          "definition" : "The code for this item in the expansion hierarchy. If this code is missing the entry in the hierarchy is a place holder (abstract) and does not represent a valid code in the value set.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.contains.code",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["vsd-6"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains.display",
          "path" : "ValueSet.expansion.contains.display",
          "short" : "User display for the concept",
          "definition" : "The recommended display for this item in the expansion.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "ValueSet.expansion.contains.display",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["vsd-6"],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains.designation",
          "path" : "ValueSet.expansion.contains.designation",
          "short" : "Additional representations for this item",
          "definition" : "Additional representations for this item - other languages, aliases, specialized purposes, used for particular purposes, etc. These are relevant when the conditions of the expansion do not fix to a single correct representation.",
          "comment" : "The designations provided must be based on the value set and code system definitions.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.expansion.contains.designation",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ValueSet.compose.include.concept.designation",
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "ValueSet.expansion.contains.contains",
          "path" : "ValueSet.expansion.contains.contains",
          "short" : "Codes contained under this entry",
          "definition" : "Other codes and entries contained under this entry in the hierarchy.",
          "comment" : "If the expansion uses this element, there is  no implication about the logical relationship between them, and the  structure cannot be used for logical inferencing. The structure  exists to provide navigational assistance for helping human users to  locate codes in the expansion.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "ValueSet.expansion.contains.contains",
            "min" : 0,
            "max" : "*"
          },
          "contentReference" : "#ValueSet.expansion.contains",
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "ValueSet",
          "path" : "ValueSet",
          "short" : "A set of codes drawn from one or more code systems",
          "definition" : "A ValueSet resource instance specifies a set of codes drawn from one or more code systems, intended for use in a particular context. Value sets link between [CodeSystem](codesystem.html) definitions and their use in [coded elements](terminologies.html).",
          "min" : 0,
          "max" : "*",
          "constraint" : [{
            "key" : "vsd-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.url",
          "path" : "ValueSet.url",
          "short" : "Canonical identifier for this value set, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this value set when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this value set is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the value set is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the value set to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.identifier",
          "path" : "ValueSet.identifier",
          "short" : "Additional identifier for the value set (business identifier)",
          "definition" : "A formal identifier that is used to identify this value set when it is represented in other formats, or referenced in a specification, model, design or an instance.",
          "comment" : "Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this value set outside of FHIR, where it is not possible to use the logical URI.",
          "requirements" : "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ValueSet.version",
          "path" : "ValueSet.version",
          "short" : "Business version of the value set",
          "definition" : "The identifier that is used to identify this version of the value set when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the value set author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different value set instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the value set with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "ValueSet.name",
          "path" : "ValueSet.name",
          "short" : "Name for this value set (computer friendly)",
          "definition" : "A natural language name identifying the value set. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.A name should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a name.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "ValueSet.title",
          "path" : "ValueSet.title",
          "short" : "Name for this value set (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the value set.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "ValueSet.status",
          "path" : "ValueSet.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this value set. Enables tracking the life-cycle of the content. The status of the value set applies to the value set definition (ValueSet.compose) and the associated ValueSet metadata. Expansions do not have a state.",
          "comment" : "Allows filtering of value sets that are appropriate for use versus not.See also the [valueset-workflowStatus](extension-valueset-workflowstatus.html) extension for additional status information related to the editorial process.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "ValueSet.experimental",
          "path" : "ValueSet.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this value set is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of value sets that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level value set.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "ValueSet.date",
          "path" : "ValueSet.date",
          "short" : "Date last changed",
          "definition" : "The date (and optionally time) when the value set was created or revised (e.g. the 'content logical definition').",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the value set. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.publisher",
          "path" : "ValueSet.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the value set.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the value set is the organization or individual primarily responsible for the maintenance and upkeep of the value set. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the value set. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the value set.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "ValueSet.contact",
          "path" : "ValueSet.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "ValueSet.description",
          "path" : "ValueSet.description",
          "short" : "Natural language description of the value set",
          "definition" : "A free text natural language description of the value set from a consumer's perspective. The textual description specifies the span of meanings for concepts to be included within the Value Set Expansion, and also may specify the intended use and limitations of the Value Set.",
          "comment" : "This description can be used to capture details such as why the value set was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the value set as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the value set is presumed to be the predominant language in the place the value set was created).The description is not intended to describe the semantics of the Value Set - there are no intrinsic semantics separate from the codes contained in its expansion. The description should capture its intended use, which is needed for ensuring integrity for its use in models across future changes. A description should be provided unless the value set is a contained resource (e.g. an anonymous value set in a profile). Most registries will require a description.",
          "alias" : ["Scope",
          "Purpose"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.useContext",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "trial-use"
          }],
          "path" : "ValueSet.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate value set instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "ValueSet.jurisdiction",
          "path" : "ValueSet.jurisdiction",
          "short" : "Intended jurisdiction for value set (if applicable)",
          "definition" : "A legal or geographic region in which the value set is intended to be used.",
          "comment" : "It may be possible for the value set to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        },
        {
          "id" : "ValueSet.immutable",
          "path" : "ValueSet.immutable",
          "short" : "Indicates whether or not any change to the content logical definition may occur",
          "definition" : "If this is set to 'true', then no new versions of the content logical definition can be created.  Note: Other metadata might still change.",
          "comment" : "Normally immutability is set to 'false', which is the default assumption if it is not populated.  Note that the implication is that if this is set to 'true', there may be only one ValueSet version for this definition. Immutability tends to be set to 'true' in one of two cases: - Where the value set, by the nature of its usage, cannot change.  For example \"All specializations of ACT in ActClassCode\" - Where there's no safe way to express the \"Purpose\" such that someone else could safely make changes to the value set definition. Source workflow control must guarantee that the same URI always yields the same definition.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "ValueSet.purpose",
          "path" : "ValueSet.purpose",
          "short" : "Why this value set is defined",
          "definition" : "Explanation of why this value set is needed and why it has been designed as it has.",
          "comment" : "This element does not describe the usage of the value set. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may be used to point to source materials or specifications that drove the structure of this value set.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.purpose"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.why[x]"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ValueSet.copyright",
          "path" : "ValueSet.copyright",
          "short" : "Use and/or publishing restrictions",
          "definition" : "A copyright statement relating to the value set and/or its contents. Copyright statements are generally legal restrictions on the use and publishing of the value set.",
          "comment" : "nullFrequently, the copyright differs between the value set and the codes that are included. The copyright statement should clearly differentiate between these when required.",
          "requirements" : "Consumers must be able to determine any legal restrictions on the use of the value set and/or its content.",
          "alias" : ["License",
          "Restrictions"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.copyright"
          },
          {
            "identity" : "objimpl",
            "map" : "no-gen-base"
          }]
        },
        {
          "id" : "ValueSet.compose",
          "path" : "ValueSet.compose",
          "short" : "Content logical definition of the value set (CLD)",
          "definition" : "A set of criteria that define the contents of the value set by including or excluding codes selected from the specified code system(s) that the value set draws from. This is also known as the Content Logical Definition (CLD).",
          "alias" : ["Content Logical Definition",
          "CLD"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ValueSet.compose.lockedDate",
          "path" : "ValueSet.compose.lockedDate",
          "short" : "Fixed date for references with no specified version (transitive)",
          "definition" : "The Locked Date is  the effective date that is used to determine the version of all referenced Code Systems and Value Set Definitions included in the compose that are not already tied to a specific version.",
          "comment" : "With a defined lockedDate the value set is considered \"Locked\". Otherwise, the value set may have different expansions as underlying code systems and/or value sets evolve.  The interpretation of lockedDate is often dependent on the context - e.g. a SNOMED CT derived value set with a lockedDate will have a different expansion in USA than in UK.  If a value set specifies a version for include and exclude statements, and also specifies a locked date, the specified versions need to be available that date, or the value set will not be usable.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.init"
          }]
        },
        {
          "id" : "ValueSet.compose.inactive",
          "path" : "ValueSet.compose.inactive",
          "short" : "Whether inactive codes are in the value set",
          "definition" : "Whether inactive codes - codes that are not approved for current use - are in the value set. If inactive = true, inactive codes are to be included in the expansion, if inactive = false, the inactive codes will not be included in the expansion. If absent, the behavior is determined by the implementation, or by the applicable $expand parameters (but generally, inactive codes would be expected to be included).",
          "comment" : "Note that in the FHIR terminology framework, \"deprecated\" does not mean inactive, but in some code systems, e.g. LOINC, \"deprecated\" does mean inactive. Code systems should define what codes are considered to be inactive. If this is not clearly defined (including in the FHIR code system resource), then all codes are assumed to be active.\n\nThe Value Set Definition specification defines an ActiveOnly element, which is the reverse of this element e.g. (ValueSet.compose.inactive=FALSE) is the same as (VSD.ActiveOnly=TRUE).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true
        },
        {
          "id" : "ValueSet.compose.include",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ConceptSet"
          }],
          "path" : "ValueSet.compose.include",
          "short" : "Include one or more codes from a code system or other value set(s)",
          "definition" : "Include one or more codes from a code system or other value set(s).",
          "comment" : "All the conditions in an include must be true. If a system is listed, all the codes from the system are listed. If one or more filters are listed, all of the filters must apply. If one or more value sets are listed, the codes must be in all the value sets. E.g. each include is 'include all the codes that meet all these conditions'.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "vsd-2",
            "severity" : "error",
            "human" : "A value set with concepts or filters SHALL include a system",
            "expression" : "(concept.exists() or filter.exists()) implies system.exists()",
            "xpath" : "not(exists(f:concept) or exists(f:filter)) or exists(f:system)"
          },
          {
            "key" : "vsd-3",
            "severity" : "error",
            "human" : "Cannot have both concept and filter",
            "expression" : "concept.empty() or filter.empty()",
            "xpath" : "not(exists(f:concept)) or not(exists(f:filter))"
          },
          {
            "key" : "vsd-1",
            "severity" : "error",
            "human" : "A value set include/exclude SHALL have a value set or a system",
            "expression" : "valueSet.exists() or system.exists()",
            "xpath" : "exists(f:valueSet) or exists(f:system)"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.system",
          "path" : "ValueSet.compose.include.system",
          "short" : "The system the codes come from",
          "definition" : "An absolute URI which is the code system from which the selected codes come from.",
          "comment" : "If there are no codes or filters, the entire code system is included. Note that the set of codes that are included may contain abstract codes. See ''Coding.system'' for further documentation about the correct value for the system element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "condition" : ["vsd-1",
          "vsd-2"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.version",
          "path" : "ValueSet.compose.include.version",
          "short" : "Specific version of the code system referred to",
          "definition" : "The version of the code system that the codes are selected from, or the special version '*' for all versions.",
          "comment" : "This is used when selecting the descendants of a concept - they may change between versions. If no version is specified, then the exact contents of the value set might not be known until a context of use binds it to a particular version. The special value '*' means all versions; It is at server discretion regarding expansions and which versions must be supported.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "ConceptReference"
          }],
          "path" : "ValueSet.compose.include.concept",
          "short" : "A concept defined in the system",
          "definition" : "Specifies a concept to be included or excluded.",
          "comment" : "The list of concepts is considered ordered, though the order might not have any particular significance. Typically, the order of an expansion follows that defined in the compose element.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["vsd-3"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.code",
          "path" : "ValueSet.compose.include.concept.code",
          "short" : "Code or expression from system",
          "definition" : "Specifies a code for the concept to be included or excluded.",
          "comment" : "Expressions are allowed if defined by the underlying code system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.display",
          "path" : "ValueSet.compose.include.concept.display",
          "short" : "Text to display for this code for this value set in this valueset",
          "definition" : "The text to display to the user for this concept in the context of this valueset. If no display is provided, then applications using the value set use the display specified for the code by the system.",
          "comment" : "The value set resource allows for an alternative display to be specified for when this concept is used in this particular value set. See notes in the value set narrative about the correct use of this element.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.designation",
          "path" : "ValueSet.compose.include.concept.designation",
          "short" : "Additional representations for this concept",
          "definition" : "Additional representations for this concept when used in this value set - other languages, aliases, specialized purposes, used for particular purposes, etc.",
          "comment" : "Concepts have both a ```display``` and an array of ```designation```. The display is equivalent to a special designation with an implied ```designation.use``` of \"primary code\" and a language equal to the [Resource Language](resource.html#language).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.language",
          "path" : "ValueSet.compose.include.concept.designation.language",
          "short" : "Human language of the designation",
          "definition" : "The language this designation is defined for.",
          "comment" : "In the absence of a language, the resource language applies.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.use",
          "path" : "ValueSet.compose.include.concept.designation.use",
          "short" : "Types of uses of designations",
          "definition" : "A code that represents types of uses of designations.",
          "comment" : "If no use is provided, the designation can be assumed to be suitable for general display to a human user.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Coding"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "ConceptDesignationUse"
            }],
            "strength" : "extensible",
            "description" : "Details of how a designation would be used.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/designation-use"
          }
        },
        {
          "id" : "ValueSet.compose.include.concept.designation.value",
          "path" : "ValueSet.compose.include.concept.designation.value",
          "short" : "The text value for this designation",
          "definition" : "The text value for this designation.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter",
          "path" : "ValueSet.compose.include.filter",
          "short" : "Select codes/concepts by their properties (including relationships)",
          "definition" : "Select concepts by specify a matching criterion based on the properties (including relationships) defined by the system, or on filters defined by the system. If multiple filters are specified, they SHALL all be true.",
          "comment" : "Selecting codes by specifying filters based on properties is only possible where the underlying code system defines appropriate properties. Note that in some cases, the underlying code system defines the logical concepts but not the literal codes for the concepts. In such cases, the literal definitions may be provided by a third party.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "condition" : ["vsd-3"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.property",
          "path" : "ValueSet.compose.include.filter.property",
          "short" : "A property/filter defined by the code system",
          "definition" : "A code that identifies a property or a filter defined in the code system.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.op",
          "path" : "ValueSet.compose.include.filter.op",
          "short" : "= | is-a | descendent-of | is-not-a | regex | in | not-in | generalizes | exists",
          "definition" : "The kind of operation to perform as a part of the filter criteria.",
          "comment" : "In case filter.property represents a property of the system, the operation applies to the selected property. In case filter.property represents a filter of the system, the operation SHALL match one of the CodeSystem.filter.operator values.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "FilterOperator"
            }],
            "strength" : "required",
            "description" : "The kind of operation to perform as a part of a property based filter.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/filter-operator|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.filter.value",
          "path" : "ValueSet.compose.include.filter.value",
          "short" : "Code from the system, or regex criteria, or boolean value for exists",
          "definition" : "The match value may be either a code defined by the system, or a string value, which is a regex match on the literal string of the property value  (if the filter represents a property defined in CodeSystem) or of the system filter value (if the filter represents a filter defined in CodeSystem) when the operation is 'regex', or one of the values (true and false), when the operation is 'exists'.",
          "comment" : "Use regex matching with care - full regex matching on every SNOMED CT term is prohibitive, for example.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.include.valueSet",
          "path" : "ValueSet.compose.include.valueSet",
          "short" : "Select the contents included in this value set",
          "definition" : "Selects the concepts found in this value set (based on its value set definition). This is an absolute URI that is a reference to ValueSet.url.  If multiple value sets are specified this includes the union of the contents of all of the referenced value sets.",
          "comment" : "The value set URI is either a logical reference to a defined value set such as a [SNOMED CT reference set](snomedct.html#implicit), or a direct reference to a value set definition using ValueSet.url. The reference might not refer to an actual FHIR ValueSet resource; in this case, whatever is referred to is an implicit definition of a value set that needs to be clear about how versions are resolved.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "canonical",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/ValueSet"]
          }],
          "condition" : ["vsd-1"],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.compose.exclude",
          "path" : "ValueSet.compose.exclude",
          "short" : "Explicitly exclude codes from a code system or other value sets",
          "definition" : "Exclude one or more codes from the value set based on code system filters and/or other value sets.",
          "comment" : "Usually this is used to selectively exclude codes that were included by subsumption in the inclusions. Any display names specified for the codes are ignored.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ValueSet.compose.include",
          "condition" : ["vsd-2"],
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "ValueSet.expansion",
          "path" : "ValueSet.expansion",
          "short" : "Used when the value set is \"expanded\"",
          "definition" : "A value set can also be \"expanded\", where the value set is turned into a simple collection of enumerated codes. This element holds the expansion, if it has been performed.",
          "comment" : "Expansion is performed to produce a collection of codes that are ready to use for data entry or validation. Value set expansions are always considered to be stateless - they are a record of the set of codes in the value set at a point in time under a given set of conditions, and are not subject to ongoing maintenance.\n\nExpansion.parameter is  a simplified list of parameters - a subset of the features of the [Parameters](parameters.html) resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ValueSet.expansion.identifier",
          "path" : "ValueSet.expansion.identifier",
          "short" : "Identifies the value set expansion (business identifier)",
          "definition" : "An identifier that uniquely identifies this expansion of the valueset, based on a unique combination of the provided parameters, the system default parameters, and the underlying system code system versions etc. Systems may re-use the same identifier as long as those factors remain the same, and the expansion is the same, but are not required to do so. This is a business identifier.",
          "comment" : "Typically, this uri is a UUID (e.g. urn:uuid:8230ff20-c97a-4167-a59d-dc2cb9df16dd).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "ValueSet.expansion.timestamp",
          "path" : "ValueSet.expansion.timestamp",
          "short" : "Time ValueSet expansion happened",
          "definition" : "The time at which the expansion was produced by the expanding system.",
          "comment" : "This SHOULD be a fully populated instant, but in some circumstances, value sets are expanded by hand, and the expansion is published without that precision.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "ValueSet.expansion.total",
          "path" : "ValueSet.expansion.total",
          "short" : "Total number of codes in the expansion",
          "definition" : "The total number of concepts in the expansion. If the number of concept nodes in this resource is less than the stated number, then the server can return more using the offset parameter.",
          "comment" : "Paging only applies to flat expansions.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }]
        },
        {
          "id" : "ValueSet.expansion.offset",
          "path" : "ValueSet.expansion.offset",
          "short" : "Offset at which this resource starts",
          "definition" : "If paging is being used, the offset at which this resource starts.  I.e. this resource is a partial view into the expansion. If paging is not being used, this element SHALL NOT be present.",
          "comment" : "Paging only applies to flat expansions. If a filter is applied, the count is the number of concepts that matched the filter, not the number of concepts in an unfiltered view of the expansion.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "meaningWhenMissing" : "Paging is not being used"
        },
        {
          "id" : "ValueSet.expansion.parameter",
          "path" : "ValueSet.expansion.parameter",
          "short" : "Parameter that controlled the expansion process",
          "definition" : "A parameter that controlled the expansion process. These parameters may be used by users of expanded value sets to check whether the expansion is suitable for a particular purpose, or to pick the correct expansion.",
          "comment" : "The server decides which parameters to include here, but at a minimum, the list SHOULD include all of the parameters that affect the $expand operation. If the expansion will be persisted all of these parameters SHALL be included. If the codeSystem on the server has a specified version then this version SHALL be provided as a parameter in the expansion (note that not all code systems have a version).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "ValueSet.expansion.parameter.name",
          "path" : "ValueSet.expansion.parameter.name",
          "short" : "Name as assigned by the client or server",
          "definition" : "Name of the input parameter to the $expand operation; may be a server-assigned name for additional default or other server-supplied parameters used to control the expansion process.",
          "comment" : "The names are assigned at the discretion of the server.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ValueSet.expansion.parameter.value[x]",
          "path" : "ValueSet.expansion.parameter.value[x]",
          "short" : "Value of the named parameter",
          "definition" : "The value of the parameter.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          },
          {
            "code" : "boolean"
          },
          {
            "code" : "integer"
          },
          {
            "code" : "decimal"
          },
          {
            "code" : "uri"
          },
          {
            "code" : "code"
          },
          {
            "code" : "dateTime"
          }]
        },
        {
          "id" : "ValueSet.expansion.contains",
          "path" : "ValueSet.expansion.contains",
          "short" : "Codes in the value set",
          "definition" : "The codes that are contained in the value set expansion.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "vsd-6",
            "severity" : "error",
            "human" : "SHALL have a code or a display",
            "expression" : "code.exists() or display.exists()",
            "xpath" : "exists(f:code) or exists(f:display)"
          },
          {
            "key" : "vsd-9",
            "severity" : "error",
            "human" : "Must have a code if not abstract",
            "expression" : "code.exists() or abstract = true",
            "xpath" : "exists(f:code) or (f:abstract/@value = true())"
          },
          {
            "key" : "vsd-10",
            "severity" : "error",
            "human" : "Must have a system if a code is present",
            "expression" : "code.empty() or system.exists()",
            "xpath" : "exists(f:system) or not(exists(f:code))"
          }]
        },
        {
          "id" : "ValueSet.expansion.contains.system",
          "path" : "ValueSet.expansion.contains.system",
          "short" : "System value for the code",
          "definition" : "An absolute URI which is the code system in which the code for this item in the expansion is defined.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }]
        },
        {
          "id" : "ValueSet.expansion.contains.abstract",
          "path" : "ValueSet.expansion.contains.abstract",
          "short" : "If user cannot select this entry",
          "definition" : "If true, this entry is included in the expansion for navigational purposes, and the user cannot select the code directly as a proper value.",
          "comment" : "This should not be understood to exclude its use for searching (e.g. by subsumption testing). The client should know whether it is appropriate for the user to select an abstract code or not.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "meaningWhenMissing" : "If this is not populated, systems can assume that the concept it not abstract. This SHALL always be populated for abstract concepts"
        },
        {
          "id" : "ValueSet.expansion.contains.inactive",
          "path" : "ValueSet.expansion.contains.inactive",
          "short" : "If concept is inactive in the code system",
          "definition" : "If the concept is inactive in the code system that defines it. Inactive codes are those that are no longer to be used, but are maintained by the code system for understanding legacy data. It might not be known or specified whether an concept is inactive (and it may depend on the context of use).",
          "comment" : "This should only have a value if the concept is inactive.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }]
        },
        {
          "id" : "ValueSet.expansion.contains.version",
          "path" : "ValueSet.expansion.contains.version",
          "short" : "Version in which this code/display is defined",
          "definition" : "The version of the code system from this code was taken. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
          "comment" : "The exact value of the version string is specified by the system from which the code is derived.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "ValueSet.expansion.contains.code",
          "path" : "ValueSet.expansion.contains.code",
          "short" : "Code - if blank, this is not a selectable code",
          "definition" : "The code for this item in the expansion hierarchy. If this code is missing the entry in the hierarchy is a place holder (abstract) and does not represent a valid code in the value set.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "condition" : ["vsd-6"]
        },
        {
          "id" : "ValueSet.expansion.contains.display",
          "path" : "ValueSet.expansion.contains.display",
          "short" : "User display for the concept",
          "definition" : "The recommended display for this item in the expansion.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["vsd-6"]
        },
        {
          "id" : "ValueSet.expansion.contains.designation",
          "path" : "ValueSet.expansion.contains.designation",
          "short" : "Additional representations for this item",
          "definition" : "Additional representations for this item - other languages, aliases, specialized purposes, used for particular purposes, etc. These are relevant when the conditions of the expansion do not fix to a single correct representation.",
          "comment" : "The designations provided must be based on the value set and code system definitions.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ValueSet.compose.include.concept.designation"
        },
        {
          "id" : "ValueSet.expansion.contains.contains",
          "path" : "ValueSet.expansion.contains.contains",
          "short" : "Codes contained under this entry",
          "definition" : "Other codes and entries contained under this entry in the hierarchy.",
          "comment" : "If the expansion uses this element, there is  no implication about the logical relationship between them, and the  structure cannot be used for logical inferencing. The structure  exists to provide navigational assistance for helping human users to  locate codes in the expansion.",
          "min" : 0,
          "max" : "*",
          "contentReference" : "#ValueSet.expansion.contains"
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/VerificationResult",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "VerificationResult",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 VerificationResult 
TU
DomainResource
Describes validation requirements, source(s), status and dates for one or more elements
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 target 
Σ
0..*
Reference(Any)
A resource that was validated
 targetLocation 
Σ
0..*
string
The fhirpath location(s) within the resource that was validated
 need 
Σ
0..1
CodeableConcept
none | initial | periodic
Need (Preferred)
 status 
Σ
1..1
code
attested | validated | in-process | req-revalid | val-fail | reval-fail
Status (Required)
 statusDate 
Σ
0..1
dateTime
When the validation status was updated
 validationType 
Σ
0..1
CodeableConcept
nothing | primary | multiple
Validation-type (Preferred)
 validationProcess 
Σ
0..*
CodeableConcept
The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context)
Validation-process (Example)
 frequency 
0..1
Timing
Frequency of revalidation
 lastPerformed 
0..1
dateTime
The date/time validation was last completed (including failed validations)
 nextScheduled 
0..1
date
The date when target is next validated, if appropriate
 failureAction 
Σ
0..1
CodeableConcept
fatal | warn | rec-only | none
Failure-action (Preferred)
 primarySource 
0..*
BackboneElement
Information about the primary source(s) involved in validation
 who 
0..1
Reference(Organization | Practitioner | PractitionerRole)
Reference to the primary source
 type 
Σ
0..*
CodeableConcept
Type of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source)
Primary-source-type (Example)
 communicationMethod 
Σ
0..*
CodeableConcept
Method for exchanging information with the primary source
VerificationResult Communication Method (Example)
 validationStatus 
0..1
CodeableConcept
successful | failed | unknown
Validation-status (Preferred)
 validationDate 
0..1
dateTime
When the target was validated against the primary source
 canPushUpdates 
Σ
0..1
CodeableConcept
yes | no | undetermined
Can-push-updates (Preferred)
 pushTypeAvailable 
0..*
CodeableConcept
specific | any | source
Push-type-available (Preferred)
 attestation 
0..1
BackboneElement
Information about the entity attesting to information
 who 
Σ
0..1
Reference(Practitioner | PractitionerRole | Organization)
The individual or organization attesting to information
 onBehalfOf 
Σ
0..1
Reference(Organization | Practitioner | PractitionerRole)
When the who is asserting on behalf of another (organization or individual)
 communicationMethod 
Σ
0..1
CodeableConcept
The method by which attested information was submitted/retrieved
VerificationResult Communication Method (Example)
 date 
Σ
0..1
date
The date the information was attested to
 sourceIdentityCertificate 
0..1
string
A digital identity certificate associated with the attestation source
 proxyIdentityCertificate 
0..1
string
A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source
 proxySignature 
0..1
Signature
Proxy signature
 sourceSignature 
0..1
Signature
Attester signature
 validator 
0..*
BackboneElement
Information about the entity validating information
 organization 
1..1
Reference(Organization)
Reference to the organization validating information
 identityCertificate 
0..1
string
A digital identity certificate associated with the validator
 attestationSignature 
0..1
Signature
Validator signature

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Base.Workflow"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 0
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "business"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "pa"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/VerificationResult",
      "version" : "4.0.0",
      "name" : "VerificationResult",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Patient Administration)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/pafm/index.cfm"
        }]
      }],
      "description" : "Describes validation requirements, source(s), status and dates for one or more elements.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "VerificationResult",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "VerificationResult",
          "path" : "VerificationResult",
          "short" : "Describes validation requirements, source(s), status and dates for one or more elements",
          "definition" : "Describes validation requirements, source(s), status and dates for one or more elements.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          }]
        },
        {
          "id" : "VerificationResult.id",
          "path" : "VerificationResult.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.meta",
          "path" : "VerificationResult.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.implicitRules",
          "path" : "VerificationResult.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.language",
          "path" : "VerificationResult.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "VerificationResult.text",
          "path" : "VerificationResult.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "VerificationResult.contained",
          "path" : "VerificationResult.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VerificationResult.extension",
          "path" : "VerificationResult.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VerificationResult.modifierExtension",
          "path" : "VerificationResult.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VerificationResult.target",
          "path" : "VerificationResult.target",
          "short" : "A resource that was validated",
          "definition" : "A resource that was validated.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult.target",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.targetLocation",
          "path" : "VerificationResult.targetLocation",
          "short" : "The fhirpath location(s) within the resource that was validated",
          "definition" : "The fhirpath location(s) within the resource that was validated.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult.targetLocation",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.need",
          "path" : "VerificationResult.need",
          "short" : "none | initial | periodic",
          "definition" : "The frequency with which the target must be validated (none; initial; periodic).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.need",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "need"
            }],
            "strength" : "preferred",
            "description" : "The frequency with which the target must be validated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-need"
          }
        },
        {
          "id" : "VerificationResult.status",
          "path" : "VerificationResult.status",
          "short" : "attested | validated | in-process | req-revalid | val-fail | reval-fail",
          "definition" : "The validation status of the target (attested; validated; in process; requires revalidation; validation failed; revalidation failed).",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "status"
            }],
            "strength" : "required",
            "description" : "The validation status of the target.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-status|4.0.0"
          }
        },
        {
          "id" : "VerificationResult.statusDate",
          "path" : "VerificationResult.statusDate",
          "short" : "When the validation status was updated",
          "definition" : "When the validation status was updated.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.statusDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.validationType",
          "path" : "VerificationResult.validationType",
          "short" : "nothing | primary | multiple",
          "definition" : "What the target is validated against (nothing; primary source; multiple sources).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.validationType",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "validation-type"
            }],
            "strength" : "preferred",
            "description" : "What the target is validated against.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-validation-type"
          }
        },
        {
          "id" : "VerificationResult.validationProcess",
          "path" : "VerificationResult.validationProcess",
          "short" : "The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context)",
          "definition" : "The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult.validationProcess",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "validation-process"
            }],
            "strength" : "example",
            "description" : "The primary process by which the target is validated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-validation-process"
          }
        },
        {
          "id" : "VerificationResult.frequency",
          "path" : "VerificationResult.frequency",
          "short" : "Frequency of revalidation",
          "definition" : "Frequency of revalidation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.frequency",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Timing"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.lastPerformed",
          "path" : "VerificationResult.lastPerformed",
          "short" : "The date/time validation was last completed (including failed validations)",
          "definition" : "The date/time validation was last completed (including failed validations).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.lastPerformed",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.nextScheduled",
          "path" : "VerificationResult.nextScheduled",
          "short" : "The date when target is next validated, if appropriate",
          "definition" : "The date when target is next validated, if appropriate.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.nextScheduled",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.failureAction",
          "path" : "VerificationResult.failureAction",
          "short" : "fatal | warn | rec-only | none",
          "definition" : "The result if validation fails (fatal; warning; record only; none).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.failureAction",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "failure-action"
            }],
            "strength" : "preferred",
            "description" : "The result if validation fails.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-failure-action"
          }
        },
        {
          "id" : "VerificationResult.primarySource",
          "path" : "VerificationResult.primarySource",
          "short" : "Information about the primary source(s) involved in validation",
          "definition" : "Information about the primary source(s) involved in validation.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult.primarySource",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.primarySource.id",
          "path" : "VerificationResult.primarySource.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VerificationResult.primarySource.extension",
          "path" : "VerificationResult.primarySource.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VerificationResult.primarySource.modifierExtension",
          "path" : "VerificationResult.primarySource.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VerificationResult.primarySource.who",
          "path" : "VerificationResult.primarySource.who",
          "short" : "Reference to the primary source",
          "definition" : "Reference to the primary source.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.primarySource.who",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          }]
        },
        {
          "id" : "VerificationResult.primarySource.type",
          "path" : "VerificationResult.primarySource.type",
          "short" : "Type of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source)",
          "definition" : "Type of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult.primarySource.type",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "primary-source-type"
            }],
            "strength" : "example",
            "description" : "Type of the validation primary source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type"
          }
        },
        {
          "id" : "VerificationResult.primarySource.communicationMethod",
          "path" : "VerificationResult.primarySource.communicationMethod",
          "short" : "Method for exchanging information with the primary source",
          "definition" : "Method for communicating with the primary source (manual; API; Push).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult.primarySource.communicationMethod",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "communication-method"
            }],
            "strength" : "example",
            "description" : "Method for communicating with the data source (manual; API; Push).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-communication-method"
          }
        },
        {
          "id" : "VerificationResult.primarySource.validationStatus",
          "path" : "VerificationResult.primarySource.validationStatus",
          "short" : "successful | failed | unknown",
          "definition" : "Status of the validation of the target against the primary source (successful; failed; unknown).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.primarySource.validationStatus",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "validation-status"
            }],
            "strength" : "preferred",
            "description" : "Status of the validation of the target against the primary source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-validation-status"
          }
        },
        {
          "id" : "VerificationResult.primarySource.validationDate",
          "path" : "VerificationResult.primarySource.validationDate",
          "short" : "When the target was validated against the primary source",
          "definition" : "When the target was validated against the primary source.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.primarySource.validationDate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.primarySource.canPushUpdates",
          "path" : "VerificationResult.primarySource.canPushUpdates",
          "short" : "yes | no | undetermined",
          "definition" : "Ability of the primary source to push updates/alerts (yes; no; undetermined).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.primarySource.canPushUpdates",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "can-push-updates"
            }],
            "strength" : "preferred",
            "description" : "Ability of the primary source to push updates/alerts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates"
          }
        },
        {
          "id" : "VerificationResult.primarySource.pushTypeAvailable",
          "path" : "VerificationResult.primarySource.pushTypeAvailable",
          "short" : "specific | any | source",
          "definition" : "Type of alerts/updates the primary source can send (specific requested changes; any changes; as defined by source).",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult.primarySource.pushTypeAvailable",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "push-type-available"
            }],
            "strength" : "preferred",
            "description" : "Type of alerts/updates the primary source can send.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-push-type-available"
          }
        },
        {
          "id" : "VerificationResult.attestation",
          "path" : "VerificationResult.attestation",
          "short" : "Information about the entity attesting to information",
          "definition" : "Information about the entity attesting to information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.attestation.id",
          "path" : "VerificationResult.attestation.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VerificationResult.attestation.extension",
          "path" : "VerificationResult.attestation.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VerificationResult.attestation.modifierExtension",
          "path" : "VerificationResult.attestation.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VerificationResult.attestation.who",
          "path" : "VerificationResult.attestation.who",
          "short" : "The individual or organization attesting to information",
          "definition" : "The individual or organization attesting to information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation.who",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.attestation.onBehalfOf",
          "path" : "VerificationResult.attestation.onBehalfOf",
          "short" : "When the who is asserting on behalf of another (organization or individual)",
          "definition" : "When the who is asserting on behalf of another (organization or individual).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation.onBehalfOf",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.attestation.communicationMethod",
          "path" : "VerificationResult.attestation.communicationMethod",
          "short" : "The method by which attested information was submitted/retrieved",
          "definition" : "The method by which attested information was submitted/retrieved (manual; API; Push).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation.communicationMethod",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "communication-method"
            }],
            "strength" : "example",
            "description" : "Method for communicating with the data source (manual; API; Push).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-communication-method"
          }
        },
        {
          "id" : "VerificationResult.attestation.date",
          "path" : "VerificationResult.attestation.date",
          "short" : "The date the information was attested to",
          "definition" : "The date the information was attested to.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "date"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.attestation.sourceIdentityCertificate",
          "path" : "VerificationResult.attestation.sourceIdentityCertificate",
          "short" : "A digital identity certificate associated with the attestation source",
          "definition" : "A digital identity certificate associated with the attestation source.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation.sourceIdentityCertificate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.attestation.proxyIdentityCertificate",
          "path" : "VerificationResult.attestation.proxyIdentityCertificate",
          "short" : "A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source",
          "definition" : "A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation.proxyIdentityCertificate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.attestation.proxySignature",
          "path" : "VerificationResult.attestation.proxySignature",
          "short" : "Proxy signature",
          "definition" : "Signed assertion by the proxy entity indicating that they have the right to submit attested information on behalf of the attestation source.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation.proxySignature",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Signature"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.attestation.sourceSignature",
          "path" : "VerificationResult.attestation.sourceSignature",
          "short" : "Attester signature",
          "definition" : "Signed assertion by the attestation source that they have attested to the information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.attestation.sourceSignature",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Signature"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.validator",
          "path" : "VerificationResult.validator",
          "short" : "Information about the entity validating information",
          "definition" : "Information about the entity validating information.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VerificationResult.validator",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.validator.id",
          "path" : "VerificationResult.validator.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VerificationResult.validator.extension",
          "path" : "VerificationResult.validator.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VerificationResult.validator.modifierExtension",
          "path" : "VerificationResult.validator.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VerificationResult.validator.organization",
          "path" : "VerificationResult.validator.organization",
          "short" : "Reference to the organization validating information",
          "definition" : "Reference to the organization validating information.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.validator.organization",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.validator.identityCertificate",
          "path" : "VerificationResult.validator.identityCertificate",
          "short" : "A digital identity certificate associated with the validator",
          "definition" : "A digital identity certificate associated with the validator.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.validator.identityCertificate",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VerificationResult.validator.attestationSignature",
          "path" : "VerificationResult.validator.attestationSignature",
          "short" : "Validator signature",
          "definition" : "Signed assertion by the validator that they have validated the information.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VerificationResult.validator.attestationSignature",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Signature"
          }],
          "isModifier" : false,
          "isSummary" : false
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "VerificationResult",
          "path" : "VerificationResult",
          "short" : "Describes validation requirements, source(s), status and dates for one or more elements",
          "definition" : "Describes validation requirements, source(s), status and dates for one or more elements.",
          "min" : 0,
          "max" : "*"
        },
        {
          "id" : "VerificationResult.target",
          "path" : "VerificationResult.target",
          "short" : "A resource that was validated",
          "definition" : "A resource that was validated.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
          }],
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.targetLocation",
          "path" : "VerificationResult.targetLocation",
          "short" : "The fhirpath location(s) within the resource that was validated",
          "definition" : "The fhirpath location(s) within the resource that was validated.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.need",
          "path" : "VerificationResult.need",
          "short" : "none | initial | periodic",
          "definition" : "The frequency with which the target must be validated (none; initial; periodic).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "need"
            }],
            "strength" : "preferred",
            "description" : "The frequency with which the target must be validated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-need"
          }
        },
        {
          "id" : "VerificationResult.status",
          "path" : "VerificationResult.status",
          "short" : "attested | validated | in-process | req-revalid | val-fail | reval-fail",
          "definition" : "The validation status of the target (attested; validated; in process; requires revalidation; validation failed; revalidation failed).",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "status"
            }],
            "strength" : "required",
            "description" : "The validation status of the target.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-status|4.0.0"
          }
        },
        {
          "id" : "VerificationResult.statusDate",
          "path" : "VerificationResult.statusDate",
          "short" : "When the validation status was updated",
          "definition" : "When the validation status was updated.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.validationType",
          "path" : "VerificationResult.validationType",
          "short" : "nothing | primary | multiple",
          "definition" : "What the target is validated against (nothing; primary source; multiple sources).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "validation-type"
            }],
            "strength" : "preferred",
            "description" : "What the target is validated against.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-validation-type"
          }
        },
        {
          "id" : "VerificationResult.validationProcess",
          "path" : "VerificationResult.validationProcess",
          "short" : "The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context)",
          "definition" : "The primary process by which the target is validated (edit check; value set; primary source; multiple sources; standalone; in context).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "validation-process"
            }],
            "strength" : "example",
            "description" : "The primary process by which the target is validated.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-validation-process"
          }
        },
        {
          "id" : "VerificationResult.frequency",
          "path" : "VerificationResult.frequency",
          "short" : "Frequency of revalidation",
          "definition" : "Frequency of revalidation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Timing"
          }]
        },
        {
          "id" : "VerificationResult.lastPerformed",
          "path" : "VerificationResult.lastPerformed",
          "short" : "The date/time validation was last completed (including failed validations)",
          "definition" : "The date/time validation was last completed (including failed validations).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "VerificationResult.nextScheduled",
          "path" : "VerificationResult.nextScheduled",
          "short" : "The date when target is next validated, if appropriate",
          "definition" : "The date when target is next validated, if appropriate.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }]
        },
        {
          "id" : "VerificationResult.failureAction",
          "path" : "VerificationResult.failureAction",
          "short" : "fatal | warn | rec-only | none",
          "definition" : "The result if validation fails (fatal; warning; record only; none).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "failure-action"
            }],
            "strength" : "preferred",
            "description" : "The result if validation fails.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-failure-action"
          }
        },
        {
          "id" : "VerificationResult.primarySource",
          "path" : "VerificationResult.primarySource",
          "short" : "Information about the primary source(s) involved in validation",
          "definition" : "Information about the primary source(s) involved in validation.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "VerificationResult.primarySource.who",
          "path" : "VerificationResult.primarySource.who",
          "short" : "Reference to the primary source",
          "definition" : "Reference to the primary source.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "mapping" : [{
            "identity" : "w5",
            "map" : "FiveWs.who"
          }]
        },
        {
          "id" : "VerificationResult.primarySource.type",
          "path" : "VerificationResult.primarySource.type",
          "short" : "Type of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source)",
          "definition" : "Type of primary source (License Board; Primary Education; Continuing Education; Postal Service; Relationship owner; Registration Authority; legal source; issuing source; authoritative source).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "primary-source-type"
            }],
            "strength" : "example",
            "description" : "Type of the validation primary source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-primary-source-type"
          }
        },
        {
          "id" : "VerificationResult.primarySource.communicationMethod",
          "path" : "VerificationResult.primarySource.communicationMethod",
          "short" : "Method for exchanging information with the primary source",
          "definition" : "Method for communicating with the primary source (manual; API; Push).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "communication-method"
            }],
            "strength" : "example",
            "description" : "Method for communicating with the data source (manual; API; Push).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-communication-method"
          }
        },
        {
          "id" : "VerificationResult.primarySource.validationStatus",
          "path" : "VerificationResult.primarySource.validationStatus",
          "short" : "successful | failed | unknown",
          "definition" : "Status of the validation of the target against the primary source (successful; failed; unknown).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "validation-status"
            }],
            "strength" : "preferred",
            "description" : "Status of the validation of the target against the primary source.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-validation-status"
          }
        },
        {
          "id" : "VerificationResult.primarySource.validationDate",
          "path" : "VerificationResult.primarySource.validationDate",
          "short" : "When the target was validated against the primary source",
          "definition" : "When the target was validated against the primary source.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }]
        },
        {
          "id" : "VerificationResult.primarySource.canPushUpdates",
          "path" : "VerificationResult.primarySource.canPushUpdates",
          "short" : "yes | no | undetermined",
          "definition" : "Ability of the primary source to push updates/alerts (yes; no; undetermined).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "can-push-updates"
            }],
            "strength" : "preferred",
            "description" : "Ability of the primary source to push updates/alerts.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-can-push-updates"
          }
        },
        {
          "id" : "VerificationResult.primarySource.pushTypeAvailable",
          "path" : "VerificationResult.primarySource.pushTypeAvailable",
          "short" : "specific | any | source",
          "definition" : "Type of alerts/updates the primary source can send (specific requested changes; any changes; as defined by source).",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "push-type-available"
            }],
            "strength" : "preferred",
            "description" : "Type of alerts/updates the primary source can send.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-push-type-available"
          }
        },
        {
          "id" : "VerificationResult.attestation",
          "path" : "VerificationResult.attestation",
          "short" : "Information about the entity attesting to information",
          "definition" : "Information about the entity attesting to information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "VerificationResult.attestation.who",
          "path" : "VerificationResult.attestation.who",
          "short" : "The individual or organization attesting to information",
          "definition" : "The individual or organization attesting to information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
            "http://hl7.org/fhir/StructureDefinition/Organization"]
          }],
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.attestation.onBehalfOf",
          "path" : "VerificationResult.attestation.onBehalfOf",
          "short" : "When the who is asserting on behalf of another (organization or individual)",
          "definition" : "When the who is asserting on behalf of another (organization or individual).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization",
            "http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.attestation.communicationMethod",
          "path" : "VerificationResult.attestation.communicationMethod",
          "short" : "The method by which attested information was submitted/retrieved",
          "definition" : "The method by which attested information was submitted/retrieved (manual; API; Push).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "communication-method"
            }],
            "strength" : "example",
            "description" : "Method for communicating with the data source (manual; API; Push).",
            "valueSet" : "http://hl7.org/fhir/ValueSet/verificationresult-communication-method"
          }
        },
        {
          "id" : "VerificationResult.attestation.date",
          "path" : "VerificationResult.attestation.date",
          "short" : "The date the information was attested to",
          "definition" : "The date the information was attested to.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "date"
          }],
          "isSummary" : true
        },
        {
          "id" : "VerificationResult.attestation.sourceIdentityCertificate",
          "path" : "VerificationResult.attestation.sourceIdentityCertificate",
          "short" : "A digital identity certificate associated with the attestation source",
          "definition" : "A digital identity certificate associated with the attestation source.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "VerificationResult.attestation.proxyIdentityCertificate",
          "path" : "VerificationResult.attestation.proxyIdentityCertificate",
          "short" : "A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source",
          "definition" : "A digital identity certificate associated with the proxy entity submitting attested information on behalf of the attestation source.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "VerificationResult.attestation.proxySignature",
          "path" : "VerificationResult.attestation.proxySignature",
          "short" : "Proxy signature",
          "definition" : "Signed assertion by the proxy entity indicating that they have the right to submit attested information on behalf of the attestation source.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Signature"
          }]
        },
        {
          "id" : "VerificationResult.attestation.sourceSignature",
          "path" : "VerificationResult.attestation.sourceSignature",
          "short" : "Attester signature",
          "definition" : "Signed assertion by the attestation source that they have attested to the information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Signature"
          }]
        },
        {
          "id" : "VerificationResult.validator",
          "path" : "VerificationResult.validator",
          "short" : "Information about the entity validating information",
          "definition" : "Information about the entity validating information.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "VerificationResult.validator.organization",
          "path" : "VerificationResult.validator.organization",
          "short" : "Reference to the organization validating information",
          "definition" : "Reference to the organization validating information.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
          }]
        },
        {
          "id" : "VerificationResult.validator.identityCertificate",
          "path" : "VerificationResult.validator.identityCertificate",
          "short" : "A digital identity certificate associated with the validator",
          "definition" : "A digital identity certificate associated with the validator.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }]
        },
        {
          "id" : "VerificationResult.validator.attestationSignature",
          "path" : "VerificationResult.validator.attestationSignature",
          "short" : "Validator signature",
          "definition" : "Signed assertion by the validator that they have validated the information.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Signature"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/VisionPrescription",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "VisionPrescription",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 VisionPrescription 
TU
DomainResource
Prescription for vision correction products for a patient
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 identifier 
0..*
Identifier
Business Identifier for vision prescription
 status 
?!Σ
1..1
code
active | cancelled | draft | entered-in-error
Financial Resource Status Codes (Required)
 created 
Σ
1..1
dateTime
Response creation date
 patient 
Σ
1..1
Reference(Patient)
Who prescription is for
 encounter 
0..1
Reference(Encounter)
Created during encounter / admission / stay
 dateWritten 
Σ
1..1
dateTime
When prescription was authorized
 prescriber 
Σ
1..1
Reference(Practitioner | PractitionerRole)
Who authorized the vision prescription
 lensSpecification 
Σ
1..*
BackboneElement
Vision lens authorization
 product 
Σ
1..1
CodeableConcept
Product to be supplied
Example Vision Prescription Product Codes (Example)
 eye 
Σ
1..1
code
right | left
VisionEyes (Required)
 sphere 
0..1
decimal
Power of the lens
 cylinder 
0..1
decimal
Lens power for astigmatism
 axis 
0..1
integer
Lens meridian which contain no power for astigmatism
 prism 
0..*
BackboneElement
Eye alignment compensation
 amount 
1..1
decimal
Amount of adjustment
 base 
1..1
code
up | down | in | out
VisionBase (Required)
 add 
0..1
decimal
Added power for multifocal levels
 power 
0..1
decimal
Contact lens power
 backCurve 
0..1
decimal
Contact lens back curvature
 diameter 
0..1
decimal
Contact lens diameter
 duration 
0..1
SimpleQuantity
Lens wear duration
 color 
0..1
string
Color required
 brand 
0..1
string
Brand required
 note 
0..*
Annotation
Notes for coatings

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
        "valueString" : "Clinical.Care Provision"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
        "valueInteger" : 2
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
        "valueCode" : "patient"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fm"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/VisionPrescription",
      "version" : "4.0.0",
      "name" : "VisionPrescription",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (Financial Management)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm/index.cfm"
        }]
      }],
      "description" : "An authorization for the provision of glasses and/or contact lenses to a patient.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "v2",
        "uri" : "http://hl7.org/v2",
        "name" : "HL7 v2 Mapping"
      }],
      "kind" : "resource",
      "abstract" : false,
      "type" : "VisionPrescription",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "VisionPrescription",
          "path" : "VisionPrescription",
          "short" : "Prescription for vision correction products for a patient",
          "definition" : "An authorization for the provision of glasses and/or contact lenses to a patient.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VisionPrescription",
            "min" : 0,
            "max" : "*"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "CombinedVisionRequest"
          }]
        },
        {
          "id" : "VisionPrescription.id",
          "path" : "VisionPrescription.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VisionPrescription.meta",
          "path" : "VisionPrescription.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VisionPrescription.implicitRules",
          "path" : "VisionPrescription.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "VisionPrescription.language",
          "path" : "VisionPrescription.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "VisionPrescription.text",
          "path" : "VisionPrescription.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "VisionPrescription.contained",
          "path" : "VisionPrescription.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VisionPrescription.extension",
          "path" : "VisionPrescription.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VisionPrescription.modifierExtension",
          "path" : "VisionPrescription.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VisionPrescription.identifier",
          "path" : "VisionPrescription.identifier",
          "short" : "Business Identifier for vision prescription",
          "definition" : "A unique identifier assigned to this vision prescription.",
          "requirements" : "Allows vision prescriptions to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VisionPrescription.identifier",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Identifier"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "VisionPrescription.status",
          "path" : "VisionPrescription.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VisionStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Act.status"
          }]
        },
        {
          "id" : "VisionPrescription.created",
          "path" : "VisionPrescription.created",
          "short" : "Response creation date",
          "definition" : "The date this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.created",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "VisionPrescription.patient",
          "path" : "VisionPrescription.patient",
          "short" : "Who prescription is for",
          "definition" : "A resource reference to the person to whom the vision prescription applies.",
          "requirements" : "Needed to identify the patient for whom the vision prescription has been issued.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.patient",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : "subject.role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "VisionPrescription.encounter",
          "path" : "VisionPrescription.encounter",
          "short" : "Created during encounter / admission / stay",
          "definition" : "A reference to a resource that identifies the particular occurrence of contact between patient and health care provider during which the prescription was issued.",
          "requirements" : "Used in some jurisdictions to link clinical events to claim items.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.encounter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19-Visit Number"
          },
          {
            "identity" : "rim",
            "map" : "componentOf.patientEncounter"
          }]
        },
        {
          "id" : "VisionPrescription.dateWritten",
          "path" : "VisionPrescription.dateWritten",
          "short" : "When prescription was authorized",
          "definition" : "The date (and perhaps time) when the prescription was written.",
          "comment" : "Jurisdictions determine the valid lifetime of a prescription. Typically vision prescriptions are valid for two years from the date written.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.dateWritten",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"
          },
          {
            "identity" : "rim",
            "map" : "author.time"
          }]
        },
        {
          "id" : "VisionPrescription.prescriber",
          "path" : "VisionPrescription.prescriber",
          "short" : "Who authorized the vision prescription",
          "definition" : "The healthcare professional responsible for authorizing the prescription.",
          "requirements" : "Need to record the authorizing practitioner.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.prescriber",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "RXE-13-Ordering Provider's DEA Number / RXO-14-Ordering Provider's DEA Number / RXE-14-Pharmacist/Treatment Supplier's Verifier ID / RXO-15-Pharmacist/Treatment Supplier's Verifier ID / ORC-12-Ordering Provider / PRT-5-Participation Person: PRT-4-Participation='OP' (all but last deprecated)"
          },
          {
            "identity" : "rim",
            "map" : "author.role"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification",
          "path" : "VisionPrescription.lensSpecification",
          "short" : "Vision lens authorization",
          "definition" : "Contain the details of  the individual lens specifications and serves as the authorization for the fullfillment by certified professionals.",
          "min" : 1,
          "max" : "*",
          "base" : {
            "path" : "VisionPrescription.lensSpecification",
            "min" : 1,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "component.supplyEvent"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.id",
          "path" : "VisionPrescription.lensSpecification.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.extension",
          "path" : "VisionPrescription.lensSpecification.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.modifierExtension",
          "path" : "VisionPrescription.lensSpecification.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.product",
          "path" : "VisionPrescription.lensSpecification.product",
          "short" : "Product to be supplied",
          "definition" : "Identifies the type of vision correction product which is required for the patient.",
          "requirements" : "Need to identify whether glasses or contacts.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.product",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VisionProduct"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the vision products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vision-product"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXE-2-Give Code / RXO-1-Requested Give Code / RXD-2-Dispense/Give Code"
          },
          {
            "identity" : "rim",
            "map" : "consumable.role"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.eye",
          "path" : "VisionPrescription.lensSpecification.eye",
          "short" : "right | left",
          "definition" : "The eye for which the lens specification applies.",
          "comment" : "May also appear as OD (oculus dexter) for the right eye and OS (oculus siniter) for the left eye.",
          "requirements" : "Needed to identify which eye the lens specification applies to.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.eye",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VisionEyes"
            }],
            "strength" : "required",
            "description" : "A coded concept listing the eye codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.sphere",
          "path" : "VisionPrescription.lensSpecification.sphere",
          "short" : "Power of the lens",
          "definition" : "Lens power measured in dioptres (0.25 units).",
          "comment" : "The value is negative for near-sighted and positive for far sighted.\nOften insurance will not cover a lens with power between +75 and -75.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.sphere",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.cylinder",
          "path" : "VisionPrescription.lensSpecification.cylinder",
          "short" : "Lens power for astigmatism",
          "definition" : "Power adjustment for astigmatism measured in dioptres (0.25 units).",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.cylinder",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.axis",
          "path" : "VisionPrescription.lensSpecification.axis",
          "short" : "Lens meridian which contain no power for astigmatism",
          "definition" : "Adjustment for astigmatism measured in integer degrees.",
          "comment" : "The limits are +180 and -180 degrees.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.axis",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "integer"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Prism"
          }],
          "path" : "VisionPrescription.lensSpecification.prism",
          "short" : "Eye alignment compensation",
          "definition" : "Allows for adjustment on two axis.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.prism",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "BackboneElement"
          }],
          "constraint" : [{
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "Element"
          }],
          "isModifier" : false,
          "isSummary" : false
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism.id",
          "path" : "VisionPrescription.lensSpecification.prism.id",
          "representation" : ["xmlAttr"],
          "short" : "Unique id for inter-element referencing",
          "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Element.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism.extension",
          "path" : "VisionPrescription.lensSpecification.prism.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "Element.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism.modifierExtension",
          "path" : "VisionPrescription.lensSpecification.prism.modifierExtension",
          "short" : "Extensions that cannot be ignored even if unrecognized",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content",
          "modifiers"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "BackboneElement.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism.amount",
          "path" : "VisionPrescription.lensSpecification.prism.amount",
          "short" : "Amount of adjustment",
          "definition" : "Amount of prism to compensate for eye alignment in fractional units.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.prism.amount",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism.base",
          "path" : "VisionPrescription.lensSpecification.prism.base",
          "short" : "up | down | in | out",
          "definition" : "The relative base, or reference lens edge, for the prism.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.prism.base",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VisionBase"
            }],
            "strength" : "required",
            "description" : "A coded concept listing the base codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.add",
          "path" : "VisionPrescription.lensSpecification.add",
          "short" : "Added power for multifocal levels",
          "definition" : "Power adjustment for multifocal lenses measured in dioptres (0.25 units).",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.add",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.power",
          "path" : "VisionPrescription.lensSpecification.power",
          "short" : "Contact lens power",
          "definition" : "Contact lens power measured in dioptres (0.25 units).",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.power",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.backCurve",
          "path" : "VisionPrescription.lensSpecification.backCurve",
          "short" : "Contact lens back curvature",
          "definition" : "Back curvature measured in millimetres.",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.backCurve",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.diameter",
          "path" : "VisionPrescription.lensSpecification.diameter",
          "short" : "Contact lens diameter",
          "definition" : "Contact lens diameter measured in millimetres.",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.diameter",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "decimal"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.duration",
          "path" : "VisionPrescription.lensSpecification.duration",
          "short" : "Lens wear duration",
          "definition" : "The recommended maximum wear period for the lens.",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.duration",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.color",
          "path" : "VisionPrescription.lensSpecification.color",
          "short" : "Color required",
          "definition" : "Special color or pattern.",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.color",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.brand",
          "path" : "VisionPrescription.lensSpecification.brand",
          "short" : "Brand required",
          "definition" : "Brand recommendations or restrictions.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.brand",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.note",
          "path" : "VisionPrescription.lensSpecification.note",
          "short" : "Notes for coatings",
          "definition" : "Notes for special requirements such as coatings and lens materials.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "VisionPrescription.lensSpecification.note",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Annotation"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "VisionPrescription",
          "path" : "VisionPrescription",
          "short" : "Prescription for vision correction products for a patient",
          "definition" : "An authorization for the provision of glasses and/or contact lenses to a patient.",
          "min" : 0,
          "max" : "*",
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request"
          },
          {
            "identity" : "rim",
            "map" : "CombinedVisionRequest"
          }]
        },
        {
          "id" : "VisionPrescription.identifier",
          "path" : "VisionPrescription.identifier",
          "short" : "Business Identifier for vision prescription",
          "definition" : "A unique identifier assigned to this vision prescription.",
          "requirements" : "Allows vision prescriptions to be distinguished and referenced.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Identifier"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.identifier"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          },
          {
            "identity" : "v2",
            "map" : "ORC-2-Placer Order Number / ORC-3-Filler Order Number"
          },
          {
            "identity" : "rim",
            "map" : "id"
          }]
        },
        {
          "id" : "VisionPrescription.status",
          "path" : "VisionPrescription.status",
          "short" : "active | cancelled | draft | entered-in-error",
          "definition" : "The status of the resource instance.",
          "comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
          "requirements" : "Need to track the status of the resource as 'draft' resources may undergo further edits while 'active' resources are immutable and may only have their status changed to 'cancelled'.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VisionStatus"
            }],
            "strength" : "required",
            "description" : "A code specifying the state of the resource instance.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/fm-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          },
          {
            "identity" : "rim",
            "map" : "Act.status"
          }]
        },
        {
          "id" : "VisionPrescription.created",
          "path" : "VisionPrescription.created",
          "short" : "Response creation date",
          "definition" : "The date this resource was created.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true
        },
        {
          "id" : "VisionPrescription.patient",
          "path" : "VisionPrescription.patient",
          "short" : "Who prescription is for",
          "definition" : "A resource reference to the person to whom the vision prescription applies.",
          "requirements" : "Needed to identify the patient for whom the vision prescription has been issued.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.subject"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject[x]"
          },
          {
            "identity" : "v2",
            "map" : "PID-3-Patient ID List"
          },
          {
            "identity" : "rim",
            "map" : "subject.role"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.subject"
          }]
        },
        {
          "id" : "VisionPrescription.encounter",
          "path" : "VisionPrescription.encounter",
          "short" : "Created during encounter / admission / stay",
          "definition" : "A reference to a resource that identifies the particular occurrence of contact between patient and health care provider during which the prescription was issued.",
          "requirements" : "Used in some jurisdictions to link clinical events to claim items.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Encounter"]
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.context"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.context"
          },
          {
            "identity" : "v2",
            "map" : "PV1-19-Visit Number"
          },
          {
            "identity" : "rim",
            "map" : "componentOf.patientEncounter"
          }]
        },
        {
          "id" : "VisionPrescription.dateWritten",
          "path" : "VisionPrescription.dateWritten",
          "short" : "When prescription was authorized",
          "definition" : "The date (and perhaps time) when the prescription was written.",
          "comment" : "Jurisdictions determine the valid lifetime of a prescription. Typically vision prescriptions are valid for two years from the date written.",
          "requirements" : "Need to record a timestamp for use by both the recipient and the issuer.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.authoredOn"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          },
          {
            "identity" : "v2",
            "map" : "RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction"
          },
          {
            "identity" : "rim",
            "map" : "author.time"
          }]
        },
        {
          "id" : "VisionPrescription.prescriber",
          "path" : "VisionPrescription.prescriber",
          "short" : "Who authorized the vision prescription",
          "definition" : "The healthcare professional responsible for authorizing the prescription.",
          "requirements" : "Need to record the authorizing practitioner.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "Reference",
            "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Practitioner",
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Request.requester"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.author"
          },
          {
            "identity" : "v2",
            "map" : "RXE-13-Ordering Provider's DEA Number / RXO-14-Ordering Provider's DEA Number / RXE-14-Pharmacist/Treatment Supplier's Verifier ID / RXO-15-Pharmacist/Treatment Supplier's Verifier ID / ORC-12-Ordering Provider / PRT-5-Participation Person: PRT-4-Participation='OP' (all but last deprecated)"
          },
          {
            "identity" : "rim",
            "map" : "author.role"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification",
          "path" : "VisionPrescription.lensSpecification",
          "short" : "Vision lens authorization",
          "definition" : "Contain the details of  the individual lens specifications and serves as the authorization for the fullfillment by certified professionals.",
          "min" : 1,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "rim",
            "map" : "component.supplyEvent"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.product",
          "path" : "VisionPrescription.lensSpecification.product",
          "short" : "Product to be supplied",
          "definition" : "Identifies the type of vision correction product which is required for the patient.",
          "requirements" : "Need to identify whether glasses or contacts.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VisionProduct"
            }],
            "strength" : "example",
            "description" : "A coded concept describing the vision products.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vision-product"
          },
          "mapping" : [{
            "identity" : "v2",
            "map" : "RXE-2-Give Code / RXO-1-Requested Give Code / RXD-2-Dispense/Give Code"
          },
          {
            "identity" : "rim",
            "map" : "consumable.role"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.eye",
          "path" : "VisionPrescription.lensSpecification.eye",
          "short" : "right | left",
          "definition" : "The eye for which the lens specification applies.",
          "comment" : "May also appear as OD (oculus dexter) for the right eye and OS (oculus siniter) for the left eye.",
          "requirements" : "Needed to identify which eye the lens specification applies to.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VisionEyes"
            }],
            "strength" : "required",
            "description" : "A coded concept listing the eye codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vision-eye-codes|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.sphere",
          "path" : "VisionPrescription.lensSpecification.sphere",
          "short" : "Power of the lens",
          "definition" : "Lens power measured in dioptres (0.25 units).",
          "comment" : "The value is negative for near-sighted and positive for far sighted.\nOften insurance will not cover a lens with power between +75 and -75.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.cylinder",
          "path" : "VisionPrescription.lensSpecification.cylinder",
          "short" : "Lens power for astigmatism",
          "definition" : "Power adjustment for astigmatism measured in dioptres (0.25 units).",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.axis",
          "path" : "VisionPrescription.lensSpecification.axis",
          "short" : "Lens meridian which contain no power for astigmatism",
          "definition" : "Adjustment for astigmatism measured in integer degrees.",
          "comment" : "The limits are +180 and -180 degrees.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "integer"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism",
          "extension" : [{
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString" : "Prism"
          }],
          "path" : "VisionPrescription.lensSpecification.prism",
          "short" : "Eye alignment compensation",
          "definition" : "Allows for adjustment on two axis.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "BackboneElement"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism.amount",
          "path" : "VisionPrescription.lensSpecification.prism.amount",
          "short" : "Amount of adjustment",
          "definition" : "Amount of prism to compensate for eye alignment in fractional units.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.prism.base",
          "path" : "VisionPrescription.lensSpecification.prism.base",
          "short" : "up | down | in | out",
          "definition" : "The relative base, or reference lens edge, for the prism.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "VisionBase"
            }],
            "strength" : "required",
            "description" : "A coded concept listing the base codes.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/vision-base-codes|4.0.0"
          },
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.add",
          "path" : "VisionPrescription.lensSpecification.add",
          "short" : "Added power for multifocal levels",
          "definition" : "Power adjustment for multifocal lenses measured in dioptres (0.25 units).",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.power",
          "path" : "VisionPrescription.lensSpecification.power",
          "short" : "Contact lens power",
          "definition" : "Contact lens power measured in dioptres (0.25 units).",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.backCurve",
          "path" : "VisionPrescription.lensSpecification.backCurve",
          "short" : "Contact lens back curvature",
          "definition" : "Back curvature measured in millimetres.",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.diameter",
          "path" : "VisionPrescription.lensSpecification.diameter",
          "short" : "Contact lens diameter",
          "definition" : "Contact lens diameter measured in millimetres.",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "decimal"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.duration",
          "path" : "VisionPrescription.lensSpecification.duration",
          "short" : "Lens wear duration",
          "definition" : "The recommended maximum wear period for the lens.",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "Quantity",
            "profile" : ["http://hl7.org/fhir/StructureDefinition/SimpleQuantity"]
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.color",
          "path" : "VisionPrescription.lensSpecification.color",
          "short" : "Color required",
          "definition" : "Special color or pattern.",
          "requirements" : "Standard contact lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.brand",
          "path" : "VisionPrescription.lensSpecification.brand",
          "short" : "Brand required",
          "definition" : "Brand recommendations or restrictions.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        },
        {
          "id" : "VisionPrescription.lensSpecification.note",
          "path" : "VisionPrescription.lensSpecification.note",
          "short" : "Notes for coatings",
          "definition" : "Notes for special requirements such as coatings and lens materials.",
          "requirements" : "Standard lens prescription measures.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "Annotation"
          }],
          "mapping" : [{
            "identity" : "rim",
            "map" : "n/a"
          }]
        }]
      }
    }
  },
  {
    "fullUrl" : "http://hl7.org/fhir/StructureDefinition/MetadataResource",
    "resource" : {
      "resourceType" : "StructureDefinition",
      "id" : "MetadataResource",
      "meta" : {
        "lastUpdated" : "2018-12-27T22:37:54.724+11:00"
      },
      "text" : {
        "status" : "generated",
        "div" : "
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Name
Flags
Card.
Type
Description & Constraints
 MetadataResource 
ITU
DomainResource
Common Ancestor declaration for definitional resources
+ Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation
Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
 url 
Σ
0..1
uri
Canonical identifier for this metadata resource, represented as a URI (globally unique)
 version 
Σ
0..1
string
Business version of the metadata resource
 name 
ΣI
0..1
string
Name for this metadata resource (computer friendly)
 title 
Σ
0..1
string
Name for this metadata resource (human friendly)
 status 
?!Σ
1..1
code
draft | active | retired | unknown
PublicationStatus (Required)
 experimental 
Σ
0..1
boolean
For testing purposes, not real usage
 date 
Σ
0..1
dateTime
Date last changed
 publisher 
Σ
0..1
string
Name of the publisher (organization or individual)
 contact 
Σ
0..*
ContactDetail
Contact details for the publisher
 description 
0..1
markdown
Natural language description of the metadata resource
 useContext 
Σ
0..*
UsageContext
The context that the content is intended to support
 jurisdiction 
Σ
0..*
CodeableConcept
Intended jurisdiction for metadata resource (if applicable)
Jurisdiction (Extensible)

 Documentation for this format
"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "trial-use"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
        "valueCode" : "fhir"
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/MetadataResource",
      "version" : "4.0.0",
      "name" : "MetadataResource",
      "status" : "draft",
      "date" : "2018-12-27T22:37:54+11:00",
      "publisher" : "Health Level Seven International (FHIR Infrastructure)",
      "contact" : [{
        "telecom" : [{
          "system" : "url",
          "value" : "http://hl7.org/fhir"
        }]
      },
      {
        "telecom" : [{
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fiwg/index.cfm"
        }]
      }],
      "description" : "Common Ancestor declaration for conformance and knowledge artifact resources.",
      "fhirVersion" : "4.0.0",
      "mapping" : [{
        "identity" : "workflow",
        "uri" : "http://hl7.org/fhir/workflow",
        "name" : "Workflow Pattern"
      },
      {
        "identity" : "w5",
        "uri" : "http://hl7.org/fhir/fivews",
        "name" : "FiveWs Pattern Mapping"
      },
      {
        "identity" : "rim",
        "uri" : "http://hl7.org/v3",
        "name" : "RIM Mapping"
      }],
      "kind" : "logical",
      "abstract" : false,
      "type" : "MetadataResource",
      "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
      "derivation" : "specialization",
      "snapshot" : {
        "element" : [{
          "id" : "MetadataResource",
          "path" : "MetadataResource",
          "short" : "Common Ancestor declaration for definitional resources",
          "definition" : "Common Ancestor declaration for conformance and knowledge artifact resources.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource",
            "min" : 1,
            "max" : "1"
          },
          "constraint" : [{
            "key" : "dom-2",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
            "expression" : "contained.contained.empty()",
            "xpath" : "not(parent::f:contained and f:contained)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-4",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
            "expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-3",
            "severity" : "error",
            "human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
            "expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
            "xpath" : "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
            "source" : "DomainResource"
          },
          {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
              "valueBoolean" : true
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
              "valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
            }],
            "key" : "dom-6",
            "severity" : "warning",
            "human" : "A resource should have narrative for robust management",
            "expression" : "text.div.exists()",
            "xpath" : "exists(f:text/h:div)",
            "source" : "DomainResource"
          },
          {
            "key" : "dom-5",
            "severity" : "error",
            "human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
            "expression" : "contained.meta.security.empty()",
            "xpath" : "not(exists(f:contained/*/f:meta/f:security))",
            "source" : "DomainResource"
          },
          {
            "key" : "inv-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Entity. Role, or Act"
          },
          {
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "MetadataResource.id",
          "path" : "MetadataResource.id",
          "short" : "Logical id of this artifact",
          "definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
          "comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.id",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "id"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MetadataResource.meta",
          "path" : "MetadataResource.meta",
          "short" : "Metadata about the resource",
          "definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.meta",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Meta"
          }],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MetadataResource.implicitRules",
          "path" : "MetadataResource.implicitRules",
          "short" : "A set of rules under which this content was created",
          "definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
          "comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.implicitRules",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : true,
          "isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
          "isSummary" : true
        },
        {
          "id" : "MetadataResource.language",
          "path" : "MetadataResource.language",
          "short" : "Language of the resource content",
          "definition" : "The base language in which the resource is written.",
          "comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "Resource.language",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
              "valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Language"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "preferred",
            "description" : "A human language.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/languages"
          }
        },
        {
          "id" : "MetadataResource.text",
          "path" : "MetadataResource.text",
          "short" : "Text summary of the resource, for human interpretation",
          "definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
          "comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
          "alias" : ["narrative",
          "html",
          "xhtml",
          "display"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "DomainResource.text",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "Narrative"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "Act.text?"
          }]
        },
        {
          "id" : "MetadataResource.contained",
          "path" : "MetadataResource.contained",
          "short" : "Contained, inline Resources",
          "definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
          "comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
          "alias" : ["inline resources",
          "anonymous resources",
          "contained resources"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.contained",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Resource"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MetadataResource.extension",
          "path" : "MetadataResource.extension",
          "short" : "Additional content defined by implementations",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.extension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MetadataResource.modifierExtension",
          "path" : "MetadataResource.modifierExtension",
          "short" : "Extensions that cannot be ignored",
          "definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
          "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
          "requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
          "alias" : ["extensions",
          "user content"],
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "DomainResource.modifierExtension",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "Extension"
          }],
          "isModifier" : true,
          "isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
          "isSummary" : false,
          "mapping" : [{
            "identity" : "rim",
            "map" : "N/A"
          }]
        },
        {
          "id" : "MetadataResource.url",
          "path" : "MetadataResource.url",
          "short" : "Canonical identifier for this metadata resource, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this metadata resource when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this metadata resource is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the metadata resource is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the metadata resource to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.url",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "uri"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "MetadataResource.version",
          "path" : "MetadataResource.version",
          "short" : "Business version of the metadata resource",
          "definition" : "The identifier that is used to identify this version of the metadata resource when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the metadata resource author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different metadata resource instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the metadata resource with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.version",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "MetadataResource.name",
          "path" : "MetadataResource.name",
          "short" : "Name for this metadata resource (computer friendly)",
          "definition" : "A natural language name identifying the metadata resource. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.name",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isModifier" : false,
          "isSummary" : true
        },
        {
          "id" : "MetadataResource.title",
          "path" : "MetadataResource.title",
          "short" : "Name for this metadata resource (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the metadata resource.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.title",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "MetadataResource.status",
          "path" : "MetadataResource.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this metadata resource. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of metadata resources that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.status",
            "min" : 1,
            "max" : "1"
          },
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "MetadataResource.experimental",
          "path" : "MetadataResource.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this metadata resource is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of metadata resources that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level metadata resource.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.experimental",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "boolean"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "MetadataResource.date",
          "path" : "MetadataResource.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the metadata resource was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the metadata resource changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the metadata resource. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.date",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "dateTime"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "MetadataResource.publisher",
          "path" : "MetadataResource.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the metadata resource.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the metadata resource is the organization or individual primarily responsible for the maintenance and upkeep of the metadata resource. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the metadata resource. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the metadata resource.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.publisher",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "string"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "MetadataResource.contact",
          "path" : "MetadataResource.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MetadataResource.contact",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "MetadataResource.description",
          "path" : "MetadataResource.description",
          "short" : "Natural language description of the metadata resource",
          "definition" : "A free text natural language description of the metadata resource from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the metadata resource was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the metadata resource as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the metadata resource is presumed to be the predominant language in the place the metadata resource was created).",
          "min" : 0,
          "max" : "1",
          "base" : {
            "path" : "MetadataResource.description",
            "min" : 0,
            "max" : "1"
          },
          "type" : [{
            "code" : "markdown"
          }],
          "isModifier" : false,
          "isSummary" : false,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "MetadataResource.useContext",
          "path" : "MetadataResource.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate metadata resource instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MetadataResource.useContext",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "UsageContext"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "MetadataResource.jurisdiction",
          "path" : "MetadataResource.jurisdiction",
          "short" : "Intended jurisdiction for metadata resource (if applicable)",
          "definition" : "A legal or geographic region in which the metadata resource is intended to be used.",
          "comment" : "It may be possible for the metadata resource to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "base" : {
            "path" : "MetadataResource.jurisdiction",
            "min" : 0,
            "max" : "*"
          },
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isModifier" : false,
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        }]
      },
      "differential" : {
        "element" : [{
          "id" : "MetadataResource",
          "path" : "MetadataResource",
          "short" : "Common Ancestor declaration for definitional resources",
          "definition" : "Common Ancestor declaration for conformance and knowledge artifact resources.",
          "min" : 1,
          "max" : "1",
          "constraint" : [{
            "key" : "inv-0",
            "severity" : "warning",
            "human" : "Name should be usable as an identifier for the module by machine processing applications such as code generation",
            "expression" : "name.matches('[A-Z]([A-Za-z0-9_]){0,254}')",
            "xpath" : "not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){0,254}')"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition"
          }]
        },
        {
          "id" : "MetadataResource.url",
          "path" : "MetadataResource.url",
          "short" : "Canonical identifier for this metadata resource, represented as a URI (globally unique)",
          "definition" : "An absolute URI that is used to identify this metadata resource when it is referenced in a specification, model, design or an instance; also called its canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative instance of this metadata resource is (or will be) published. This URL can be the target of a canonical reference. It SHALL remain the same when the metadata resource is stored on different servers.",
          "comment" : "Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances may share the same URL if they have a distinct version.\n\nThe determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author.  Considerations for making this decision are found in [Technical and Business Versions](resource.html#versions). \n\nIn some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](resource.html#meta) element to indicate where the current master source of the resource can be found.",
          "requirements" : "Allows the metadata resource to be referenced by a single globally unique identifier.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "uri"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.url"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.identifier"
          }]
        },
        {
          "id" : "MetadataResource.version",
          "path" : "MetadataResource.version",
          "short" : "Business version of the metadata resource",
          "definition" : "The identifier that is used to identify this version of the metadata resource when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the metadata resource author and is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that versions can be placed in a lexicographical sequence.",
          "comment" : "There may be different metadata resource instances that have the same identifier but different versions.  The version can be appended to the url in a reference to allow a reference to a particular business version of the metadata resource with the format [url]|[version].",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.version"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.version"
          }]
        },
        {
          "id" : "MetadataResource.name",
          "path" : "MetadataResource.name",
          "short" : "Name for this metadata resource (computer friendly)",
          "definition" : "A natural language name identifying the metadata resource. This name should be usable as an identifier for the module by machine processing applications such as code generation.",
          "comment" : "The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.",
          "requirements" : "Support human navigation and code generation.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "condition" : ["inv-0"],
          "isSummary" : true
        },
        {
          "id" : "MetadataResource.title",
          "path" : "MetadataResource.title",
          "short" : "Name for this metadata resource (human friendly)",
          "definition" : "A short, descriptive, user-friendly title for the metadata resource.",
          "comment" : "This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.title"
          }]
        },
        {
          "id" : "MetadataResource.status",
          "path" : "MetadataResource.status",
          "short" : "draft | active | retired | unknown",
          "definition" : "The status of this metadata resource. Enables tracking the life-cycle of the content.",
          "comment" : "Allows filtering of metadata resources that are appropriate for use versus not.",
          "min" : 1,
          "max" : "1",
          "type" : [{
            "code" : "code"
          }],
          "isModifier" : true,
          "isModifierReason" : "This is labeled as \"Is Modifier\" because applications should not use a retired {{title}} without due consideration",
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "PublicationStatus"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "required",
            "description" : "The lifecycle status of an artifact.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/publication-status|4.0.0"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.status"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.status"
          }]
        },
        {
          "id" : "MetadataResource.experimental",
          "path" : "MetadataResource.experimental",
          "short" : "For testing purposes, not real usage",
          "definition" : "A Boolean value to indicate that this metadata resource is authored for testing purposes (or education/evaluation/marketing) and is not intended to be used for genuine usage.",
          "comment" : "Allows filtering of metadata resources that are appropriate for use versus not.",
          "requirements" : "Enables experimental content to be developed following the same lifecycle that would be used for a production-level metadata resource.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "boolean"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.experimental"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.class"
          }]
        },
        {
          "id" : "MetadataResource.date",
          "path" : "MetadataResource.date",
          "short" : "Date last changed",
          "definition" : "The date  (and optionally time) when the metadata resource was published. The date must change when the business version changes and it must change if the status code changes. In addition, it should change when the substantive content of the metadata resource changes.",
          "comment" : "Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the metadata resource. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource.",
          "alias" : ["Revision Date"],
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "dateTime"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.date"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.recorded"
          }]
        },
        {
          "id" : "MetadataResource.publisher",
          "path" : "MetadataResource.publisher",
          "short" : "Name of the publisher (organization or individual)",
          "definition" : "The name of the organization or individual that published the metadata resource.",
          "comment" : "Usually an organization but may be an individual. The publisher (or steward) of the metadata resource is the organization or individual primarily responsible for the maintenance and upkeep of the metadata resource. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the metadata resource. This item SHOULD be populated unless the information is available from context.",
          "requirements" : "Helps establish the \"authority/credibility\" of the metadata resource.  May also allow for contact.",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "string"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.publisher"
          },
          {
            "identity" : "w5",
            "map" : "FiveWs.witness"
          }]
        },
        {
          "id" : "MetadataResource.contact",
          "path" : "MetadataResource.contact",
          "short" : "Contact details for the publisher",
          "definition" : "Contact details to assist a user in finding and communicating with the publisher.",
          "comment" : "May be a web site, an email address, a telephone number, etc.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "ContactDetail"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.contact"
          }]
        },
        {
          "id" : "MetadataResource.description",
          "path" : "MetadataResource.description",
          "short" : "Natural language description of the metadata resource",
          "definition" : "A free text natural language description of the metadata resource from a consumer's perspective.",
          "comment" : "This description can be used to capture details such as why the metadata resource was built, comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the metadata resource as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the metadata resource is presumed to be the predominant language in the place the metadata resource was created).",
          "min" : 0,
          "max" : "1",
          "type" : [{
            "code" : "markdown"
          }],
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.description"
          }]
        },
        {
          "id" : "MetadataResource.useContext",
          "path" : "MetadataResource.useContext",
          "short" : "The context that the content is intended to support",
          "definition" : "The content was developed with a focus and intent of supporting the contexts that are listed. These contexts may be general categories (gender, age, ...) or may be references to specific programs (insurance plans, studies, ...) and may be used to assist with indexing and searching for appropriate metadata resource instances.",
          "comment" : "When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.",
          "requirements" : "Assist in searching for appropriate content.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "UsageContext"
          }],
          "isSummary" : true,
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.useContext"
          }]
        },
        {
          "id" : "MetadataResource.jurisdiction",
          "path" : "MetadataResource.jurisdiction",
          "short" : "Intended jurisdiction for metadata resource (if applicable)",
          "definition" : "A legal or geographic region in which the metadata resource is intended to be used.",
          "comment" : "It may be possible for the metadata resource to be used in jurisdictions other than those for which it was originally designed or intended.",
          "min" : 0,
          "max" : "*",
          "type" : [{
            "code" : "CodeableConcept"
          }],
          "isSummary" : true,
          "binding" : {
            "extension" : [{
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString" : "Jurisdiction"
            },
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean" : true
            }],
            "strength" : "extensible",
            "description" : "Countries and regions within which this artifact is targeted for use.",
            "valueSet" : "http://hl7.org/fhir/ValueSet/jurisdiction"
          },
          "mapping" : [{
            "identity" : "workflow",
            "map" : "Definition.jurisdiction"
          }]
        }]
      }
    }
  }]
}